South East London Joint Medicines Formulary Formulary

	South East London Joint Medicines Formulary
	Guy's and St Thomas' NHS Foundation Trust Kings College Hospital NHS Foundation Trust Lewisham and Greenwich NHS Trust

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Formulary Chapter 9: Nutrition and blood - Full Chapter

Notes:

Where a formulary entry does not detail a medicine’s indications for use, the medicine can be assumed to be approved for all licensed indications.

Formulary approved "off-label" use is detailed separately.

Details...

09.02.02.01

Electrolytes and water

09.02.02.01

Intravenous sodium

Plasma-Lyte 148 intravenous infusion

Restricted

Restricted to use in Critical Care, and intraoperative use in the following procedures:

Free flap reconstruction

Renal transplant

Simultaneous kidney and pancreas transplant

Ringer's Solution for Injection

Formulary

Sodium Chloride 0.18% and glucose 4% Intravenous infusion

Formulary

Sodium Chloride 0.45% and glucose 5% Intravenous infusion

Formulary

Sodium Chloride 0.45% intravenous infusion

Formulary

Sodium Chloride 0.9% intravenous infusion

Formulary

Sodium Chloride 1.8% intravenous infusion

Formulary

Sodium lactate intravenous infusion compound (Hartmann's)

Formulary

09.02.02.01

Intravenous glucose

Glucose 5% Intravenous infusion

Formulary

Glucose 10% Intravenous infusion

Formulary

Glucose 20% Intravenous infusion

Formulary

Glucose 50% Intravenous infusion

Formulary

09.02.02.01

Intravenous potassium

Potassium chloride 0.15% and sodium chloride 0.9% intravenous infusion

Formulary

20 mmol K⁺ per 1000mL

Potassium chloride 0.15% and glucose 5% intravenous infusion

Formulary

20 mmol K⁺ per 1000mL

Potassium chloride 0.3% and glucose 5% intravenous infusion

Formulary

40 mmol K⁺ per 1000mL

Potassium chloride 0.3%, sodium chloride 0.18% and glucose 4% intravenous infusion

Formulary

40 mmol K⁺ per 1000mL

Potassium chloride 0.3%, sodium chloride 0.45% and glucose 5% intravenous infusion

Formulary

40 mmol K⁺ per 1000mL

Potassium chloride 0.3%, sodium chloride 0.9% intravenous infusion

Formulary

40 mmol K⁺ per 1000mL

Potassium chloride strong injection 15%

Formulary

20 mmol K⁺ in 10mL

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

Addiphos injection (potassium supplementation)

Formulary

30 mmol K⁺ in 20mL

20mL also contains:

40mmol Phosphate
30mmol Sodium

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

Cardioplegia Harefield Preparation infusion

Formulary

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

For myocardial protection during cardiac surgery

Cardioplegia infusion

Formulary

16 mmol K⁺ in 20mL

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

For myocardial protection during cardiac surgery

Potassium acetate injection

Formulary

10 mmol K⁺ in 10mL

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

Potassium acid phosphate injection 13.6%

Formulary

10 mmol K⁺ in 10mL

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

Potassium chloride 1.5% in sodium chloride 0.9% infusion minibag

Unlicensed

20 mmol K⁺ in 100mL

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

Potassium chloride 3% in sodium chloride 0.9% infusion minibag

Unlicensed

40 mmol K⁺ in 100mL

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

Potassium chloride 3% in sodium chloride 0.9% prefilled syringe 50mL

Unlicensed

20 mmol K⁺ in 50mL

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

Potassium chloride 7.5% in sodium chloride 0.9% prefilled syringe 50mL

Unlicensed

50 mmol K⁺ in 50mL

REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

09.02.02.01

Bicarbonate and lactate

Sodium bicarbonate 1.26% intravenous infusion

Formulary

Sodium Bicarbonate 1.4% intravenous infusion

Formulary

Sodium Bicarbonate 2.74% intravenous infusion

Formulary

Sodium Bicarbonate 8.4% intravenous infusion

Formulary

09.02.02.01

Water

Water for Injections

Formulary

....

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

Traffic Light Status Information

Status	Description
	Specialist or hospital prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.
	Treatment can be initiated in primary care after a recommendation from an appropriate specialist
	Specialist initiation followed by maintenance prescribing in primary care
	Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation
	Specialist and non-specialist initiation
	Not recommended for prescribing