I don't know what they're figuring but they better figure something fast.
A couple months ago there was a severe shortage of Levophed. Handling septic patients with a tanking blood pressure is hard enough - harder still when you don't have adequate stock of the meds needed to maintain decent perfusion pressure in critical patients. And in critical care pts., sometimes "substitution" isn't an option - especially when it comes ot certain antibiotics or pressors or the like.
From something as simple as Pepcid to something as exotic as Veccuronium - there have been multiple waves of shortages of different medications over the past two years. It's annoying, it's frustrating and more importantly, I'm sure it's affecting patient care and outcome.
Sometimes the shortage takes on an absurd twist. For example, the narcotic pain medication Dilaudid - there has been a severe shortage of the 1mg dose vials for a while now - but there seem to be no shortage of the 2mg or 10mg vials. Unfortunately, Dilaudid is usually dosed in 0.5-1 mg doses. So when the 2mg or 10mg vial is pulled for use, the remainder (other than the dose ordered) has to be wasted per protocol and per law!!!
cheers,
R.
PS: I won't bother getting into the "politics" of it all. Too many ill-informed "opinions" and I'm tired of beating the same old dead horses.