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<p class="xmsonormal"><b><span style="color:red">Effective Immediately at UH Downtown Campus: 
</span></b>Pharmacy has exhausted supplies of <b>Clinimix E 4.25/5%.</b>  We now stock regular
<b>Clinimix 4.25/5%</b> <b>which contains the same calories <i><u>without </u></i><u>the electrolytes</u></b>. <u>
<o:p></o:p></u></p>
<p class="xmsonormal"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="xmsonormal" style="mso-list:l0 level1 lfo3">Existing patients on Clinimix E will need to be converted to Clinimix (without electrolytes). Pharmacy will reach out to providers to switch orders.
<o:p></o:p></li><li class="xmsonormal" style="mso-list:l0 level1 lfo3">Patients receiving Clinimix should be screened for electrolyte needs (especially Potassium, Magnesium and Phosphate). Physicians & Clinicians should consider RER or oral supplementation if appropriate. 
<o:p></o:p></li><li class="xmsonormal" style="mso-list:l0 level1 lfo3">New patients initiated on regular Clinimix should be evaluated for refeeding risk.  Physicians & Clinicians should consider a dietary consult to properly manage these patients. 
<o:p></o:p></li></ul>
<p class="xmsonormal"><o:p> </o:p></p>
<p class="xmsonormal"><b><i><span style="color:red">NOTE:</span></i></b><span style="color:red"> 
</span>Clinimix is still suitable for either peripheral or central line administration.  Please refer to the chart below for the amounts of electrolytes that were present in the Clinimix E product. 
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Use the link below to review more information on this backorder:<o:p></o:p></p>
<p class="MsoNormal"><b><a href="https://www.upstate.edu/training/intra/epic/documents/clinimix_e_backorder_formulary_swap_to_regular_clinimix.pdf">Clinimix E Backorder – Formulary Swap to Regular Clinimix</a><o:p></o:p></b></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thank you,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><img border="0" width="367" height="114" style="width:3.8229in;height:1.1875in" id="Picture_x0020_1648027211" src="cid:image001.jpg@01DB0423.B268A310"><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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