IV Fluid Shortage

Understanding the IV Fluid Shortage: Causes, Impact, and Future Solutions

Author: Corinne Rao, MD
Published: November 21, 2024

The recent IV fluid shortage has raised significant concerns within the healthcare community and among patients. Hospitals across the United States are grappling with limited supplies of these essential medical products, causing delays in treatments and the need for alternative care strategies. In this blog, we’ll delve into the reasons behind the shortage, its implications, and how the healthcare industry is addressing the crisis.

What’s Behind the IV Fluid Shortage?

The primary cause of the shortage can be traced to Hurricane Helene, which struck in September 2024. The storm caused severe flooding in parts of the Southeast, including North Carolina, where one of the largest IV fluid manufacturing facilities is located. Baxter International’s North Cove plant, responsible for producing approximately 60% of the IV fluids used in U.S. hospitals, suffered significant damage.

This facility’s disruption highlights the vulnerability of concentrated supply chains. With such a large portion of IV fluid production reliant on one plant, natural disasters can have far-reaching consequences on national healthcare supply chains.

Impact on Healthcare

Hospitals rely on IV fluids for a wide range of treatments, including hydration, medication administration, and nutritional support. The shortage has caused:

  • Postponement of Elective Surgeries: Many hospitals have delayed non-urgent procedures to conserve IV fluid supplies for critical care patients.
  • Alternative Care Approaches: Healthcare providers are exploring alternative methods of hydration and medication delivery, such as oral rehydration solutions or subcutaneous infusions.
  • Strain on Emergency Departments: Emergency care often relies heavily on IV fluids, adding pressure to already overwhelmed emergency services.

Patients, particularly those in intensive care or undergoing chemotherapy, are among the most affected, as IV fluids are vital to their treatment regimens.

Efforts to Mitigate the Shortage

In response to the crisis, Baxter International has ramped up efforts to restore operations. This includes:

  • Importing IV Fluids: The company is sourcing products from its international manufacturing facilities to meet U.S. demand.
  • Restoring Local Production: Partial operations have resumed at the North Cove facility, although full recovery is expected to take months.

Additionally, healthcare providers are implementing conservation measures and prioritizing usage for critical care patients. Regulatory bodies, including the FDA, are working with manufacturers to fast-track approvals for alternative suppliers and solutions.

Lessons Learned and Future Solutions

This shortage serves as a wake-up call for the healthcare industry to improve supply chain resilience. Possible strategies include:

  • Diversifying Manufacturing Locations: Reducing reliance on single facilities by distributing production across multiple sites.
  • Investing in Disaster Preparedness: Strengthening infrastructure to withstand natural disasters.
  • Increasing Stockpiles: Maintaining larger reserves of critical medical supplies to buffer against shortages.

Looking Ahead

While the IV fluid shortage is a pressing issue, it also presents an opportunity to address systemic vulnerabilities in healthcare supply chains. By learning from this crisis, the industry can implement measures to ensure that essential medical supplies remain available during emergencies.

For patients and providers, understanding the root causes and potential solutions can foster patience and collaboration during this challenging time. By working together, we can navigate the current shortage and build a more resilient healthcare system for the future.

Have Questions?

If you’re concerned about how this shortage may affect your care, speak with your healthcare provider for guidance on available alternatives.


Dr. Corinne Rao is a board-certified Internal Medicine physician at Legacy Physicians, specializing in women’s health and hormone management. With over 20 years of experience, she takes a comprehensive approach to helping women navigate their hormonal health journey. Schedule a consultation with Dr. Corinne at Legacy Physicians.


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