Medication Reconstitutions - ED Flashcards
Reconstitution solution for Ampicillin, CeFAZolin, cefOXitin, CefTAZidime, CefTRIAXone IV:
Sterile Water for Injection (SWFI)
Reconsitution solution for CefTRIAXone IM:
SWFI or 1% lidocaine
Generic for Ancef
CeFAZolin
Generic for Mefoxin
cefOXitin
Generic for Fortaz
CefTAZidime
Generic for Rocephin
CefTRIAXone
Ampicillin vial size and volume of diluent to add:
500 mg and 1.8 mL
Reconstituted concentration of Ampicillin
250 mg/mL
Maximum administration concentration of Ampicillin
100 mg/mL
Usual administration concentration and diluent of Ampicillin
30 mg/mL NS only
Administration rate of Ampicillin for rapid infusion vs. intermittent infusion:
rapid: = 500 mg over 3-5 min; >500mg over 10-15 min
intermittent: 15 min
CeFAZolin vial size and volume of diluent to add:
1g and 2.5mL
Reconstituted concentration of CeFAZolin
330mg/mL
Maximum administration concentration of CeFAZolin
100 mg/mL
Usual administration concentration and diluent of CeFAZolin
20 mg/mL D5W or NS
Administration rate of CeFAZolin
Rapid: 3-5 min; Intermittent: 30 mins
cefOxitin vial size and volume of diluent to add:
1gm and 10 mL
Reconstituted concentration of cefOXitin
95 mg/mL
Maximum administration concentration of cefOXitin
200 mg/mL
Usual administration concentration and diluent of cefOXitin
40 mg/mL D5W or NS
Administration rates of cefOXitin
rapid: 3-5 min; Intermittent: 30 mins
CefTAZidime vial size and volume of diluent to add:
1 gm and 10 mL
Reconstituted concentration of CefTAZidime
100 mg/mL
Maximum administration concentration of CefTAZidime
100 mg/mL
Usual administration concentration and diluent of CefTAZidime
40 mg/mL D5W or NS
Administration rates of CefTAZidime
Rapid: 3-5 mins
Intermittent: 30 mins
CefTRIAXone IV vial size and volume of diluent to add
250 mg and 0.9 mL (or)
1g and 3.6 mL
Reconstituted concentration of CefTRIAXone IV
250 mg/mL
Maximum administration concentration of CefTRIAXone IV
40 mg/mL
Usual administration concentration and diluent of CefTRIAXone
40 mg/mL D5W or NS
Administration rates of CefTRIAXone IV
Rapid: 10 mins
Intermittent: 30 mins
CefTRIAXone IM vial size and volume of diluent to add
1 gm and 2.1 mL
Reconstituted concentration of CefTRIAXone IM
350 mg/mL
Maximum administration concentration of CefTRIAXone IM
350 mg/mL
Brand name of Clindamycin
Cleocin
Vial size of Clindamycin (premixed)
600 mg/ 4 mL
Reconstitution concentration of Clindamycin
150 mg/mL
Maximum administration concentration of Clindamycin
18 mg/mL
Usual administration concentration and diluent of Clindamycin
12 mg/mL D5W or NS
Administration rates of Clindamycin
Rapid: not recommended
Intermittent: 30 mins (max 30 mg/min)
Brand name of DexAMETHasone
Decadron
Vial size of DexAMETHasone (premixed)
10mg/mL
Reconstitution concentration of DexAMETHasone
10 mg/mL
Maximum administration concentration of DexAMETHasone
10 mg/mL
Usual administration concentration and diluent of DexAMETHasone
4 mg/mL D5W or NS
Administration rates of DexAMETHasone
Rapid: <10mg 1-4 min
Intermittent: >10mg 15 min
Brand name of Fosphenytoin
Cerebryx
Vial size of Fosphenytoin
500 mgPE/10mL
Reconstituted concentration of Fosphenytoin
50 mgPE/1mL
Maximum administration concentration of Fosphenytoin
25 mgPE/mL
Usual administration concentration and diluent of Fosphenytoin
25 mgPE/mL
Administration rates for Fosphenytoin
Rapid: not recommended
Intermittent: 30 mins (max 150 mg PE/min)
mgPE means?
To avoid confusion, fosphenytoin doses are reported as “mgPE” (milligrams of phenytoin equivalents).
Brand name of Furosemide
Lasix
Vial size of Furosemide
20mg/2mL
Reconstituted concentration of Furosemide
10 mg/mL
Maximum administration concentration of Furosemide
10 mg/mL
Usual administration concentration and diluent of furosemide
1-2 mg/mL
Administration rates of Furosemide
Rapid: 0.5 mg/kg min (MAX 4 mg/min)
Intermittent: 10-15 mins
