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
Brand name of Gentamicin
various
Vial size of Gentamicin
80mg/2mL
Reconstituted concentration of Gentamicin
40 mg/mL
Maximum administration concentration of Gentamicin
10 mg/mL
Usual administration concentration and diluent of Gentamicin
2mg/mL D5W or NS
Administration rates for Gentamicin
Rapid: not recommended
Intermittent: 30 mins
Brand name for Hydrocortisone
various
Reconstitution solution for Hydrocortisone
Act-o-vial
Vial size for Hydrocortisone and volume of diluent
100mg and 2mL
Reconstituted concentration of Hydrocortisone
50 mg/mL
Maximum administration concentration of Hydrocortisone
50 mg/mL
Usual administration concentration and diluent of Hydrocortisone
5mg/mL D5W or NS
Administration rate of Hydrocortisone
Rapid: 5 min
Intermittent: 30 min
Brand name of Ketorolac
Toradol
Vial size of Ketorolac
30 mg
Reconstituted concentration of Ketorolac
30 mg/mL
Maximum administration concentration of Ketorolac
30 mg/mL
Administration rate of Ketorolac
Rapid: 1 min
Intermittent: 1-5 min
Brand name of LevETIRAcetam
Keppra
Vial size of LevETIRAcetam
5 mL
Reconstituted concentration of LevETIRAcetam
100 mg/mL
Maximum administration concentration of LevETIRAcetam
15 mg/mL
Usual administration concentration and diluent of LevETIRAcetam
15 mg/mL NS or D5W
Administration rates for LevETIRAcetam
Rapid: not recommended
Intermittent: 15 min
Brand name of LORazepam
Ativan
Vial size of LORazepam
2mg
Reconstituted concentration of LORazepam
2 mg/mL
Maximum administration concentration of LORazepam
2 mg/mL
Administration rates of LORazepam
Rapid: up to 2mg/min
Intermittent: n/a
Brand name of MethylPREDNISolone
Solu-Medrol
Reconstituted concentration of MethylPREDNISolone
40 mg/mL or 62.5 mg/mL
Vial size(s) of MethylPREDNISolone and volume of diluent
40 mg and 1mL
125 mg and 2 mL
Maximum administration concentrations of MethylPREDNISolone
40 mg/mL and 62.5mg/mL
Usual administration concentration and diluent for MethylPRENISolone
5 mg/mL D5W or NS
Administration rates for MethylPREDNISolone
See PEDIATRIC DOSAGE HANDBOOK
Brand name of Metoclopramide
Reglan
Vial size of Metoclopramide
10 mg/2 mL
Reconstituted concentration of Metoclopramide
5 mg/mL
Maximum administration concentration of Metoclopramide
5 mg/mL
Usual administration concentration and diluent of Metoclopramide
0.2 mg/mL D5W or NS
Administration rates of Metoclopramide
Rapid: 5 mg/min
Intermittent: 20 min
Brand name of Ondansetron
Zofran
Vial size of Ondansetron
4 mg/2 mL
Reconstituted concentration of Ondansetron
2 mg/mL
Maximum administration concentration of Ondansetron
2 mg/mL
Usual administration concentration and diluent of Ondansetron
0.5 - 1 mg/mL D5W or NS
Administration rates of Ondansetron
Rapid: 2-5 mins
Intermittent: 15 min
Brand name of Phenytoin
Dilantin
Vial size of Phenytoin
250 mg/5 mL
Reconstituted concentration of Phenytoin
50 mg/mL
Maximum administration concentration of Phenytoin
50 mg/mL
Usual administration concentration and diluent for Phenytoin
25 mg/mL NS
Administration rates for Phenytoin
Rapid: not recommended
Intermittent: 1-3 mg/kg/min (Max 50 mg/min)
T/F: Phenytoin requires a filter
True
Brand name of PHENobarbital
n/a
Vial size of PHENobarbital
65 mg/mL
Reconstituted concentration of PHENobarbital
65 mg/mL
Administration rates for PHENobarbital
Rapid: n/a
Intermittent: 1 mg/kg/min (Max 30 mg/min)
Brand name for Vancomycin
Vancocin
Vial size and diluent of vancomycin
500 mg and 10 mL
Reconstituted concentration of vancomycin
50 mg/mL
Maximum administration concentration for Vancomycin
5 mg/mL
Usual administration concentration and diluent for vancomycin
4 mg/ml D5W or NS
Administration rates for Vancomycin
Rapid: not recommended
Intermittent: 90 min
Brand name for Piperacillin AND Tazobactam
Zosyn
Vial size of Zosyn and diluent
4.5g and 20 mL
Reconstituted concentration of Zosyn
225 mg/mL
Maximum administration concentration of Zosyn
225 mg/mL
Usual administration concentration and diluent of Zosyn
50 mg/mL D5W or NS
Administration rates for Zosyn
Rapid: no information
Intermittent: 30 min
Reconstitution solutions for Hydrocortisone and MethylPREDNISolone
Act-o-vial
Reconstitution solution for Clindamycin, DexAMETHasone, Fosphenytoin, Furosemid, Gentamicin, Ketorolac, LevETIRAcetam, Lorazepam, Metoclopramide, Ondansetron, Phenytoin, and PHENobarbital
Premixed
Reconstitution solution for Vancomycin and Zosyn
SWFI
Generic name for Ancef
CeFAZolin
Generic name for Mefoxin
cefOxitin
Generic name for Fortaz
CefTAZidime
Generic name for Rocephin
CefTRIAXone
Generic name for Cleocin
Clindamycin
Generic name for Decadron
DexAMETHasone
Generic name for Cerebryx
Fosphenytoin
Generic name for Lasix
Furosemide
Generic name for Toradol
Ketorolac
Generic name for Keppra
LevETIRacetam
Generic name for Ativan
Lorazepam
Generic name for Solu-Medrol
MethylPREDNISolone
Generic name for Reglan
Metoclopramide
Generic name for Zofran
Ondansetron
Generic name for Dilantin
Phenytoin
Generic name for Vancocin
Vancomycin
Generic name for Zosyn
Piperacillin and Tazobactam
