Quote from Fairlythere
For instance, if you give 12.5 of phenergren, the vial is 1 ml = 25 so you have to pull 1/2 a ml. We use syringes with the sharp tip plastic "needles". If I pull 1.2 cc to be accurate I would have to use either a TB 1 ml or a 3 cc syringe to get the right amt. of phenergren.
I cant accurately pul 1/2 cc in a 10 cc empty syringe and fill it with saline. What do you do??
So far I have had to draw out 1/2 cc in a small syringe and waste it thus having the correct amt. left in the bottle to draw into a larger syringe. Is this the only way??? Help.
Same if I get an order for toradol 15 and all we have is 30 ml vials, etc. I cant imagine if the order is going to be 6.25 of that 25 cc vial.
Signed, Missing it somehow!!!
I'm a little confused....if the order is for toradol 15mg and it comes in a 30mL vial, you'd draw up 0.5mL. You'd draw that up into an empty syringe, and dilute the rest with NS or whatever you're diluting with.
Same with phenergan, though I'm confused as to why you can't accurately draw up 0.5mL into a 10mL syringe.
Also, if you're giving this IV push (as I'm assuming), you're partially diluting it if you inject it into your main line port as opposed to pushing the syringe directly into the catheter. It will be diluted once you inject it into the tubing. So there may not be a need to dilute with the full 10mLs before hand.
Maybe I'm way off base here, due to lack of sleep or misreading/misunderstanding....let me know.
ETA: Tazzi has some good thoughts!
ETA#2- Drawing out and wasting 0.5mL before hand, and using that as a reference, assuming that what's left is 0.5mLs is wrong, and potentially dangerous (depending on what you're giving). We frequently give stadol here, and if I drew up the whole 2mg/1mL dose, I end up with about 1.2-1.3mL. So if I drew out 0.5mL,thinking that left me with exactly 1mg, I would be wrong, because there would be roughly 1.2mg. With stadol not a huge deal. If it were something else though, it could be.