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Discussion

B12 Question

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Our standing orders are for B12 injection 100mg via IM Q month. We treat the same drunks over and over so they are pretty much all up to date, so many with bum stomachs.

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Thanks Mama. What would that be in cc/ml ??? Reason I ask, pharmacy error at work. The order transcribed correctly, pharmacy filled incorrectly, wasn't caught by nurses. We're in the sh_t house again, as usual. Guess we should also know their job.

Ummmm JellyBean the usual depends on what the B12 is being given for. When I have given it, the dose was 1000mcg/ml equaling 1cc. IM. But I have seen if given in such small doses I needed a TB syringe to give it. And even larger dose can be given also.

So what was the dose ordered, and the dose pharmacy sent up??

We usually give 1000u/s/ml, three monthly

My little old patients with pernicious anemia come in Q month and get 1,000mcg SQ.

varies with the patient

1000 mcg IM monthly is pretty much the norm though

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