B12 Question

Mama Val, ASN, RN · Oct 21, 2003

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.

JellyBean1 · Oct 21, 2003

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.

Brownms46 · Oct 21, 2003

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??

melbnurse · Oct 22, 2003

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

NHLPN, LPN · Oct 23, 2003

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

Nurse89 · Oct 24, 2003

varies with the patient

1000 mcg IM monthly is pretty much the norm though