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Diluting IV push meds

Medications   (367 Views | 1 Replies)
by Nurse24 Nurse24 (New) New Nurse

Nurse24 has 1 years experience .

25 Profile Views; 1 Post

I’m a new grad working in acute care. When diluting IV push meds, I was told to use a prefilled 10ml NS syringe and to waste however many mls of the drug I needed. Ex, fentanyl is 100mcg/2ml so waste 2ml of NS to put into the syringe. My coworker then told me the concentration would be 10mcg/ml. Wouldn’t you need to put the med in 12ml of NS to make it 10mcg/ml? Probably overthinking this. 

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10 Followers; 3,547 Posts; 25,750 Profile Views

I have a few questions. 

1. Why are you diluting the Fentanyl?

2. Is using a saline flush syringe to dilute the medication acceptable practice?

3. How do you know that saline is the proper diluent?

4. If you put 2ml of Fentanyl 50mcg/ml in 8ml of saline (what you have left when you discard 2ml from a 10ml saline syringe) you end up with 100mcg/10ml. What is 100 divided by 10?

 

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