how much lido do you all add to rocephin IM?

Nurses General Nursing

Published

Specializes in ER.

How much lidocaine do you mix in with Rocephin IM to ease the pain?

Depends on what the provider orders, but for ceftriaxone 250 mg vial – mix with 0.9 mL of lidocaine 1% = 250 mg/mL.

3 Votes
Specializes in Community health.

We always do 0.9 mL (so it’s just replacing sterile water; same amount)

Ha-ha “What the provider orders...”. (I’m being light-hearted, I don’t want it to sound harsh.). I work outpatient (FQHC) and I promise the doctors have no idea how to reconstitute it! Their responsibility ends at diagnosing gonorrhea and prescribing 250mg of ceftriaxone. Google and/or the pharmacist give instructions from there.

1 Votes

^ You really should have a policy approved by your medical director to back that up....at the very least.

1 Votes
Specializes in ER, ICU, Infusion, peds, informatics.

I always reconstituted it according to the package insert. The instructions were to use either SWFI or lidocaine; not both/a mixture. So whatever volume the manufacturer said to use to get the designated concentration.

1 Votes
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