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how much lido do you all add to rocephin IM?

Nurses   (186 Views | 4 Replies)
by patrickseller8 patrickseller8 (New) New Nurse

patrickseller8 specializes in ER.

26 Profile Views; 1 Post

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

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50 Posts; 360 Profile Views

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

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228 Posts; 1,219 Profile Views

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. 

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12 Followers; 4,056 Posts; 31,225 Profile Views

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

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CritterLover has 21 years experience as a BSN, RN and specializes in ER, ICU, Infusion, peds, informatics.

925 Posts; 11,718 Profile Views

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.

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