Rocephin injection question?

Is this a homework question?

If not, what did YOU do? Did you consult pharmacy or the package insert? What did THEY indicate?

Not just the mg's but also remember the ml's. For adults: 2 ml in the deltoid and thigh muscles, and up to 5 ml in the gluteus maximus. (Hint), Rocephen should be injected into a relatively large muscle. I am trying to remember the reconstitution, Hmm... I think, but don't quote me, that you might be injecting approx 4.6 ml's. Read your vials.

Not just the mg's but also remember the ml's. For adults: 2 ml in the deltoid and thigh muscles, and up to 5 ml in the gluteus maximus. (Hint), Rocephen should be injected into a relatively large muscle. I am trying to remember the reconstitution, Hmm... I think, but don't quote me, that you might be injecting approx 4.6 ml's. Read your vials.

I agree that the ml pulled from each vial is neither here nor there, but it does make sense to pull all 500mg from one vial, and 350mg from a second. However, if your question is regarding injection sites, they are as follows:

Deltoid: max 1ml

Vastus lateralis (thigh) and dorsogluteal (gluteus maximus): 4ml max (however, in the glutes, you run the risk of compressing the sciatic nerve if you attempt to inject the maximum and are too near the nerve)

Ventrogluteal (hip): No maximum

Also, FWIW, I never inject Rocephin into the deltoid. Oh the soreness...

OP, What did you feel conflicted about?

It's been awhile since I have had to do Rocephin (ya'll, I hate IM shots they are my kryptonite, I have no idea why) - but I do know that in small babes we often have to give two injections vs. 1 to accommodate the dosing. When this happens we go with two RNs and each take a leg. Oh I feel nauseous thinking about it. LOL....

It's been awhile since I have had to do Rocephin (ya'll, I hate IM shots they are my kryptonite, I have no idea why) - but I do know that in small babes we often have to give two injections vs. 1 to accommodate the dosing. When this happens we go with two RNs and each take a leg. Oh I feel nauseous thinking about it. LOL....

And even with Lidocaine that stuff hurts!

I've never seen multi-use bottles anyway, so the excess is waste regardless. I think I always empty my first vial because if I take 50% of the dose from each that's one more calculation that isn't necessary when you're visually just getting to whatever the calculated ml are.

Adding that for pediatrics you need to internalize the DOSE ORDERED / AMOUNT ON HAND x QUANTITY formula. So for children's Tylenol, if you need to give 250mg, that would be 250mg / 160mg * 5ml = 7.8 ml.

If you need to administer the dose as 2 injections because of the volume, I'd draw 425 mg out of each vial. If you only need to do 1 injection, I'd pull 500 from one and 350 from the other but, as others have mentioned, it doesn't really matter.