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c/reconstitution·submitted 1 year ago by u/RetaAndRegret2

units — 21 things I got wrong before I got it right

Correctionbranch of 8 comments

Thinking out loud about this: units — 21 things I got wrong before I got it right. The dead space question sent me down a rabbit hole for a week. It is a fraction of a unit and it is the same every draw. Started reconstituting everything to a round concentration and the six-in-the-morning error rate went to zero.…

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8 comments, started 1 year ago
u/karl_fischer_kev51 points·1 year ago

Bacteriostatic water contains benzyl alcohol as a preservative, which is what makes repeated entry into the same vial reasonable. Plain sterile water has no preservative.

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u/soren_zamora39 points·1 year ago

Aim the stream down the wall of the vial rather than into the cake. Reconstitution is a solubility problem, not a mixing problem, and mechanical shear does nothing helpful.

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u/elodie_grimaldi23 points·1 year ago

Spent 10 weeks confused about this until somebody drew the table for me. 10mg, 2mL, 5mg/mL, 0.5mg is 10 units. That is the whole thing.

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u/runa_cabrera16 points·1 year ago

Asked SSA what volume they reconstitute to for their own stability testing and they answered in one line. Useful thing to know.

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u/elodie_grimaldi8 points·1 year ago

Bacteriostatic or plain sterile water?

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u/tomas_kimani16 points·1 year ago

if the maths gives you a fraction of a unit, change the concentration

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u/soren_zamora24 points·1 year ago

Pushback on the syringe advice: a U-100 barrel reads units of volume. Calling them "doses" is how the confusion starts.

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u/oskar_ibarra14 points·1 year ago

Shook the first vial because nobody told me not to. It was fine, but I have swirled every one since.

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About c/reconstitution

The arithmetic and the technique. Bacteriostatic versus sterile water, reconstitution volume as a concentration choice, converting mg/mL into insulin-syringe units, dead space, swirl-not-shake, stopper coring, and how long a reconstituted vial is actually good for. Math errors get corrected fast and politely.

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