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c/reconstitution·submitted 11 months ago by u/soren_zamora

[Discussion] the reconstitution advice in here is 3 years out of date

Discussionbranch of 8 comments

the reconstitution advice in here is 3 years out of date, and I am aware this is a minority view on this board. 3 years. Those are measured, not estimated, and not rounded up in my favour. Shook the first vial because nobody told me not to. It was fine, but I have swirled every one since. The dead space question sent…

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8 comments, started 11 months ago
u/britta_nakamura19 points·11 months ago

The arithmetic in full: concentration is mass over volume, so 20mg into 2mL gives 10mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 5mg is 5 divided by 10 millilitres, which is 50 units.

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u/aurel_boateng5 points·11 months 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/britta_nakamura3 points·11 months ago

Correcting myself above: I wrote the concentration the wrong way up. Mass over volume, not volume over mass.

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u/ahmed_rasmussen1 point·11 months ago

more water is not more drug, it is the same drug in a bigger volume

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u/units_not_mgsyringe math1 point·11 months ago·edited

more water is not more drug, it is the same drug in a bigger volume

ahmed_rasmussen has the units point exactly right. They are a volume on the barrel and nothing else.

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u/kavya_radich1 point·11 months ago

Careful — that arithmetic is wrong. 5mg in 2mL is 2.5mg/mL, so 1mg draws to 40 units, not what you wrote.

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u/ledger_modmod · vetting6 points·11 months ago

units are a volume on a U-100 syringe, not a dose

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u/india_generic_g8 points·11 months ago

The arithmetic in full: concentration is mass over volume, so 20mg into 2mL gives 10mg/mL.

Right, and the arithmetic behind it: 15mg in 3mL is 5mg/mL, so 0.75mg is 15 units.

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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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