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c/reconstitution·submitted 8 months ago by u/vito_beaulieu

dead space is the most under-discussed thing on this board

Mathbranch of 6 comments

dead space is the most under-discussed thing on this board, and I am aware this is a minority view on this board. The whole calculation, once, with real numbers. You have a 5mg vial. You add 3mL of bacteriostatic water. Concentration is mass over volume: 1.67mg/mL. A U-100 insulin syringe is graduated at 100 units…

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6 comments, started 8 months ago
u/emil_zamora132 points·8 months ago

The lyophilised cake displaces a small volume, so the true concentration is very slightly lower than the arithmetic suggests. It is a fraction of a percent and it is dwarfed by fill tolerance.

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u/niels_roos87 points·8 months ago

Same. I got this wrong once, caught it because the units looked absurd, and have written on every vial since.

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u/ilias_steiner47 points·8 months ago

Careful — that arithmetic is wrong. 10mg in 3mL is 3.33mg/mL, so 2.5mg draws to 75 units, not what you wrote.

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u/kenji_kimani74 points·8 months ago

Disagree with the "more water is safer" framing. It is not safer, it is just a different number to divide by.

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u/vito_beaulieuOP38 points·8 months ago·edited

Are you accounting for the powder volume, or is that where the confusion is?

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u/emil_wojcik-4 points·8 months ago

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

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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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