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c/reconstitution·posted 2 years ago by u/emil_zamora

[Question] bacteriostatic water — what am I missing here

Question Long Haul ×3

Slightly embarrassed to be asking this, but: bacteriostatic water — what am I missing here.

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.

If your calculation produces a fraction of a unit, the concentration is wrong for your dose. Change the water volume until the numbers land on whole units.

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.

Would rather be corrected in public than confident in private.

692 up / 219 down76% upvoted20 commentsid flkfnd3 May 2024

20 comments

13 in this archive, depth 4

best — the order this archive was captured in

u/dexa_twice_yearlybody comp110 points·2 years ago

Research-use-only material is not approved for human use, so treat everything in this thread as arithmetic about solutions rather than instructions for a person.

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u/spain_receta31 points·2 years ago

Is that a U-100 syringe? The barrel markings change the answer completely.

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u/emil_zamoraOP158 points·2 years ago

Small fix — a U-100 syringe is 100 units per mL. If yours is marked differently it is not U-100 and the whole calculation changes.

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u/mateusz_achebe224 points·2 years ago

the number you write down is the number you will trust at 6am

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u/kavya_radich61 points·2 years 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/units_not_mgMOD36 points·2 years ago

Working has to be shown on arithmetic posts. Added a note asking for it rather than removing this one.

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u/karim_ilunga75 points·2 years ago

The lyophilised cake displaces a small volume, so the true concentration is very slightly lower than the arithmetic suggests.

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

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u/arto_falk44 points·2 years ago·edited

Yes. Writing 5mg/mL on the vial takes four seconds and removes the entire class of error this board exists to fix.

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u/ledger_modmod · vetting36 points·2 years 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/cardio_endpoint_c-37 points·2 years ago

The failure modes I have actually seen posted here, in order of frequency.

One: reconstituting at a different volume than intended and not writing it down, so the next draw is based on a remembered concentration. Two: treating units as a dose rather than a volume, which breaks the moment the concentration changes. Three: assuming a syringe is U-100 when it is not.

All three are solved by the same two habits — do the arithmetic before the water goes in, and write the result on the glass. Neither costs anything and between them they cover almost every question this board gets.

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u/emil_zamoraOP1 point·2 years ago

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

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u/kenji_kimani1 point·2 years ago·edited

Spent 11 weeks confused about this until somebody drew the table for me. 10mg, 1mL, 10mg/mL, 2mg is 20 units. That is the whole thing.

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u/ahmed_rasmussen1 point·2 years ago

Wrote the date on the vial as well as the concentration after losing track of which one was opened first.

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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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