University:
University of North Carolina at Chapel Hill
Course:
NURS 312 | Pharmacology
Academic year:

2022
Views:

451

Pages:

3
Author:

Hallie Randolph

Powdered Medications • • • • • • • Some medications unstable as liquid for long period of time Reconstitute medications from powder to liquid right before administration Reconstituting a powdered medication: add appropriate fluid (diluent) into bottle Labels o Number one shows you need to add 26 mL of sterile water to prepare o Number 2 shows 1 g of ceftazidime per 5 ml solution o Number 3 shows med stable for 12 hr at room temp and for 3 days under fridge o Number 4 shows multidose vial that contains a total of 6 g Diluents o Common additives ▪ .9% sodium chloride ▪ 5% dextrose in water ▪ Sterile water ▪ Bacteriostatic water ▪ Oral medication reconstitution, use tap water or bottled water Medication labeling o Locate type and amount of diluent to use for medication on label ▪ Number 1: points to brand or trade name for this medication ▪ 2: generic name ▪ 3: route to administer medication ▪ 4: dosage strength ▪ 5” amount to add to vial for reconstitution ▪ 6: type of fluid needed for reconstitution ▪ 7: expiration time • • • • • • ▪ Use oral syringe with oral medications Parenteral syringe with parenteral medications (to prevent inadvertent administration of medication via an incorrect route Use syringe to draw up correct amount of diluent Labeling a vial o After reconstituting, label vial o Not good for long period of time so need to label o Dosage strength, date and time of preparation and expiration, storage method, and your initials Administration o Use and administer reconstituted medication same way as other liquid medications: oral, IV, IM, subcutaneous o Reconstitute a powdered medication: o Cleanse tops of vials with antiseptic wipe o Withdraw diluent o Inject diluent o Roll vial o Aspirate medication dose Measuring powdered dosages • You are preparing to administer amoxicillin 300 mg PO every 12 hours. After reconstitution, 400 mg per 5 ml is available. What is the appropriate dose for the nurse to administer? o Step 1: what is the unit of measurement you need to calculate? ML • • o 2: what dose is desired: 300 mg o 3: what is the dose you have available? 400 mg o Convert units of measure, if needed o What quantity of dose is available? 5 mL What should the nurse write on the label? o Date of preparation o Medication concentration o Time diluent was added o Expiration date and time Steps: o Cleanse tops of vials with an antiseptic wipe o Withdraw diluent o Inject diluent o Roll vial o Aspirate medication dose