Reconstitution of Medication | College of Nursing (2024)

Table of Contents
Equipment: Steps: FAQs

Equipment:

  • Gloves
  • Alcohol pads
  • Medication
  • Sterile diluent
  • Syringe
  • Needle for drawing up diluent and medication

Steps:

  1. WIIAPA:
    1. Wash hands
    2. Introduce self
    3. Identify patient (use 2 identifiers)
    4. Allergies – don’t forget food allergies
    5. Plan of care
    6. Assess patient
  1. Verify Order
  2. Check MAR
  3. Prepare vial containing powder medication and vial of proper diluent (i.e.: sterile saline, sterile water, etc.)
  4. Remove the cap from both vials. Clean both vials with alcohol swab and allow to dry.
  5. Pull the plunger back, drawing up air, in the syringe to the amount of diluent you plan to withdraw. This amount will be in accordance with the manufacturer’s suggestion.
  6. With dilutant vial on a flat surface, inject air into the airspace of the diluent vial, holding firm on the plunger.
  7. Invert vial while firmly holding on the syringe and plunger and withdraw the indicated amount of diluent indicated for the dose ordered.
    1. Remember to keep the tip of the needle below fluid level.
    2. Allow air pressure from vial to fill syringe, pulling slightly on plunger if needed to obtain correct amount.
  8. Inject diluent into the dry (powdered) medication vial then remove needle.
  9. Mix medication thoroughly by rolling vial in palms until the medication is completely dissolved in the liquid. Do not shake.
  10. The mixture is ready to administer once dissolved.
  11. Read label carefully to determine the dose after reconstitution.
  12. With correct syringe, withdraw the amount of the reconstituted medication indicated to get the ordered dosage. BE VERY CAREFUL TO CALCULATE ACCURATE DOSE!!
  13. Administer per route ordered by physician.
  14. Document
Reconstitution of Medication | College of Nursing (2024)

FAQs

How to reconstitute medication in nursing? ›

Inject diluent into the dry (powdered) medication vial then remove needle. Mix medication thoroughly by rolling vial in palms until the medication is completely dissolved in the liquid. Do not shake. The mixture is ready to administer once dissolved.

How to solve reconstitution? ›

How do I reconstitute medication dosage?
  1. Mass of dry ingredient.
  2. Volume of diluent .
  3. Reconstitution concentration. The reconstitution formula is: Reconstitution concentration = mass of ingredient / volume of diluent.
  4. You can rearrange the formula to calculate the required amount if you know any two variables.
Jul 9, 2024

Why is it necessary to reconstitute certain medications? ›

CALHOUN COMMUNITY COLLEGE Page 2 RECONSTITUTION • A DRUG IN POWDERED FORM IS NECESSARY WHEN A MEDICATION IS UNSTABLE AS A LIQUID FORM FOR A LONG PERIOD. THIS POWDERED DRUG MUST BE RECONSTITUTED OR DISSOLVED WITH A STERILE DILUENT BEFORE ADMINISTRATION. THE TYPE OR AMOUNT OF DILUENT TO BE USED…

What must you typically do to reconstitute a powdered medication? ›

Commonly used solvents include sterile water, bacteriostatic water, or sterile normal saline. Next, you'll use a syringe and needle to draw up the desired volume of solvent from its vial and inject the solvent into the vial of powdered medication.

Which solution is most commonly used for reconstitution of drugs for injections? ›

Sterile water for injection vials are primarily used to reconstitute medications available as lyophilized powders. While the prescribing information for some medications may indicate alternative sterile liquids for reconstitution, most specify that SW for injection must be used.

How to reconstitute morphine? ›

STEP ONE: Dilute 1 mL (10 mg/mL) of morphine injection with 9 mL of 0.9% sodium chloride (to a total of 10 mL). This makes a 1 mg/mL solution. STEP TWO: Add 1 mL morphine (1 mg/mL) to 24 mL of compatible fluid (to a total of 25 mL). This makes a 40 microgram/mL (0.04 mg/mL) solution.

What is the process of reconstitution? ›

Reconstitution is the process of adding a liquid diluent to a dry ingredient to make a specific concentration of liquid. See Figure 5.9 for an example of a vial of medication that requires reconstitution.

What is the purpose of reconstitute? ›

To reconstitute something is to rebuild it or change the way it's organized. After your club president moves away, you might reconstitute the group by putting the former treasurer in charge and inviting new members to join.

What is the importance of reconstitution? ›

The primary goal of the reconstitution phase is to successfully recover critical business operations either at a primary or secondary site. If an alternative site is leveraged, adequate safety and security controls must be in place in order to maintain the expected degree of security the organization typically employs.

When should a drug be discarded after reconstitution? ›

Reconstituted form can be stored up to 3 days if kept below 25° C (77° F), 14 days if refrigerated between 2° C and 8° C (36° F and 46° F), and up to 6 months if frozen.

Why do you reconstitute with water for injections? ›

To reconstitute a drug, the dry cake must be mixed with a liquid. The use of sterile water for injection creates an injectable solution that can be easily transferred to the patient. Traditionally, two vials have been required to reconstitute a drug product.

What are examples of dry powders for reconstitution? ›

Examples of dry powders mixtures intended for reconstitution to oral solutions are as follows: i) Cloxacillin Sodium for Oral Solution, USP (Teva), an anti-infective antibiotic. ii) Penicillin V Potassium for Oral Solution, USP (Veetids, Geneva), an anti-infective antibiotic.

How to reconstitute oral suspension? ›

Using tap water and the measuring cylinder provided, measure out the required volume of water to reconstitute the oral antibiotic powder. Once the correct volume of water is measured, pour it slowly into the medicine bottle containing the oral antibiotic powder.

How to reconstitute amoxicillin powder? ›

Add approximately 1/3 of the total amount of water for reconstitution (see Table 2) and shake vigorously to wet powder. Add remainder of the water and again shake vigorously. After reconstitution, the required amount of suspension should be placed directly on the child's tongue for swallowing.

How to reconstitute 1 gram ceftriaxone IM? ›

For intramuscular injection, dissolve Ceftriaxone Injection 0.5 g in 2 ml, and Ceftriaxone Injection 1 g in 3.5 ml lidocaine hydrochloride solutions 1% w/v and inject well within the body of a relatively large muscle. It is recommended not to inject more than 1 g at one site.

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