Question

Using a vial containing 800,000 units of penicillin $\mathrm{G}$ potassium and sterile water for injection as a diluent, how would you prepare the following prescription? $\mathrm{R}$ Penicillin G potassium 40,000 units/ $\mathrm{mL}$ Water for injection ad $5 \mathrm{~mL}$ Sig. For IM injection

    Using a vial containing 800,000 units of penicillin $\mathrm{G}$ potassium and sterile water for injection as a diluent, how would you prepare the following prescription?
$\mathrm{R}$
Penicillin G potassium 40,000 units/ $\mathrm{mL}$
Water for injection ad $5 \mathrm{~mL}$
Sig. For IM injection
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Essential Math and Calculations for Pharmacy Technicians
Essential Math and Calculations for Pharmacy Technicians
Indra K. Reddy,… 1st Edition
Chapter 11, Problem 16 ↓

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To prepare a solution with a concentration of 40,000 units/mL, and a total volume of 5 mL, you would need: 40,000 units/mL x 5 mL = 200,000 units  Show more…

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Using a vial containing 800,000 units of penicillin $\mathrm{G}$ potassium and sterile water for injection as a diluent, how would you prepare the following prescription? $\mathrm{R}$ Penicillin G potassium 40,000 units/ $\mathrm{mL}$ Water for injection ad $5 \mathrm{~mL}$ Sig. For IM injection
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Key Concepts

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Reconstitution of Sterile Products
Reconstitution is the process of preparing a medication by mixing a powder form with a sterile diluent to produce a solution for injection. This procedure must be performed using aseptic techniques to ensure that the final product is free from microbial contamination and safe for patient administration.
Calculation of Drug Concentration
Calculating drug concentration involves determining the correct volume of solvent needed to achieve the desired number of drug units per milliliter. This process is essential to ensure that each portion of the solution contains the appropriate dosage, thereby ensuring both therapeutic effectiveness and patient safety.
Dose Preparation from High-Potency Vials
When a vial contains a greater amount of the active drug than needed for the prescribed dose, it is crucial to extract only the required portion. This requires a good understanding of ratios and dilution principles to adjust the concentration, ensuring that the final product meets the prescribed specifications for administration.

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Order: Penicillin G potassium IM 400,000 units Q6 hours. Available: (the label is hard to read - here is the information) 9.6 ml - 100,000 units per ml 4.6 ml - 200,000 units per ml 1.6 ml - 500,000 units per ml How many mL of diluent will the nurse add to the vial? What is the dosage strength (units/mL) of the reconstituted solution? How many mL's will the nurse give Q6 hours?

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