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

dead space — 16 things I got wrong before I got it right

Math Cold Box ×9 Well Actually ×1 Long Haul ×1

dead space — 16 things I got wrong before I got it right. It is the sort of thing everyone half-believes and nobody writes down.

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

Asked Homopeptide what volume they reconstitute to for their own stability testing and they answered in one line. Useful thing to know.

Spent 4 weeks confused about this until somebody drew the table for me. 10mg, 2mL, 5mg/mL, 2mg is 40 units. That is the whole thing.

If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.

5,372 up / 657 down89% upvoted23 commentsid 1izoc111 Dec 2023

23 comments

16 in this archive, depth 5

best — the order this archive was captured in

u/priya_guerrero795 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/janek_ferrari464 points·2 years ago

Yes. Writing 10mg/mL on the vial takes four seconds and removes the entire class of error this board exists to fix.

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u/aleksi_lehtinen148 points·2 years ago

dead space in the needle hub is real and it is small

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u/anjali_tamm68 points·2 years ago

a U-100 syringe reads 100 units to the millilitre, every time

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u/elodie_grimaldi280 points·2 years 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/emil_zamoraOP328 points·2 years ago

Correcting myself above: I wrote the concentration the wrong way up. Mass over volume, not volume over mass.

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u/emil_zamoraOP185 points·2 years ago

10mg into 1mL is 10mg/mL, and 2.5mg of that is 25 units

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u/honest_syringe_2025219 points·2 years ago

Correcting myself above: I wrote the concentration the wrong way up.

Right, and the arithmetic behind it: 5mg in 3mL is 1.67mg/mL, so 1.5mg is 90 units.

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u/britta_nakamura291 points·2 years ago

aim the stream at the glass wall, not at the cake

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u/katrin_marchetti174 points·2 years ago

Show the arithmetic — where did the unit figure come from?

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u/yusuf_achebe39 points·2 years ago

I keep a laminated card in the drawer with the arithmetic on it. Looks ridiculous. Has never once let me draw the wrong volume.

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u/rosa_mensah103 points·2 years ago

The dead space question sent me down a rabbit hole for a week. It is a fraction of a unit and it is the same every draw.

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u/arto_falk42 points·2 years ago

Yes, and the dead-space point is worth repeating: it is small, it is real, and it is the same for every draw.

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u/soren_zamora33 points·2 years ago

units are a volume on a U-100 syringe, not a dose

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u/wanjiru_varga31 points·2 years ago

label the vial with the date as well as the concentration

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u/emil_zamora-16 points·2 years ago

twice as much water halves the concentration and doubles the units for the same dose

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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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