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c/reconstitution·submitted 7 months ago by u/swirl_dont_shake

the dead space thing finally clicked for me and I want to write it down

Discussionbranch of 11 comments

Posting this as a discussion rather than a claim: the dead space thing finally clicked for me and I want to write it down. Why "more water" keeps confusing people, including me for a month. The vial contains a fixed amount of peptide. Water changes nothing about that amount. What it changes is concentration, and…

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11 comments, started 7 months ago
u/bac_water_banditMOD54 points·7 months ago

Left up and flaired Explainer — the numbers in this one check out.

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u/lyophile_lou79 points·7 months 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/tuva_kirchner0 points·7 months ago

Left up and flaired Explainer — the numbers in this one check out.

Disagreeing with this line only: adding more water is not a safety margin, it is a different divisor.

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u/rosa_mensah1 point·7 months ago·edited

Disagree with the "more water is safer" framing. It is not safer, it is just a different number to divide by.

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u/elodie_grimaldi1 point·7 months ago

That is sterile water, not bacteriostatic. Same appearance, different product, and it matters for a multi-draw vial.

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u/santiago_ndiaye1 point·7 months ago

That is sterile water, not bacteriostatic.

Right, and the arithmetic behind it: 20mg in 2mL is 10mg/mL, so 2.5mg is 25 units.

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u/britta_nakamura1 point·7 months ago

more water is not more drug, it is the same drug in a bigger volume

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u/clara_weiss1 point·7 months ago·edited

Correction: that gives 40 units, not what you have written. 5mg into 1mL is 5mg/mL and the division follows from there.

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u/swirl_dont_shakeOPreconstitution1 point·7 months 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/quarter_dose_queenlow and slow1 point·7 months ago

That only works if the fill weight is exactly the label weight, and it usually is not exactly anything.

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u/swirl_dont_shakeOPreconstitution-4 points·7 months ago

reconstituting at a round concentration makes every later dose easy

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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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