Drug Reconstitution Chart

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This chart is provided for information purposes only. Double check all your math, individual vial concentrations, etc. Different hospitals stock different brands and different concentrations!!

DrugStock solution or Reconstitution instructionsAdministration
Aminocaproic acid (EACA) 250mg/mLNot refrigeratedDilute to 20mg/mL with saline or D5W   Give IV over 1 hour  

To dilute, draw up desired mg EACA then multiply volume x12.5, dilute to this volume with 0.9% NaCl  

Ex: 800mg EACA = 3.2mL
3.2 x 12.5 = 40mL total volume
Ampicillin sulbactam 30mg/mL     (Safe for SQ or IM at 375mg/mL)1.5g vial:   Use 50mL bag of 0.9% NaCl Remove 8mL and add to powder in vial Mix until dissolved Use new needle to remove contents of vial and inject back into the 50mL bag of 0.9% NaCl Mix well   3g vial: Use 100mL bag of 0.9% NaCl Remove 16mL and add to powder in vial Mix until dissolved Use new needle to remove contents of vial and inject back into the 100mL bag of 0.9% NaCl Mix well   Good 72h refrigerated or 8 hours room tempNo further dilution necessary    

Give IV over 30 minutes  
Cefazolin 100mg/mL   (IM or SQ also safe)Add 9.4mL sterile water to powder in vial   Mix until dissolved   Good 10 days refrigerated or 24h room tempNo further dilution necessary    

Give IV slow over 3-5 minutes
Cefovecin 80mg/mL   (SQ only)Add 10mL sterile water to powder in vial   Mix until dissolved   Good 56 days refrigerated; might turn a rust-brown color, this is okayNo further dilution necessary    

Give SQ
Cefoxitin 95mg/mL1g vial   Add 10mL sterile water to vial Mix until dissolved   Good 7 days refrigerated or 24h room tempNo further dilution necessary    

Give IV over 3-5 minutes
Ceftazidime 100mg/mL1g vial   Add 10mL sterile water to vial Mix until dissolved   Good 7 days refrigerated or 24h room tempNo further dilution necessary    

Give IV over 3-5 minutes
Clindamycin 150mg/mL   (IM no dilution needed)Not refrigerated      Dilute to 15mg/mL  

Give IV at max rate 1mL/min (60mL/h)  

To dilute, draw up desired mg clindamycin then multiply volume x10, dilute to this volume with 0.9% NaCl  

Ex: 75mg clindamycin = 0.5mL
0.5 x 10 = 5mL total volume
Doxycycline 10mg/mLAdd 10mL sterile water to powder in vial   Mix until fully dissolved   Good 72h refrigerated or 6 hours room temp Protect from light with amber vial or bag Good for 12h once diluted for IV administrationDilute to 1mg/mL  

Give IV over 2 hours; protect from light during infusion  

To dilute, draw up desired mg of doxycycline and multiply volume by 10. Dilute to this volume with saline.

Ex: 30mg doxycycline = draw up 3cc of doxycycline 10mg/mL and dilute to 30mL with saline  
Enrofloxacin 22.7mg/mL     (IM no dilution needed; do not give SQ)Not refrigerated     Not compatible with LRS, Plasmalyte A, Normosol R  Dilute to 1mL/kg (this is approx. 1:5 dilution when dosed at 5mg/kg) with 0.9% NaCl    

STOP IV fluids, flush line before and after infusion

Or give in separate IV catheter  

Give IV over 30 minutes

Can also give 22.7mg/mL IM
Levetiracetam 100mg/mLNot refrigeratedDilute to 10mg/mL  

Give IV over 15 minutes  

To dilute, draw up desired mg levetiracetam then multiply volume x10, dilute to this volume with 0.9% NaCl  

Ex: 200mg levetiracetam = 2mL
2 x 10 = 20mL total volume  
Metronidazole 5mg/mL   IV onlyNot refrigerated   Protect from lightNo further dilution necessary    

Give IV over 1 hour
N-Acetylcysteine (NAC) 200mg/mLNot refrigeratedDilute to 33mg/mL with D5W  

Give IV over 20 minutes  

To dilute, draw up desired mg NAC then multiply volume x6, dilute to this volume with 0.9% D5W  

Ex: 500mg NAC
= 2.5mL
2.5 x 6
= 15mL total volume
Pantoprazole 0.8mg/mL   IV only, do not give SQ or IMUse 50mL bag 0.9% NaCl   Draw out 10mL from bag and add to vial Mix until dissolved Remove entire contents of vial and add to same 50mL bag of 0.9% NaCl   Good 11 days refrigerated or 24h room tempNo further dilution necessary    

Give IV over 15 minutes
Phenobarbital 130mg/mLNot refrigeratedNo dilution needed    

Give IV slow over 3-5 minutes
Voriconazole 2mg/mLUse 100mL bag 0.9% NaCl   Remove 19mL from bag and add to powder in vial Mix until dissolved Add entire contents of vial back to 100mL bag of 0.9% NaCl Mix well   Good 15 days refrigerated or 3 days room tempNo further dilution necessary    

Give IV over 2 hours
Last update: 23Sep20