Medication Reconstitution (Nursing Skills)

Reconstitution of IV medications is a nursing skill you need to master for patient safety. Completing calculations and understanding the parameters of medication admin are all elements of medication reconstitution.
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This video is about medication reconstitution. When medication comes in a power format, nurses and healthcare professionals need to know how to use the information provided to mix up the correct concentration for use. Review the information on a parenteral manual / monograph to cover items such as diluent type, volume, method, storage, use.
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[@vanessanandasena4617]

I wish my nursing educators and lecturers were as informative as you. I am a 2nd year RN student and contemplating leaving my degree due to difficulty in understanding. Thank you so much for your guidance and assistance!

[@NurseMinder]

I know it can feel hard at times. Your dedication to your learning, and resourcefulness in sourcing out information are two great nursing qualities

[@ArtistaGirl192]

@@NurseMinderI am in the same boat, still figuring out how to set up basic IV infusions and injections and feeling way over my head while in nursing clinical. Thank you for the great reminder!

[@louluvito3320]

The way you explained these calculations was very easy to understand. Thank you

[@NurseMinder]

Awesome!!! thanks for taking the time to write!

[@teacheradeo585]

Dosage calculations are one of my favorites! Best wishes 📚💯✔️

[@tracyagyei8853]

this was very helpful. now i finally understand the calculations with reconstitution. thank you

[@NurseMinder]

woo hoo .. high five!

[@mrbs311]

Bless you, bless you! I'm in nursing school and am really benefiting from these refreshers in skills.

[@NurseMinder]

Woohoo!

[@mayowaolajide277]

This is very helpful, thank you so much.

[@alaahussain9677]

thank you very much, you have no idea how much of a difference you make

[@NurseMinder]

Ah! Thank you for taking the time to write! I appreciate knowing that these videos are helping! If you have any ideas for future videos let me know

[@Cubandkorean]

Thank you so much!! Love this calculation video!

[@NurseMinder]

Happy to help!!

[@kabayanrhanrn9050]

Thank you nurseminder, helps a lot 👍

[@NurseMinder]

Thanks for watching

[@abdulrahmanalsubai7011]

Thank so much i really understand these information better than my teacher 👍🌹

[@NurseMinder]

Happy to help :)

[@rachels1957]

So so helpful

[@NurseMinder]

Yeah 🎉

[@nM-gc4ip]

Do you dispose of the remainder of the medication in the vial or is there some kind of storage procedure? And also why do you put air in before getting the medication?

[@NurseMinder]

Hi! Great questions. For storage information, you would have to consult the parenteral monogram. Sometimes we have vials that hold more than one dose. Those are usually patient specific, meaning we cannot use the drug to mix up meds for different patients. When working with vials, the air is used to facilitate the removal of the contents because the container cannot collapse upon itself. Air is needed to replace the fluid we are removing

[@tiarajasmin1915]

hi with the reconstituted medication, wouldn't you need to put 2ml of air before withdrawing the medication or is that not necessary?

[@NurseMinder]

If you cannot get all the med out, you might need to. Remember you just inserted sterile water or saline so the pressure in the vial is higher now

[@sharonlacroix3205]

Is the parental manual a Canadian tool, do not remember this from previous hospital work?

[@NurseMinder]

Hi. It may be called something else where you work - it is a facility approved document for IV med admin. Perhaps some facilities rely on a nursing drug guide

[@Bullzmilk123]

Does the 4.9mL dose added to the 50mL ns bag change the infusion rate entered into the IV pump?

[@NurseMinder]

Great question and the answer is no. The infusion rate is as per your monograph. 4.9. ml of medication is not significant enough to change the calculation.

[@Bullzmilk123]

NurseMinder thanks for the reply!! I’m an RT whose on the way to nursing school so I’m trying to learn a ton

[@NurseMinder]

@@Bullzmilk123 Good luck in school! your knowledge of the Resp System will give you a head start!

[@Bullzmilk123]

NurseMinder thanks! 👍🏽

[@soildmoose]

I didn't know the US used fractions for metric too! I've never seen a syringe that measures as 2 1/2ml instead of just 2.5ml!

[@NurseMinder]

I am in Canada :). I don’t know if there are places in the US that use the same

[@Amro1712]

Great video. 👍 But what is the purpose of injecting air into the vial?

[@NurseMinder]

To allow the fluid to come out easier. Vials also don’t collapse like a bag would so the air replaces the volume of the fluid

[@Amro1712]

@@NurseMinder Thank you

[@KhalidKhalid-ti5rv]

dear mam first i wd say i lov u ,,, for your job ,, i want to ask u that I bought ceftriaxone 2g or i think its 2000mg and doctor prescribed me ceftriaxone sodium 500 mg so is there any way to decrease this dose and use it as iv ampule injection ... there is a expression reconstruction but i didnt got it very clearly plz if you can explain it i will be very thankfull ,, what is the easy way to decrease the powdered vial dose regards hamid

[@NurseMinder]

I would need to see a drug monogram to answer and I don’t have access to one - you can ask your pharmacist but here is what I suspect: you will not be able to do it with accuracy, so you will need to buy the right one

[@jumboshrimp13]

At 0:47 you say "1.5 mg per kilo" but it should be 0.15 mg per kilo

[@NurseMinder]

Thanks for the info!

[@samueltosi4067]

Actually that was hard. Nurses don't have time for this. I wonder what they actually do when they realy busy. Do they realy set in do math.

[@NurseMinder]

Yes. They really do math.

[@mrbs311]

Bless you, bless you! I'm in nursing school and am really benefiting from these refreshers in skills.

[@corbinnickolas5802]

You all probably dont give a damn but does anyone know a tool to get back into an instagram account..? I stupidly forgot the login password. I would love any help you can give me!