Stuck!! (Nurses Medical)

[ilovemarkb]

Q1) Patient requires 750mgs of Cefuroxime IV ( intravenious via cannula)

a) What fluid would you reconstitute it in?
b) What volume of fluid would this be?

when Ive looked in BNF for cefuroxime (via index at back of book) I went straight to the page number and it tells us all the usual stuff( indications, cautions, Dose, by IV injection but it doesnt answer question a) or b). Is there another section in the BNF that I should be looking at.
thankyou!!

[Sqad]

\\\Is there another section in the BNF that I should be looking at. \\\

No idea.

a) either 5% dextrose OR 5 % dextrose in 0.9 normal saline.

b) depends upon the condition of the patient but every 4 hours would seem to be adequate.

[ilovemarkb]

thanks sqad ! I will check in class next week!!

[Smowball]

I totally agree with Sqad : )

[slaney]

No - the BNF does not give you the nitty-gritty of which fluid to use and what volume.
This is usually in the leaflet with the drug.
This is the advice for one brand, Zinacef - scroll down to Table 3 and you will see that sterile water for injection is used.
"Preparation of Solution and Suspension"
http://www.globalrph.com/cefuroxime_dilution.htm
BUT different brands may have different recommendations, and you would have to know which preparation you were using.

[ilovemarkb]

thanks. There is a section called intravenous additives that I have just found that helps!!! thanks anyway!!

[slaney]

You're quite right - just seen it; that is a helpful section.
I've never noticed it before!