A healthcare provider orders 10 mg of a medication for a patient. Available is a single-
dose vial containing 10 mg/5 mL, or a multi-dose vial containing 100 mg/50 mL. Why
would the nurse choose to use the single-dose vial?
To minimize the risk of cross-contamination between patients
Sequence the steps for withdrawing medication from a vial.
Clean the diaphragm with an alcohol wipe.
Fill the syringe with the volume of air equal to the amount of solution to be drawn from
the vial.
Inject the correct amount of air into the vial.
Withdraw the precise dose of medication prescribed.
Double-check the dose of medication with the provider's order.
When opened for the first time, vials have plastic or metal lids that must be removed
prior to preparing the dose of the medication. What is the purpose of these lids?
To cover the diaphragm on top of the vial
Mix-o-vials usually contain what form of medication?
Single-dose injectable
Why is there a stopper between the two chambers of a mix-o-vial?
To separate the diluent and the powdered medication
How does one reconstitute a medication that is available in a mix-o-vial system?
Applying pressure to the top of the vial
If a medication dose is less than the amount in the cartridge, what should be done with
the remaining medication?
Discard it.
After selecting a prefilled medication cartridge to fill an order, which additional piece of
equipment is required to inject the medication?
Carpuject
To change needles before injecting a patient, which needle/syringe system would be
required?
Safety needle
A healthcare provider orders cefazolin 500 mg IM for a patient. To prepare the
medication, it must be reconstituted with mL of diluent.
2
Arrange the steps of the reconstitution procedure in the correct order.
Select the correct diluent.
Cleanse the diaphragm of the diluent vial.
Insert the needle into the vial and draw diluent into the syringe.
Cleanse the diaphragm of the powder vial.
Insert the needle into the powder vial's diaphragm and inject diluent.
Mix thoroughly and withdraw the correct dosage.
A healthcare provider orders 37.5 mg of thorazine IM stat for a psychiatric patient.
Available is a 10 mL vial marked 25 mg/mL. Give ____ mL.
1.5
A healthcare provider orders 10,000 units of heparin subcutaneously, one dose post-op
to prevent DVT. Give mL.