37.
Case Study
H.B., a 64-year-old male, was re-admitted with a post-operative wound infection.
He was discharged three days earlier after having his appendix removed. He is
seven days post-op. He has consistently had a temperature of 103; wound is red
with foul-smelling purilent drainage. Among his current medical orders are: Wet
to dry dressing changes q 4h; vitals q 4h; antibiotic Prostaphlin IVPB 250 mg to be
given q 6h; Tylenol 2 tabs q 4h prn for temp greater than 101; up ad lib.
Refer to the reconstitution guidelines and label to answer the questions that follow.
Reconstitution guidelines for Prostaphlin IV
Resulting
Vial Size
Diluent
Concentration
250 mg
1.4 cc
250 mg/1.5 cc
500 mg
2.7 cc
250 mg/1.5 cc
1 gm
5.7 cc
250 mg/1.5 cc
Reconstitute with sterile water or sodium chloride injection.
a.
What diluent(s) can be used to reconstitute the Prostaphlin?
b.
How many ml of diluent should be added to the vial of Prostaphlin for
reconstitution?
MD0904
2-82