RanchoEMT
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Epi 1:1000 into Epi 1:10,000
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Aidey
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No.
You have 1 shot of rum. You add it to 1 shot of coke. You now have a 1:1 solution.
You have 1 shot of rum. You add it to 10 shots of coke. You now have a 1:10 solution.
You have 1 shot of rum. You add it to 100 shots of coke. You now have a 1:100 solution.
You have 1 shot of rum. You add it to 1000 shots of coke. You now have a 1:1000 solution.
In each case in order to get the whole shot of rum you have to drink the entire solution. Adding more coke doesn't make the rum stronger. So, if you only drink 10% of the 1:1000 solution you won't get the whole shot of rum.
So, if you medic wanted to give 1mg of epi, he would have had to give all 100cc of the normal saline.
You have 1 shot of rum. You add it to 1 shot of coke. You now have a 1:1 solution.
You have 1 shot of rum. You add it to 10 shots of coke. You now have a 1:10 solution.
You have 1 shot of rum. You add it to 100 shots of coke. You now have a 1:100 solution.
You have 1 shot of rum. You add it to 1000 shots of coke. You now have a 1:1000 solution.
In each case in order to get the whole shot of rum you have to drink the entire solution. Adding more coke doesn't make the rum stronger. So, if you only drink 10% of the 1:1000 solution you won't get the whole shot of rum.
So, if you medic wanted to give 1mg of epi, he would have had to give all 100cc of the normal saline.
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No, it's not.
That gives you 1 mg in 100 mL or 0.01 mg/mL. 1:10,000 is 1 mg in 10 mL or 0.1 mg/mL
I've always been taught waste 1 mL out of a 10 mL flush and draw 1 mL of 1:1000 epi into that flush to get 1:10,000
That gives you 1 mg in 100 mL or 0.01 mg/mL. 1:10,000 is 1 mg in 10 mL or 0.1 mg/mL
I've always been taught waste 1 mL out of a 10 mL flush and draw 1 mL of 1:1000 epi into that flush to get 1:10,000
Anjel
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Did someone say rum?????
Why is the.rum.gone? An the 1:10000 epi?
Why is the.rum.gone? An the 1:10000 epi?
DrankTheKoolaid
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If the math is confusing on this the best way to look at it is just what is says. Epi 1 - 10000 = 1gram in 10L aka 10000mL and epi 1 - 1000 = 1 gram in 1L aka 1000mL. And reconvert from there as needed
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I don't know about that one but everyone has their own system.
Easy way for me is just Epi 1:1 or 1:10. drop the zeros.
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RanchoEMT
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This all makes sense, thank you, but what the hell was he doing with a 100ml bag.... Can any of you come up with a way to do it with a 100ml bag... The point of it I remember was lets say for a cardiac arrest you could just keep drawing from the bag whenever epi was up...
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RanchoEMT
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What the..... Lol
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Sure you could. If you pulled 10 mL out of the bag (to make space so you dont end up with 10 mg in 110 mL) and drew up 10 mL of 1:1000 epi out of a multi-dose vial and put it into the 100 mL bag. Then you would have 10 mg in 100 mL which gets you to 1 mg/10 mL.
With that said, I don't foresee any reason to be giving someone that much epi. 10 rounds is excessive and by that time you should either be transporting or calling for termination orders. Most I've ever personally seen is 5 rounds and then pronounced on scene. I'm sure there are cases where providers much smarter than myself have gone upwards of 10 rounds but I don't see any *good* reason why you should be going that deep the field.
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RanchoEMT
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You know what I think what might be confusing people is the wording on this part right here.
Epi 1:10,000 is 1/10 the epi concentraction of a Epi 1:1000 solution correct??? Ok so if we put that Epi 1:1000 in 100ml of NS the entire bag has just One 1:1000 Epi vial in it.(Now 1:100,000 per ml) But I want only 1/10 of it. By drawing 10ml or 1/10 of the contense out of the bag. im extracting 1/10 of that Epi. And if i push it All in a 10ml push. i will get 1/10 the original concentration of the 1:1000 Epi which is 1:10,000 or 1/10 of the now 1:100,000. This isnt correct?
Epi 1:10,000 is 1/10 the epi concentraction of a Epi 1:1000 solution correct??? Ok so if we put that Epi 1:1000 in 100ml of NS the entire bag has just One 1:1000 Epi vial in it.(Now 1:100,000 per ml) But I want only 1/10 of it. By drawing 10ml or 1/10 of the contense out of the bag. im extracting 1/10 of that Epi. And if i push it All in a 10ml push. i will get 1/10 the original concentration of the 1:1000 Epi which is 1:10,000 or 1/10 of the now 1:100,000. This isnt correct?
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No.
The concentration doesn't change by how much you draw up..
If you put 1 mg of epi into 100 mL then draw 10 mL back you don't get the whole 1 mg back...
I don't really know how else to explain it to you. You are getting caught up in all the zeros. Forget about the zeros! lol
I don't understand your math, sorry to say.
The concentration doesn't change by how much you draw up..
If you put 1 mg of epi into 100 mL then draw 10 mL back you don't get the whole 1 mg back...
I don't really know how else to explain it to you. You are getting caught up in all the zeros. Forget about the zeros! lol
I don't understand your math, sorry to say.
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If you put the 1 mg/ 1ml epi (1:1000 )in 100 ml. You would have to give the whole 100ml to get 1 mg of Epi into the Pt. If you only give 10 ml the Pt is only getting 0.1 mg of Epi. To get 1:10,000 you add the 1mg/ml Epi in 9 ml of ns making it 1 mg in 10 ml. MakIng it 1:10,000
The 1:1000 means 1 gram of Epi in 1000 ml ns. It is a 1:1 Ratio as 1 g = 1000mg. I believe this was explained in an earlier post.
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RanchoEMT
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http://s1146.photobucket.com/albums/o535/RanchoEMT/?action=view¤t=1335684150.jpg
This will be my last attempt with the 100ml bag, them im calling it a day...
This will be my last attempt with the 100ml bag, them im calling it a day...
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RanchoEMT
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Im not trying to get the whole 1mg of epi back right, isnt the idea to get 1/10 of it isolated making it 1:10,000? As the original 1:1000 has spread out in the fluid, from which i can draw back only a fraction of both the contense and therefore a fraction of the concentration, that being 1/10???
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Forget the 100 ml bag.
I can not think of a reason to put Epi in 100 ml. If you put 1 ml of Epi 1:1000 in 250 ns yOu get 4 mcg/ ml. Which is used for an Epi drip.
The goal is to get the rIght amount of drug to the pt. the order is fOr 1 mg of Epi. So you need to get it into your pt in a safe and practical way. The 1 mg/ ml is too strong to give iv so it needs to be diluted down to a safe cOncentratiOn. Adding 9 ml to it makes it a 1 mg in 10 ml which is the same as a 1:10,000 . The 1:10,000 is = to 1 g in 10L
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No . To have a 1:10,000 you still need the 1 mg of Epi not just a fraction of it.
. In a code the dose is 1 mg of Epi . So the pt needs to get the 1 mg. if you put the 1 mg in 100 ns you have to give all 100 ml to get the 1 mg of Epi into your pt. Or you can Put the 1 mg Epi into 9 ml ns to give your rapid bolus. Much more practical
Smash
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Or just give 1:1000 neat like the rest of the world does 
SliceOfLife
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Also, if you put 1mg 1:1000 or 1mg 1:10,000 into a 100 bag you would have the same concentration, 10mcg/ml (assuming you removed whatever volume your putting into the bag)
So if you draw up 10ml it would be 100mcg or .1mg
So if you draw up 10ml it would be 100mcg or .1mg
The problem with your drawing is that when you break down your bag into 10 little portions, the base concentration doesn't change. 100 ml of 1:100,000 when broken into 10 blocks becomes 10 ml X 10 of 1:100,000. You were changing the base concentration. In order to do that, you need to increase the drug amount 10 fold.
Think about it this way: if you put 1 mg into a bag, and draw out 1/10 th of the bag, you will only get 1/10 th of a mg.
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Yes you are trying to get the whole milligram back. The only difference between 1:1000 and 1:10,000 is how much fluid the 1 mg of epi is in. That's it.