Friday, January 12, 2018

Stability of Antibiotics (upon reconstitution and dilution)

Antibiotics
Reconstitution
Dilution

Diluent
Stability
Diluent
Stability
Ampicillin Na
SWFI
1 hour (RT)
PNSS

8 hours (CRT)
48 hours (REF)
PlainLR

8 hours (CRT)
24 hours (REF)
D5W
2 hours (CRT)
4 hours (REF)
Ampicillin-Sulbactam Na





SWFI
1 hour (RT)
PNSS

8 hours (CRT)
48 hours (REF)
PlainLR

8 hours (CRT)
24 hours (REF)
D5W
2 hours (CRT)
4 hours (REF)
Benzylpenicillin Na
SWFI, PNSS
3 days (REF)**
PNSS
3 days (REF)**
Cefazolin Na

SWFI

24 hours (CRT)
10 days (REF)
PNSS, D5W

24 hours (CRT)
10 days (REF)
Cefepime HCl


PNSS, D5W, D5NSS, D5LR
24 hours (CRT)
7 days (REF)

PNSS, D5W, D5NSS, D5LR
24 hours (CRT)
7 days (REF)

Cefotaxime Na

SWFI, PNSS, D5W
24 hours (CRT)
5 days (REF)
PNSS, D5W

24 hours (CRT)
5 days (REF)
Cefoxitin Na

SWFI, D5W, PNSS
6 hours (CRT)
7 days (REF)
D5W, D5NSS, PNSS
18 hours (CRT)
48 hours (REF)
Ceftazidime

SWFI

12 hours (CRT)
3 days (REF)
D5W, PNSS

12 hours (CRT)
3 days (REF)
Ceftriaxone Na

SWFI, PNSS, D5W, D5NSS
3 days (CRT)
10 days (REF)*
PNSS, D5W

3 days (CRT)
10 days (REF)*
Clindamycin PO4


PNSS, D5W
Administer as soon as possible, avoid refrigeration
PNSS, D5W
Administer as soon as possible, avoid refrigeration
Meropenem



SWFI
Immediate use is preferable
2 hours (CRT)
12 hours (REF)
PNSS
2 hours (CRT)
18 hours (REF)
Piperacillin-Tazobactam Na
SWFI, PNSS, D5W
24 hours (CRT)
48 hours (REF)
PNSS, D5W
24 hours (CRT)
48 hours (REF)

**Maintain refrigeration

*Selected preparations only, refer to the given drug literature if possible

Source: Gahart's Intravenous Medications

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