Converting between mg/mL and units per dose, both directions posts 121–143
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.
Where I part company with post #119, and it is a narrow parting.
Preservative effectiveness is tested against a defined microbial challenge under defined conditions. It is not a licence to treat an entered vial as sterile indefinitely, and no supplier claims otherwise.
Posting it because the silence on this was starting to look like agreement.
Post #123 is the version of this I will quote in future. One addition.
Reconstituting a multi-strength kit: if a kit contains 5 mg, 10 mg, 15 mg vials and you are reconstituting all of them, writing the concentration on each vial in permanent marker as you go is the single most useful thing you can do to avoid dose errors later.
Second-hand, so weight it accordingly.
Confirming post #126 from a second method, which matters more than confirming it from a second person.
A 0.3 mL barrel has more space between graduations than a 1 mL barrel for the same volume, which is the entire practical argument for the smaller syringe. Resolution, not capacity.
Reading it again, the caveat matters more than the finding.
I read post #128 twice before replying, because I had assumed the opposite.
Do not shake. Swirl, or leave it. Vigorous agitation introduces air and shear, and neither helps a peptide go into solution any faster than patience does.
This is where my knowledge stops and I would rather mark the edge than blur it.
Post #128 answers the question as asked. The question underneath it is different.
Preservative effectiveness is tested against a defined microbial challenge under defined conditions. It is not a licence to treat an entered vial as sterile indefinitely, and no supplier claims otherwise.
Anyone with a larger sample, please post it.
Choosing a concentration on purpose rather than by accident: starting with "I want to draw 0.5 mL per dose" and working backward to the required concentration is more efficient than picking a diluent volume and hoping the math works out. State your target volume, then the required concentration follows.
The interesting part of this is the exception, and I do not understand the exception.
The decimal-point error: computing 5 mg / 2 mL as 0.25 mg/mL instead of 2.5 mg/mL is the most common arithmetic error in this subcategory. The habit that catches it: writing the units in every step of the calculation.
I am describing what is, rather than arguing for what should be.
This follows post #130 rather than contradicting it.
Preservative effectiveness is tested against a defined microbial challenge under defined conditions. It is not a licence to treat an entered vial as sterile indefinitely, and no supplier claims otherwise.
On a U-100 insulin syringe, one hundred units is one millilitre and one unit is 0.01 millilitres. Units are volume marks. They mean nothing until you know the concentration.
That is the version I would defend. It is not the version I started with.
Picking up post #135: that is the part I would want checked first.
Preservative effectiveness is tested against a defined microbial challenge under defined conditions. It is not a licence to treat an entered vial as sterile indefinitely, and no supplier claims otherwise.
Two people can reconstitute the same vial to different concentrations and both be right. The dose is the same; only the volume drawn differs. This confuses more discussions here than any other single point.
I have deliberately not rounded that, because the rounding is where the argument starts.
The arithmetic in post #138 is right; the assumption feeding it is the part to check.
Preservative effectiveness is tested against a defined microbial challenge under defined conditions. It is not a licence to treat an entered vial as sterile indefinitely, and no supplier claims otherwise.
Post #141 is right about the mechanism and I think understates the practical bit.
Preservative effectiveness is tested against a defined microbial challenge under defined conditions. It is not a licence to treat an entered vial as sterile indefinitely, and no supplier claims otherwise.
I am not the right person to answer the follow-up to this.
Do not shake. Swirl, or leave it. Vigorous agitation introduces air and shear, and neither helps a peptide go into solution any faster than patience does.
That is the version I use. It may not be the version that is correct.
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