see protected
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OMG…last weekend, at work, i had the queen of the biotchy
pharmacists. And usually the morning IV shift makes up bulk
dilutions of iv solutions. But they prepare enough based on the
amount the patients needed the day before….so it’s a rough
estimate. So the evening IV shift uses those bulk dilutions and
makes the patients’ individual doses. but if there were new
orders written, sometimes there won’t be enough of the drug, so we will
have to dilute some drugs ourselves.
so that was the case last week for this one antibiotic I was working
on. And we have this binder that tells you exactly how to
reconstitute the drugs, because they come as a powder and you have to
add water or what not to make it a specific concentration.
So…the book detailed reconstitutions for a two gram vial. But i
couldn’t find any two gram vials in the stock room…only one gram
vials. So i used that…and just cut the amount of diluent in
half to get the same concentration. Makes sense right?
So the biotchy pharmacists tells me that the one gram and the two gram
aren’t necessarily formulated the same because they’re from diff
manufacturers….and so my dilution was wrong. even though i
remember them being from the same manufacturer…but whatever. so
she threw out ALL the IV’s i made…including the ones made from the
bulk bottles that morning because she said she couldn’t be sure which
ones were made from the “correct” stock. And then she had me dilute the
vials HER way (totally different). i had to remake 5 bulk
bottles AND redo all the IV’s (that meant reconstituting FORTY
vials from powder to make up the 5 bulk bottles…because we dilute it
further).
The thing is, i had a huge pharmacology exam the next day and i wanted
to get out early to study…and we were doing really well on
time…until this little thing. so i was pissed…especially
since i didn’t think the dilutions were wrong in the first place.
AND, if the dilution procedures for the one gram vials WERE different,
wouldn’t it make sense to ADD the procedure in the binder?!!!! So
that we KNOW it’s different?! AND if no one knew the “correct”
dilution except HER….wouldn’t the original bulk bottles be made “incorrectly” in the morning as
well?!
Anyhow, today we get an email clarifying the one gram vs two gram
dilution. And guess what….i was RIGHT the FIRST TIME.
AND….because she made me dilute it differently, i think the batch the
we redid was not exactly the correct concentration…i think it was too
dilute. Which we kinda noticed when we redid them…that it was
paler in color than it normally was. UGH. i TRIED to
explain why i diluted it the way i did, but she wouldn’t hear it.
she kept harping on the manufacturing thing, even though i kept saying
it was the same company…therefore they would manufacture both the
same way. UGH. it took us an extra HOUR to remake that.
ok picture time:
Here are the poor pigeons that i was talking about. They look like the Goodfellas on Animaniacs. Notice the net

And HERE is more of Bundchen…he is such a camera whore!


Bundchen LOVES his mayo jar. He likes to clean himself and
roll around on his back in there. Sometimes he’ll nap too.
but he LOOOOVES his oranges even more. He’s smart…he won’t eat
the rind….only the pulp.



