Question

Bicillin 300,000 Units IM q 12 hrs. On hand: Bicillin 600,000 units/1.2ml vial Give :_________ ml IM q 12 hrs.

Answer 1

Answer : 0.6 mL

Explanation : Bicillin is given by deep IM injection into upper outer quadrant of buttock region; rotatation of injection sites should be done. Upper

respiratory Group A strep : 1.2 million units once should be prescribed.

In Syphilis (primary, secondary, latent treatment) : 2.4 million units once is given; (In tertiary and neurosyphilis) : 2.4 million units every 7 days for 3 doses is given.

For Rheumatic heart disease and acute glomerulonephritis : 1.2 million units once per month is given, or 600,000 units every 2 weeks.

So bicillin 600,000 units/ 1.2 mL vial should be 0.6 mL Im q 12 hrs.

300,000/600,000 = 2; therefore 1.2/2 = 0.6 mL