How to set up a reconstitution problem
A powdered drug for injection has to be dissolved before use, and the volume you get after dissolving is not the volume of diluent you added, because the powder itself takes up space. That space is the powder volume, also called displacement volume. Every reconstitution question is built on one relationship, and knowing which of the three quantities is unknown tells you how to rearrange it.
final volume = diluent added + powder volume • concentration = drug amount ÷ final volume
Worked example 1: find the powder volume
A 1 g vial reconstituted with 9.6 mL of diluent gives 100 mg/mL. What is the powder volume?
final volume = 1,000 ÷ 100 = 10 mL
powder volume = 10 − 9.6 = 0.4 mL
The label usually states the diluent volume and the resulting concentration, and leaves the powder volume for you to work out. Get the final volume from the concentration first, then subtract.
Worked example 2: find the concentration
A 2 g vial has a powder volume of 0.5 mL. You add 9.5 mL of diluent. What is the concentration?
final volume = 9.5 + 0.5 = 10 mL
concentration = 2,000 ÷ 10 = 200 mg/mL
Leaving the powder volume out gives 2,000 ÷ 9.5:
2,000 ÷ 9.5 = 210.53 mg/mL
which is 5% too strong. Every dose drawn from that vial would then be 5% short. Small powder volumes matter more, not less, in small vials, because they're a larger share of the final volume.
Worked example 3: find the dose volume
From the vial in example 2, an order calls for 500 mg.
volume = 500 ÷ 200 = 2.5 mL
Once the concentration is right, the dose volume is a proportion like any other.
Choosing the diluent volume for a target concentration
Questions also run the relationship backwards: what volume of diluent gives a target concentration? Work out the final volume needed (drug amount ÷ target concentration), then subtract the powder volume. A 1 g vial with a 0.4 mL powder volume, to be made 50 mg/mL: final volume 1,000 ÷ 50 = 20 mL, so add 19.6 mL of diluent. Adding 20 mL would give 1,000 ÷ 20.4, about 49 mg/mL, which is close but not the target and not what the label would say.
Where students lose the points
- Diluent volume used as the final volume. The powder adds to it.
- Grams and milligrams. A 1 g vial is 1,000 mg. Convert before dividing by a mg/mL concentration.
- Subtracting the powder volume when it should be added. Diluent + powder = final. Final − diluent = powder. Final − powder = diluent. Write the one you need before you calculate.
- Ignoring the powder volume because it's small. 0.5 mL in a 10 mL vial is a 5% error in every dose.
- Partial vials. If a dose needs more than one vial, the concentration is the same in each, so reconstitute each vial the same way and add the volumes.