What lidocaine dose should be added to a 1‑gram vial of Rocephin (ceftriaxone) for IV infusion? | Rounds What lidocaine dose should be added to a 1‑gram vial of Rocephin (ceftriaxone) for IV infusion? | Rounds
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What lidocaine dose should be added to a 1‑gram vial of Rocephin (ceftriaxone) for IV infusion?

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Lidocaine Use During Ceftriaxone IV Infusion

Lidocaine is not indicated for reconstitution or dilution of ceftriaxone (Rocephin) for IV infusion. [1]

Rocephin Reconstitution for IV Infusion

For an IV infusion, a 1 g vial of ceftriaxone should be reconstituted with an appropriate IV diluent at a labeled diluent volume of 9.6 mL, yielding ~100 mg/mL ceftriaxone after reconstitution. [1]

Lidocaine Contraindication for IV Diluent Selection

The prescribing directions specify reconstitution for IV use with an appropriate IV diluent and do not provide a lidocaine dose for IV reconstitution. [1]

Practical Answer to the Dose Question

Lidocaine should not be added to a 1 g vial of Rocephin when preparing an IV infusion preparation. [1]

IV Infusion Concentration Target

The infused ceftriaxone solution should be prepared to a concentration of 10 mg/mL to 40 mg/mL (lower concentrations may be used). [1]

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