Hi-
We are in the process of creating an IM Mag kit for eclampsia and have come across the issue of how to administer the 10 gram dose. All sources says 5 gram per buttocks which would be 10 mL on each side, but they don't further detail how many injection sites are used. Has anyone been able to get away with just two injection sites or are you having them further subdivide each 5 gram/10 mL dose into multiple sites?

Also, do you have them mix with lidocaine or just administer straight? I'm thinking the admixing on the floor may make this too complicated.

There's also a 5 gram/10 mL prefilled syringe available from Hospira but that makes me nervous due to risk of inadvertent IV admin.

Thanks for any insight you may have!