I've only been in clinical for one week and have a question about reversal agents. Do you mix your reversal agents in the same syringe? In the unit I worked in, the reversal was always drawn up in separate syringes, generally 0.6-1mg glycopyrrolate with up to 5mg neostigmine (both dosages weight dependent). At the first facility, where I did "observation days", the reversal was also drawn up in two separate syringes, but at my current clinical site, so far I've see three CRNAs that mix it. They generally mix 5mg Neostigmine to 0.8mg glycopyrrolate and administer a weight appropriate dosage.

I've just never seen this done before and wondered what others do and why?