This is in preparation for the mixing water to be added to the vial, to avoid pressure in the vial, that wont allow you to add much water to it
But when you start looking at actual dosing protocols, everything gets murky fast
Product Noradrenaline Bitartrate Injection Packing : 2 Ml Ampoule, 4 Ml Ampoule
*Pull back on the plunger a little to make sure you did not hit a blood vessel
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