Relacionar Columnas AsepticVersión en línea Week 1,2,3 por Audree Dulnuan 1 High risk with storage in refrigerator 2 Medium risk level 3 Sterility test & bacterial endotoxin test 4 BUD with storage in freezer for all risks 5 Medium risk with storage in refrigerator 6 Medium risk BUD at controlled room tempt 7 High risk BUD at controlled room tempt 8 Low-risk BUD at controlled room tempt 9 High risk level 10 Low risk level 11 Sterile unit 12 Low risk with storage in refrigerator Using up to 3 "sterile units," no more than 2 "septum" punctures for one patient & it is a simple transfer. Non-sterile products are being compounded before they are sterilized, using water, stored for more than 6 hours, and improperly donned. 9 days 48 hours 30 hours Germ-free enclosures: IV bag, vials, ampoules 24 hours 14 days 45 days Must be performed for high-risk sterile preparations, if over 25 identical units, hrs exposure between 2-8 degrees, 6 hrs exposure above 8 degrees. 3 days Using 4 or more "sterile units" (reconstituted products), complex, prolonged preparation time, compounding more than 1 item of the same drug in 1 sesh 1 CSHP 2 Rate of infusion 3 Pyrogens 4 How long should you wash your eyes using emergency eyewash? 5 NAPRA 6 Compounding an order for a diabetic patient 7 Compounding order for a IV bags 8 Particulate matter 9 Fluid Restricted patient 10 Pathogenic 11 RSI 12 Compounding for sodium-free diet, or healthy heart diet D5W Dextrose 5% in Water National Association of Pharmacy Regulatory Authorities capable of causing disease, or a organism capable causing disease in it;s host The Canadian Society of Hospital Pharmacists Metabolic by-products of microorganisms which, when injected into the bloodstream, can produce a febrile reaction default to 25 mL solution 15 minutes Default to Sodium Chloride 0.9%, volume reflective of the order or default Materials like hair, lint, dust, cotton, fur, undissolved drug. They are bough or introduce into the prdocut by compounding person. NaCl Sodium Chloride 0.9% 50 mL Only drug preparations with IV route, IVPB, IV push Repetitive Strain Injury 1 Intraosseous 2 Cross contamination 3 Critical site 4 Intravenous 5 Shadowing 6 Intradermal 7 Microbial contamination 8 Intramuscular 9 Intraocular 10 Epidural 11 Intra-articular 12 Intrathecal 13 Particulate contamination 14 Subcutaneous 15 Intraperitoneal Into the cerebrospinal fluid surrounding the spinal cord, drugs affecting the CNS Injecting medication deep into muscle tissue, allowing for rapid absorption into the bloodstream due to muscles' rich blood supply, 90 degree angle Directly into a joint space, delivering anti-inflammatory drugs Inclusion or growth of harmful microorganisms which include mold, yeast, and viruses & bacteria Into the abdominal cavity, used for certain chemotherapy or in animal research Foreign chemical, microbial, or physical substances are unintentionally transferred from one substance or object to medicines. It is simply when you block the clean airflow to a medication or product. Delivering fluids, medications, nutrition, or blood directly into a patient's vein using a thin plastic tube Presence of extraneous, mobile/undissolved particles in parenteral solution. Great & severe risk. Blockages of blood vessels, organ damage, phlebitis Injecting medication into the fatty tissue just beneath the skin dermis provides slow & steady absorption due to fewer blood vessel, insulin, hormones Any location that is exposed & can allow intrusion of microorganisms or foreign matter. Directly into the eye Similar to intrathecal, but into the epidural space around the spinal cord (common for childbirth) A shallow injection into the dermis, the layer just below the epidermis, using a small needle at a 5-15 degree angle, for anesthesia, TB, allergy Into the bone-marrow, usually emergency access route when IV fails, common in pediatrics/trauma 1 USP 800 2 Aseptic Technique 3 Horizontal PEC 4 Vertical PEC 5 PEC 6 Cleaning the PEC 7 ABHR 8 ISO class 9 The cleanroom (CIVA or IV room) 10 Anteroom Primary Engineering Control Unit Class C environment, ISO class 8, pressurized by positive air, used for garbing, hand hygiene, labelling & staging components. Alcohol-based hand rub Where hazardous compounding area is done, negative pressure Process & physical preparation methods, who prepares sterile compounds, to prevent pathogenic organisms from contaminating a sterile environment Do not obstruct airflow, no protection, aerosol can be blown towards the operator, procedures 15 cm. Germicidal, disinfecting detergent, sterile 70% alcohol, The International organization for Standardization, defines the amount of particulate matter in room air, ranges class 3 to 8 class Class B environment, ISO 7 class, positively pressured unless cytotoxic, HEPA filter, 30 or more air changes per hour, no greater than 20 degrees Air moves from top to bottom and provides protection. Procedures are 7.5 cm; work at 45-degree angle. 1 SC neelde/syringe 2 Intermittent infusion 3 Stability for IV bag once punctured inside the PEC room 4 Central injection route 5 IVPush 6 Continuous Infusion 7 HEPA filter 8 IM needle/ syringe 9 Peripheral injection route 10 Laminar Air (LAFW) catheter inserted through skins into peripheral vein Drugs can be administered over a specific period of time at intervals & can be infused through a primary line. 1 mL syringe, 25-gauge needle, dose pull back High-Efficiency Particulate Air Filter provides clean air to the working area, constant flow, removes contaminants, bacteria, repetitive filter Good for 6hrs 3 mL syringe, 21-gauge needle, dose pull back Needs to be surgically inserted into the heart, through the large vein to superior vena cava, inferior vena cava, right atrium of the heart 5 mL syringe, 19-gauge needle, dose: do not pull back, small volume into vein, given for short period of time, supplied in syringe Allows a carefully regulated amount of fluid to be given over a long period of time, maintain a constant drug level, uses gravity to help infusion.
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