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