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UCL Hospitals Injectable Medicines Administration Guide Pharmacy Department

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ISBN-10: 1405191929

ISBN-13: 9781405191920

Edition: 3rd 2010 (Guide (Instructor's))

Authors: University College London Hospitals

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Book details

Edition: 3rd
Copyright year: 2010
Publisher: John Wiley & Sons, Limited
Publication date: 10/1/2010
Binding: Comb Bound 
Pages: 352
Size: 8.10" wide x 9.70" long x 0.90" tall
Weight: 1.848
Language: English

Third edition editorial board
Contributors
Acknowledgements
Preface
Introduction
Overview
Organisation of information in the Guide
Sources of information and disclaimer
UCLH policies
Responsibilities of professional staff at UCLH
Preparation of injectable medicines on wards, clinics and departments at UCLH
An overview of intravenous therapy
When is intravenous therapy appropriate?
Drug factors that influence the choice of route
Disadvantages of intravenous administration
Route of intravenous administration
Factors affecting patency of IV sites
Factors increasing failure of IV sites
Factors decreasing failure of IV sites
Occlusion of central venous catheters
Methods of intravenous administration
Intravenous bolus
Intermittent intravenous infusion
Continuous intravenous infusion
Preparation and administration of intravenous medicines
Aseptic non-touch technique (ANTT)
Extravasation of injectables: overview and management advice
Patient factors affecting extravasation
Medicine factors affecting extravasation
Administration factors affecting extravasation
Overall risk for extravasation
Treatment of extravasation
Flushing cannulae, catheters and administration sets
Flushing between medicines
When not to flush
Flushing catheters and cannulae not in use
Flushing with heparin
Infusion pumps
Pumps used at UCLH
Volumetric pumps
Syringe pumps
Pumps for ambulatory use
Patient-controlled analgesia (PCA) pumps
Target-controlled anaesthesia (TCI or TIVA) pumps
Administration of injectables in primary care
Self-caring patients
Formulation and presentation of injectables
Medicines that require reconstitution
Preparations in solution requiring further dilution before use
Preparations available 'ready to use' without further dilution
Preparations available 'ready to use'
Pharmaceutical aspects of injectable administration
Displacement values
Sodium content
Drop size
Layering
Fluid restriction
Factors influencing medicine stability and compatibility of injectable medicines
Degradation
Precipitation
Binding of medicines to plastics
Destabilisation of parenteral emulsions
Leaching of plasticisers
Blood and blood products
Allergic reactions to injectables
Latex allergy
Compatibility of drugs in a syringe driver for subcutaneous use
Risk assessment of injectables and risk reduction
Risk assessment
Risk reduction
Useful resources
Websites
Further reading
User Guide
Monographs in alphabetical order
Index