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