UCL Hospitals Injectable Medicines Administration Guide: Pharmacy Department"I would definitely recommend this book to all staff with an interest and involvement in intravenous drug therapy." —The Pharmaceutical Journal "There is no doubt that nurses will find this small book useful. It should be available for consultation in any clinical area where drugs are administered to patients by the injectable routes." —Journal of Clinical Nursing The safe administration of injectable medicines is key to patient safety. The NPSA recognises the use of injectable medicines is a high risk activity and recommends written information about injectables to be available at the point of preparation. The UCL Hospitals Injectable Medicines Administration Guide is a practical, accessible guide covering many important aspects of administering medicines by injection. It provides clear, concise information on the preparation and administration of over 245 injectable medicines for adults, paediatrics and neonates. It is an essential resource for nurses and other healthcare professionals: it provides the key information and advice needed for the safe and effective administration of injectable medicines. The Guide’s introductory section provides a concise yet comprehensive overview of injectable therapy, including the risks and benefits of IV administration, infusion devices, and pharmaceutical aspects of injectable therapy. For each drug the alphabetically tabulated monographs provide:
New to this edition:
The Guide is also available electronically at www.uclhguide.com. |
Contents
Overview | 2 |
Contents | 6 |
Factors affecting patency of intravenous sites | 11 |
overview and management advice | 17 |
Flushing cannulae catheters and administration sets | 24 |
1 | 30 |
Formulation and presentation of injectables | 31 |
Factors influencing medicine stability and compatibility | 37 |
Compatibility of drugs in a syringe driver for subcutaneous use | 43 |
Section B | 51 |
Monographs in alphabetical order | 67 |
29 | 126 |
31 | 137 |
34 | 149 |
333 | |
13 | 40 |
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Common terms and phrases
24 hours abbreviations refer administering medicines Adults amphotericin Ampoule ascertain appropriate concentrations bolus cause tissue damage central line compatible when diluted concentrations for infusion consult the monograph contains convenient volume diluted in G Dilution Rate Comments dose drug excluding multidose vials Extravasation Flush following data assume Formulation Method Dilution fresh infusion further diluted give given glucose hours All preparations hypotension Incompatible infusion and compatible infusion every 24 infusion fluids Infusion-related adverse events initial injection intended for single intravenous lower concentration luid medicine to ascertain medicines or infusion Method Dilution Rate mg vial mg/kg mg/mL solution minutes mL NS mL/hour monitoring morphine mOsmol/kg nausea neonates NPSA risk rating NS or G NS Sodium pain patient peripheral preparations are intended Prepare a fresh Ready diluted Reconstitute Sodium content syringe pump UCLH undiluted unlicensed User guide Prepare usually vein via a Y-site volumetric infusion pump Y-site compatible