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Pharmacy Technician Series, The: Sterile Products,9780131147560

Pharmacy Technician Series, The: Sterile Products

by Johnston, Mike; NPTA
Edition:
1st
ISBN13:

9780131147560

ISBN10:
0131147560
Format:
Paperback
Pub. Date:
1/1/2006
Publisher(s):
Prentice Hall
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  • Sterile Products and Aseptic Techniques for the Pharmacy Technician
    Sterile Products and Aseptic Techniques for the Pharmacy Technician




Summary

Part of the Prentice Hall Pharmacy Technician Series, Sterile Products is a comprehensive book covering the complex practice of sterile product preparation and correct aseptic technique. It covers principles of aseptic technique, terms, methods, products and includes a "how-to" on standard sterile product preparations.Pharmacy Technician Students and Professionals.

Table of Contents

Preface xi
About the Authors xiii
About NPTA xiv
Acknowledgments xv
Contributors xvii
Reviewers xviii
Introduction to Sterile Products
1(9)
Introduction
1(1)
Routes of Administration
2(4)
Inhalants
2(1)
Enterals
2(1)
Topicals
3(1)
Ophthalmics and Otics
3(1)
Parenterals
3(3)
Conclusion
6(1)
Profiles of Practice
7(1)
Chapter Review Questions
8(2)
Facilities, Garb, and Equipment
10(22)
Introduction
10(1)
Facilities and Clean Room
11(7)
USP 797
12(1)
The Airflow Hood
13(3)
Other Supplies
16(2)
The Dressings (Garb)
18(2)
Personal Attire within the IV Area
18(1)
Gowning
18(2)
Compounding Supplies
20(8)
Alcohol Pads
20(1)
Needles
20(3)
Miscellaneous
23(4)
Other Equipment
27(1)
Conclusion
28(1)
Profiles of Practice
29(1)
Chapter Review Questions
30(2)
Aseptic Calculations
32(14)
Introduction
32(1)
Active Ingredient
33(1)
IV Admixtures
33(1)
Flow Rates
34(1)
Electrolytes Added to Total Parenteral Nutrition (TPN) Preparations
35(1)
Dilution Technique
36(1)
Pediatric Formulas
37(1)
Body Surface Area and Nomograms
37(4)
Dosage Calculations
41(2)
Conclusion
43(1)
Chapter Review Questions
44(2)
Properties of Sterile Products
46(10)
Introduction
46(1)
Particulate Matter
47(1)
pH, Acids, and Bases
47(1)
The pH Scale
47(1)
Compatibility and Stability
48(1)
Tonicity
49(1)
Osmolality and Osmolarity
50(3)
Estimating Osmolarity
51(1)
Small-Volume Parenterals
52(1)
Large-Volume Parenterals
52(1)
Conclusion
53(1)
Chapter Review Questions
54(2)
Aseptic Technique
56(23)
Introduction
56(1)
Preparation
57(2)
Dressing
57(1)
Hand Washing
57(2)
Clean Room
59(1)
Clean Air Space
59(1)
Proper Aseptic Technique
59(13)
Manipulation
60(2)
Performing a Straight Draw
62(2)
Reconstituting a Powdered Vial
64(1)
More on Manipulation
65(4)
Removing Fluid from an Ampule
69(1)
Preparing a Sterile Dosage Form
70(2)
Special Preparations
72(2)
Factor VIII, Factor IX, and Other Blood Products
72(1)
Product Description and Handling Information
72(2)
Conclusion
74(1)
Profiles of Practice
75(2)
Chapter Review Questions
77(2)
Sterile Product Preparations
79(13)
Introduction
79(1)
IV Bags
80(2)
IV Piggybacks
81(1)
Continuous Preparations
82(1)
Syringes
82(1)
Multidose Vials (MDVs)
83(1)
Personal Controlled Anesthesia (PCA)
84(1)
Epidurals
84(1)
Neonates and Pediatric Patients
84(1)
Irrigations
85(1)
Cytotoxic Agents
85(1)
Total Parenteral Nutrition (TPN)
86(1)
Proteins
86(2)
Albumin
86(1)
Plasma Protein Fraction (PPF)
86(1)
Immunoglobulin (Gammar, IgG)
86(1)
Factor VIII (Alphanate)
87(1)
Factor IX (Konyne)
88(1)
Ophthalmics
88(1)
Conclusion
89(1)
Chapter Review Questions
90(2)
Total Parenteral Nutrition (TPN)
92(11)
Introduction
92(1)
The Ingredients
93(3)
Fluid Maintenance
94(1)
Calories and Carbohydrates
94(1)
Amino Acids and Nitrogen
95(1)
Electrolytes and Minerals
95(1)
The Order
96(1)
Compounding the TPN
96(2)
Automated Devices
98(1)
Automix
98(1)
Micromix
99(1)
Gravity Method
99(1)
Conclusion
99(1)
Profiles of Practice
100(1)
Chapter Review Questions
101(2)
Chemotherapy
103(21)
Introduction
103(2)
Cytotoxic Agents
105(1)
Compounding Chemotherapy Medications
106(8)
Preparation Areas
108(5)
Personnel Training
113(1)
Attire
113(1)
Withdrawing a Cytotoxic Agent
114(1)
Procedures for Handling Sterile Injectable Hazardous Drugs
115(2)
PhaSeal
117(1)
Disposal of Cytotoxic Medications
117(1)
Chemo Spills
118(1)
ASHP Guidelines for Safe Handling of Cytotoxic Drugs
119(1)
A Final Caution
120(1)
Conclusion
120(2)
Chapter Review Questions
122(2)
Quality Control and Assurance
124(17)
Introduction
124(1)
Elements of Quality in Pharmacy
125(1)
The Five Rights
125(1)
Quality-Assurance Functions
125(1)
Quality Improvement
125(1)
Guidelines
126(1)
FDA
126(1)
JCAHO
126(1)
CDC
126(1)
ASPH
127(1)
USP
127(1)
Miscellaneous
127(1)
ASHP Guidelines on Quality Assurance for Pharmacy-Prepared Sterile Products
127(7)
Risk Level 1
127(3)
Risk Level 2
130(2)
Risk Level 3
132(2)
Core Concepts from USP 797 and ASHP Guidelines
134(2)
Risk Levels
134(1)
Policies and Procedures
135(1)
Personnel, Education, and Evaluation
135(1)
Storage and Handling Inside and Outside the Pharmacy
135(1)
Facilities and Equipment
135(1)
Aseptic Technique, Product Preparation, and Garb
136(1)
Process Validation
136(1)
End-Product Evaluation
136(1)
Documentation and Labeling
136(1)
Conclusion
137(2)
Chapter Review Questions
139(2)
Appendix A Terminology and Abbreviations 141(7)
Appendix B Common Intravenous Medications 148(3)
Appendix C Training and Validation Forms 151(21)
Appendix D Instructions for Left-Handed Personnel 172(6)
Appendix E Resources and References 178(2)
Appendix F Answers 180(4)
Index 184


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