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E-grāmata: UCL Hospitals Injectable Medicines Administration Guide: Pharmacy Department

4.60/5 (10 ratings by Goodreads)
  • Formāts: PDF+DRM
  • Izdošanas datums: 18-Jul-2013
  • Izdevniecība: Wiley-Blackwell
  • Valoda: eng
  • ISBN-13: 9781118277409
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  • Formāts: PDF+DRM
  • Izdošanas datums: 18-Jul-2013
  • Izdevniecība: Wiley-Blackwell
  • Valoda: eng
  • ISBN-13: 9781118277409
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This spiral-bound reference guide for nurses and other health care professionals provides information on the preparation and administration of 245 injectable medicines for adults, pediatric patients, and neonates. The first part of the book provides an overview of injectable therapy's risks and benefits, infusion devices, and pharmaceutical aspects of injectable therapy. The bulk of the book is a directory of alphabetical drug monographs in tabular form, presented in horizontal format. Each drug monograph provides information on the method of preparation and administration via the IV, IM, and SC routes, plus advice on risk reduction and safety, guidelines on monitoring for complications and adverse reactions, and data on Y-site and syringe driver compatibility. This third edition contains 40 new monographs covering recently marketed, unlicensed, and rarely used medicine. A new user's guide and tutorial are included, and a color-coded NPSA risk assessment is now provided for every mode of administration for every drug. Annotation ©2011 Book News, Inc., Portland, OR (booknews.com)

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, third edition 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.  The Guide is an essential resource for nurses and other health care 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:
  • a practical method of preparation and administration via the IV, IM and SC routes, with risk reduction in mind at every step
  • expert advice from the team of specialist pharmacists at UCLH to ensure safe and pragmatic use of each medicine
  • monitoring advice for the management of reactions that may occur during administration
  • Y-site and syringe driver compatibility data
  • minimum infusion volume data for fluid restricted patients
  • extravasation warnings, pH, sodium content, displacement values, stability and flush data

New to this edition:

  • 40 new monographs including recently marketed, unlicensed, rarely used and specialist medicines
  • Detailed advice for the administration of high risk medicines such as heparin, with access to UCLH’s medicine related guidelines at www.wiley.com/go/UCLH
  • A colour-coded NPSA risk assessment for every mode of administration for every medicine, to highlight the safest method of administration
  • A user guide and tutorial to give new readers confidence in using and understanding the Guide
  • Revised chapters on administration methods and devices, aseptic non-touch technique, and latex allergy
  • Fully revised and expanded Y-site compatibility section
  • Spiral binding to allow the book to be left open at the relevant page

The UCLHGuide is also available electronically at www.uclhguide.com

Third edition editorial board viii
Contributors ix
Acknowledgements x
Preface xi
Section A
1(50)
1 Introduction
1(1)
2 Overview
2(2)
2.1 Organisation of information in the Guide
2(1)
2.2 Sources of information and disclaimer
3(1)
3 UCLH policies
4(2)
3.1 Responsibilities of professional staff at UCLH
4(1)
3.2 Preparation of injectable medicines on wards, clinics and departments at UCLH
5(1)
4 An overview of intravenous therapy
6(5)
4.1 When is intravenous therapy appropriate?
6(1)
4.2 Drug factors that influence the choice of route
7(1)
4.3 Disadvantages of intravenous administration
8(1)
4.4 Routes of intravenous administration
9(2)
5 Factors affecting patency of intravenous sites
11(1)
5.1 Factors increasing failure of intravenous sites
11(1)
5.2 Factors decreasing failure of intravenous sites
11(1)
5.3 Occlusion of central venous catheters
11(1)
6 Methods of intravenous administration
12(5)
6.1 Intravenous bolus
12(1)
6.2 Intermittent intravenous infusion
13(1)
6.3 Continuous intravenous infusion
13(1)
6.4 Preparation and administration of intravenous medicines
14(1)
6.5 Aseptic non-touch technique (ANTT)
15(2)
7 Extravasation of injectables: overview and management advice
17(7)
7.1 Patient factors affecting extravasation
17(1)
7.2 Medicine factors affecting extravasation
17(4)
7.3 Administration factors affecting extravasation
21(1)
7.4 Overall risk for extravasation
21(1)
7.5 Treatment of extravasation
21(3)
8 Flushing cannulae, catheters and administration sets
24(2)
8.1 Flushing between medicines
24(1)
8.2 When not to flush
24(1)
8.3 Flushing catheters and cannulae not in use
25(1)
8.4 Flushing with heparin
25(1)
9 Infusion pumps
26(3)
9.1 Pumps used at UCLH
26(1)
9.2 Volumetric pumps
26(1)
9.3 Syringe pumps
26(1)
9.4 Pumps for ambulatory use
27(1)
9.5 Patient-controlled analgesia (PCA) pumps
27(1)
9.6 Target-controlled anaesthesia (TCI or TIVA) pumps
28(1)
10 Administration of injectables in primary care
29(2)
10.1 Self-caring patients
30(1)
11 Formulation and presentation of injectables
31(3)
11.1 Medicines that require reconstitution
31(1)
11.2 Preparations in solution requiring further dilution before use
32(1)
11.3 Preparations available `ready to use' without further dilution
32(1)
11.4 Preparations available `ready to administer'
32(2)
12 Pharmaceutical aspects of injectable administration
34(3)
12.1 Displacement values
34(1)
12.2 Sodium content
34(1)
12.3 Drop size
35(1)
12.4 Layering
35(1)
12.5 Fluid restriction
35(2)
13 Factors influencing medicine stability and compatibility of injectable medicines
37(4)
13.1 Degradation
37(1)
13.2 Precipitation
38(1)
13.3 Binding of medicines to plastics
38(1)
13.4 Destabilisation of parenteral emulsions
39(1)
13.5 Leaching of plasticisers
39(1)
13.6 Blood and blood products
40(1)
14 Allergic reactions to injectables
41(2)
14.1 Latex allergy
41(2)
15 Compatibility of drugs in a syringe driver for subcutaneous use
43(2)
16 Risk assessment of injectables and risk reduction
45(4)
16.1 Risk assessment
45(2)
16.2 Risk reduction
47(2)
17 Useful resources
49(2)
17.1 Websites
49(1)
17.2 Further reading
50(1)
Section B
51(1)
User guide 51(16)
Monographs in alphabetical order 67(266)
Index of monographs 333
UCL Hospitals Pharmacy Team