-
Intravenous amount
1-10 ml bolus
0.1-1 liter drip infusion
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Intramuscular amount
1-5 ml
-
-
Subcutaneous amount
0.1-0.5 ml
-
Intrathecal amount
0.1-0.5 ml
-
Intraspinal amount
1-4 ml
-
Parenteral
Beyond intestine
-
Parenteral Formulations
- administered through 1 or more layers of skin tissue or membrane
- 25% of drugs administered in hospitals
-
Advantages of Parenteral Formulations
- Rapid action
- complete bioavailability
- Provide reliable drug administration
- May achieve local effects
-
Disadvantages of Parenteral Formulations
- Pain and discomfort
- Drug cannot be recovered
- Need sterilization/quality control
-
Iatrogenic
any adverse condition in a patient occuring as the result of treatment by physician or surgeon
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Embolism
sudden blocking of an artery by clot or foreign material which has been brought to its site of lodgment by blood current
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Phlebitis
inflammation of vein. infiltration of the coats of the vein and formation of a thrombus.
-
vesicant
causing blisters, blistering drug or agent
-
pyrogenecity
detectable presence of pyrogens which are the metabolic byproducts of microorganisms or dead microorganisms.
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IA, IV, IS
only solution, not suspension
-
Only aqueous preparations are acceptable for the hypo route
False
-
William Harvey
introduced major concept of blood circulation in the body
-
Christopher Wren
First person to inject medication
-
Dr Whitfield
introduced laminar air flow hood
-
USP/NF as of 2003 there were ___ injectable products.
543
-
-
IV Drip
Continuous or intermittent infusion
-
IV Piggybacking
secondary IV tubing for introducing medication into the primary line
-
Catheters
- blunt tipped plastic cannulae
- catheter inside needle
- catheter outside needle
-
Intramuscular (IM)
- Injection into a muscle mass, deep into skeltal muscle
- - slower onset of action
- - longer duration of action
-
IM Injection sites
Buttocks, lateral thigh, deltoid (2ml max)
-
Subcutaneous: SC, SQ, Sub-Q or hypo
- Tissues beneath the layers of skin
- Anterior surface of thigh
- outer surface of upper arm
- lower portion of abdomen
- slower absorption than IV or IM
- Volume less than 2 ml
-
Hypodermoclysis
avoid dextrose (irritation and incomplete absorption)
-
Intradermal or intracutaneous (ID, IC)
- the most superficial layer of skin
- volume <0.2 ML
-
Intra arterial (IA)
- High concentrations delivered directly to major organs or tissues
- No dilution causes extravasation
- chemotherapy and radiopharmaceuticals
-
Intraspinal, Intrathecal (IT)
Injection into spinal column through intervertebral space
-
Intraarticular and Intrasynovial
Injection into a joint space or joint fluid
-
Intracardiac
injection into the heart chamber
-
Incompatibility
phenomenon that occurs when one drug is mixed with others to produce a product unsuitable for administration to the patient by physico-chemical means.
-
Physical incompatibility
- visible change in appearance
- -Ca2+ and PO4
- -phenobarbital and fluids with acidic pH
-
Chemical incompatability
- chemical degridation upon mixing two drugs
- -results in toxicity or therapeutic inactivity
- PCN stable for 24h at pH 6.5
-
Theraputic Incompatability
- Response produced other than intended
- - antagonism between chloramphenicol and PCN
- -TCN and PCN
- -warfarin and phytonadione
- -calcium and digoxin
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