UCL Hospitals Injectable Medicines Administration Guide : Pharmacy Department

Content: Cover
 Title Page
 Contents
 Third edition editorial board
 Contributors
 Acknowledgements
 Preface
 Section A
 1 Introduction
 2 Overview
 2.1 Organisation of information in the Guide
 2.2 Sources of information and disclaimer
 3 UCLH policies
 3.1 Responsibilities of professional staff at UCLH
 3.2 Preparation of injectable medicines on wards, clinics and departments at UCLH
 4 An overview of intravenous therapy
 4.1 When is intravenous therapy appropriate?
 4.2 Drug factors that infl uence the choice of route
 4.3 Disadvantages of intravenous administration. 4.4 Routes of intravenous administration5 Factors affecting patency of intravenous sites
 5.1 Factors increasing failure of intravenous sites
 5.2 Factors decreasing failure of intravenous sites
 5.3 Occlusion of central venous catheters
 6 Methods of intravenous administration
 6.1 Intravenous bolus
 6.2 Intermittent intravenous infusion
 6.3 Continuous intravenous infusion
 6.4 Preparation and administration of intravenous medicines
 6.5 Aseptic non-touch technique (ANTT)
 7 Extravasation of injectables: overview and management advice
 7.1 Patient factors affecting extravasation. 7.2 Medicine factors affecting extravasation7.3 Administration factors affecting extravasation
 7.4 Overall risk for extravasation
 7.5 Treatment of extravasation
 8 Flushing cannulae, catheters and administration sets
 8.1 Flushing between medicines
 8.2 When not to flush
 8.3 Flushing catheters and cannulae not in use
 8.4 Flushing with heparin
 9 Infusion pumps
 9.1 Pumps used at UCLH
 9.2 Volumetric pumps
 9.3 Syringe pumps
 9.4 Pumps for ambulatory use
 9.5 Patient-controlled analgesia (PCA) pumps
 9.6 Target-controlled anaesthesia (TCI or TIVA) pumps. 10 Administration of injectables in primary care10.1 Self-caring patients
 11 Formulation and presentation of injectables
 11.1 Medicines that require reconstitution
 11.2 Preparations in solution requiring further dilution before use
 11.3 Preparations available 'ready to use' without further dilution
 11.4 Preparations available 'ready to administer'
 12 Pharmaceutical aspects of injectable administration
 12.1 Displacement values
 12.2 Sodium content
 12.3 Drop size
 12.4 Layering
 12.5 Fluid restriction
 13 Factors infl uencing medicine stability and compatibility of injectable medicines. 13.1 Degradation13.2 Precipitation
 13.3 Binding of medicines to plastics
 13.4 Destabilisation of parenteral emulsions
 13.5 Leaching of plasticisers
 13.6 Blood and blood products
 14 Allergic reactions to injectables
 14.1 Latex allergy
 15 Compatibility of drugs in a syringe driver for subcutaneous use
 16 Risk assessment of injectables and risk reduction
 16.1 Risk assessment
 16.2 Risk reduction
 17 Useful resources
 17.1 Websites
 17.2 Further reading
 Section B
 User guide
 Monographs in alphabetical order
 Index of monographs.