Ucl Hospitals Injectable Medicines Administration Guide

Description

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

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

Table of 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 influence the choice of route.
• 4.3 Disadvantages of intravenous administration.
• 4.4 Route of intravenous administration.

5 Factors affecting patency of IV sites.

• 5.1 Factors increasing failure of IV sites.
• 5.2 Factors decreasing failure of IV 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 extravasation.
• 7.3 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 care.

• 10.1 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 use’.

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 influencing medicine stability and compatibility of injectable medicines.

• 13.1 Degradation.
• 13.2 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.