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Kaduceus Lecture 7
From coursework 105
31
Pharmacology
12th Grade
05/18/2013

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Term
Coring
Definition
Part of the rubber stopper from a medication vial is broken off by incorrect needle insertion or too many sticks.
Term
Microorganisms
Definition
Living organisms such as bacteria, molds, and fungi, which are not visible to the naked eye.
Term
Particulate Matter
Definition
Extraneous undissolved substances that are present in parenteral solutions.
Term
Pyrogen
Definition
A substance capable of causing a fever
Term
Spore
Definition
Microorganisms with a special protective shell.
Term
Sterile
Definition
The absence of any live bacteria or other microorganisms.
Term
Sterilization
Definition
Process of removing or destroying all viable forms of microorganisms.
Term
Intravenous solutions should be...
Definition
  • Free of particulate matter
  • Clear but not necessarily colorless (with the exception of lipids)
  • Stable tonicity
  • Stable pH
  • Sterile
  • Free of pyrogens
Term
Glass
Definition
A common particulate present, especially when preparing solutions from an ampule or glass container.
Term
Rubber
Definition
A common particulate present, sometimes resulting from the coring of a vial.
Term
Paper-like fibers
Definition
come from boxes or paper wrapping of syringe or alcohol swabs are very common.
Term
Spores
Definition
created by resistant type of bacteria or fungi.
Term
Dust
Definition
from air vents, dirty drug containers, and shelves.
Term
What are examples of particulate matter?
Definition
  • Glass
  • Rubber
  • Paper-like fibers
  • Spores
  • Dust
  • Cosmetics, hair follicles, skin flakes
  • Precipitates from chemical incompatibilities
Term
USP/NF 797 requires that all surfaces of the direct compounding environment should be first cleaned with ______ water, to remove any water soluble residues, then immediately cleaned after the same surfaces sanitized with _____ 70% isopropyl alcohol, and wiped clean with a non shedding wipe.
Definition
purified; sterile
Term
Tonicity
Definition
Refers to the number of dissolved substances found in a solution.
Term
______ solutions have the same number of dissolved substances as blood serum and are therefore the safest type of solution (0.9% NaCl and D5W)
Definition
Isotonic
Term
______ solutions have a lower concentration of dissolved substances than blood serum, which often causes the red blood cells to absorb the surrounding water and swell, which may lead to the cells bursting. (Water, 0.45% NaCl, and D2.5W)
Definition
Hypertonic
Term
The pH scale ranges from _____.
Definition
0-14
Term
0-6 on the pH scale are the most to least _____.
Definition
acidic
Term
Seven (7) on the pH scale is _______.
Definition
neutral.
Term
Eight to fourteen being the least to most _______.
Definition
alkaline
Term
Normal pH of plasma is around _____.
Definition
7.4
Term
Thermal Sterilization
Definition
works on the basis of either moist heat, which is utilized to coagulate the protein contained in microorganisms, or dry heat, which causes death by oxidation.
Term
Dry heat sterilization
Definition
is usually performed in an oven utilizing temperatures between 140-260° Celsius. This method is useful for non aqueous solutions and dry chemicals.
Term
Moist heat sterilization
Definition
is usually performed in an autoclave, which uses saturated steam under high pressure. Glass ampules, bulk solutions and glassware are easily sterilized by this method.
Term
Chemical Sterilization
Definition
uses chemical agents to prevent the microorganism from being able to use or synthesize the proteins it needs for development and growth. The most common chemical agent used in this process is ethylene oxide.
Term
______ sterilization is the easiest and most frequently used form of sterilization in pharmacies.
Definition
Filtration
Term
For a filter to prevent the passage of all bacteria, it must be no more than _______ in size.
Definition
0.22 microns
Term
______ are not easily removed by heat, autoclaving or even filtration. Therefore, other methods must be used to assure removal of harmful substances. (Oxidation)
Definition
Pyrogens
Term
For sterilization AND depyrogenation process the ideal temperature would be _____ celsius for _____ minutes.
Definition
230°; 60-90
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