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Stack #138250
| Question | Answer |
|---|---|
| Pharmaceutical Equivalents. | Drug products are considered pharmaceuticalequivalents if they contain the same active ingredient(s), are of the samedosage form, route of administration and are identical in strength orconcentration (e.g., chlordiazepoxide hydrochloride, 5mg capsules). |
| Therapeutic Equivalents. | approved as safe and effective, pharmaceutical equivalen( identical amount of active drug ingredient in the same dosage form and route of administration), bioequivalent |
| bioequivalent | rate of absorption is the same |
| where should you look to find out if a generic is available? | facts and comparisons, the stock shelf and the orange book |
| where should you look to find out if this product is interchangeable | orange book |
| if the rating starts with an A | mena that the drugs are therapeutically equivalent and may be interchanged. all A rated drugs are considered interchangeable regardless of the second letter |
| what is meant by B rated? or the first leter begins with B | not shown to be therapeutically equivalent and may not be interchanged |
| the 4 most common routes | intradermal (ID), Subcutaneous (Subcut), Intramuscular (IM), and Intravenous (IV) |
| Max volume for ID | 0.1 ml |
| Max volume for Subcut | 2 ml or less |
| Max volume for IM | 2.5 ml |
| Max volume for IV | No volume restriction over time |
| route for diagnostic purposes | ID |
| route for slow onset and not well absorbed | Subcut |
| when need to give solution or suspension | IM |
| when need a slower onset of action than IV but need to give 2.5ml | IM |
| when need 100% absorption | IV |
| common site for chemotherapy | intra-arterial-arteries |
| common site for steroids | into a joint space Intra-articular |
| common site for Epinephrin | intracardiac |
| injection site into join FLUID | intra-synovial KEY IS fluid and not space |
| common site for narcotics | epidural |
| Needle lenght for ID and SC are tipicaly | 1/2, ID can be smaller 1/4 |
| ID gauge size is | 27 gauge, remember can't put much in so don't need large opening/gauge is thickness |
| SC gauge sizes | 28 to 30 |
| IM gauge size | 20-25 |
| IV gaauge size | 14 to 20 |
| advan of IV | immediate response, delivery stopped imm |
| disadv of IV | incre in time for adm, infect, cost, ... |
| complicantions of IV | phlebitis, thromphlebitis, infiltration, and extravastation |
| vesicant drug leaks | extravasation |
| iv fluid leaks | infiltration |
| clot formation | thrombophlebitis |
| inflammation of vein | phlebitis |
| SVP | <250 small volume parenteral |
| LVP | >250 large vol parenteral |