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复方制剂的无菌基础:注射器尺寸与给药准确性之间的关系。

Sterile Basics of Compounding: Relationship Between Syringe Size and Dosing Accuracy.

作者信息

Kosinski Tracy M, Brown Michael C, Zavala Pedro J

机构信息

Concordia University of Wisconsin School of Pharmacy, Mequon, Wisconsin.

出版信息

Int J Pharm Compd. 2018 Jan-Feb;22(1):41-46.

PMID:29385385
Abstract

The purpose of this study was to investigate the accuracy and reproducibility of a 2-mL volume injection using a 3-mL and 10-mL syringe with pharmacy student compounders. An exercise was designed to assess each student's accuracy in compounding a sterile preparation with the correct 4-mg strength using a 3-mL and 10-mL syringe. The average ondansetron dose when compounded with the 3-mL syringe was 4.03 mg (standard deviation ± 0.45 mg), which was not statistically significantly different than the intended 4-mg desired dose (P=0.497). The average ondansetron dose when compounded with the 10-mL syringe was 4.18 mg (standard deviation + 0.68 mg), which was statistically significantly different than the intended 4-mg desired dose (P=0.002). Additionally, there also was a statistically significant difference in the average ondansetron dose compounded using a 3-mL syringe (4.03 mg) and a 10-mL syringe (4.18 mg) (P=0.027). The accuracy and reproducibility of the 2-mL desired dose volume decreased as the compounding syringe size increased from 3 mL to 10 mL.

摘要

本研究的目的是调查药学专业学生在使用3毫升和10毫升注射器进行2毫升体积注射时的准确性和可重复性。设计了一项练习,以评估每位学生使用3毫升和10毫升注射器配制4毫克正确浓度无菌制剂时的准确性。使用3毫升注射器配制时,昂丹司琼的平均剂量为4.03毫克(标准差±0.45毫克),与预期的4毫克目标剂量相比,差异无统计学意义(P=0.497)。使用10毫升注射器配制时,昂丹司琼的平均剂量为4.18毫克(标准差+0.68毫克),与预期的4毫克目标剂量相比,差异有统计学意义(P=0.002)。此外,使用3毫升注射器(4.03毫克)和10毫升注射器(4.18毫克)配制的昂丹司琼平均剂量也有统计学差异(P=0.027)。随着配制注射器尺寸从3毫升增加到10毫升,2毫升目标剂量体积的准确性和可重复性降低。

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