MindMap Gallery Pharmacy Chapter 9 Injections
Editor-in-chief Fang Liang, 8th Edition of Human Health, Injections refer to raw materials or sterile preparations made with suitable excipients for injection into the body. They can be divided into injection liquids, sterile powders for injection, and concentrated solutions for injection.
Edited at 2024-02-03 16:47:20This article discusses the Easter eggs and homages in Zootopia 2 that you may have discovered. The main content includes: character and archetype Easter eggs, cinematic universe crossover Easter eggs, animal ecology and behavior references, symbol and metaphor Easter eggs, social satire and brand allusions, and emotional storylines and sequel foreshadowing.
[Zootopia Character Relationship Chart] The idealistic rabbit police officer Judy and the cynical fox conman Nick form a charmingly contrasting duo, rising from street hustlers to become Zootopia police officers!
This is a mind map about Deep Analysis of Character Relationships in Zootopia 2, Main content: 1、 Multi-layer network of relationships: interweaving of main lines, branch lines, and hidden interactions, 2、 Motivation for Character Behavior: Active Promoter and Hidden Intendant, 3、 Key points of interaction: logic of conflict, collaboration, and covert support, 4、 Fun Easter eggs: metaphorical details hidden in interactions.
This article discusses the Easter eggs and homages in Zootopia 2 that you may have discovered. The main content includes: character and archetype Easter eggs, cinematic universe crossover Easter eggs, animal ecology and behavior references, symbol and metaphor Easter eggs, social satire and brand allusions, and emotional storylines and sequel foreshadowing.
[Zootopia Character Relationship Chart] The idealistic rabbit police officer Judy and the cynical fox conman Nick form a charmingly contrasting duo, rising from street hustlers to become Zootopia police officers!
This is a mind map about Deep Analysis of Character Relationships in Zootopia 2, Main content: 1、 Multi-layer network of relationships: interweaving of main lines, branch lines, and hidden interactions, 2、 Motivation for Character Behavior: Active Promoter and Hidden Intendant, 3、 Key points of interaction: logic of conflict, collaboration, and covert support, 4、 Fun Easter eggs: metaphorical details hidden in interactions.
Chapter 9 Injections
I. Overview
1. Concept and classification of injections
(1) Concept - Injections refer to raw materials or sterile preparations made with appropriate excipients for injection into the body. They can be divided into injection liquids, sterile powders for injection and concentrated solutions for injection, etc.
(2) Classification of injections
1.Injection
solution injection
Drugs that are easily soluble and stable in water, or drugs that are soluble in oily solvents for injection are suitable for preparation into solution injections
Emulsion type injection
Dissolve water-insoluble drugs in oily solvents and then disperse them in the aqueous phase to prepare emulsion-type injections.
Suspension injection
Drugs that are poorly soluble in water or require prolonged efficacy after injection can be made into water or oil suspensions
2. Sterile powder for injection
I. Overview
Concept: Sterile powder for injection, commonly known as powder injection, refers to a sterile powder or sterile block made from raw materials or sterile solutions prepared with appropriate excipients for injection into injections.
2. Classification
1. Sterile packaging products for injection
2. Freeze-dried products for injection
3. Concentrated solution for injection
2. Route of administration of injections
1) Common administration routes for injections
(1) Intravenous injection
Intravenous injection (injection volume is generally 5-50ml)
Intravenous drip (also called large infusion)
Most of them are aqueous solutions; oil solutions and suspensions/emulsions can easily cause capillary embolism and are generally not suitable for intravenous injection. However, particulate dispersion systems such as emulsions, nanoparticles, and liposomes with particle sizes <1um can also be used for intravenous injection.
(2) Intramuscular injection
The injection dose is generally 1-5ml
Aqueous solutions, oil solutions, suspensions and emulsions are available for intramuscular injection
(3) Subcutaneous injection
The general dosage is 1-2ml;
Mainly aqueous solution
(4) Intradermal injection
Commonly used for allergy testing or disease diagnosis such as: penicillin skin test, diphtheria diagnostic toxin, etc.
(5) Intraspinal injection
(6) Intra-arterial injection
(7) Others (intra-articular injection, intracardiac injection, acupoint injection, intrasynovial cavity injection, etc.)
2) Injection administration route and drug absorption speed and degree
Intravenous injection, bioavailability = 100%; other injection routes, bioavailability ≤ 100%
Factors affecting drug absorption: rheological properties of injections, drug concentration, drug particle size, properties of the solvent, osmotic pressure and injection volume
3. Characteristics of injections
Features
1. Rapid efficacy, accurate dosage, and reliable action
2. Suitable for drugs that are not suitable for oral administration
3. Suitable for patients who cannot take oral medication
4. It has the function of localized drug delivery
5. Can produce long-lasting effects
insufficient
1. Poor compliance
2. High production cost
3. Strict quality requirements
4. Quality requirements for injections
1. Sterile and pyrogen-free, with visible foreign matter and insoluble particles meeting the requirements;
2. PH (generally controlled within the range of 4-9), filling volume, osmotic pressure (large-volume injection) (osmotic pressure is equal to or close to plasma osmotic pressure) and drug content should meet the requirements.
3. Stable and effective during the storage period
2. Prescription composition of injections
(1) API
(2) Solvent
1. Water for injection
2.Non-aqueous solvent
1. Oil for injection
For poorly soluble drugs, injection oil can be used as the solvent
Common injection oils mainly include soybean oil, sesame oil, tea oil and other vegetable oils;
Important indicators for evaluating the quality of injection oil - iodine value, saponification value, acid value
2.Ethanol
Solvent polarity can be adjusted to increase the solubility of poorly soluble drugs
If the ethanol concentration exceeds 10%, injection administration may cause hemolysis or pain.
3. Propylene glycol
4.Polyethylene glycol
5.Glycerin
6.Dimethylacetamide
(3) Additives
3. Preparation of injections
1. Preparation process
2.Water treatment
3. Containers and handling
4. Preparation of medicinal solution
5. Filtration and potting
6. Sterilization and leak detection
7. Printing or labeling and packaging
6. Injection sterility process verification
1. Sterility assurance process for injections
(1) Classification of sterility assurance processes for injections
Classification
Aseptic production process
terminal sterilization process
The "sterility assurance level" (SAL) is the probability that microorganisms will remain after the product has been sterilized (sterilized). SAL is an important indicator for evaluating the effectiveness of sterilization (sterile) processes.
(2) Selection of injection sterilization process
(3) Technical requirements for sterility assurance processes
2. Sterilization (sterile) production process verification
(1) Sterilization process verification of terminal sterilized sterile drugs
1. No-load heat distribution test
2. Full load heat distribution test
3. Thermal penetration test
4. Microbial challenge test
5. Result evaluation
(2) Sterilization process verification of non-terminal sterilized sterile drugs
1. Verification of sterilization filtration system
2. Medium simulation filling verification
3. Container sealing verification
5. Large volume injection
I. Overview
(1) Definition
Large-volume injection (LVI), also known as infusion, is an injection injected into the body through intravenous drip. Generally, the infusion volume is ≥100ml; biological products are ≥50ml.
(2) Features
1.Quality requirements
The pH strives to be close to body fluids, and the osmotic pressure is as isotonic as possible with blood;
2.Dose
The infusion dose is more than 100ml
3. Type and route of administration
Aqueous injection
intravenous drip
4. Hemodynamics
General injections do not require or have hemodynamic properties
5. Prescription requirements
No bacteriostatic agents, solubilizers, analgesics or other additives may be added to the infusion.
6. Preparation process requirements
From configuration to sterilization should be completed within 4 hours
(3) Classification
1. Infusion for body fluid balance
electrolyte infusion
Function: It is used to replenish water and electrolytes in the body, correct water and electrolyte metabolism disorders in patients, maintain body fluid osmotic pressure and restore normal physiological functions of the human body.
acid-base balance infusion
Function: Mainly used to correct the acid-base balance of body fluids
Sodium bicarbonate injection is the most commonly used infusion to correct metabolic acidosis.
2. Nutritional infusion
Function: Used to provide nutrients such as sugar, fat, amino acids, trace elements, and vitamins. It is mainly used for patients who cannot absorb nutrients orally.
3. Colloidal infusion (instead of plasma for blood volume expansion)
Function: Used to regulate osmotic pressure in the body.
4. Medicinal infusion
5. Dialysis infusion
For patients requiring blood purification treatment.
(4) Quality requirements
2. Preparation
(1) Preparation process
Preparation of raw materials and auxiliary materials
Concentrated blend of raw and auxiliary ingredients
Dilution of raw materials and auxiliary materials
Packaging material handling
potting
Sterilize
Light inspection
Package
(2) Production environment requirements
(3) Quality requirements for raw and auxiliary materials
(4) Containers and processing methods
1. Glass bottle
Pickling method
Potassium dichromate sulfate cleaning solution
Alkaline cleaning method
2% sodium hydroxide solution (50-60°)
1%-3% sodium carbonate solution can also be used
Direct water washing method
2. Plastic packaging
plastic bottle
Semi-open infusion packaging form
plastic soft bag
Completely closed infusion system formed
3. Rubber stopper
(5) Preparation of infusion
Dilute method
It is suitable for use when the quality of the raw materials is good, the concentration of the liquid medicine is not high, and the volume of liquid preparation is not too large.
Concentrated preparation method
(6) Filtration of infusion
(7) Potting of infusion
(8) Sterilization of infusion fluids
Overkill method is preferred, that is, standard sterilization time ≥12; sterilization parameter is 121° 15min
Secondly, the residual probability method is used, that is, the standard sterilization time is ≥ 8, and the sterilization parameter is 115° 30min or 121° 8min;
For sterilization of plastic infusion bags, 109° 45min can be used
(9) Packaging of infusion
3. Quality evaluation
(1) Inspection of visible foreign matter and insoluble particles
(2) Pyrogen, endotoxin and sterility inspection
(3) Content, PH and osmotic pressure inspection
4. Common problems and solutions
(1) Insoluble particles and visible foreign matter
1. Caused by production environment and process operations
2. Caused by infusion containers and accessories
3. Brought in by raw materials and additives
(2) Bacterial contamination problem
(3) Heat source reaction
1. Definition and composition of pyrogen
Pyrogen: refers to the general term for heating substances that can cause an abnormal increase in body temperature of warm-blooded animals and humans. It is an endotoxin produced by bacteria and other microorganisms. Pyrogens produced by Gram-negative bacilli and fungi have the greatest heat-generating ability. powerful.
Lipopolysaccharide is the major component of endotoxins
2. Properties of pyrogen
1. Heat resistance
2. Filterability
3. Adsorption
4. Water solubility
5. Non-volatile
6. Others (can be destroyed by strong acids, strong bases and strong oxidants)
3. Pathways of pyrogen pollution
(1) Water for injection
Main causes of pyrogens in injections
(2) Raw and auxiliary materials
(3) Production process
(4) Containers, utensils, pipes and devices
(5) Infusion equipment
4. Methods to remove pyrogen
(1) High temperature method
(2) Acid-base method
(3) Adsorption method
(4) Distillation method
(5) Gel filtration method
(6) Reverse osmosis method
(7) Ultrafiltration method
(8) Other methods
4. Quality control of injections
1. Sterility
Concept: Injectable solutions do not contain any living microorganisms.
Sterility testing methods include (membrane filtration method, direct inoculation method)
2. Pyrogens and bacterial endotoxins
Pyrogen test method
bacterial endotoxin test
gel method
photometry
3. Visible foreign matter
Light inspection method (commonly used)
light scattering
4. Insoluble particles
5. Loading quantity inspection
6. Difference in loading volume
7. Osmolarity
8.PH
Others: color, content, antihypertensive substances, related substances, safety