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VIAL & AMPOULE

Ampules and vials are essential for packaging sterile parenteral medications, with ampules designed for single doses and requiring breaking to access the drug, while vials can be single or multi-dose and need to be pierced with a needle. Proper techniques for preparing injectable medications from these containers are crucial to prevent contamination and ensure safety, including the use of filter needles and aseptic practices. The One and Only health campaign promotes safe injection practices to prevent reuse of single-dose vials.
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0% found this document useful (0 votes)
63 views

VIAL & AMPOULE

Ampules and vials are essential for packaging sterile parenteral medications, with ampules designed for single doses and requiring breaking to access the drug, while vials can be single or multi-dose and need to be pierced with a needle. Proper techniques for preparing injectable medications from these containers are crucial to prevent contamination and ensure safety, including the use of filter needles and aseptic practices. The One and Only health campaign promotes safe injection practices to prevent reuse of single-dose vials.
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VIAL & AMPOULE

 Ampules and vials are frequently used to


package sterile parenteral medications
 An ampule is a glass container usually designed to
hold a single dose of a drug.
 It is made of clear glass and has a distinctive shape
with a constricted neck
 To access the medication in an ampule, the ampule
must be broken at its constricted neck
 Most ampule necks have colored marks around
them, indicating where they are prescored for easy
opening
 Files, ampoule cutter are used to score the ampule
 the fluid is aspirated into a syringe using a filter
needle or a filter straw. Both prevent aspiration of
any glass particles
VIALS
 TYPES OF VIALS
 GLASS VIAL
 PLASTIC VIAL
 SILICONE VIAL
 COMMON TYPES OF VIAL
 AUTOSAMPLER VIALS
 CRYOGENIC VIALS
 SAMPLE VIALS
 A vial is a small glass bottle with a sealed rubber cap
 Vials come in different sizes, from single-use vials to multiple-dose vials.
 They usually have a metal or plastic cap that protects the rubber seal and
must be removed to access the medication
 To access the medication in a vial, the vial must be pierced with a needle
 In addition, air must be injected into a vial before the medication can be
withdrawn.
 Failure to inject air before withdrawing the medication leaves a vacuum
within the vial that makes withdrawal difficult.
 A single-dose vial (SDV) contains only
one dose of medication and should only
be used once. Usually an SVD contains
more than the single dose
 Never save this left over medication
because SVDs lack an antimicrobial
preservative. Discard the vial after every
use
 The One and Only health campaign is
aimed at raising awareness about safe
injection practice. The slogan is: One
needle, One syringe, Only One time.
 In contrast, a multidose vial (MDV) is a bottle of liquid medication that
contains more than one dose, such as insulin or vaccination vials
 If an MDV vial must be used, both the needle or cannula and syringe used to
access the vial must be sterile.
 MDVs do contain an antimicrobial preservative but the preservatives have
no effect on bloodborne viruses. Thus, the nurse must use aseptic
technique.
PREPARING INJECTABLE MEDICINE FROM
VIAL
STEPS RATIONALE
1. Tap top of ampule lightly and quickly with finger until 1. Dislodges any fluid that collects above neck of ampule.
fluid moves from neck of ampule. All solution moves into lower chamber.
2. Place small gauze pad or unopened alcohol swab just 2. Placing pad around neck of ampule protects nurse’s
above neck of ampule. fingers from trauma as glass tip is broken off.

3. Snap neck of ampule quickly and firmly away from 3. Protects nurse’s fingers and face from shattering glass.
hands.
4. System is open to airborne contaminants. Needle needs
4. Draw up medication quickly, using filter needle long to be long enough to access medication for preparation.
enough to reach bottom of ampule. Filter needles filter out any fragments of glass .

5. Hold ampule upside down or set it on a flat surface 5. Broken rim of ampule is considered contaminated.
with filter needle in center of ampule opening. Do not When ampule is inverted, solution comes out if needle
allow needle tip or shaft to touch rim of ampule tip or shaft touches rim of ampule
 Aspirate medication into syringe by gently pulling  Withdrawal of plunger creates negative
back on plunger.
pressure within syringe barrel, which pulls
 Keep needle tip under surface of liquid. Tip ampule f luid into syringe.
to bring all fluid within reach of needle.  Prevents aspiration of air bubbles.
 If air bubbles are aspirated, do not expel air into
ampule. (9) To expel excess air bubbles, remove
needle from ampule. Hold syringe with needle
 Air pressure forces liquid out of ampule
pointing up. Tap side of syringe to cause bubbles to and medication is lost. Withdrawing
rise toward needle. Draw back slightly on plunger plunger too far removes it from barrel.
Holding syringe vertically allows fluid to
and push plunger upward to eject air. Do not eject
settle in bottom of barrel. Pulling back on
fluid.
plunger allows fluid within needle to enter
 If syringe contains excess fluid, use sink or other barrel so it is not expelled. Air at top of
specially designated area for medication disposal. barrel and within needle is then expelled.
Hold syringe vertically with needle tip up and slanted Medication dose prepared accurately.
slightly toward sink. Slowly eject excess fluid into Position of needle allows medication to be
sink. Recheck fluid level in syringe by holding it expelled without flowing down needle
vertically. shaft. Rechecking fluid level ensures
proper dose. Prevents contamination of
 Cover needle with its safety sheath or scoop needle needle. Filter needles cannot be used for
to recap. Replace filter needle with safety needle or injection. Scooping technique prevents
needleless access device for injection. needlestick injury.

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