Formulation of Advanced or Complex Medicines 7 Flashcards

1
Q

Why is extensive desorption needed with ethylene oxide?

A

Diffuses readily into many packaging materials
- rubber
- plastics
- fabric
- paper

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2
Q

What are the limits of ethylene oxide on plastic syringes?

A

10 ppm

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3
Q

How can the chance of explosions with ethylene oxide be reduced?

A

Explosive in as little as 3% air
Use restricted to tightly sealed, enclosed environment

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4
Q

What is the process of gaseous sterilisation using ethylene oxide?

A

Air can limit ethylene oxide penetration
- draw a vacuum
Low pressure also allows production of low temperature steam
- control humidity (40 - 80%)
- control temperature (45 - 65C)
Ethylene oxide is injected
Forced gas circulation is often employed to minimize variations in conditions throughout the steriliser chamber

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5
Q

What concentration of ethylene oxide is used for gaseous sterilisation?

A

400 - 1200 mg/L

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6
Q

How is ethylene oxide evacuated from the chamber after gaseous sterilisation?

A

Gases are evacuated either directly to the outside atmosphere or through a special (catalytic) exhaust system
Desorption of ethylene oxide from chamber/load by a series of vacuum and steam pulses, followed by vacuum and pulses of sterile air to cool and dry the load

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7
Q

How long does ethylene oxide sterilisation take?

A

Slow processes - even at high temperatures

22 mg/L = > 24 hours
44 mg/L = 24 hours
88 mg/L = 10 hours
442 mg/L = 4 hours
884 mg/L = 2 hours

As concentration increases, aeration time

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8
Q

What are the advantages of using ethylene oxide for gaseous sterilisation?

A

High penetrability
Sterilisation of temperature sensitive materials
Not degrading to plastic/metals etc
Rapidly degraded in the environment

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9
Q

What are the disadvantages of using ethylene oxide for gaseous sterilisation?

A

Toxicity
Flammability
Long cycle times
Cannot be used to sterilise liquids

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10
Q

What materials can be sterilised by radiation?

A

Liquids
- disinfectants
- water
- serum
- proteins
- enzymes
Foods
- fruits and vegetables
- meats
- pre-packaged meals
Devices
- pacemakers
- implants
- needles
- syringes
Other materials
- plasticware
- gloves and gowns
- bandages

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11
Q

What types of radiation can be used for sterilisation?

A

Gamma rays
Accelerated electrons
- beta rays
UV light
- limited application
- surface sterilisation
- water
Infrared radiation
- limited application
- surface sterilisation
- dry heat sterilisation

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12
Q

What are the advantages of radiation sterilisation?

A

‘Cold’ proecss
- no preconditioning for heat/humidity
No aeration phase required to make products residue/chemical free

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13
Q

What is the mechanism of action for ionising radiation in radiation sterilisation?

A

Strips off electrons from the atoms of the material through which it passes
- energy from this radiation results in ionisation
- highly active electrons
- highly reactive free radicals

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14
Q

What does radiolysis of water lead to?

A

Breakdown into assorted chemicals, electrons and free radicals

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15
Q

What are free radicals responsible for?

A

Structural damage in microbial DNA
- OH radicals will cleave phosphodiester bonds in DNA
Unless repaired will inhibit DNA synthesis or cause errors in protein synthesis

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16
Q

What is a Gray?

A

Absorption of 1 joule or energy per kilogram of material
1 Gray = 100 rads

17
Q

Which organisms are sensitive to irradiation (0.2kGy)?

A

Gram negative bacteria