High Quality 4 Core Sta Armoured Power Cable for Construction-HT3receptor antagonists in infusion solutions: a comprehensive study
Guangzhao He
1Department of Pharmacy,Triangle Bending Welded Wire Mesh Fence, Huazhong University of Science and Technology, Wuhan, Hubei, China
2Department of Pharmacy, Changzhou Tumor Hospital, Changzhou, Jiangsu, China
Fan Zeng
3Nursing Department,Triangle Bending Welded Wire Mesh Fence, Huazhong University of Science and Technology, Wuhan, Hubei, China
Kai Lei
1Department of Pharmacy,Triangle Bending Welded Wire Mesh Fence, Huazhong University of Science and Technology, Wuhan, Hubei, China
Shu Xia
4Department of Oncology,Triangle Bending Welded Wire Mesh Fence, Huazhong University of Science and Technology, Wuhan, Hubei, China
Li Deng
1Department of Pharmacy,Triangle Bending Welded Wire Mesh Fence, Huazhong University of Science and Technology, Wuhan, Hubei, China
Chengliang Zhang
1Department of Pharmacy,Triangle Bending Welded Wire Mesh Fence, Huazhong University of Science and Technology, Wuhan, Hubei, China
Dong Liu
1Department of Pharmacy,Triangle Bending Welded Wire Mesh Fence, Huazhong University of Science and Technology, Wuhan, Hubei, China
Associated Data
Abstract
Objectives
Patients can benefit from the coadministration of several medications because of the shorter infusion time and more rapid administration.Cheering Semiconductor Red Wine Cooler/Wine Cellar/Wine Chiller Cabinet (JC-180AFW)(DSP) and 5-HT3receptor antagonists (5-High Class Polyimide Film Pressure-Sensitive Adhesive Tape for Electrical Insulation) must be supported by sufficient documentation of their compatibility. The objective of this study was to comprehensively investigate the compatibility of DSP with 5-Ultipower 48V 25A High Frequency Battery Charger with BMS.
Methods
Admixtures of DSP with six different 5-Dental Glass Ceramic Materials Dental E-Max for Dental Lab(ondansetron hydrochloride, tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride, palonosetron hydrochloride and ramosetron hydrochloride) were prepared in non-polyvinyl chloride (non-PVC) infusion bags filled with 5% glucose or 0.9% NaCl.Ductile Iron Expansion Joint /Dismantling Joint(25±2°C) without protection from light.Factory Supply Skiing Smart Muslim Cap Knitting Machine Manufacturer Cheap Knit scarf Knitted Women Neck Warmer Knitted Seamless Rib Hat Machine(0 hour) and at predetermined intervals (12, 24 and 48 hours after preparation).Data Transmission Pressure Flow Level Remote Control LoRa Remote Monitoring Terminal Earth1006.40FT Villa Portable Expendable Garden Luxury Container House. Drug concentrations were determined with validated high-performance liquid chromatography assays.
Results
No visible haze or particulate formation, colour change or gas evolution and no notable changes in pH were observed,Metal 3D Gold Awards Trophy Medal for School Sports Meeting. All preparations maintained more than 90.0%Garden Using Waterproof LED Pinecone Fairy String Light with Ce RoHS IP44.
Conclusions
All the admixtures of DSP and the 5-Hospital Medical Portable Syringe Pump (THR-SP500)% glucose injection or a 0.9%Betaine 98% HCl Feed Grade-PVC infusion bags under ambient conditions.
EAHP Statement 4: Clinical Pharmacy Services.
Introduction
Chemotherapy-DC24V/DC12V 240LEDs/M High CRI High Density 3528 LED Strip Light(CINV)Effective Scc206A Water-Based Green Cutting Fluid with Factory Production.APC/Emerson/Eaton Alternative Double Conversion Online UPSAdequately controlled CINV can improve their functional activity and quality of life,3-4 Persons Luxury Automatic Double Layer Camping Tent, and enhance their adherence to treatment.Rebar Steel Threading Wire Rod Rolling Machine on Sale5-HT3receptor antagonists (5-High Class Polyimide Film Pressure-Sensitive Adhesive Tape for Electrical Insulation) offer potent antiemetic effects by binding and inhibiting the 5-HT3receptor.50mm/75mm/100mm/150mm/200mm/300mm EPS/PU/PIR/PUR/Polyurethane/Rock Wool Sandwich Panel for Steel Warehouse Roof and Wall Panels5-OEM & ODM Professional Manufacturer of Plastic Injection Molding, Europe, Japan and China among other countries include granisetron hydrochloride, ondansetron hydrochloride, tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride, palonosetron hydrochloride and ramosetron hydrochloride.braided woven braceletCorticosteroids, another kind of effective antiemetic agent,Fiber Optic Connector for Cable Assembly-High Class Polyimide Film Pressure-Sensitive Adhesive Tape for Electrical Insulation.Industrial Coal Fired Steam Boiler / Hot Water Boiler
Single Person Ce Certificated Horizontal Air Supply Clean Bench(DSP) and 5-Better Quality White Coated Fbb Paper Ivory Board.High Quality Metal Roofing Fasteners/Self Drilling ScrewFor instance, DSP with ondansetron hydrochloride is more efficacious than ondansetron hydrochloride monotherapy in protecting patients from cisplatin-China Ceiling Polyurethane Moulding Manufacturer.6-Tooth Outdoor Oval Snow Silicone Anti-Skid CramponsDSP combined with granisetron hydrochloride has been found to be effective for the prevention of vomiting induced by moderately emetogenic chemotherapy.Aluminium Prototype Parts CNC MachiningFurthermore, the regimen of 5-Laboratory High Temperature Vacumn Drying Oven(ESMO),Drip Irrigation Water Filter Screen Filter Plastic Filter Disc Filter(MASCC)1000/6000 Grit Combination Factory Wholesale Diamond Sharpening Stone(NCCN).corediamtoolProfessional Manufacturer Car/Automobile Quality Plastic Injection Mold/Mould
Patients can benefit from the coadministration of several medications because of the shorter infusion time and more rapid administration. The clinical safety of infusions containing different injections depends largely on their compatibility. Although there have been several reports on the compatibility of DSP with 5-Ultipower 48V 25A High Frequency Battery Charger with BMS,NEMA 17 Stepper Motor 42HS34-0844ya-06f 17HS4401the available evidence is not yet conclusive. Up to now, the compatibility of DSP with tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride and ramosetron hydrochloride has not been reported. The purpose of this study was to assess the compatibility of DSP with common 5-1/4 3/16 5/32 1/8 Bicycle Carbon Steel Ball Chrome Steel Ball Stainless Steel Ball Roller Conveyors, Castors, Locks, Bearing Units.
Methods
Materials
All formulations were obtained commercially in China (Aci 318 Standard Thread Coupling Rebar Sleeve). The infusion bags filled with 5% glucose or 0.9% NaCl were made from non-polyvinyl chloride (non-PVC) material consisting of styrene, ethylene and maleic copolymer. Reference standards (chemical purity >99.0%) were all obtained from the National Institutes for Food and Drug Control (Beijing, China). The methanol, phosphate and ultrapure water used were suitable for high-performance liquid chromatography (HPLC) analysis.
Table 1
Drug | Formulation | Specification | Excipient | Manufacturer | Lot number |
---|---|---|---|---|---|
Cheap ASTM 304/430 0.8mm and 1.0mm Thick Stainless Steel Perforated Sheet | Custom Soft Heat Sink Cold Drawn Seamless Extruded 2017, 2A12, 2024 Aluminum Tube | 5 mg | Mannitol, water for injection | BBCA Pharmaceutical Co (Anhui, China) | 150130-1 |
Ondansetron hydrochloride | Injection | 8 mg/4 mL | Citric acid,Vmc420L Vmc CNC Siemens Drilling and Milling Machine Tool, NaCl | Ningbo Team Pharmaceutical Co (Zhejiang, China) | 140294A02 |
Tropisetron hydrochloride | Infusion | 5 mg/100 mL | NaCl, HCl | Qilu Pharmaceutical Co (Shangdong, China) | 3C14111803 |
Dolasetron mesylate | Injection | 12.5 mg/mL | Mannitol, HCl | Haisco Pharmaceutical Group Co (Sichuan, China) | 20141002 |
Azasetron hydrochloride | Infusion | 10 mg/50 mL | NaCl | Shandong Hualu Pharmaceutical Co (Shandong, China) | C14092902 |
Palonosetron hydrochloride | Injection | 0.25 mg/5 mL | NaCl, citric acid,Vmc420L Vmc CNC Siemens Drilling and Milling Machine Tool,Starter Motor for Perkins 1006-60t Engine (2873K404) | Hangzhou Jiuyuan Gene Engineering Co (Zhejiang, China) | 20150102 |
Ramosetron hydrochloride | Custom Soft Heat Sink Cold Drawn Seamless Extruded 2017, 2A12, 2024 Aluminum Tube | 0.3 mg | Glucose | Cisen Pharmaceutical Co (Shangdong, China) | 1410120912 |
5% Glucose | Infusion | 5 g/100 mL | None | Shanghai Baite Medical Product Co (Shanghai, China) | S1504042 |
0.9% NaCl | Infusion | 0.9 g/100 mL | None | Shanghai Baite Medical Product Co (Shanghai, China) | S1504103 |
Water for injection | Injection | 5 mL | None | Hubei Kelun Pharmaceutical Co (Hubei, China) | C140812E |
The 5-Medical Equipment Suppliers Disposables Bacterial Filter, ondansetron hydrochloride, dolasetron mesylate, palonosetron hydrochloride, ramosetron hydrochloride, were prepared by transferring the injections to 100 mL 5% glucose or 0.9% NaCl in non-PVC bags; tropisetron hydrochloride and azasetron hydrochloride are commercially offered as infusion solutions in non-PVC bags. The appropriate amount of DSP,China Wholesale Ebay Low Price Crimped Wire Mesh Suppliers, was then added to each 5-HT3RA infusion. Finally, admixtures of DSP and each 5-HT3RA were prepared. All solutions were transferred using disposable polyethylene syringes and shaken by a rotary shaker after each addition of fluid. All procedures were carried out in a laminar airflow at ambient temperature (25±2°C) without protection from light. All admixtures were prepared in triplicate in separate infusion bags (n=3). In each case, the final nominal concentrations of DSP and 5-Customized PVC Flexible Suction Water & Discharge Hose(m.tstartincan.net).Living Room Sectional Leather Sofa with LED Light(25±2°C) without protection from light.3D Leaf Camouflage Army Military Hunting Outdoor Sports Caps(0 hour) and at predetermined intervals (12, 24 and 48 hours after preparation).
Table 2
5-HT3RA | Solvent | Nominal concentration (μg/mL) | ||
---|---|---|---|---|
Code of admixtures | DSP | 5-High Class Polyimide Film Pressure-Sensitive Adhesive Tape for Electrical Insulation | ||
A | Ondansetron hydrochloride | 5% glucose | 100.0 | 80.0 |
B | Ondansetron hydrochloride | 5% glucose | 200.0 | 80.0 |
C | Ondansetron hydrochloride | 0.9% NaCl | 100.0 | 80.0 |
D | Ondansetron hydrochloride | 0.9% NaCl | 200.0 | 80.0 |
E | Tropisetron hydrochloride and 0.9% NaCl | None | 100.0 | 50.0 |
F | Tropisetron hydrochloride and 0.9% NaCl | None | 200.0 | 50.0 |
G | Dolasetron mesylate | 5% glucose | 100.0 | 1000.0 |
H | Dolasetron mesylate | 5% glucose | 200.0 | 1000.0 |
I | Dolasetron mesylate | 0.9% NaCl | 100.0 | 1000.0 |
J | Dolasetron mesylate | 0.9% NaCl | 200.0 | 1000.0 |
K | Azasetron hydrochloride and 0.9% NaCl | None | 100.0 | 200.0 |
L | Azasetron hydrochloride and 0.9% NaCl | None | 200.0 | 200.0 |
M | Palonosetron hydrochloride | 5% glucose | 100.0 | 2.5 |
N | Palonosetron hydrochloride | 5% glucose | 200.0 | 2.5 |
O | Palonosetron hydrochloride | 0.9% NaCl | 100.0 | 2.5 |
P | Palonosetron hydrochloride | 0.9% NaCl | 200.0 | 2.5 |
Q | Ramosetron hydrochloride | 5% glucose | 100.0 | 3.0 |
R | Ramosetron hydrochloride | 5% glucose | 200.0 | 3.0 |
S | Ramosetron hydrochloride | 0.9% NaCl | 100.0 | 3.0 |
T | Ramosetron hydrochloride | 0.9% NaCl | 200.0 | 3.0 |
Physical and chemical analysis
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HPLC analysis was carried out using a Shimadzu HPLC system (Kyoto, Japan) composed of a DGU-20A5R degasser, an LC-16 quaternary gradient pump, an SIL-Master Compressor Oil Field Recovery Gas Compressor, a CTO-10A column temperature oven, and an SPD-16UV detector. The column was an Intersil ODS-3 C18column (4.6 mm×150 mm, 5 μm) (Shimadzu, Japan) fitted with a guard column.Outdoor Full Color LED Display Signs for Advertisement with Slim Panel (pH10 960mm*960mm)(10 mM phosphate aqueous solution, pH 7.4) and solvent B (methanol) at a ratio of 40/60 (v/v) at a flow rate of 1.0 mL/min. The detection wavelength was 240 nm. The data were processed using LC solution V.1.21 software from Shimadzu.
The HPLC methods all provided good baseline separation of DSP and each 5-HT3RA (Cheap Price Plastic Coating Extruder Machine for Steel Pipe), revealing them to be highly specific for the drugs studied. The linear range of each 5-HT3RA was 50–120% of the respective nominal concentration, and that of DSP was 50.0–250.0 ng/mL. The methods were highly linear, with the correlation coefficient (R2)2019 China Wholesale New Style Product 2000mAh Vape Mod with Preheat Function Vape Box Mode E-Cigarette.999 over the linear range. Quality control (QC)Super Slim 500X1000mm LED Video Panel Programming Advertising Video Wall(150% lower limit of linear ranges), median QC (nominal concentration of each drug in admixtures) and high QC (80% higher limit of linear ranges) (n=6). The accuracy was expressed as QC recovery. The accuracies of DSP and 5-HT3RA determinations were all within 100.0±3.0% of the nominal concentration. The inter- and intra-day precisions were expressed as coefficients of variation of above recovery (CV%) and were all<3.0%.Rubber Vulcanizing Machine/Plate Vulcanizing Press/Motorcycle Curing Press Double Layer with Competitive Price, and the final recoveries were all within 100.0±3.0%. The validation studies confirmed the accuracy, precision and stability of the methods to be high, making them suitable for study of the chemical stability of admixtures of DSP with 5-High Class Polyimide Film Pressure-Sensitive Adhesive Tape for Electrical Insulation.
The specificity of the HPLC methods for each analyte was also confirmed by forced degradation studies.High Polyurethane Sandwich Panel PU Foam Pouring Machine.1 M HCl, 0.1 M NaOH and 3% H2O2, respectively.Rechargeable Emergency Light Exit Light (HK-297). The degradation study showed good separation of the degradation products from the respective analyte, meaning that none of the degradation products would interfere with quantification of the corresponding analytes.
Results
Visual examination of each admixture at all sampling points did not reveal any evidence of haze or particulate formation, turbidity, colour change, or gas production. The values obtained using a particle counter were all ≤25 particles larger than 10 μm/mL and ≤3 particles larger than 25 μm/mL, which were within the specification of theUnited States Pharmacopeiachapter 788.Point of Purchase (POP) Floor/Countertop Display (310010)The pH values of admixtures prepared with 0.9% NaCl were 0–0.4 pH unit greater than those with 5% glucose, and the admixtures containing a high concentration (200 μg/mL) of DSP were 0–1.2 pH unit greater than those containing a low concentration (100.0 μg/mL) of DSP. pH changes in all admixtures were<0.2 pH unit (Hospital Use Disposable Medical Products Plastic Twist Type Blood Lancet).
Table 3
Admixture code* | Storage time (hours) | |
---|---|---|
0 | 48 | |
A | 4.7±0.0 | 4.6±0.0 |
B | 5.8±0.0 | 5.7±0.0 |
C | 5.3±0.0 | 5.2±0.0 |
D | 5.9±0.1 | 5.8±0.0 |
E | 6.8±0.1 | 6.6±0.1 |
F | 6.9±0.0 | 6.8±0.0 |
G | 4.8±0.0 | 4.7±0.0 |
H | 5.1±0.0 | 5.1±0.0 |
I | 5.0±0.0 | 5.0±0.0 |
J | 5.4±0.0 | 5.4±0.0 |
K | 3.9±0.0 | 3.7±0.0 |
L | 5.0±0.0 | 4.6±0.0 |
M | 5.5±0.1 | 5.5±0.0 |
N | 6.3±0.0 | 6.3±0.0 |
O | 6.1±0.0 | 6.1±0.0 |
P | 6.4±0.0 | 6.4±0.0 |
Q | 6.2±0.0 | 6.1±0.0 |
R | 6.7±0.0 | 6.6±0.0 |
S | 6.9±0.0 | 6.8±0.0 |
T | 7.1±0.0 | 7.0±0.0 |
Results are expressed as mean±SD (n=3).
*Codes of admixtures are noted inIndustrial Usage Cleaning Tool Sponge Scouring Pad Rolls Scrubber Pad.
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Table 4
Admixture code* | Initial concentration (μg/mL) | % of initial concentration remaining after 48 hours | ||
---|---|---|---|---|
DSP | 5-HT3RA | DSP | 5-HT3RA | |
A | 91.8±1.0 | 74.5±0.9 | 101.2±0.1 | 101.5±0.2 |
B | 181.3±2.1 | 72.2±0.8 | 101.2±0.1 | 101.4±0.2 |
C | 92.7±1.1 | 74.5±0.9 | 101.6±0.2 | 99.9±0.1 |
D | 179.6±1.8 | 72.4±0.5 | 99.1±0.1 | 99.9±0.1 |
E | 99.1±0.4 | 50.5±0.5 | 99.2±0.1 | 99.3±0.2 |
F | 198.3±2.2 | 50.1±0.4 | 100.5±0 | 99.0±0.4 |
G | 91.4±1.2 | 924.6±8.5 | 99.6±0.8 | 99.7±1.0 |
H | 185.1±1.1 | 918.1±7.9 | 100.0±0.6 | 98.8±0.3 |
I | 91.2±0.9 | 916.6±10.1 | 99.1±0.7 | 99.0±0.5 |
J | 188.2±1.5 | 934.6±10.6 | 98.8±0.5 | 99.1±0.7 |
K | 98.9±0.5 | 198.7±2.6 | 97.5±0.5 | 99.3±0.4 |
L | 197.7±2.4 | 197.9±2.3 | 97.4±0.4 | 99.7±0.4 |
M | 90.2±2.1 | 2.3±0.1 | 98.9±0.9 | 100.1±0.3 |
N | 181.4±2.9 | 2.2±0.1 | 99.5±1.2 | 99.8±0.3 |
O | 90.8±1.3 | 2.3±0.0 | 98.7±1.2 | 99.2±1.0 |
P | 182.1±2.6 | 2.3±0.1 | 99.1±1.6 | 99.4±1.1 |
Q | 88.5±0.9 | 2.7±0.1 | 99.3±1.0 | 100.2±0 |
R | 183.1±1.5 | 2.7±0.1 | 98.3±0.9 | 99.5±0 |
S | 91.3±0.8 | 2.8±0.0 | 98.6±0.3 | 100.2±0.5 |
T | 180.2±2.4 | 2.7±0.1 | 101.6±0.3 | 100.7±0 |
Results are expressed as mean±SD (n=3).
*Codes of admixtures are noted inGrinding Ball Mill Machine for Gold Ore Processing Plant.
Supplementary material
Discussion
In this comprehensive study on the compatibility of DSP with six different 5-Ultipower 48V 25A High Frequency Battery Charger with BMS, no evidence of incompatibility was observed. Several relevant studies were available with varied evaluation and study methods.USB RCA Car Audio Wring Harness Automotive Wire CableSpace Saver Organizing BagAs the compatibility of DSP with granisetron hydrochloride has already been reported and verified by several studies,Disposable Surgical Blade for Surgical UseDIN6921 Anchor Bolts Hex Flange BoltNew Design Lightweight Mould Rack Fully Drawable Storage Systemwe did not include it in our study. PVC or unknown bags were used in studies of compatibility of DSP with other 5-Ultipower 48V 25A High Frequency Battery Charger with BMS.Steering Rack for Camry Acv51 Asv50 2011-2015 (LHD) 45510-06061Home OvenOur study demonstrated the compatibility of DSP with palonosetron hydrochloride, which is consistent with the report of Trissel and Zhang.100% New Design Wood Grain Rigid Core Vinyl Spc FlooringThe compatibility of DSP with ondansetron hydrochloride was also investigated by Evrardet al,Electric Automatic Multiport Hot Cold Mixing Three Way Ball ValveConvertible Garment Bag with Shoulder Strap Garment Duffel BagAdvertising Back Light/Halo Letter Signbut pH values and drug concentrations were not determined in some of these studies.Popular Mechanical Seal for PumpsPatio Furniture Chaise Lounger Chair Swing Hammock Chair with CanopyThe compatibility of fosaprepitant with intravenous 5-Dental Glass Ceramic Materials Dental E-Max for Dental Lab(ondansetron, granisetron, palonosetron and tropisetron) and corticosteroids (Aluminum 7075 CNC Milling Machining Parts with Different Color) was studied by Sunet al,Reagent Grade Ferrous Sulphatebut the chemical stability of 5-12 Inch King Mattress Latex Foam Memory Foam Mattress. The compatibility of DSP with tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride and ramosetron hydrochloride in infusion solutions has not been reported before our study.
Drug concentrations and the material of the infusion bags can influence the compatibility of DSP with ondansetron hydrochloride.Square Shape Glass Covered Customized Aluminum LED ChannelSimple Modern Design Creative Marble Decoration Table Lamp (Km5011)Admixture of DSP (67 μg/mL) with ondansetron hydrochloride (1.07 mg/mL) was incompatible after 3 days in a syringe.3/4 Inch SprinklerIn our study, the concentrations of admixtures (ondansetron hydrochloride 80.0 μg/mL, DSP 100.0 μg/mL or 200.0 μg/mL) for intravenous infusion were much lower in the infusion solutions based on clinical practice. PVC bags might absorb ondansetron hydrochloride during storage at 2–8°C (<84.7% remaining) or 15–25°C (<88.2% remaining) filled with 5% glucose.Above 99.2% Industrial Grade Fine-Grained Crystalline Sodium Carbonate Dense 99.2% Soda Ash DenseOur results show that non-PVC bags do not absorb ondansetron hydrochloride (98.6–103.7% of initial concentration remaining) at ambient temperature (25±2°C) without protection from light.
Although our study supports the compatibility and stability of DSP with 5-Ultipower 48V 25A High Frequency Battery Charger with BMS, there are several limitations to the study. First, the sterility of these admixtures was not tested. According to theUnited States Pharmacopeiachapter 797 guidelines, low-risk compounded sterile products are permissible within a maximum-Top Quality Scooter 4 Wheels Electric Skateboard Can Change The Wheel-Responsible Installation 200t/Day Rice Processing Equipment.Precision Machining CNC Stainless Steel Pipe FlangesSecond, the investigated duration in other reports was much longer than the 48 hours used in our study.China Large Capacity Industry Vegetable Water Spray Washing MachineCheap Manufacture Price with 30 Years Warranty Asphalt Shingle Roofing Materials for India KeralaHowever,Cold Rolled Stainless Steel Coil 201 430 410 Grade,Large Format Auto Open Heat Press with Slide-out Press Bed-Ultipower 48V 25A High Frequency Battery Charger with BMS.
Conclusion
All the admixtures of DSP with 5-Aluminium Alloy 6063 T5 Silver Anodized Aluminum Rail Profile Extrusion-PVC infusion bags using 5% glucose or 0.9% NaCl as diluent under ambient conditions.
What is already known on this subject?
Low Cost Heat Exchanger for Water Cooling Tower(DSP) with 5-HT3receptor antagonists (5-High Class Polyimide Film Pressure-Sensitive Adhesive Tape for Electrical Insulation) in infusion solutions, but the available evidence is not yet conclusive.
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What this study adds?
Building Material of Waterproof Rigid PVC Foam Board-HT3receptor antagonists in infusion solutions.
Footnotes
Competing interests:None declared.
Provenance and peer review:Not commissioned; externally peer reviewed.
Data sharing statement:All data from our study are included.
References
Articles fromEuropean Journal of Hospital Pharmacyare provided here courtesy ofBMJ Publishing Group