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Hazardous drug

Hazardous drug is a science topic covered in the lgStudy science library. This page brings together a partial reference excerpt, illustrations, worked examples, real-world applications and a short study plan, so you can understand Hazardous drug rather than just read about it. In short: In pharmacology, hazardous drugs are drugs that are known to cause harm, which may or may not include genotoxicity (the ability to cause a change or mutation in genetic material). Genotoxicity might involve carcinogenicity, the ability to cause cancer in animal models, humans or both; teratogenicity, which is the ability to cause defects on fetal development or fetal malformation; and lastly hazardous drugs are know…

Key takeaways

  • Hazardous drug belongs to science; place it in that map before memorising details.
  • Learn the definition first, then one example that makes the definition concrete.
  • Connect Hazardous drug to a quantity you can measure, compute or draw — that is where exam questions come from.
  • Reproduce the core statement of Hazardous drug from memory before moving on to harder problems.

Reference excerpt

In pharmacology, hazardous drugs are drugs that are known to cause harm, which may or may not include genotoxicity (the ability to cause a change or mutation in genetic material). Genotoxicity might involve carcinogenicity, the ability to cause cancer in animal models, humans or both; teratogenicity, which is the ability to cause defects on fetal development or fetal malformation; and lastly hazardous drugs are known to have the potential to cause fertility impairment, which is a major concern for most clinicians. These drugs can be classified as antineoplastics, cytotoxic agents, biological agents, antiviral agents and immunosuppressive agents. This is why safe handling of hazardous drugs is crucial.

Safe handling Safe handling refers to the process in which health care workers adhere to practices set forth by national health and safety organizations, that have been designed to eliminate or significantly reduce occupational exposure. Some of these practices include but are not limited to, donning of personal protective equipment such as a disposable gown, gloves, masks and the utilization of a closed system drug transfer device. The key to safe handling is to protect the health care worker throughout the three phases of contact with the hazardous drugs. These phases are drug preparation, administration and disposal. Some studies have shown that while compounding hazardous drugs in a Class II biological safety cabinet (BSC) in conjunction with a closed-system drug transfer device, a significant decrease in drug contaminants inside a Class II BSC has resulted. This led the Oncology Nursing Society (ONS) to make the statement in 2003 that a closed-system drug transfer device is viewed as one of safest measures to prevent hazardous drug exposure in a clinician's working environment. However, a Cochrane review published in 2018 that synthesized all available controlled studies found no evidence of a closed-system drug transfer device offering an additional decrease in contamination or exposure to safe handling practices alone. It has been determined that current personal protective equipment (PPE) does not provide adequate protection against workers handling hazardous drugs—NIOSH states that "... measurable concentrations of some hazardous drugs have been documented in the urine of health care workers who prepared or administered them—even after safety precautions had been employed." Further, NIOSH recommends that institutions should "consider using devices such as closed-system transfer devices. Closed systems limit the potential for generating aerosols and exposing workers". Other guidelines outline that "As other products become available, they should meet the definition of a closed system drug transfer device established by NIOSH and should be required to demonstrate their effectiveness in independent studies".

See also USP 800

References

External links American Society of Health-System Pharmacists (ASHP) National Institute for Occupational Safety and Health (NIOSH) Oncology Nursing Society (ONS) The International Agency for Research on Cancer (IARC) Archived 2011-06-11 at the Wayback Machine Classification of Hazardous Drugs International Society of Oncology Pharmacy Practitioners (ISOPP)

Worked examples

Example 1 — a first encounter with Hazardous drug

Start with the simplest possible case. Write down what Hazardous drug claims or describes in one sentence, then invent the smallest concrete situation in which that sentence is true. In science, the smallest case is usually a single object, a single equation or a single measurement. Check that every symbol or term in your sentence has a meaning in that case.

Example 2 — changing one variable

Take the situation from Example 1 and change exactly one quantity: double it, halve it, or set it to zero. Predict what should happen to Hazardous drug before you calculate. Comparing your prediction with the result is the fastest way to find out whether you understand the idea or only the words.

Example 3 — an exam-style question

Typical questions about Hazardous drug ask you to (a) state it precisely, (b) apply it to given data, and (c) explain a limitation. Practise writing all three answers in under five minutes; the third part is what separates a full-mark answer from an average one.

Applications of Hazardous drug

In research
Hazardous drug appears in science research whenever the underlying quantities have to be modelled precisely. Papers usually cite it as a starting assumption and then explore where it breaks down.
In technology and industry
Engineering practice reuses Hazardous drug in design rules, simulations and safety margins. Knowing the idea lets you read a specification sheet and understand why the numbers look the way they do.
In the classroom
Hazardous drug is common in secondary-school and first-year university syllabi. It links to neighbouring topics Clinical pharmacology, Drug safety, Pharmacy, so understanding it makes those chapters shorter.
In everyday life
Look for Hazardous drug outside the textbook — in sport, cooking, traffic, electronics or the sky above you. An example you found yourself is remembered far longer than one you were given.
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How to study Hazardous drug in 20 minutes

  1. Read the reference excerpt below once, without taking notes.
  2. Close the page and write down what Hazardous drug means in your own words.
  3. Compare your version with the excerpt and mark what you missed.
  4. Work through the three examples above with pen and paper.
  5. Explain Hazardous drug out loud to somebody else — or to Teacher Smith in the lgStudy chat.

Frequently asked questions

What is Hazardous drug in simple terms?

In pharmacology, hazardous drugs are drugs that are known to cause harm, which may or may not include genotoxicity (the ability to cause a change or mutation in genetic material). Genotoxicity might involve carcinogenicity, the ability to cause cancer in animal models, humans or both; teratogenicit…

Why does Hazardous drug matter?

Because it connects several science ideas at once: it gives you a definition you can apply, a quantity you can calculate, and a way to check whether a result is plausible.

How should I study Hazardous drug?

Read the excerpt, restate it from memory, then work through the examples and applications listed on this page. The five-step study plan above takes about twenty minutes.

What does this page cover?

It gives you a compact reference excerpt plus original lgStudy explanations, examples, applications and study material on Hazardous drug.

Tags

  • Clinical pharmacology
  • Drug safety
  • Pharmacy

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