Esteem® Brand Tru-Blu™ StretchyNitrile Exam Gloves
Glove Products • Micro-textured glove for improved grip even when wet, affording a higher coefficient of friction (grip) than most nitrile exam gloves on the market • Provides greater tactile sensitivity while maintaining film strength and barrier protection • Cleared for use with chemotherapy agents • Demonstrated permeation resistance to a number of commonly used hospital and laboratory chemicals Length and Thickness Minimum length measured from the tip of the middle finger to the cuff. Average Length Cuff Thickness Palm Thickness Finger Thickness (in./mm) (mm/mil) (mm/mil) (mm/mil) Physical Properties Meets or exceeds ASTM D6319 for Physical Properties (Standard Specification for Nitrile Examination Gloves for Medical Application). Cardinal Health ASTM Limit Tensile Strength Modulus (Tensile Stress at 500%)
Grip COF tested per ASTM D1894 Standard Test Method for Static
Ultimate Elongation
and Kinetic Coefficient of Friction of Plastic Film and Sheeting. Barrier Protection Chemical Resistance
All gloves must meet a certain Acceptable Quality Level (AQL) as established by the
The Esteem® brand Tru-Blu™ stretchy nitrile exam gloves
Food and Drug Administration (FDA). This refers to their freedom from holes and their
have been tested per ASTM F739, ”Standard Test Method
subsequent level of barrier protection. Gloves with a lower actual AQL will have fewer
for Resistance of Protective Clothing Materials to
barrier defects. Cardinal Health’s internal requirements are significantly more stringent
Permeation by Liquids or Gases Under Conditions of
Continuous Contact” for resistance to the hospital and
ASTM D6319 Cardinal Health
laboratory chemicals and chemotherapy agents listed
FDA 2007 (2008) Nitrile Exam Gloves Exam Gloves
below. The results represent the average normalized
AQL Limit Common Hospital and Laboratory Chemicals Residual Chemicals
The chart below lists lab chemical permeation resistance; average normalized
Chemical accelerators are required in order to give
breakthrough time in minutes, 0.1µg/cm2/min.
medical gloves desirable physical properties such astensile strength, elasticity, modulus, tear resistance
Chemical Name
and tactile sensitivity. Cardinal Health gloves are
manufactured with the minimum amount of acceleratorsrequired to obtain the appropriate physical properties.
Though limited accelerators may be added to our gloves,
processing reduces these chemicals so that they are not
detectable in the final product using a high pressure
Bacteriophage Penetration
These gloves passed ASTM F1671, “Standard Test Method
Gloves are tested for many other chemicals. Please contact your sales
for Resistance of Materials Used in Protective Clothing
representative for additional information.
to Penetration by Bloodborne Pathogens using Phi-X174Bacteriophage Penetration as a Test System.” This
Note: Review Material Safety Data Sheets for the chemicals being used
method has been specifically defined for modeling
to determine the required level of protection.
the viral penetration of Hepatitis (B and C) and Human
Chemotherapy Agents
Immunodeficiency Viruses transmitted in blood and
The chart below lists chemotherapy drug permeation resistance; average normalized
potentially infectious body fluids. This method uses a
breakthrough time in minutes, 0.1µg/cm2/min.
surrogate microbe suspended in simulated body fluidunder conditions of continuous contact to assess the
effectiveness of the materials used in protectiveclothing for the wearer’s protection against contact
Alkylating agents
with bloodborne pathogens. The outcome is either
“pass” or “fail.” Cardinal Health tests a statistically
significant sample size of 32 gloves instead of three
gloves as called for in the ASTM method. We go the extra distance with our testing because the safety of clinicians and patients is a top priority. Antibiotics You expect a certain level of protection when you put on an exam glove. We ensure you’re getting Antimetabolites that protection – and more. Nitrogen Mustard Derivatives Ordering Information Dispenser Box (Total Gloves) Plant Alkaloids Anthracenedione Caution: Gloves used for protection against chemotherapy drug exposure must be selected specifically for the type of drugs being used. For additional information, please contact your Note: Review Material Safety Data Sheets for the drugs being used Cardinal Health sales representative or call to determine the required level of protection. customer service at 800.964.5227. Protein Allergens
This is a synthetic glove and contains no natural rubber latex protein allergens.
Tru-Blu and Essential to care are trademarks and Esteem is a registered trademarkof Cardinal Health, Inc. or one of its subsidiaries. CIDEX and ENZOL are registered trademarks of Johnson & Johnson. Enzy-Clean is a registered trademark of Weiman Products, LLC.
Copyright 2007. Cardinal Health, Inc. or one of its subsidiaries. All rights reserved. Lit. No. 2GLV0561 (0907/5M/MC3319)
Paper contains a minimum of 10% post-consumer fiber.
This chapter is from the Competence Assessment Tools for Health-System Pharmacies Fourth Edition, Copyright, 2008, ASHP. 1. Explain the rationale behind an intravenous (IV) to oral (PO) therapy conversion program. 2. Differentiate between sequential, switch, and step-down IV to PO conversion therapy. 3. Identify common medications that are included in an IV to PO therapy conversion program. 4.
Active Music Therapy in Parkinson’s Disease: An Integrative Method for Motor and Emotional Rehabilitation CLAUDIO PACCHETTI, MD, FRANCESCA MANCINI, MD, ROBERTO AGLIERI, CIRA FUNDAR `O, MD, EMILIA MARTIGNONI, MD, AND GIUSEPPE NAPPI, MD Background: Modern management of Parkinson’s disease (PD) aims to obtain symptom control, to reduce clinical disability, and to improve quality of life. Mus