Compounding Flashcards
advantage of a satellite pharmacy?
advantage is that the pharmacist is able to interact with other healthcare professionals and patients.
levigating agents/wetting agents for creams and ointments MUST BE….
compatible/miscible with the base
Levigation
“wet grinding’
process of reducing particle size of a solid (powder) by mixing it with a small amount of non-soluble liquid (this is the levigating agent)
consistency of putty/paste
Excessive heat defined as
> 40 C
(104 F)
What kind of compounding agent is:
Benzalkonium Cl
PRESERVATIVE
CARBOWAX is a name for
PEG
What kind of compounding agent is:
Cresol
PRESERVATIVE
What kind of compounding agent is:
SPAN 20, 40, 60
(sorbitan monolurate)
emulsifying agent
bulk balance/counter balance sensitivity
100mg
polyethylene monooleate is also known as?
PEG 400
What kind of compounding agent is:
Sodium Oleate
emulsifying agent
What kind of compounding agent is:
Sorbitan Stearate
emulsifying agent
What kind of compounding agent is:
Glycerol Monostearate
emulsifying agent
What kind of compounding agent is:
Polyglyceryl Oleate
emulsifying agent
What kind of compounding agent is:
Benzoic acid
PRESERVATIVE
What kind of compounding agent is:
Glycerol Monostearate
EMULSIFYING AGENT
(GMS)
Hydrocolloids are what type of agent?
Suspending agent
What kind of compounding agent is:
Benzethonium Cl
PRESERVATIVE
Freezer temp
-25 C to -10 C
The levigating agent must be _____ with the ointment base**
miscible
Parabens are?
Preservatives
What kind of compounding agent is:
Sodium Lauryl Sulfate
emulsifying agent
most H20 soluble
Which types of products need a “shake before use” auxillary label?
- suspensions
- lotions
What kind of compounding agent is:
Benzoic Acid
PRESERVATIVE
Polyoxyethylene Sorbitan
TWEEN
Carbomers are
gelling agents!
What kind of compounding agent is:
TWEEN
emulsifying agent
USP Regulation enforceable by the FDA apply to
(6)
- Ingredient Standards
- Documentation and Record Keeping
- Packaging and Storage
- Facilities & Equipment
- Quality Assurance & Quality Control
- Personnel
polysorbate is
TWEEN
what’s a satellite pharmacy?
a pharmacy that is located in a patient care area and where the medications for patients are prepared nearby
away from the main (central) pharmacy location in a hospital.
must be staffed by @ least 1 pharmacist
A Class A or III prescription balance:
maximum capacity
120 GRAMS
levigation is the mos commonly used method when
incorporating solids into an ointment or cream
A Class A or III prescription balance:
Sensitivy requirement or readibility***
must be at least 6 mg
(<5% of 120 mg - 120 mg being the max weight)
this means: no less than 120 mg may be weighed on the balance to maintain an error of < 5%
also means as much as 6 mg could be added to/removed from the pan before the balance marker will move 1 division
PEC (Primary Engineering Controls) devices include (3)*
- Laminar horizontal airflow work-benches (LAFWs)
- Biological Safety Cabinets (BSCs)
- Compounding aseptic isolators (CAIs) aka. “glove box”
batch preparation is considered ___ risk
ISO requirements?
medium
ex. multiple-dose vials of vanco used for bath prep of several IV admixtures
made in ISO 5 laminar airflow hood that’s located in an ISO 7 clean room and an ISO 8 ante room
What’s the sensitiviity of an analytical balance
electronic, single pan
sensitivity of 0.1 mg
more accurate than bulk/counter balance
Sorbitol can be used as a
plasticizer/thickening agent
Ascorbic acid is a?
PRESERVATIVE
Magnesium stearate is a ?
what is it most commonly used for?
insoluble FILLER
the most commonly used “lubricant” diluent to prevent sticking to machinery
What kind of compounding agent is:
Lecithin
emulsifying agent
Cetylpyridinium Cl is a?
PRESERVATIVE
Thimerosal is a?
it’s used in?
Preservative
used in vaccines
A Class A or III prescription balance:
minimum weight
120 mg
Glass mortar and pestles are preferred for mixing
liquids
creams
lotions
and for chemical that leave an oily residue or stain
Emulsifiers are (2)
Surfactants
“wetting agents”
What are the semi-synthetic hydrocolloids?
ethylcellulose
methylcellulose*
What kind of compounding agent is:
Sodium Benzoate
PRESERVATIVE
Refrigerator Temperature**
2 C - 8 C
(35.6 F to 46.4 F)
What can you do to a wedgewood mortar prior
fill in the crevices w/ Lactose
Controlled room temp
20 C to 25 C
low-risk CSP prepared in a laminar flow hood (ISO class 5 PEC, that cannot be located within an ISO Class 7 buffer area)
what’s the BUD:
Room temp?
Refrigerated?
12 hours for both
low risk non hazardous preparations only
Documentaiton and Record keeping inlcudes
(4)
Formulation Record
Compounding Record
SOPs
SDS/Material Safety Data Sheets (MSDSs)
Which emulsifying agents are also thickeners?
Agar
Carageenan
Gelatin
Sorbitol
What is a Suspending Agent
a substance that thickens liquids and helps insoluble solids become evenly dispersed in a liquid so that the particles don’t settle too quickly
Benzyl alcohol is used as a ___ and ___
solvent & antimicrobial (preservative)
Standard Operating Procedures (SOPs) include?
- equipment maintenance
- equipment calibration
- handling
- disposal of supplies
Chorhexidine gluconate is a?
PRESERVATIVE
bulk balance/counter balance weight limit
5 kg
the 5 sort of looks like bottom of #5
What are teh synthetic hydrocolloids?
Carbomers (Carbopol)
poloxamers (Pluronic)
What kind of compounding agent is:
PEG 400
emulsifying agent
What kind of compounding agent is:
Phenyl mercuric acetate
PRESERVATIVE
What kind of compounding agent is:
Nitromersal
PRESERVATIVE
What are the natural hydrocolloids
acacia
alginic acid
gelatin
tragacanth
xanthan gum
What kind of compounding agent is:
EtOH (ethanol)
PRESERVATIVE
porcelain is ___ than wedgewood
best for blending ____
smoother
powders
an electronic balance is also known as a
analytical balance
GMS
Glycerol Monostearate
emulsifying agent
Collagenase Ointments are for ….
debridement of skin wounds.
Glycerin
Propylene Glycol
Polyethylene Glycol 80 (PEG80)
are they o/w OR w/o levigating agents
o/w
BUD for medium risk stored at room temp