Getting Started In Compounding Sterile Preparations For Pharmacists

Question 1

A medication is ordered to be injected over 2 minutes. What type of administration is this?

Answer 1

IV push

Question 2

A needle for an intramuscular injection must be at least ___ long.

Answer 2

1 inch

Question 3

Which group of medications must never be given intrathecally due to the risk of death?

Answer 3

Vinka Alkyloids (vincristine)

Question 4

Infiltration that leads to tissue or nerve damage is called ___.

Answer 4

Extravasation

Question 5

Maintenance fluids for hydration are usually dispensed in volumes of ___mLs and are considered to be ___

Answer 5

500-1000; large volume parenterals

Question 6

Intermittent infusions, such as an antibiotic given twice daily over 30minutes, are known as

Answer 6

Small volume parenterals

Question 7

What kind of filter should be used for a fat emulsion administration and why?

Answer 7

A 1.2 micron filter to reduce the risk of lipid emboli and also because lipid preparations have a higher risk of bacterial/fungal contamination.

Question 8

What kind of filter is recommended for use during PN administration and why?

Answer 8

1.2 micron filter per most recent ASPEN guidelines (2020) (previously 2 micron) to reduce risk of exposure to particulate matter i.e. precipitates. Size reduced to standardize with lipid emulsion to reduce risk of error/confusion.

Question 9

GENERAL central vs. peripheral line cut offs for PN, due to potential for what condition?

Answer 9

Osmolarity ~900 mOsm/L
Dextrose ~12.5%
Phlebitis, thrombophlebitis

Question 10

Documentation of quality assurance data for an ACD must be done on a ___ basis

Answer 10

Daily