Lecture 5

Question 1

What is compounding?

Answer 1

Compounding medications from individual ingredients which are mixed together in the exact strength and dosage form required by the patient. This method allows the compounding pharmacist to work with the patient and the prescriber to customise a medication to meet the patients specific needs.

Question 2

What are some reasons for compounding?

Answer 2

Unavailability of dosage forms for selected patient groups e.g. children or elderly (a particular issue in NZ with PHARMAC restrictions)?
Products may not be licensed in NZ
Many hospitalised patients are ‘nil by mouth’
Some patients unable to take standard dose forms e.g. if vomiting, difficulty swallowing, short gut (following surgery)
Palliative care patients – may need to administer medicines in unconventional ways

Question 3

Domain O3: Supply and administration of medicines. What is the competency?

Answer 3

O3.1: Assess prescriptions
O3.2: Dispense medicines
O3.3: Compound pharmaceutical products
O3.4: Administer medicines 
O3.5: Provide patient counselling

Question 4

What equipment can be used for measuring liquids?

Answer 4

Measuring cylinders (conical and straight)
Oral syringe
Pipette, Syringe, Dropper

Question 5

What is the pharmacy service standard?

Answer 5

The Pharmacy Services Standard for Pharmacy in New Zealand relates to the quality of the system through which Pharmacy is delivered.
The Pharmacy Services Standard is to set minimum quality standards for the delivery of the service.

Question 6

For the delivery of pharmacy service standards what is considered to be good practice?

Answer 6

The current accepted range of safe and reasonable actions that result in efficient and effective use of available resources to achieve quality outcomes, and minimise risk for the consumer is considered to be good practice

Question 7

What are the 7 principles set out by the pharmacy service standard?

Answer 7

1. Consumer rights
2. Organisational mangement
3. Continuum of service delivery
4. Safe and appropriate Environment
5. Dispensing, compounding, repackaging and batch preparation
6. Aseptic dispensing of sterile products in community pharmacies
7. Aseptic dispensing of sterile products in hospital pharmacies

Question 8

7 Principles

5 DISPENSING, COMPOUNDING, REPACKAGING AND BATCH PREPARATION

Answer 8

Dispensing, compounding, repackaging and batch preparation practices in pharmacies have clearly defined procedures and are organised so that appropriate qualified staff, premises, equipment and materials are used according to the requirements of the individual preparation