Sterile Compounding Flashcards

1
Q

what meds must be prepared in a sterile manner?

A

opthalmic
IVs
irrigations

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2
Q

ISO sets the standards for air quality:

determined by # of _____ per ______ of a specific particle size

A

of particles per volume

lower number = cleaner air……

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3
Q

The PEC (primary engineering control -aka hood) has to be at least ISO ____

A

5

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4
Q

The PEC has to be ISO 5;

Buffer area = space outside PEC - has to be ISO ____

A

7

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5
Q

The ante area can be ISO ___ or ____ depending on if the buffer area is ______ or ______

A

ISO 7 or 8;
if positive or negative pressure

ISO 8 - for + pressure
ISO 7 - for - pressure

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6
Q

For PEC cleaning: clean with sterile ______ and _______ wipes

A

isopropyl alcohol 70% and sterile line free wipes

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7
Q

First air comes directly from ______ in a laminar (____ direction, ______) air flow

A

directly from HEPA filter;

one direction, parallel air flow

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8
Q

In a _______ laminar airflow workbench – nothing should b/w HPEA filter and sterile object

In a _______ laminar airflow workbench – nothing should be above the sterile object

^ dont want to block first iar

A

in horizontal

in a vertical

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9
Q

biological safety cabinets are used for chemo and other hazardous drugs and have ______ pressure airflow

A

negative

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10
Q

Isolators = glove boxes that are ISO 5 inside can be used for: hazardous, non-hazardous, or both?

A

both but have to use CACI for hazardous; CAIs for non-hazardous

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11
Q

IVs cans be made in a SCA (segregated compounding area) if no resources for a full IV room — the SCA has unclassified air but the BUD (beyond use data is less than _____)

A

12 hours

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12
Q

IV solutions need to be isotonic — which is blood has an osmolarity of _______ and pH close to 7

A

285 mOsm/L

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13
Q

Non-_____ bags should be used if leaching or sorption is an issue

A

Non-PVC

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14
Q

Hood can be on all the time or at least be turned on _______ before use

A

30 minutes

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15
Q
Hazardous drugs can be:
\_\_\_\_\_\_genic
\_\_\_\_\_\_genic
Have \_\_\_\_\_\_\_ toxicity
cause \_\_\_\_\_ toxicity at low doses
\_\_\_\_\_toxic
A
carcinogenic
teratogenic
reproductive toxicity
organ toxicity 
genotoxic
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16
Q

The ______ determines what drugs are hazardous

and ______ tell us how to work safely with HDs

A

NIOSH (national institute for occupational safety and health)

USP 800

17
Q

USP 800 ____ to but does not _____ USP 795 and 797

A

adds to; does not replace

18
Q

What are drugs that are hazardous and need special handling?

A

antineoplastics
drugs with reproductive risk
hormones
transplant drugs

19
Q

what drugs have reproductive risk

A
all the pregnancy category X drugs
methotrexate
paroxetine
misoprostol
mifepristone
ribavarin
5-alpha reductase inhibitors
20
Q

what is C-PEC?

A

contaminant primary engineering control— used for HD drugs!!