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NAPLEX: Compounding Exam Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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NAPLEX: Compounding Exam Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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NAPLEX: CompoundingHazardous Non-sterile vs Sterile Compounded - ANS Non-Sterile:
orals, topicals, nasals
Sterile:
IV drugs, eye drops, irrigations, TPN, injections
USP 795 - ANS Non-sterile compounding
USP 797 - ANS sterile compounding
USP 800 - ANS hazardous drugs
API - ANS Active Pharmaceutical Ingredient
Non-sterile Compounding Examples - ANS Changing formulation
To avoid an excipient that the pt can't have
A dose/form that isn't commercially available
Add a flavor to a med
Sterile Compounding Examples - ANS these MUST be done via sterile compounding:
anything w/blood
IV drugs
Eye, ear drops and irrigations, TPN
What makes a drug hazardous - ANS Carcinogenic
Teratogenic
Causes organ toxicity at low doses
Genotoxic (DNA damage)
Ex. Chemo, hormones, transplant drugs
What is a Primary Engineering Control (PEC)? - ANS The fume hood to do all the compounding
in
What is a Secondary Engineering Control (SEC)? - ANS It's the anti-room or room where the
hood is
CSTD - ANS closed-system transfer device
used to keep drugs contained inside the device to prevent spills/fumes leaking
, Ventilated Compounding Enclosure (VCE) - ANS Type of containment hood used for
compounding hormones
Non-Sterile Physical Space requirements - ANS No storage on floor
Two types of water:
1. Potable (tap water)
2. Purified
Containment-PEC
Containment-SEC - ANS Term used for a hood that is used to compound HDs and clean room
for HDs
Hazardous Drug Space requirements - ANS negative air pressure
There must be at least 12 ACPH (air changes per/h) in the buffer room
And at least 30 ACPH in the hood
Air Protocol - ANS The lower the number the cleaner the air
ISO 5 = cleanest air (which is inside the hood where you stick your hands in to work)
ISO 7 = buffer room (SEC)
ISO 8 = ante-room
Where is the cleanest air? - ANS Directly under the HEPA filter
HEPA Filters are: - ANS > 99.97% effective at removing particles as small as 0.5 microns
Direct Compounding Area - ANS A critical area within the ISO Class 5 (PEC) where critical
sites are exposed to unidirectional HEPA-filtered air, also known as first air.
How many inches away from the edge should you compound? - ANS 6 inches
What pressure is required in non-hazardous PECs? - ANS positive
What is the BUD for CSPs made in an isolate? - ANS 12 hours
What are the two types of isolators? - ANS Compounding Aseptic isolator (CAI) = non-HD
drugs
Compounding aseptic containment isolator (CACI) = for HD drugs like chemo
What is the gloved fingertip test? - ANS it is the aseptic technique exam in hand hygiene,
garbing and gloving
What is the media-fill test? - ANS It's the aseptic technique test in sterile drug preparation
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