FREE AND STUDY GAMES ABOUT COMPOUNDING I BASICS

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FREE AND STUDY GAMES ABOUT COMPOUNDING I BASICS

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -197 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: T/F CSTDs are recommended when compounding HDs and are required for

administering antineoplastics?

Answer:

True

Question 2: What are my Bisphosphonates that are hazardous?

Answer:

Pamidronate, Zoledronic Acid

Question 3: How do we wear the two gloves for ASTM for HDs?

Answer:

One pair of ASTM under the cuffs of the gown One pair of ASTM over the cuffs of the gown

Question 4: How do we clean for HDs?

Answer:

Germicidal detergent such as Quat, Ammonium, Phenolics

Question 5: Bleach being used for deactivation and decontamination can cause corrosion of the stainless steel how do we prevent corrosion?

Answer:

Immediately after using bleach, we must neutralize it with sodium thiosulfate, sterile water, sterile alcohol or with a germicidal detergent

Question 6: For sterile Hazardous drug compounding what must be worn?

Answer:

Head Cover Face Mask Beard Cover Two pairs of shoe covers A gown impermeable to liquids Two pairs of ASTM gloves Full facepiece respiratory or face shield with gloves

Question 7: What is Complex non-sterile compounding?

Answer:

Complex requires specialized training, equipment, facilities, or procedures (Transdermal dosage forms) Question 8: All chemotherapy drugs are hazardous drugs T/F Aka all antineoplastic drugs?

Answer:

True

Question 9: What is proper garbing for HDs for respiration?

Answer:

-Fit tested N95 mask for most compounding -Surgical respiratory -Elastomeric half mas with gas cartirage if unpacking HDs not in plastic wrap -PAPR - for cleaning spills or cleaning under C-PEC or if their is suspected airborne exposure

Question 10: What are the two types of sterile compounding areas?

Answer:

Cleanroom suite Segregated compounding area (SCA)

Question 11: When should we have respiratory protection for HDs?

Answer:

HDs that are unpacked and are not contained in plastic patients should wear an elastomeric half mask with a multi-gas cartridge and P100 filter Question 12: If we must manipulate a solid tablet HD (aka we prefer not to) what do we need to do?

Answer:

Crush tablets in a plastic bag to contain any dust or particles Question 13: What types of situations if N95 Mask not good enough for HD compounding?

Answer:

• Spills that require more stuff

• Deactivating/decontaminating under the C-PEC

• If Airborne exposure to HD powders/vapors

• Disposal of PPE used when handling HDs

Question 14: What size particles are included in ISO Particles/volume of air?

Answer:

Particles 0.5 microns or larger

Question 15: What is the secondary engineering control (SEC)?

Answer:

A room that contains the PEC commonly called the buffer area ISO 7 room with PEC with ISO 5

Question 16: When must eye and face protection be work for HD?

Answer:

Must always be worn if there is a risk for HD spills or splashes even if working inside a PEC or administering outside PEC Question 17: For compounding space non-sterile needs special requirements for the space being used what are some examples>

Answer:

• Can be performed in ambient air, must be separated from dispensing part of pharmacy

• All components, equipment, containers must be off floor

• Adequate plumbing of two types of water

• Clean sink

• Temperature control
• Well lit/clean

Question 18: Where is the HEPA filter in the LAFW?

Answer:

In the back of the providing Horizontal airflow

Question 19: What are Safety data sheets? (SDS)

Answer:

They are safety documents required by OSHA to be accessible to all employees handing hazardous materials and must provide drug specific safety information including PPE, spill clean up procedures, and first aid procedures

Question 20: Non-Sterile Compounding *USP 795* is typically for what 3 things?

Answer:

• Prepare a dose or formulation not commercially available - change solid to liquid, compounding 10%

ointment from 5% and 15% available

• Avoid excipients in manufactured products (Gluten.red dye)

• Add a flavor to make it taste better

Question 21: What are some tests that need to be completed to test the environment of the Compounding room and how often should they be done?

Answer:

• Air quality sampling Q6 Months

• Surface samples of most touched surfaces at end of day

• Air pressure testing - once daily or with every work shift (+/- pressure)

• Humidity testing - once daily