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Question:

When must an SDS (formerly known as MSDS) be provided to the patient?

A When dispensing a hazardous substance

explanation

Safety Data Sheets (SDS or formerly known as Material Safety Data Sheets [MSDS]) are required to be provided to the purchaser of hazardous drugs and chemicals.

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Which type of solution is a clear, sweetened, flavored hydroalcoholic containing water and alcohol?

An elixir

An elixir is a clear, sweetened, flavored hydroalcoholic solution containing water and alcohol that may or may not be medicated. An aromatic water is a solution of water-containing oils that have a smell and are volatile. A suspension is a two-phase system in which solid particles are dispersed in a liquid vehicle, which may be oral, topical, or injectable. A syrup is an aqueous solution containing sucrose or sucrose substitutes.

What is the maximum number of days a water-based compounded oral solution is considered to be stable (maximum stability date)?

14 days

To ensure the integrity of the compounded product, the maximum length of time that an oral solution with a water base is stable is 14 days.

Where is the piggyback placed in comparison to the primary IV?

Higher than

A piggyback must be placed higher than the primary intravenous (IV) line so that the fluid flows into the primary IV line.

What is the weight/volume percentage (w/v%) of 0.5 grams of lisinopril in 50 ml of a compounded oral solution?

1% lisinopril solution

Weight/volume (w/v%) is measured in grams of the ingredient/100 ml of the total product. 0.5 grams/50 ml = x/ 100 ml, x=(100 x 0.5)/50 = 1 gram 1 gram/100 ml = 1% Please note: If you think that the volume of liquid needs to be converted to grams/liter first, you are thinking of a different calculation. For this one, it remains grams/ml.

Which dosage form can be prepared by the heat method?

Syrup

A syrup may be made either using heat or without heat. It will be prepared quicker with heat, but it must be at a constant temperature.

Which federal agency is responsible for hazardous waste and materials?

OSHA

OSHA oversees hazardous waste and materials and has developed the Hazard Communication Standard, which states that all employees are entitled to be aware of the hazards associated with a specific product that they may come in contact with during their employment.

Which of these is true about using a vial during sterile compounding?

Prior to removing solution from the vial, air should be pushed into to prevent a negative pressure vacuum.

These steps should be followed when using a vial to prepare a product:
1. Remove the plastic cap and swab the vial stopper with 70% isopropyl alcohol.
2. Swab all sterile surfaces being used during manipulation such as all vials and the injection port on the IV bag.
3. Uncap needle and withdraw a volume of air equal to the desired volume of liquid to be extracted.
4. Insert the needle into the vial at a 45-degree angle and the bevel side up (to avoid coring the vial) and then straighten out the needle. Do not block the airflow from the laminar flow hood.
5. Push air into the vial and extract the desired volume.
6. Remove the needle and inject contents into the IV bag through the specified port.
7. Discard the needle in the sharps container and throw all other waste in the appropriate trash bin.

Which of the following dosage forms is an aqueous solution containing sucrose or sucrose substitute?

Syrup

A syrup is an aqueous solution containing sucrose or sucrose substitutes. An elixir is a clear, sweetened, flavored hydroalcoholic solution containing water and alcohol that may or may not be medicated. A spirit is an alcoholic or hydroalcoholic solution containing volatile aromatic ingredients. A tincture is an alcoholic or hydroalcoholic solution of pure chemicals or extracts.

According to USP 797, which of the following should not be worn during compounding?

Artificial nails

USP 797 prohibits artificial nails, cosmetics, and jewelry to be worn when compounding sterile compounds.

How often does a pharmacy balance need to be certified?

Every 12 months

USP ,795. requires that a pharmacy balance be certified every 12 months.

What type of ointment base is Aquaphor?

Absorption

Aquaphor is classified as an absorption ointment base.

What type of spatula should be used in measuring corrosive ingredients?

Rubber

A rubber spatula should be used to in measuring corrosive materials; a steel or plastic spatula may react with the material.

If a pharmacy technician is using the continental (dry gum) method, what would he or she be compounding?

Emulsions

Emulsions can be compounded by using the “dry gum,” “wet gum,” or “beaker” method.

Who is responsible for the transportation of hazardous materials?

Department of Transportation (DOT)

The Department of Transportation is responsible for the transportation of hazardous materials.