Question | Answer |
time space &/or expertise in compounding is ng | lacking in most pharm] chains |
compounding is specializing in a growing number of | independant pharm]s |
compounding is preparing meds from | bulk ingredients to treat specific conditions |
compounding can be | sterile or nonsterile |
injectable meds are prepared through | compounding |
compounding is mostly done | in hospitals |
sterile compounding in pharm]s is | preparing injectable meds |
nonsterile compounding is preparing meds in | a specific quantity/form from pharmaceutical ingredients for rx's in oral & topical routes |
extemporaneous compounding is sometimes thought of as | nonsterile |
nonsterile compounds are | solutions, suspensions, topicals, suppositories, & capsules |
patient individualized rx's are preferred by | dermatologists, gynocologists, dentists, & veteranarians |
compounds are needed when smaller dose meds are | commercially not produced/available or dosage form of med can't be taken by a specified route |
in solutions, the solute (active ingredient) dissolves in | a water or alcohol based solvent |
suspensions settle but the suspending agents prevent settling, nonetheless | all suspensions must be shaken well |
ointments are occlusive, greesy, & not washable because they are | water in oil emulsions |
creams are not as greesy, nonocclusive, & washable because they are | oil in water emulsions |
powder is a drug &/or chemical that is | a finely admixture |
powder can be | (#8) course or (#80) fine |
powdered meds are | rare |
suppositories are rectal, vaginal, & urethral and have | cocoa butter, hydrogenated vegetable oil, & glycerinated gelatin |
suppositories are made by | melting base material, adding active ingredients, poured into a mold, & chilled |
capsules are solid dosage forms with medicine in | gelatin shells that are made from gelatin, sugar, & water |
commercial synthetic hormones come in | fixed doses |
bio-identical hormones can be compounded for | meeting the individual's needs |
dosing can be based on | clinical observations or lab analysis of serum or saliva |
hrt can be compounded into | creams and gels |
compounding pharm]s have to have | a license |
in many areas of practice, good compounding practices include | usp standards to ensure high-quality compound preps |
anticipatory compounding includes preparing other products (other than rx) in | reasonable amounts & giving them lot number labels |
usp chapter 795 includes that the u.s. pharmacopeia develop | standards for nonsterile compounding |
the u.s. pharmacopeia standards protect pharmacists from | lawsuits & enhances patient safety |
the fda elects to use and enforce | usp standards |
manufacturered products are products prepared | off-site be a manufacturer |
the usp chpt. 795 has policies & procedures for | quality control (quality of ingredient sources), verification, & patient counseling |
quality control includes | personnel training, keeping finished product stability & consistancy, prevents errors, and documents expiration dates |
in the usp chpt. 795, only the | usp or nat'l formulary grade ingredients should be used |
pharmacists measure ingredient | costs and the quality |
in case of backorders, recalls, or shortages; pharmacists must have | multiple sources for quality ingredients |