chapter 8 part 1
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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time space &/or expertise in compounding is ng | lacking in most pharm] chains
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compounding is specializing in a growing number of | independant pharm]s
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compounding is preparing meds from | bulk ingredients to treat specific conditions
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compounding can be | sterile or nonsterile
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injectable meds are prepared through | compounding
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compounding is mostly done | in hospitals
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sterile compounding in pharm]s is | preparing injectable meds
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nonsterile compounding is preparing meds in | a specific quantity/form from pharmaceutical ingredients for rx's in oral & topical routes
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extemporaneous compounding is sometimes thought of as | nonsterile
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nonsterile compounds are | solutions, suspensions, topicals, suppositories, & capsules
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patient individualized rx's are preferred by | dermatologists, gynocologists, dentists, & veteranarians
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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
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in solutions, the solute (active ingredient) dissolves in | a water or alcohol based solvent
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suspensions settle but the suspending agents prevent settling, nonetheless | all suspensions must be shaken well
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ointments are occlusive, greesy, & not washable because they are | water in oil emulsions
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creams are not as greesy, nonocclusive, & washable because they are | oil in water emulsions
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powder is a drug &/or chemical that is | a finely admixture
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powder can be | (#8) course or (#80) fine
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powdered meds are | rare
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suppositories are rectal, vaginal, & urethral and have | cocoa butter, hydrogenated vegetable oil, & glycerinated gelatin
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suppositories are made by | melting base material, adding active ingredients, poured into a mold, & chilled
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capsules are solid dosage forms with medicine in | gelatin shells that are made from gelatin, sugar, & water
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commercial synthetic hormones come in | fixed doses
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bio-identical hormones can be compounded for | meeting the individual's needs
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dosing can be based on | clinical observations or lab analysis of serum or saliva
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hrt can be compounded into | creams and gels
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compounding pharm]s have to have | a license
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in many areas of practice, good compounding practices include | usp standards to ensure high-quality compound preps
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anticipatory compounding includes preparing other products (other than rx) in | reasonable amounts & giving them lot number labels
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usp chapter 795 includes that the u.s. pharmacopeia develop | standards for nonsterile compounding
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the u.s. pharmacopeia standards protect pharmacists from | lawsuits & enhances patient safety
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the fda elects to use and enforce | usp standards
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manufacturered products are products prepared | off-site be a manufacturer
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the usp chpt. 795 has policies & procedures for | quality control (quality of ingredient sources), verification, & patient counseling
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quality control includes | personnel training, keeping finished product stability & consistancy, prevents errors, and documents expiration dates
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in the usp chpt. 795, only the | usp or nat'l formulary grade ingredients should be used
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pharmacists measure ingredient | costs and the quality
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in case of backorders, recalls, or shortages; pharmacists must have | multiple sources for quality ingredients
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