CPJE Sterile Products and IV Admixtures Flashcards
6 cards from real CPJE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CPJE Sterile Products and IV Admixtures flashcards as text
When preparing a TPN (total parenteral nutrition) admixture, which macronutrient should NOT be added directly to a lipid-containing admixture without proper sequencing?
Answer: Calcium and phosphate without confirming compatibility
Calcium and phosphate can form insoluble calcium phosphate precipitate in TPN; their concentrations must be verified against solubility curves before combining.
A pharmacist preparing an IV admixture uses a filter needle. What is the primary purpose of a filter needle?
Answer: To remove glass particles and debris when withdrawing from glass ampules
Filter needles (typically 5 micron) are used when withdrawing from glass ampules to remove glass shards that may enter the syringe.
What action must a pharmacist take when a sterile compounded preparation fails sterility testing?
Answer: Quarantine all affected CSPs, investigate root cause, and notify affected patients and providers
A failed sterility test requires immediate quarantine, root cause investigation, and notification of patients and prescribers per USP and California law.
Under California pharmacy law, which document must accompany every batch of compounded sterile preparations to ensure traceability?
Answer: Master formulation record and compounding record (batch record)
California requires a master formulation record detailing the formula and a compounding record documenting each batch including lot numbers, quantities, and compounder identity.
Which hand hygiene technique is required before donning sterile gloves in a cleanroom environment?
Answer: Surgical hand scrub with soap and water for at least 30 seconds followed by alcohol-based hand rub
USP requires a thorough hand and forearm wash followed by alcohol-based hand rub before gloving to minimize microbial contamination.
A pharmacist must perform a gloved fingertip test in sterile compounding to:
Answer: Verify that garbing and hand hygiene techniques are adequate to prevent microbial contamination
The gloved fingertip sampling test assesses whether the compounder's garbing and hand hygiene practices effectively prevent microbial transfer.