CSPT Medication Safety 4

Question 1

A pharmacist discovers that a batch of compounded IV antibiotics was prepared using the wrong concentration of drug powder. What is the FIRST action that should be taken?

Accepted Answer

Quarantine all affected units and notify the pharmacist-in-charge

Answer

All affected units must be immediately quarantined and the pharmacist-in-charge notified to prevent patient harm and initiate a proper investigation.

Question 2

Which of the following is the most effective strategy to prevent wrong-drug errors during compounding?

Accepted Answer

Perform independent double-checks at each critical compounding step

Answer

Independent double-checks by a second qualified person at each critical step are the most effective barrier against wrong-drug errors.

Question 3

A CSPT technician notices that the label on a compounded product lists a dose of '10 mcg' but the preparation record indicates '10 mg.' What should the technician do?

Accepted Answer

Immediately hold the product and clarify the discrepancy with the pharmacist

Answer

Any discrepancy between the label and preparation record requires immediate clarification with the pharmacist before the product is dispensed.

Question 4

Which look-alike/sound-alike (LASA) drug pair poses the highest risk in sterile compounding environments?

Accepted Answer

Epinephrine and ephedrine

Answer

Epinephrine and ephedrine are classic LASA drugs with very different potency and indications, making mix-ups potentially fatal.

Question 5

When should a compounded sterile preparation be discarded if it was prepared in a non-sterile-to-sterile compounding process?

Accepted Answer

Whenever there is visible turbidity, particulate matter, or container damage

Answer

Any visible turbidity, particulate matter, or container damage is grounds for immediate discard regardless of the BUD.

CSPT - Compounded Sterile Preparation Technician Practice Test

CSPT - Compounded Sterile Preparation Technician Practice Test

CSPT Medication Safety 4