(USP 797) IV Room and Sterile Preparations Quiz
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Questions and Answers

Why are spores difficult to destroy with autoclave?

  • They are resistant to high temperatures (correct)
  • They are not affected by heat
  • They require moist heat for destruction
  • They contain a high percentage of water
  • What is the mechanism of action behind dry heat sterilization on microbial proteins?

  • Hydrolysis
  • Polymerization
  • Denaturation
  • Oxidation (correct)
  • Why is pasteurization not effective in destroying spores?

  • Spores contain protective proteins
  • Spores have a low water content
  • Spores are resistant to high temperatures (correct)
  • Pasteurization requires moist heat
  • What characteristic makes spores resistant to destruction with autoclave?

    <p>Presence of protective shells</p> Signup and view all the answers

    Why does dry heat sterilization require higher temperatures for shorter exposure times?

    <p>To achieve oxidation of microbial proteins quickly</p> Signup and view all the answers

    Which method would be most effective for destroying spores in solutions and water?

    <p>Autoclave with moist heat</p> Signup and view all the answers

    Study Notes

    USP 797 Guidelines

    • Outlines standards for compounding sterile preparations (CSPs) in healthcare settings.
    • Ensures the safety and effectiveness of sterile drug preparations.

    Controlled Environments

    • ISO Class 5 Primary Engineering Control:

      • Maintains a highly controlled environment for aseptic compounding.
      • Minimizes airborne particulates to protect CSPs.
    • ISO Class 7 Positive Pressure Buffer Area:

      • Area around the primary engineering control that provides an additional layer of sterility.
      • Ensures airflow is maintained to prevent contamination.
    • ISO Class 8 Positive Pressure Ante Room:

      • Transitional area leading into the cleaner environments.
      • Supports the transfer of materials while minimizing contamination risks.

    Risk Levels of Compounding Sterile Preparations (CSPs)

    • Divided into three distinct risk levels according to the likelihood of contamination:
      • Low-risk: Simple manipulations, involving sterile ingredients and no more than three products.
      • Medium-risk: Complex manipulations, pertaining to multiple doses or prolonged compounding processes.
      • High-risk: Involves non-sterile ingredients or environmental conditions posing high contamination risks.

    Temperature Conditions

    • Room Temperature: Ranges from 20°C to 25°C.
    • Cold Temperature (Refrigerated): Maintained between 2°C to 8°C.
    • Freezer Temperature: Ranges from -25°C to -10°C for storage.

    Drug Administration Routes

    • Fastest to Slowest routes of drug administration:
      • Intravenous (IV)
      • Intramuscular (IM)
      • Subcutaneous (SC)
      • Oral

    Sterilization Techniques

    • Sterile pharmaceutical products can be achieved through aseptic technique or terminal sterilization.
    • Autoclave (Steam Sterilization):
      • Uses steam under pressure to eliminate microorganisms.
      • Effective method for ensuring the sterility of equipment and materials.

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    Description

    Test your knowledge on USP 797 regulations, ISO Class requirements, risk levels of compounding sterile preparations, and drug administration routes. Explore topics like primary engineering controls, temperature requirements for sterile preparations, and the hierarchy of drug administration routes from fastest to slowest.

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