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NAPLEX Sterile Compounding and USP 797/800 Standards

USP 797 sterile compounding standards and USP 800 hazardous drug handling requirements tested on the NAPLEX.

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Which organization publishes chapters <797> and <800>?
USP (United States Pharmacopeia)
What is the main purpose of USP <797>?
To set minimum standards for compounding sterile preparations (CSPs) that prevent microbial, chemical, and physical contamination
What is the main purpose of USP <800>?
To protect healthcare personnel, patients, and the environment from exposure to hazardous drugs
What is a segregated compounding area (SCA)?
An unclassified space containing only a primary engineering control (PEC), used to compound Category 1 CSPs
What is the maximum beyond-use date (BUD) for a Category 1 CSP at controlled room temperature?
12 hours
What is the maximum BUD for a Category 1 CSP under refrigeration?
24 hours
Where must Category 2 CSPs be compounded?
In a classified cleanroom suite (an ISO Class 7 buffer room with an ISO Class 8 anteroom)
What ISO air cleanliness classification must a primary engineering control (PEC) provide?
ISO Class 5
What ISO classification is required for a sterile compounding buffer room?
ISO Class 7
What ISO classification is required for the anteroom of a sterile compounding suite?
ISO Class 8
Name the four types of primary engineering controls (PECs) used in sterile compounding.
Laminar airflow workbench (LAFW), biological safety cabinet (BSC), compounding aseptic isolator (CAI), and compounding aseptic containment isolator (CACI)
What pressure relationship must a nonhazardous sterile compounding buffer room maintain relative to its anteroom?
Positive pressure
What pressure relationship must a hazardous drug sterile compounding room maintain relative to adjacent areas?
Negative pressure
What is the minimum required air changes per hour (ACPH) in an ISO Class 7 buffer room?
30 ACPH
What is the minimum required air changes per hour (ACPH) in an ISO Class 8 anteroom?
20 ACPH

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