Clinical Procedures and Protocols Flashcards
7 cards from real KAPS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Procedures and Protocols flashcards as text
Which ISO classification corresponds to the cleanroom environment required for compounding sterile preparations under USP ?
Answer: ISO Class 5
USP requires an ISO Class 5 environment (≤3,520 particles ≥0.5 μm per cubic meter) for critical compounding areas.
A pharmacist counseling a patient on self-monitoring of blood glucose should recommend that a fasting blood glucose reading below which value indicates good control in a non-pregnant adult with type 2 diabetes?
Answer: 80–130 mg/dL
ADA guidelines recommend a preprandial (fasting) blood glucose target of 80–130 mg/dL for most non-pregnant adults with diabetes.
When converting a patient from IV morphine to oral morphine, the equianalgesic conversion ratio is approximately:
Answer: 1:3 (IV:oral)
Due to extensive first-pass metabolism, the IV to oral morphine equianalgesic ratio is approximately 1:3 (10 mg IV ≈ 30 mg oral).
A medication error resulting in patient harm that requires intervention to sustain life is classified under the NCC MERP index as:
Answer: Category H
NCC MERP Category H is defined as an error that required intervention necessary to sustain the patient's life.
Which technique is used to estimate renal function in obese patients when calculating creatinine clearance using the Cockcroft-Gault equation?
Answer: Adjusted body weight
Adjusted body weight (ABW) is recommended for obese patients in the Cockcroft-Gault equation to avoid overestimating renal function.
A pediatric patient requires a loading dose of phenytoin via IV infusion. The maximum infusion rate to prevent cardiovascular toxicity is:
Answer: 1 mg/kg/min
Intravenous phenytoin in pediatrics should not exceed 1 mg/kg/min (maximum 50 mg/min in adults) to prevent hypotension and arrhythmias.
In a pharmacokinetic consultation, a patient's measured trough vancomycin level is supratherapeutic. Which action correctly addresses this?
Answer: Maintain the dose and extend the interval
A supratherapeutic trough with adequate peak suggests slow elimination; extending the interval allows more time for drug clearance before the next dose.