Cytotoxic drugs preparation requires which of the following?

• A. Vertical flow Class II biological safety cabinet
• B. Glove worn at all times
• C. Prepared doses clearly identified
• D. All of the above

Answer: (D)

Cytotoxic drug preparation requires a controlled, protective environment, proper PPE, and careful labeling to protect both workers and patients. A vertical flow Class II biological safety cabinet provides containment and HEPA-filtered downflow, helping prevent hazardous drug particles from escaping into the room and protecting the preparation from contamination. Wearing gloves at all times is essential to avoid dermal exposure and to prevent transfer of drugs to surfaces or other areas. Prepared doses must be clearly identified with patient information, drug name and strength, lot or batch, and beyond-use date to ensure correct administration and traceability. When these practices are combined, they address containment, personal protection, and accurate dispensing, so all of the above are required.