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140 Cards in this Set

  • Front
  • Back
DEA Number- _ digit, begins with _ letters.
7 digit
2 letters
DEA # first letter A,B,C designates .
the status of the prescriber
DEA Number- Second letter is the
first letter of the prescriber’s last name
DEA Number- Midlevel (physician assistants, nurse practitioners) use the letter
M
DEA Number- Medical residents use their hospital DEA Number with the letter _ after the first letter.
T
Validity of the DEA number can also be checked by
adding the odd numbered digits (first, third, fifth) with the sum of the even numbered digits multiplied by two. The last digit of this number should be the same as the seventh digit of the DEA number
Doctor of Medicine abreviation
MD
Osteopathic medicine abreviation
DO
Optometry abreviation
OD
Dentistry abreviation
DDS
Veterinary medicine abreviation
DVM
Podiatry abreviation
DP
Federal law says prescriptions are valid for only _ year after being written with the exception of controlled substances (Substance II-Schedule V) which are only valid for _ months or less
1 year
6 months
Prescriptions for Schedule II drugs like morphine (MSContin), meperidine (Demerol), or oxycodone (Roxicet) must have ______ before acceptance at the pharmacy window.
all the information needed complete on the form
Schedule II drugs can not be refilled _____
over the phone
The pharmacist is ____ for everything that happens at the pharmacy.
legally responsible
Schedule II drugs ____ be refilled
can not
SCHEDULE III-V drugs can be refilled but only withing a certain time frame. Example a 3 month prescription may only be refilled every ___ days
30
If the patient runs out of the medication and has no obtained a new prescription, the pharmacist or pharmacy intern can contact the _____ to extend the prescription, refill authorization.
prescriber
Technicians ____ take prescriptions over the phone. Only pharmacists or pharmacist interns and the prescription must be _____.
can not
transcribed to hand
MAR –
Medication Administration Record - List of drugs dispensed by pharmacy, time of dispensing, initials of person dispensing, dosages, times of administration
MAR is generated _____
by the pharmacy
Total Parenteral Nutrition Solutions (TPNs)
Total Parenteral Nutrition Solutions (TPNs)
MAR puts the medication order within a _____ instead of set dosage instructions with each drug.
specific schedule
Most hospitals have _____ when “routine” mediation is delivered to decrease confusion.
set times
Medication Orders are generated by the _______, sent to the ______ for the pharmacist to review. The pharmacist tells the tech to fill the prescription and record the information on the _____
physician
pharmacy
MAR
Unit Dose –
the amount of drug needed for a single dose.
All drug doses for an individual patient that are needed for a single day are prepared _____ and distributed to the patient floor
at one time
Cassette –
container to store prepared medication doses to be placed in a medication cart.
Medication cart-
located on individual floors, free-sanding, computerized carts containing the daily medications for all patients on a particular floor.
In an institutional setting, the prescription of controlled substances _____ require a special form. They are just included in the order.
do not
In an institutional setting, the prescription of controlled substances does not require a prescriber _____ on the order since prescribers use the ____assigned to the hospital.
DEA numbers
DEA number
In a retail setting, prescription of a controlled substance requires a _____ which is filed out seperatly from the other prescription forms, with copies sent to the prescriber and the DEA.
triplicate form
Sublingual tablet – made to dissolve quickly under ____. Not pressed hard into a dense tablet.
the tongue
Enteric tablet – coated with a hard-shell coating to protect the drug from ____. These are normally best absorbed in the basic pH of the duodenum.
acid in the stomach
Enteric-coated aspirin is coated on the other hand so that It doesn’t dissolve in the ______.
stomach
Lozenge –
hard tablet or molded shape containing drug in a sweetened, flavored base. Designed to be held in the mouth while it slowly releases the drug for oral absorption.
Drug powders for inhalation – very fine crystalline form is mixed with an inert sugar and packaged into a single-dose blister. The ___ is then inserted into a special apparatus called a “diskhaler” which pierces the _____, aerosolizes te drug and allows the patient to inhale the drug.
blister
blister
____ – sweetened liquid that contains the drug, sugar, and flavoring
Syrup
_____ – similar to syrup but contains a high percentage of alcohol
Elixer
_____ – oil or active portion of a plant that is usually removed or extracted with alcohol.
Extract
____ – drug dissolves completely into the liquid.
Solution
_____ – water and drug particles tat do not dissolve but remain suspended in the water.
Suspension
______ – alcohol based drug that is applied topically and not to be taken internally.
Tincture
_____ – emulsions (oil droplets suspended in water)
Creams – emulsions (oil droplets suspended in water)
_____ – drug suspended in a waxy base. Used topically on skin or mucous membranes such as those in the mouth, inside nose or rectum.
Ointments
_____ – made of wax and oils and contain drugs that are meant to be released slowly in a particular place. Normally inserted into body cavities such as rectum or vagina to adhere to the cavity wall and release medication to the immediate area. Usually large and melt at body temperature. Should be stored in a cool room
Suppositories
_____ should not be frozen or exposed to excessive heat which will cause the cream to separate into oil and water.
Emulsions
____ – lozenge or tablet incerted between the cheek and gum
Buccal
Ophthalmics –
eye
Otics –
ear
Ophthalmic (eye) ointments may also be used and are administered inside the eyelid, usually the ____, using the tip of the ointment tube.
bottom
_____ – and drug that is not given through the digestive system. Normally means injections.
Parenteral
______ – one time single dose injections
Bolus
_____ – bag or bottle of liquid that allws the drug to be infused over a long period of time.
IV-drip
_____ – a solution contained in a smaller IV bag that is infused along with the primary intravenous drip through the same tubing.
Piggyback IV
Intramuscular injections – placed into the skeletal muscle – enters bloodstream more ____. Minimizes shock to system.
slowly
The spacing of doses or dosage interval is determined based on the ______ of the drug.
half-life (T⅟2)
____ – how rapidly a drug is cleared from the body and how quickly its effects will be terminated.
Half life
______ – identifies patients, legal record of medication dispensed, resource of information that could protect the patient against harmful drugs or procedures.
Patient profile
_____ – identifying info, drug allergies, adverse reactions, concurrent medications, medical history, drug abuse history, special considerations, insurance info, current prescriptions and refill info.
Outpatient Profile
______ – drugs that reduce the effect of eachother
Antagonism
______ – two of the same drug prescribed
Drug duplication
_______ – two drugs have the same therapeutic function
Therapeutic duplication
_______ patient profile – can also include patient’s height, weight, diagnosis, treatment, therapy, diet plans, blood tests, lab results, physician name.
Institutional
Institutional patient profile will not include info that is not applicable to institutional policy such as refill info and concurrent medications other than those prescribed within the ______.
institution
Retail profile contains a list of concurrent medications. Hospital profile does not since it discourages any drugs not ______.
dispensed by the pharmacy
No ____ info on a hospital profile.
refill
______ – using calculations to convert dosages in stock to dosage that is needed
Dosage conversion
______ – codes that denote the generic name of the drug, manufacturer, proprietary label, dosage form, strength, and type of packaging
NDC number
NDC number - ___ digit number with three distinct segments
10 digit
NDC number - Segment __ is the manufacturer’s ID code.
1
NDC number - Segment’s 2 and 3 – _____ and _____
drug product ID
manufacturer’s packaging
Bottles should be sealed with a _____ unless the patient signs a wavier to request an easy open cap.
child proof cap
_____ – contain additional information and reminders as to how the medication should be used and what activities to avoid while taking the medication.
Auxiliary Labels
_______ – the preparation of a dosage form for drug delivery that is customized for a particular patient. This is done by a pharmacist unless a written protocol is written for the preparation of the dosage, in which case it is no longer considered _______.
Extemporaneous compounding
extemporaneous compounding
– used to prepare sterile solutions
Aseptic technique
_____ – extremely serious condition when bacteria or other organisms are introduced into the bloodstream.
Sepsis
To prepare steril solutions
- Perform all procedures inside a sterile _____ , with clean, disinfected hands and with hair tied back or covered
laminar flow hood
To prepare steril solutions -
Needle should be placed on the septum, beveled side up and should pierce the septum at a ___ degree angle, going into the vial. This prevents ____ – fragments of rubber septum entering the needle and the medication
45
CORING
To prepare steril solutions - The needle should be at ___ degree angle when the medication is withdrawn. Avoid touching the plunger
90
To prepare steril solutions - Keep hands at least ___ inches inside the hood and away from other parts of the body.
6
____ – mixture added to IV drip
Admixture
Intramuscular injection – designed to release slowly from the muscle, may also ____ drug’s effect. Limited volume due to muscle size. Requires large bore needle, 25 guage.
increase
Subcutanious Injection – slow release into the system. Space under the skin is limited due to ____
volume
Intravenous admixture – an IV admixture is a drug that is added to a large-volume parenteral. Released ____ into the blood.
slowly
Labeling of IV bags should be done towards the ____ so that contaminates can be seen as they sink towards the bottom.
top
Labels of a syringe should be ____ and placed ____ across the top of the syringe so as to not cover the markings on the syringe.
narrow
crosswise
Refrigerated areas are to be kept withing a range of ___ degrees C
4-18
Room temperature is to be kept between ____ degrees C (59-86 degrees F)
15-30
Stability of a drug is greatly increased in ____ form rather than powder or solution.
tablet
Water accelerates the breakdown of a drug and severely ____ the shelf life of a dry drug.
shortens
Drugs are usually packaged in opaque glass or plastic packaging to protect them from the _____ which speeds up breakdown.
energy of light rays
Refrigeration – colder temperatures tend to ___ any chemical reaction and hence breakdown of the drug.
slow down
Dehydration – powder has _____ shelf life than liquid so most drugs are sent in powdered form and reconstituted just before use.
longer
____ – nurses station or emergency room staff would be responsible for keeping a supply of routine drug products on hand. Drugs would be inventoried by the floor staff and ordered from the pharmacy.
Floor stock
There are two ways which the pharmacy can receive payment, _____ and ______
self-pay
third-party pay
______ – patient pays the pharmacy directly
Self-pay
Third-party pay can happen two ways _____ and _____
Out-of-pocket
Co-payment
______ - Patient pays the pharmacy and gets reimbursed
Out-of-pocket
_______ - pharmacist fills it out to state the drugs received, price, and insurance info
Insurance affidavit
______ – patient pays a small amount and the pharmacy bills the insurance company for the rest.
Co-payment
_______ must be verified at the time the prescription is received.
Insurance coverage
Charges are billed to the patient’s account based on info from the _____
MAR – medication administration record.
_____ – cost of the medication to the pharmacy
Cost price
______ is the cost price increased by a certain percentage
Selling price
______ fee – added to the cost of all medications.
Dispensing
____ – difference between selling price and cost price. Not the same as profit due to cost of storage etc.
Markup
Roman numerals are written from left to right in order of _____ value and are added. Smaller numbers placed to the left of a larger numeral are ______.
descending
subtracted
Three systems of measurement – ______, _____, _______
household system
metric
apothecary
International unit (IU) and milliequivilante are expressions of drug ______.
concentration
_______ measures the amount of drug in units.
International unit
_______ refers to the number of positively charged ions ber liter of salt solution. It is calculated by dividing the molecular weight of the element by the charge or valence.
Milliequivalent (mEq)
1lb = ___ oz in apothecary but __oz in avoirdupois
12
16
In apothecary method, the numbers go ____ the unit and are expressed in Roman numerals unless the amount is less than ½.
after
If using Arabic numbers, the number appears ___ the unit.
before
For ratios the # on the left of the colon is always ___and the # on the right is always _____.
grams
milliliters
_____ – mixing two solutions that contain different percentages of drug to make a third solution of intermediate percentage.
Allegation
____ or small graduated cylinder may be used to measure less than 10ml
Syringe
______ of appropriate size for larger than 10ml
Graduated cylinder
The measuring device selected should be the ____ to the desired volume being measured.
closest
In general, measuring devices for liquids are considered accurate to ___ of their volume.
20%
Solutions should be measured at ____ temperature.
room
Devices used by the patient for measuring – calibrated ____, calibrated ____, oral ____, dosage ____.
dropper
spoon
syringe
cup
_____ – syringe with no needle
Oral syringe
_____ – holds 1 ounce, 30 ml. smallest amount that can be measured in a dosage cup is 1 dram. (4 ml)
Dosage cup
______– optical illusion on a glass graduated cylinder that the surface is curved.
Meniscus
You must look at the ____ of the meniscus when measuring with a glass graduated cylinder.
bottom
1ml of water should weight ___ at 25 degree’s C
1g
When measuring with a syringe, the amount of solution drawn up is measured by the first black line (nearest the plunger tip) made by the sides of the plunger, not the _____ that extends into the solution.
rubber cone
Syringes intended for administering ____ are used only for that purpose. They are calibrated in ______.
insulin
international units
International units are specific to the _____ of normal (U-100) insulin only.
concentration
100 units of normal insulin is equivalent to ____ volume.
1ml
If there are no insulin syringes available, a tuberculin ____ syringe may be used to calculate the about of insulin dispensed by dividing the order by 100 U/ml to obtain the amount to dispense in milliliters. Using a ____ needle or 25G if in emergency.
(1 ml)
30G
____ balance – used to weigh large quanitites of material
Torsion
Double – ___ balance – (counter balance) used to weight large quantities. Place material on one pan and calibrated counterweights on other pan.
pan
_____ balance – for weighing small quantities – can weigh as little as 5 or 6mg accurately. But can only weigh up to 100-120g
Prescription
Materials and weights should be placed exactly in the ____ of the pans.
middle
Counterweights should not be ____ . Forceps or padded tweezers should always be used to handle the weights.
touched
Difference in the temperature of the material in relation to that of the scale will actually change the weight measurement. IF the material is to be weighted is warm, it will create ______ around it and rise.
air currents