Ptcb Exam (Pharmacy Tech)

Front 1

What is a
Prescription?

Back 1

an order for a medication issued by a licensed medical practitioner, required if the medicine requires medical supervision because the drug is unsafe

Front 2

Forms of a prescription

Back 2

1. Written from an office
2. Phoned in by the office (only Rphs or interns can recieve) Exceptions of CII's.
3. The office can fax or transmit the prescription through the computer. (NO CII's)
ALSO: CII NO REFILLS. Controls 3-5 can only have a total of 6 fills, so a prescription must be written with 5 refills if it is a control, good for 6 months only. All other non-controls written PRN or with 12 refills are good only a year from the date the prescription is written.

Front 3

Difference between a prescription order and a medication order.

Back 3

Prescritpion order is GIVEN to the patient to have filled.
A medication order is written by a physician in an institution and kept in ONE sheet of paper in a file for all staff to use.

Front 4

Refill requests procedure

Back 4

Technicians can do refill requests, they must provide:
-pharmacy NAME and PHONE number
-patients NAME and DOB
-drug NAME,STRENGTH, DOSAGE(QUANTITY)
-directions to confirm NO CHANGE
-date of LAST REFILL

When refills are authorized document the number of refills, the date, and the name of the person authorizing.

Front 5

Prescription LABEL requirements.
FDCA (REGULATES)

Back 5

food, drug, and cosmetics act.

-name and adress of Pharmacy
-rx number
-dates
-name of prescriber
-name of patient
-directions (dosage)
- quantity, manufacturer, expiration, initials of dispensing pharmacists, pharmacy phone number, refills.

Front 6

Referring patients to PharmD

Back 6

If the question being asked does NOT have a FACTUAL answer ex. What is the generic name for xanax?.
Than the tech MUST refer the patient to the pharmD. Because:
1. Drug-Drug interactions
2. Drug-Disease state interactions
3. Drug-Food interactions

-aspirin and coumadin interact could cause internal bleeding.
-sudafed worsens high blood pressure and diabetes
-absorption of cipro, tertacycline decrease when taken with food. absorption of ketoconazole increase when taken with fatty foods. grapefruit interacts with calcium channel blockers and estrogens. warfarin interacts with food high in vitamin k
-

Front 7

Dosage Forms- Tablets

Back 7

-most popular
-mechanically compressed
-dissolution in stomach (slow)

Front 8

Chewable tablets

Back 8

chewed and dissoved in the mouth prior to swallowing, can be swallowed whole.

Front 9

Enteric-coated tablets

Back 9

-special coating to prevent dissolution within the stomach
-meant to dissolve in the intestined only.
-NEVER TO CHEW OR BRAKE OR CRUSHED prior to ingesting
-not to be taken with anti-acids which cause diissolution in the stomach

Front 10

Sub-lingual tablets

Back 10

-placed under the toungue where active ingridient is rapidly absorbed into the BLOODSTREAM. fast absorption
-Avoids the first pass effect (where drug circulates through out the body before it is broken down by the liver

Front 11

Buccal tablets

Back 11

-between cheek and gum
-drug is dissolved slowly over a period of time

Front 12

Film-coated tablets (biaxin and depakote)

Back 12

-special coating that masks the objectionable odor or taste
-prevents detereoration due to light and air.

Front 13

Sustained, time-released tablets

Back 13

active ingridient is released at a CONSTANT RATE for a prolonged period of time
-long acting, delayed release, prolonged action

Front 14

Lozenges

Back 14

-troches, or pastilles
-meant to dissolve slowly in the mouth to keep the drug in contact longer

Front 15

Caqpsules

Back 15

-drug enclosed within a gellatin shell
- after 10-30 mins with the stomach the gelatin dissolves and the drug is released
-eliminates bad taste and odor of drug

Front 16

Pellets

Back 16

cylinder shaped tablets for implantation just under the skin for continous drug absorption.

Front 17

Effervescent tablets

Back 17

active ingridient + sodium bicarbonate + citric acid, releasing carbon dioxide gas
-masks the taste of medication

Front 18

Absorption

Back 18

drug gets absorbed into the BLOOD stream

Front 19

Distribution

Back 19

drug goes where it is NEEDED

Front 20

Metabolism

Back 20

drug is broken down by the liver

Front 21

Elimination

Back 21

excretion from the body

Front 22

Syrups (sugar)

Back 22

high concentration of sugar hinders bacterial growth

Front 23

Solutions (Soln)

Back 23

drug is UNIFORMLY DISPERSED through out the liquid, no shake well.

Front 24

Suspensions (Susp)

Back 24

medication is insoluble in the liquid, SHAKE WELL

Front 25

Elixer

Back 25

sweetened water with alcohol, NOT FOR BABIES, ALCOHOL!

Front 26

Tincture

Back 26

HIGHEST CONCETRATION OF ALCOHOL

Front 27

NDC (national drug code): All drugs have an NDC number

Back 27

3 sets of number
5#'s- manufacturer
4#'s- drug name and strength
2#'s- package size
ex. 00456-0122-30

Front 28

Expiration Dates

Back 28

A drug expires 1/09 means it expires january 31st of 2009 at midnight.

50% rule: in a repackaged vial half the way date from the exp date and todays date. If the exp date is years and years than one year from todays date.

Front 29

Pellets

Back 29

cylinder shaped tablets for implantation just under the skin for continous drug absorption.

Front 30

Effervescent tablets

Back 30

active ingridient + sodium bicarbonate + citric acid, releasing carbon dioxide gas
-masks the taste of medication

Front 31

Absorption

Back 31

drug gets absorbed into the BLOOD stream

Front 32

Distribution

Back 32

drug goes where it is NEEDED

Front 33

Metabolism

Back 33

drug is broken down by the liver

Front 34

Elimination

Back 34

excretion from the body

Front 35

Syrups (sugar)

Back 35

high concentration of sugar hinders bacterial growth

Front 36

Solutions (Soln)

Back 36

drug is UNIFORMLY DISPERSED through out the liquid, no shake well.

Front 37

Suspensions (Susp)

Back 37

medication is insoluble in the liquid, SHAKE WELL

Front 38

Elixer

Back 38

sweetened water with alcohol, NOT FOR BABIES, ALCOHOL!

Front 39

Tincture

Back 39

HIGHEST CONCETRATION OF ALCOHOL

Front 40

NDC (national drug code): All drugs have an NDC number

Back 40

3 sets of number
5#'s- manufacturer
4#'s- drug name and strength
2#'s- package size
ex. 00456-0122-30

Front 41

Expiration Dates

Back 41

A drug expires 1/09 means it expires january 31st of 2009 at midnight.

50% rule: in a repackaged vial half the way date from the exp date and todays date. If the exp date is years and years than one year from todays date.