Skills Sample Problems/calculations Kuma

Front 1

Based on available dosage forms, available unit (e.g., tablet) strength, correct dose/SIG, allergies, and quantity to dispense, will you dispense this prescription?

Back 1

No, because the pt is severely allergic to sulfa I would not recommend filling the script

Front 2

Back 2

No, Fentanyl does not come as 500mcg tablets. It comes in strengths of 100mcg, 200mcg, 300mcg, 400mcg, 600mcg and 800mcg as buccal tablets. If the physician really wanted 500mcg he would have to write 2 scripts, one for 200mcg tabs and one for 300mcg tabs. This is a CII so you can not just write 1 script for both strengths

Front 3

Back 3

Paroxetine 20mg by Teva

Front 4

Back 4

Cymbalta 20 mg®

Phone#: [phone] – don’t worry about if you couldn’t find this information – you will not be tested on being able to find this kind of information

Yes it contains sucrose.

Front 5

Chem 8 "Tree"

Back 5

Front 6

Normal serum creatinine (Scr)

Back 6

Normal serum creatinine (Scr) is ≈ 0.9-1.2 mg/dL

Front 7

Normal CrCl

Back 7

Normal CrCl is ≈ 100-140 mL/min

Front 8

CrCl (mL/min) Calculation

Back 8

CrCl (mL/min) = (140 - age) x weight (kg)
72 x Scr
Multiply answer by 0.85 for women (to adjust for lower
percentage muscle mass.)

Front 9

Which body weight to use: IBW, ABW, or actual

Back 9

Actual weight < IBW use Actual
Actual weight > 1.3 use ABW
IBW
For all other circumstances use IBW

Front 10

Ideal body weight (IBW) (kg) calculation

Back 10

Ideal body weight (IBW) (kg) = 45.5 kg + (2.3 x [inches over 5 feet]) females
50 kg + (2.3 x [inches over 5 feet]) males

Front 11

Adjusted body weight (ABW) Calculation

Back 11

adjusted body weight = IBW + 0.4(ABW - IBW)

Front 12

Legal Requirements for a Legend Prescription

Back 12

Legend Prescriptions (Legal requirements)
1. Full patient name
2. Date of issue
Colorado State Law states that you must have enough information to
safely dispense and label a prescription. This would include items 3-7
3. Medication name
4. Medication strength and dosage form if applicable
5. Directions for use (SIG)
6. Quantity (May be a discrete number or may be calculated from the
SIG)
7. Prescriber signature (unless prescription is taken over the phone, fax
or electronic retrieval)

Front 13

Legal requirements of a prescription and label
Legal Requirements for a Schedule CIII-V Prescription

Back 13

1. Full patient name
2. Full patient address (NO PO Box #’s)
3. Date of issue (illegal to post date)
4. Medication name
5. Medication strength and dosage form if applicable
6. Directions for use (SIG)
7. Quantity (Must be a discrete number)
8. Prescriber signature (unless prescription is taken over the phone)
9. Full name and address of prescriber. (this may be generated as a
computer print out)
10. Prescriber DEA number
11. May be refilled up to five times in 6 months

Front 14

Legal Requirements for a Schedule CII Prescription

Back 14

1. Full patient name
2. Full patient address (NO PO Box #’s)
3. Date of issue (illegal to post date)
4. Medication name
5. Medication strength and dosage form if applicable
6. Directions for use (SIG)
7. Quantity (Must be a discrete number)
8. Prescriber signature (unless prescription is taken over the phone)
9. Full name and address of prescriber. (this may be generated as a
computer print out)
10. Prescriber DEA number
11. Must have a written prescription signed by the prescriber or a faxed
prescription can be accepted but a written prescription signed by the prescriber must be presented at time of pick-up. This may be waived in
hospice and long-term care settings.
12. Refills are prohibited.
13. Partial filling is permitted but the remainder must be picked up within
72 hours of first fill
14. Oral or voicemail prescriptions can be prescribed in an emergency
situation as long as:
a. The quantity is limited to the emergency (length of emergency is
defined by the prescriber not the pharmacist)
b. The prescription is immediately transcribed to writing with the
exception of the signature.
c. A good faith effort is made by the pharmacist to verify the
authenticity of the prescriber.
d. A valid written and signed prescription is delivered to the
pharmacy or post marked within 72 hours (Colorado) Federal
law states 7 days.

Front 15

Legal Requirements for a Processed Prescription

Back 15

The name, initials or license number of the pharmacist making the final
evaluation.
2. Date the prescription was compounded or dispensed.
3. Prescription serial numbe.r
4. Quantity dispensed if different from the quantity ordered.
If a substitution is made, such as a generic medication for a brand name
then the following additional information must appear on the processed
prescription.
5. The names of the medication prescribed and the medication
dispensed.
6. The NDC number or the distributor’s name

Front 16

Legal Requirements for Prescription Labels

Back 16

1. Name of Pharmacy
2. Full address of dispensing pharmacy
3. Date of dispensing
4. Patient name
5. Prescriber name
6. Medication name ( If a generic substitution is made it must appear on
the label)
7. Directions for use including cautionary statements
8. Unique prescription serial number
9. Colorado requires that when labeling anabolic steroids the use must be
stated on the label

Front 17

APAP dosing for children

Back 17

Children < 12 years and infants: 10—15 mg/kg PO every 4—6 hours. Do not exceed 5 doses in 24 hours

Front 18

Ibuprofen dosing for children

Back 18

Infants >= 6 months and children (1—12 years): The recommended dosage is 5 -10 mg/kg PO every 6-8 hours MAX 4 doses in 24 hours