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84 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is the FDA?
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Food and Drug Administration
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Responsible for enforcing regluations concerning drug products. It controls which medications can legally be sold in the U.S.
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What is the DEA?
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Drug Enforcment Administration
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Federal agency under the US Dept of Justice which regulates the medical use of addictive drugs, controls its distribution & fights the drug trafficking problem
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What does the Poison Prevention Packaging Act do?
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Requires childproof packaging on all controlled substances and most prescription drugs dispensed by pharmacies
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The law was enacted to decrease accidental poisoning in children
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Definition of CSA of 1970 & its responsibility
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Classifies drugs with abuse potential and places strict guidelines on their distribution
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Law enforced by the DEA within the Justice Dept
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What is OSHA?
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Occupational Safety and Health Administration
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Ensures a safe and healthful workplace for all employees
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What is HIPAA?
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Health Insurance Portability and Accountability Act
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A patients rights to continuance of health insurance and confidentiality.
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What is JCAHO?
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Joint Commission on Accrediation of Health Care Organizations
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An independant, non-profit organization that establishes standards and monitors compliance for health care programs in the U.S.
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Definition of Pharmacy
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An area, place or premises licensed by the board in which the profession of pharmacy is practiced and where prescriptions are compounded.
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Which schedule has no medical use?
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Schedule I
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Which schedule is not refillable?
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Schedule II
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Can a chart (hospital order) be filled at any pharmacy?
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No
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Is a photocopy of an Rx considered fillable?
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No
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Definition of Narcotic
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Produced directly or indirectly by extraction from substance of vegetable origin or by chemical synthesis
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(including Opium, opiate or any other derivative containing the opium poppy, coca leaves or any other derivative containing cocaine or ecgonine)
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Definition of a dangerous drug
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A drug unsafe for self-medication
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Definition of Legend Drug
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A drug that requires a prescription
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Who is allowed to receive an oral Rx?
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A pharmacist (RPh), a registered intern, or a person authorized by law
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What is required on an Rx?
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Doctors name, address & phone #, Patients name and address, Drug name, strength, dosage, dosage form, qty, sig (directions), refills, License, DEA # (for Narcotics), Doctor Signature, Date of Issue
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How many years are Rx kept on file?
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3 years (7 years in a hospital)
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How long does a patient have to fill a CII, CIII, or CIV Rx?
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6 months
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Under what circumstances can a schedule II be filled over the phone?
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With a valid medical reason. A controlled substance admin is to be immediate if patient is to receive proper treatment. Order is converted to writing and within 7 days the prescriber must deliver a written version of the emergency order.
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Definition of a prescription
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A direction by the physician to the pharmacist for the preparation and use of a medicine or remedy
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How often must CURES be reported and how?
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On a weekly basis – (in the format specified by Dept of Justice) - full name address phone # of user, prescribers license, pharmacy RX #, NDC, ICD-9, No of refills, Whether drug was dispensed as refill or first time request, Date of dispensing of the RX
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How often must controlled drugs be inventoried?
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Once every 2 years. On May 1st
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Definition of a stimulant
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Drugs that cause excitation of brain and central nervous system. Increase level of brain activity
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Definition of analeptic
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Stimulates central nervous system to aid in staying awake and restoring mental alertness
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What are amphetamines used to treat?
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The treatment of obesity and narcolepsy
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What are narcotics used to treat?
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Relieve pain, suppress cough, anti-diarrheals and emetics
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What form does the pharmacy use to order controlled substances?
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DEA Form 222
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used to order C-II
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How old do you have to be tosign the narcotic overdose?
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18 years old
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Signs of a narcotic overdose:
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pinpoint constriction of pupils, shallow respiration, deep sleep (coma)
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Major side effect produced by a narcotic analgesic?
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Respiratory depression
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Drug of choice for a benzodiazephine overdose?
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Flumazenil
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Drug of choice used to treat a narcotic overdose?
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Naloxone (Narcan)
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What are barbituates used for?
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As a hypnotic or a sedative or used as a anti-convulsant
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What are benzodiazephines classified as and what are its uses?
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Mainly used as sleeping agent, muscle relaxant, agitation or anxiolytics. They are classified as anxiolytics
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What is Ipecac Syrup used for?
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Generally used in children to induce vomiting
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What is the difference between a sedative and a hypnotic?
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Hypnotic - drug which produces sleep
Sedative - may put you to sleep, reduces the desire for physical activity |
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What is the caution statement that must be on all controlled drugs dispensed?
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‘Caution: Prohibits transfer of drug to any person other than patient it was prescribed’
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What act regulates the control and distribution of controlled substances?
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Uniform Controlled Substance Act of 1970
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Who is responsible for drug recalls?
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FDA (Food and Drug Administration)
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The 5 Schedules were established on the basis of what?
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Potential of abuse
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How are drug recalls handled?
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They are isolated by lot #
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PPPA requires childproof caps for all medications except?
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Nitroglycerine (NTG) - it's a life threatening medication
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Who regulates medical devices?
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FDA (Food and Drug Administration)
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Which non-governmental agency is responsible for accredication of medical settings?
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The Joint Commission (JCAHO)
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What does NSAIDS Stand for?
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Non Steroidal Anti-Inflammatory Drugs
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What do NSAIDS treat?
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Pain and Inflammation
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What are the 5 cardinal signs of inflammation?
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Redness, Heat, Swelling, Pain, Dusfunction of the organs
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Why does inflammation occur?
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When the tissue is damaged/inflamed the capilarries become more permeable
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When inflammation is prolonged what happens?
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Can lead to inflammatory diseases (ex. arthritis)
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If NSAIDs are not tolerable what alternative does a patient have?
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APAP (Tylenol - Acetaminophen)
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What are the qualities of ASA (aspirin)?
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anti-inflammatory, analgesic, anti-coagulant, anti-pyretic
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What are prostaglandins?
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Act as messenger molecules in the process of inflammation
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What is gout?
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inflammation in the joints as a result of accumulation of uric acid
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What is a migrane?
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Can be considered a neurological or vascular disorder. Characterized by an intense headache
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What are PCA pumps?
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Patient Controlled Analgesic pumps - administer pain relief
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What is benadryl used and marketed for?
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used as antihistamines, for alergies or used as sleeping aids. Marketed as sleeping aid
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What warning label would be affixed to a vial of Benadryl regardless of the indication?
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May Cause Drowsiness
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What vitamins are fat soluble?
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A (Retinol), D (Calatrol), E Tocopherol, K (Phytonadione)
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Which vitamins are water soluble?
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B-Complex, C (Ascorbic Acid)
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All vitamins should be taken with what and why?
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Food or milk, to avoid GI irritation
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What is vitamin A used for?
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Healthy skin, resist infection, normal vision
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What is vitamin E used for?
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Antioxidant, prevention of lung cancer, heart disease, smog and environmental pollumtants, reducing scarring
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What is vitamin D used for?
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teeth and bone formation, used with calcium to help absorption - ensuring proper calcium and phosphorus absorption
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What is vitamin B used for?
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Energy production
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What is vitamin K used for?
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Blood coagulation - for the synthesis of clotting factors needed in blood coagulation
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Which vitamin lowers blood cholesterol?
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Niacin (Nicotinic Acid) - B3
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What is Calcium used for?
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Developmental - paired with Vitamin D - mineral essential for the formation of bones and teeth
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Which mineral regulates water balance in the body?
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Potassium (KCl - Potassium Chloride)
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What is the topical form of Vitamin A and what is it used to treat?
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Tretinoin (Retin-A) - for acne and wrinkles
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Bleeding gums is a sign of what vitamin deficiency?
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Scurvy
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Who is able to receive a doctors order?
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RPh, Pharmacist intern, RN
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What type of information is required on a prescription for a controlled substance that is not required on a regular Rx?
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DEA #
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Means you are licensed to prescribe controlled substances
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What type of Rx must controlled substances be written on?
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CA Security form
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OHSA is responsible for what?
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Safety in the workplace
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JCAHO is responsible for what?
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Accreditation of institutional settings
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FDA is responsible for what?
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Food, drugs, cosmetics, medical devices - enforcing rules, safety of drugs, approvals, recalls, etc.
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Are technicians allowed to call a Doctors office for a refill?
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Yes
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Definition of a vitamin:
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small amount of nutrition the body needs for metabolic reaction. Substances necessary for normal body function
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What is Iron used for?
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To transport oxygen to organs
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How many refills can a CIII-CV have and what are the restrictions?
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5 times in a six month period (max)
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How many refills can a CII have?
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0 - None - No refills
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When can a CII be written on a regular Rx?
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When the patient is terminally ill
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What type of prescriptions are reported to CURES?
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Controlled Substances - CII and CIII
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