Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
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
|