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The medication that has an expiration date 12/14 would expire on - the last day of December 2014 at midnight in the NDC 4253-4221-11, what is represented by the second set of numbers - NDC number is 10 digits long and comprised of three sets of numbers
- the 1st set: 4-5 digits and represents the manufacturer
- The 2nd set: 3-4 = the product name, strength and dosage form.
- The 3rd set: 2 digits = package size A pharmacy technician's scope of practice includes .... - answering patients's questions regarding their medications.
- Only pharmacists can counsel patients regarding their medications Which act distingushed between legend and nonlegend drugs - the Durham Humphrey Amendment
- distinguish between prescription and over the counter drugs and prohibits the sale of legend drugs without a prescription The Kefauver- Harris Amendment - requires drugs to be proven pure, safe and effective
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The Orphan Drug Act - encourages findings drug treatment for rare diseases The Harrison Narcotin Act - limits the transport, manufacture and safe of opium and any of its derivatives. it requires a written prescription to purchase any of the aforementioned drugs. What is the maximum number of refills permitted for a schedule III-V medication - Five refills within 6 months, whichever occurs first. therefor a new prescription is required A pharmacy technician receives a prescription that reads 2 gtt AU BID. What will the label placed on the patient's medication read? - Two drops in both ears two times daily
- 2gtt : 2 drops
- AU : both ears
- BID: Twice a day What is CCXLIX equivalent to - 249
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T/F : a laminar flow hood is cleaned by using bleach and wate - False
- Need to be clean with water followed by 70% isopropyl alcohol T/F : A horizontal laminar flow hood can be used for compounding chemotherapy
- Hazardous products such as chemotherapy can only be compounded under a vertical flow hood or a barrier isolator with negative pressure T/F: compound sterile products are also known as extemporaneous compounding.
- False
- Extemporanous compounding are non - commercially available and non sterile products that are prepared for specific patients in response to a physician's percription. T/F: A barrier isolator or a horizontal laminar flow hood can be used to compound IV antibiotics - True To measure liquids in a graduated cylinder - one must read at eye level the lower portion of the meniscus.
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- the meniscus is the concave shape that forms at the top of the graduated cylinder because od liquid's affinity to glass
- If the liquid that form an upside- down meniscus, one must read at eye level the highest point of the meniscus Which of the following regulations gives enforceable guidelines for the preparation of sterile products to prevent contamination? - United States Pharmacopoeia 797
- gives enforceable guidelines for the preparation of sterile products or compounded sterile products in an effort to prevent contamination. The Pure Food and Drug Act of 1906 - Prohibit the manufacturer, sale or trasportaion of mis-brandished and adulterated foods and drugs The Poison Prevention Packaging Act of 1970 - requires all medications to be packaged in childproof containers to prevent accidental child poisoning.
- However, patients who sign a waiver are exempted from this regulation.
- Certain emergency medications such as nitroglycerin sub-lingual are dispensed in non-childproof packaging,
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LR - Lactated Ringer's solution Which of the following is the net cost of medications paid by a pharmacy after applying all adjustment and discounts? - Actual Acquisition cost Which method would be the most accurate for determining the appropriate pediatric dose? - Drug- specific information from the manufacturer
- PT should always refer to information from the manufacturer or packages insert for the most accurate drug-specific information Work area is designated by how many inches from the from edge and the sides of the laminar airflow hood? - 6 inches from the edge and 6 inches from the sides to guard against contamination Fat Soluable Vitamin - Vitamin D, E, A, K What is the most important thing to remember when preparing products using an ampoule? - To use a filter needle to draw up the solution and to change the needle when injecting the solution into the JV bag or vice versa.
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- It is also crucial to change the needle before transferring the solution into an IV bag because the needle used first could be contaminated with glass particle.
- Using a 5 micron filter to eliminate all glass particles How would 8:30 p.m. be expressed in military time? - 2030
- 1:00 am = 0100
- After 12 noon = 1200 add 100 to each hr.
- 1:00pm = 1300 which of the following procedures must be followed to prevent coring? - Coring = a piece of the vial's rubber stopper broke off and entered the drug.
- Inset the needle into the vial with the lumen side up
- Insert the needle at a 45 - 60 angle The larger the needle gauge - the smaller the diameter of the needle
- SO 28-gauge needle is smaller than a 16- gauge needle What are the base components of a hyperalimentation admixture? - Amino acid and dextrose or amino acids, dextrose and lipids combinations
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Which is an antidiabetic? - Glipizide Which is an anti-neoplastic medication? - Doxorubicin Which is an aminoglycoside? - Amikacine Which is a tricyclic antidepressant? - Doxepin Which is a macrolide antibiotic? - Erythromycin How much codeine is found in Tylenol #3? - 30 mg of codeine and 300 mg of acetaminophen Tylenol #1 - Contains 8 mg of codeine and 325 mg of acetaminophen Tylenol # 2 - Contains 15 mg of codeine and 300 mg of acetaminophen Tylenol # 4 - Contains 60 mg of codeine and 300 mg of acetaminophen
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What is the generic name for Ternomin? - Atenol What is the generic name for Coreg? - Carvedilol What is the generic name for ProAir, Ventoline and Proventil? - Albutero; What is the generic name for Lopressor? - Metoprolol An FDA recall of a product that is not likely to result in any adverse health consequences is knnow as - Recall II Why is a problem when one get tobramycin and gentamicin at the same time? - Because there is a drug -drug interaction and both are aminoglycosides which may lead to serious adverse effects including liver toxicity brand name drugs are also known as ... - Trade, proprietary, and innovator At what temperature are Fahrenheit and Celcius equal? - At -40 degree
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How long is a DEA form 222 valid after its execution by the purchaser? - 60 days Which of the following DEA forms allows the manufacturing and distribution of controlled substances? - DEA form 225 Which of the following is the most used reference book in hospital pharmacy? - Drug Facts and Comparisions What is the Orphan Drug Act of 1983? - a law that gives incentives to manufacturers to develop drugs for orphaned or rare diseases that affect a small portion of the population What is Schedule II drug? - - highly abused drugs that have medicial purposes. Include
- Oxycodone
- Acetaminophen
- Morphine
- Hydrocodone
- Cocainne
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- Percocet
- Fentanyl
- mesperidine
- Hydromorphone
- Methylphenidate
- Adderall and secobarbital The Omnibus Reconciliation Act ( OBRA) 1990 - requires pharmacists to offer counseling on all new drup prescriptions The Food, Drug and Cosmetic Act of 1938 - indicated that mis-branding and adulteration of drug is illegal. It also required manufacturers to provide package inserts and to follow FDA guidelines to present evidence of safety for new drugs before marketing. This law also gives the FDA authority to issue food standards and inspect factories/ Schedule I drugs - such as LSD, PSP, Heroin and peyote
- No medical use and highly abused.
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SL - the abbreviation for sub-lingual route SR - the abbreviation for sustained release which refers to a drug formulation PR - the abbreviation for rectum or rectal route SC - the abbreviation for subcutaneous route A patient who is on captopril for her high blood pressure wants to purchase an OTC cough syrup. - The patient may be experiencing a ACE cough as a common side effects of ACE inhibitors and the pharmacist should be alerted Digibind is an antidote for which medications? - Digoxin toxicity Vitamin K is an antidote for which medications? - Coumadin The remainder of a partial filling for a schedule II drug must be available for the patient within how many hours? - 72 hours. However, for long care facilities and terminally ill patients can be partially filled up to 60 days
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T/F : PT are not authorized to receive telephone orders. - True.
- Authorized healthcare professionals such as registered nurses , pharmacists and respiratory therapists may receive orders through telephone. The Combat Methamphetamine Epidemic Act of 2005 regulate.. - Ephedrine Pseudoephedrine Phenylpropanolamine
- stop the illegal production of crystal meth
- A log book must be kept Once an investigational study is complete, what happens to the remaining drugs?
- they are returned to the sponsor with the record logs Which of the healthcare professionals cannot prescribe medications - psychologist Side effect of anticholinergic agents - Dry mouth, drownsiness, nausea, vomitting and restlessness or moodiness, lack of urination, blurred vision and confusion
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DEA numbers - A - the registrant is an older entity B - it is a hospital/ clinic C - it is a practitioner D - teaching institution E - manufacturer F - Distributor G - researcher H - analytical lab J - importer K- exporter L- Reverse distributor M - mid-level practitioner N-U : narcotic treatment programs Second letter is the doctor' last name The last digit = Sum of 4,6,8 then multiply by 2 and Plus the Sum of the 1st, 3rd and 5 th
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Cleaning the laminar air flow - Must be cleaned with lint- free absorbent cloth with sterile water
- followed by 70% isopropyl alcohol using a side- to- side and back to fort motion.
- The surface should be wiped from the inside out using a broad side- to -side motion. -Alcohol could damage the surface
- Must wait 30 minutes before using it 1 pin - 473 ml Vitamin B1 - Thiamine Vitamin B2 - Riboflavin Vitamin B3 - niacin Vitamin B5 - pantothenic Acid Vitamin B6 - Pyridoxine
