Chapter 2 - Pharmacology

What does the DEA do?

Enforces the Controlled Substances Act of 1970

What is the Pure Food and Drug Act of 1906?

Required all drugs to be uniform in ingredients, strength, purity and qualityRequired preparations containing morphine to be labeledEstablished United States Pharmacopoeia (USP) and the National Formulary (NF)

What is the Federal Food, Drug and Cosmetic Act?

Established the FDAWarning labels on preparations, cautions regarding drowsiness or addictivenessAll drugs must be safeRequired FDA approval for all drugsDesignated OTC and Prescription drugs

What is the Controlled Substances Act of 1970?

Established the DEACreated stricter guidelines for controlled substancesRequired each prescriber register with the DEAIdentified addictive drugs and classified them into schedules

Who and what is OSHA?

Occupational Safety and Health AdministrationEnsures safety and health of American workers by setting standards and guidelinesInvolved with Surg Tech due to the Occupational Exposure to Bloodborne Pathogens Standard

Who and what is the CDC?

Centers for Disease Control and PreventionDevelops and applies disease prevention and control

What are "practice acts?

State laws governing ordering, dispensing and administration of medsAlso regulates pharmacy actions by determing how and who should dispense medication

What are drug substitution laws?

Specifies whether a pharmacist can automatically dispense a generic equivalent for a prescribed medication, even if not indicated

Who and what is JCAHO?

Joint Commission on Accredidation of Healthcare OrganizationsEvaluates and accredits approximately 16,000 health care organizations and programs in the United StatesIncludes hospitals, critical access hospitals, ambulatory hospitals and outpatient surgical facilities.

Who and what is the FDA?

Food and Drug AdministrationRegulates the pharmaceutical industryReviews new drug applicationsInvestigates facilities where drugs are madeInvestigates and removes unsafe drugs from the market

What is JCAHO's "do not use" list?

List of dangerous abbreviationsU for unit, use "unit" insteadIU for international unit. Mistaken for IV, write out the wordQ.D., Q.O.D., mistaken for each other, write "daily and every other day"Trailing zero's or lack of leading zero in a decimal. Never write single 0 after a decimal point. Always use a zero before a decimal point

What is pharmacogenetics?

Study of genetic factors predicting a medications action and how it could vary from its intended response

What is pharmacogenomics?

General study of all genes that determine medication behavior

Who and what is the USP and NF?

United States Pharmacopoeia and National FormularyAssigns generic names to medicationsPublication that lists standards for medication quality, safety, and effectivenessRevised every 5 years

What things must go on a medication label?

Manufacturer's NameDosage StrengthFormSupply DosageTotal VolumeAdministration RouteLabel AlertsExpiration DateLot or Control NumbersBarcode SymbolsNational Drug Code (NDC)USP/NF code

What is a PDR?

Physicians Desk ReferenceProvides access to information on thousands of medicationsPublished annually, contains color coded sections

What is the American Hospital Formulary Service (AHFS)?

Reference published annually Provides accurate information on almost all prescription meds marketed in the US