Ace Inhibitors should not be taken with......
Potassium Diuretics
Vitamin deficency causes Rickets
Vitamin D
CSAR stands for?
Controlled Substance Administration Record
Elixer is a form of..
Alcohol & Water
A drug that does not require blood work?
Sulfasalazine
NDC includes?
Drug Mfg, Drug Product, Package size
Inventory for Controlled Substance's is performed ?
every 2-Years
Beta Blockers End in ?
.......LoL
Specific Gravity Ratio
Weight
---------------------------------
Volume
True statements for Insulin?
1. Glargin should not be mixed.
2. Injection sites must be rotated
3. Regular & Lente insulins -Do not mix
Rx" is latin meaning.....
to Take a given product & strength
U&C means....
Usual & Custamary
Prophylactic products
Amoxicillin, Norgest, Propranol
Not a Prophylactic product?
Imitrex
Reference book includes info on USP & NF drug std's...
Drug Topics" Orange Book
1 mi=
100 units of Heparin
Patient Product Insert-PPI is required with..
Estrogen drugs I.E. premarin, conjugated estrogen
How many days are required to fill a Rx for Accutane?
7-Days
Digoxin toxicity symptom?
Arrhythmia
Mini-drip or micro-drip systems flow rate?
60 gtt/min
Who signs "MARS"?
Nurses
Maximum refills for CIII-CV drugs?
five days
If you find a white fluffy substance in a Dextrose IV bag, you must?
Shake Bag
Do not use this "Auxillary label" on Doxycycline?
Avoid Dairy Products
Not used for Asthma?
INH
Needs a Potassium supplement
Lasix
Does not need a Potassium supplement?
Aldactone, dyaside, dyrenium
gr iss= mg?
1 grain(65mg) x i(1) + ss(1/2)= 97.5mg or 65 x 1.5
Cost
------------------ =
Retail selling price
Gross Profit
weight
----------- =
%
Final weight( gm)
Given for overdose of Heparin?
Protamine Sulfate
A vitamin defiency that causes "Rickets
Vitamin C
Drug taken for Smoking cessation & Antidepressant
Bupropion
A 5-HT Receptor agonist used to treat Migraine?
Midrin
Unit Dose Labels require?
Dose strength, Expiration date, drug name
Potassium supplement's that treats?
HypoKalemia
What classification of drugs create side effects> dry eyes & mouth, difficult urinating & defacating?
Anticholinergics
Clarks rule?
Child's Dose= Adult dose x (Child's Weight)
--------------------
150 lbs
Young's rule?
Child's Dose= Adult dose x (Child's Age)
-----------------------
child's age+ 12 yrs
Advantage of a plastic IV TPN system
Light & Cheap, easy storage, bag easy to read
Contriindicated rating indicates a drug in pregnancy
Rated X
Not required text in Pharmacy
PDR-Physician desk reference
Which drugs should be taken with food
Nitrofurantoin (antibiotics- need to be taken on a empty stomach)
What is not found in a Total Parenteral Admixture
Protein
Insulin is injected by?
SC-Subcutaneously
Where would you nprepare hazardous drugs?
BSC-Biological Safety Cabinet
Accutane- how many refills allowed?
NONE
What type of label is put on Rx's
Auxillary Labels
Otic product?
treats Ear
TPN-Total Parenteral Solution
Isotonic
a Dry, Nonproductive cough requires a
Expectorant
Rhinitis
Runny Nose
What type of solution has a greater osmololarity than blood?
Hypertonic
Inhibition
a drug that blocks the activity in liver
Inventory turns=
Total Sales/ begin. sales + ending sales/2
How often do you change a Catapres patch?
once a week
Term "Subscription
Denotes the instructions to a Pharmacist
Macrolide drugs?
Azithromycin, Clarithromyacin, erthromycin
What components are in a "Total Nutrient Admixture?
Amino acids, dextrose, lipids
Hyperalimination
TPN
What opthalmic should be refrigerated?
Latanprost
Who developes the formulary in a hospital?
P & T Committee
A pregnant women w/Hypertension should take?
Methyldopa (Aladomet)
QSAD means
A Sufficient amount to take
USP-NF
Office Compendium of Pharmacetical products in the U S
Purpose of a GPO-Group Purchasing Organization
Negotiates prices for hospital Pharmacies
Available in Tablet & IV
Vasotec
Controlled Substance records must be kept for how long?
2-years
Which gland controls Water balance, Body temp., apetite, emotion
Hypoithalamus
What auxillary label should be placed on "Griseofulvin
Shake well, Sunlight sensitive
Tegretol is not available in this form?
Transdermal Patch
What class of drug would use Pulse Dosing?
Antifungals
Pharmacy law: Adulteration & Misbranding of drugs
Pure Drug Act of 1906
Drugs that end in ....pril
Ace Inhibitors
Drugs that end in .....pam
Benzodiazapines, class CIV's
Schedule CV drugs must include the following info:
Dispense date, Name, Signature, address of purchaser, Pharmacist's signature
Antibiotics ( i.e. pennicillin's) require labels-
Take on a Empty Stomach, Take with Water, Do not take w/Juice
Etopiside is prepared where?
BSC
Prevents "Peptic Ulcer disease" caused by NSAIDs
misoprostol
Treats Acne
Azelex, Benzamycin, Differin
ASHP
American Society of Health System Pharmacists
Syrup USP contains
Sucrose in water
Herbal remedy that treats Insomnia
Melatonin
DEA form to report thefts?
Form 106
Acetaminophen w/codeine drug class
CIII
Method of preparing emulsions
Continental
Used Prophylactically to treat migrain's
propranolol/inderal
Is not a dispersion
Syrup
Rejection of a prescription
Adjudication
Automatic Stop Order
ASO
Insulin U-100 syringe is calibrated to?
2-unit increments
What type of Drug Interaction with another drug
Potentiation
Is Not required on a Rx label
Lot number
Beta Blocker+ Diuretic is
Atenolol + Chlorthazidone
Is not a side effect of steroids
Inflammation
Bactrim DS
Sulfamethoxazole/Triamethoprim DS
Form of "Estradiol
Climera, estrace, Estraderm
Not a form of Estradiol
conjugate estrogen/premarin
Sets regulations for Resident Care facilities
CMS-Centers for medicaid
Side effect of Diuretics
Hypokalemia
DUE stands for....
Drug Utilization Evaluation
DEA Form 222 requires the maximum items listed?
10
Reference book on Pharmacist counciling
USP DI, vol II
Cocaine drug schedule?
CII
2 Drug classes should not be mixed
MAOI, SSRI
Digoxin is a class of?
Cardial Glycoside
How many 4oz bottles of exempt narcotic may be purchased in 48 hrs
ONE
Chemo drugs are prepared in what?
Horizontal Laminar flow hood
Hydrous Lanolin is what form?
Emulsion-(water & oil)
The organization that replaced the "Health Care Finacing Adninistration-HCFA
CMS-Centers for Medicaid
A Specific Dosage & Need
Extemporaneous Compounding
The combination of 2 or more drugs is called?
Synergistic effect
Herbal Laxative
Cascara Sagrada
Is not a Anti-inflammatory drug
APAP/Acetaminophen
Smoking Cessation aid
Zyban
What drug produces a adverse effect if alcohol is consumed
disulfiram (Anabuse)
Insulin is stored in a ?
Refrigerator ( 8 deg C-15 deg. C)
DAW 0
Generic allowed by physician
DAW 1
Brand required by Physician
DAW 2
Generic allowed but, Patient Requests Brand
When does a Laminar Flow Hood should be cleaned when?
Beginning of each shift
Organization that establishes "Standards of Care in hospitals & Long Term Care?
TJC-The Joint Commision
Angiotensin II Antagonist
avapro, cozaar, diovan (NOT Beta blockers)
Study of Drugs include-Pharmacology
Absorption, Distribution, Metabolizes, Excretion
DEA forms are valid for?
60 days
Drug references of drug monographs are found?
PDR
Oral Contraceptives will counteract with
Antibiotics, Antifungals, Anti-convulsants ( Beta Blockers will not counteract)
Injection angle- Intradermal
10-15 deg
Injection angle-Subcutaneous
45 deg
Injection angle-Intramuscular
90 deg
What type of Balance weighs less than 120 grams
Class A
1 gm=
15 gr
5 ml =
1-tsp
15 ml =
1-Tbl, 3 tsp
30 ml =
1 oz
Inscriptions require?
Name, Strength, Quantity
Treats Hyperthyroidism
PTU (propylthiouracil)
Fentanyl patch should be replaced every?
3-days
Law requires Pharnacy's to maintain DME-Durable Medical Equipment
FDA Safe medical act 1990
What is not found on CSAR
an expiration date
DEA Form 363
Dispensing of Controlled Substances
Term that measures Drug Absorption & total amount of drug in the blood
Bioavailability
Vitamin B is measured in?
Milligrams
Cyanocobalamin is
Vitamin B12
What counteracts Antipsychotic meds?
Benzotropine
What drug does not require special handling?
Medrol
Why is it required to have the full name for Rx?
to ensure the right drug for the right patient
CPOE
Computerized Physician Order Entry
What drug is effected by MAC (Mandatory Allowable cost)?
Non-propietary drugs
What classification of antidepressent must be flushed out before taking another a.d.
MAOI
Law addressing treatment of patients in Long Term Facilities?
OBRA 1987
How many gloves are required for IV Prep.?
2
What organization oversees Pharmacy practices?
BOP-Board of Pharmacy
Reference book-"Pharmacy Drug Costs
Red Book
NSAIDs
Celecoxib, Ibuprofen, oxaprozin
Info found on hospital Med. Order, but not found in retail?
A Dosage schedule
This class of drug as no effect on Oral contraceptives?
Beta Blocker
Symptom of Hyperglycemic drugs
Fruity smelling breath
Biennial Inventory taken every?
2-years (controlled substances)
not a Antiarryhythimic agent
-Beta Blockers
Classes of drugs that treat depression?
MAO, SSRI, TCAs
Which law mandated " DUE" (Drug utilization Evaluation)
OBRA 90
Drug dipensed by "Pulse dosing
Itraconazole/sporanox(antifungals)
What hospital commitee maintains the drug formulary?
P&T (Pharmacy/Therapeutic) commitee
What vitamin is necessary in production of Red Blood Cells?
Folic Acid
Cardura" interacts with ?
NSAIDs
What could a patient eat while taking Warfarin?
FRUITS; but cannot eat broccoli, spinach, legumes because there high in Vitamin K
Beta Blockers are the same as?
Beta-Adrenergics
Capitation
a Pharmacy receives a predetermined amount of money for a patient, regardless of the number of Rx's or value of prescriptions per month
Med Watch
reports adverse events that pose a SERIOUS HEALTH THREAT
Gestational Diabetes occurs?
at pregnancy
MAC stands for?
Mandatory Allowable Cost
Herbal remedy that Treats PMS
Black Cohosh
Who should not take Tetracycline
Chikdren under 9 & pregnant women
Grand Mal seizure is
Tonic-Clonic
Treats Prostate Cancer
Eulexin
Drug Topic in Red Book
DP=Direct Price
PCA stands for?
Patient Controlled Analgesia
What antidepressent may be used to treat bedwetting?
imipramine(tofranil)
Drugs that treat smoking cessation?
Zyban, Habitrol, Nicoderm
Which drug law states that all drugs must be pure & safe?
Kefauver-Harris ammendment
drugs that treat inflammation?
etodolac, naprozen, piroxicam
What insulin has the longest duration of action?
Ultralente insulin
What device converts a solution to a mist?
Nebulizer
3-common dosage forms
Emulsion, magna, suspension
What type of Med's are DOS, DSS?
Laxatives
Reference book is a compilation of "package inserts
PDR
Which migraine Med. is a controlled Substance
Butorphanol
What combo cannot be taken w/alcohol?
APAP
What dosage form releases CO2 when it comes in contact with water?
Effervescent salts
Therapeutic equiv. code meets bioequiv.?
AA
What does not effect "Route of Admin.
shape of dosage form
Site of Intrathecal injection?
Spinal fluid
Ondansetron treats?
patient undergoing Chemotherapy
Sterizing Filter size?
0.2 microns (smallest)
What law is violated if a drug is dispensed without a valid prescription?
Durham-Humphrey ammendment
What is not required on a prescription label?
Physicians DEA number
What drug class of antibiotic should not be used if a patient is allergic to pennicillin?
Cephalosporins
If taking a MAOI, what food should you avoid?
Yogurt- it contains yeast
What insulin should be added first when mixing 2 insulin's?
Regular Insulin
What kind of insulin can be added to a IV bag?
Regular Insulin
Drug Monogram
Literature on the drug & by the mfg
OBRA 90
Offers council to a patient by the Pharmacist
What process brings a drug from the distribution site into the bloodstream?
Absorption
AAC
Actual Acquistion Cost
What drug can cause death if taken after it expires?
Tetracycline
Side effect from a overdose of salisylates?
Tinnitus(ringing of the ear)
Class I drug recall
Reasonable probability will cause serious adverse health consequences or death.
Class II drug recall
May cause temporary or medically reversible health consequences. Remote chance of serious consequences.
Class III drug recall
Product not likely to cause adverse health consequences
How many days is DEA form 222 valid after signed?
60 days
DEA Form used for destroying Conrtolled Subst.
Form 41
Methyphenidate is what schedule drug?
CII- Ritalin
Side effect of ACE Inhibitors
Dry Cough
Ref. Book used fr drug equivalents?
Orange book
100 Particles sized to 0.5 microns
ISO Class 5
Controlled substances can be transferred how many times(CIII-CV)only?
once
What classification would not require a "Automatic Stop Order
Diabetic med's
Where do oral drug med's metabolize take place?
Liver
Rate at which a drug is eliminated from a specific volume of blood per unit of time?
Clearance
Vitaminthat treats beriberi?
B1, Thiamine
What drug should not be given to a person 18 years and younger?
Cipro, Ciprofloxacin
Dosage form would use the process of "inunction
oinyments, creams, lotions, pastes (all forms applied to skin)
What classification does not include antineoplastic agents
Alkylating agents
PPI-Proton Pump Inh. end in..
....prazole
What drug product should not be chewed?
Benzonatate
What dosage form contains small pellets & beads?
Spansules
Treats vertigo
antivert, dramamine, transderm scop
What is antidote for an excess of Warfarin?
Phytonadione
What info refers to the NDC number?
Drug product, Drug Mfg., Package size
What is the term refers to the vehicle that contains the dissolved drug?
solvent
What is the inscription on a prescription?
medication prescribed
What type of dosage form is prepared by the Punch method...
Capsules
Disease of the nerves?
Epilepsy
If a patient takes both Nitrates and Sildenafil will cause?
Hypotension
What type of spatula is used when handling Iodine?
Hard Rubber
How often is the PDR published?
Once a year
AF" stands for on a Patient Chart?
Atrial Fibrillation
Ref. book that refers to instructions on compoonding drugs anf info?
Remington: The Science and Practice of Pharmacy
DTD" means?
Latin meaning-"Give of such doses