certification exam Flashcards
the formula to calculate Celcius
C=(F-32) x .56
how many drops in 1 ml
20 gtts
how many mL in 1 tsp
15mL
how many mL in 1 cup
240 mL
how many mL in 1 pint
480mL
how many ounces are in 1 cup
8oz
how many mL in 1 quart
960mL
how many mL in 1 gallon
3840mL
how many quarts in 1 gallon
4 quarts
how many pounds in 1 kg
2.2 lb
how many grams in 1 oz
30 grams
how many tsp in 1 tbsp
3 tsp
how many tsp in 2 tbsp
6 tsp
how many oz in 1 pint
16 oz
the formula to calculate Fahrenheit
F=(C x 1.8) +32
CDC
Center of Disease Control
ad
right ear
as
left ear
au
both ears
bu
buccal
im
intramuscular
it
intrathecal
od
right eye
os
left eye
ou
both eyes
po
by mouth
pr
rectal
pv
vaginal
sc, sq, sub q
subcutaneous
sl
sublingual
ac
before meals
bid
twice daily
hs
at bedtime
pc
after meals
prn
as needed
qh
every hour
qid
4x daily
tid
3x daily
wa
while awake
aaa
apply to affected area
gtts
drops
ha
headache
qs
quantity sufficient
ung
ointment
ss
1/2
qod
every other day
sig codes
prescription abbreviations
ROP
re oder quantities (how much needs to be ordered)
ROQ
re order quantities (how much meds need to be ordered)
FIFO
first in first out
20’C (68’F) - 25’C (77’F)
Room Temperature
1.7’C (35’F) - 7.8’C (46’F)
Fridge temperature
-15’C (5’F) or below
Freezer temperature
FDA
Food and drug administration
Class l recalled medication
Med is being recalled bc of a chance of serious affects/death
Class ll recalled medication
temporary (reversible) cahnce, little chance of adverse affects
Class lll recalled medication
caused by a problem that isnt likely to cause adverse affect
USP
united states of pharmacopia
Chapter 800
addresses proper handling of hazardous drugs
NIOSH
national institute for occupational safety and health
EPA
environmental protection agency
RCRA
resource conservation and recovery act
DOT
department of transportation
P listed hazardous drugs
acutely hazardous (Epinephrine, Warfarin, Nicotine)
D listed hazardous drugs
Toxic/ignitable/corrosive/reactive
benzoyl alcohol, albuterol inhalers, silver sulfadiazine
U listed hazardous drugs
Toxic/Chemotherapy
cyclophosphamide, mercury, mitamycin
Med Watch
voluntary reporting system where health care professionals, consumers and patients can report events related to medication
CSA
controlled substance act
HIPPA
health information portability and accountability
PHI
protected health information
NPI
national provider identifier (a unique 10 digit number for that particular pharmacy)
how long should controlled substances lll, lV, V records be kept?
up to 2 years and kept separate
not accepted for med use and has high potential fro abuse (heroin, LSD, marijuana, ecstasy, methaqualone, peyote)
Schedule l controlled substances
high potential for abuse. not accepted for med use. can lead to severe psychological or physical dependence. (vicodin, coke, meth, mehtadone, hydromorphone/dilaudid, dermoral, oxycontin, fentanyl, dexedrine, adderall, and ritalin)
Schedule ll controlled substances
moderate to low potential for abuse and dependence (products containing less than 90 mgs of codeine, tylenol w/ codeine, ketamine, anabolic steroids, testosterone)
Schedule lll controlled substances
low potential for abuse/ dependence (xanax, soma, darvon, darvocet, valium, ativan, talwain, ambien, tramadol
Schedule lV controlled substances
lower potential for abuse. contain limited quantities of certain narcotics. used for antidiarrheal, antitussive, analgesic purposes. (cough preparations, robitussin, lomotil, motofen, lyrica, parepectolin)
Schedule V controlled substances
Allows providers to write prescriptions for controlled substances including opiods, morphine, and steroids. allows DEA to monitor who is prescribing controlled substances and the quantities prescribed.
DEA number
how to validate DEA number?
> add 1st. 3rd, 5th numbers.
add 2nd, 4th, 6th numbers and double it
add two totals together
second digit in the total is the check digit
number of refills for controlled ll meds
0
number of refills for schedule lll and lV medications
5x within 6 months after date of issue
number of refills for schedule V medications
5x in 6 months
CMEA
Combat methamphetamine epidemic act
what does the CMEA regulate?
Schedule V and BTC products.
how much of pseudoephedrine or phenylpropanolamine can be sold daily and/or monthly?
Daily- 3.6 g
Month- 9 g
Which form needs to be filled out in order to order C-ll meds?
DEA form-222
CSOS
controlled substance ordering system
how long is the DEA-222 form valid for
60 days
what form do you need to fill out to dispose of controlled meds
DEA form-41
what form do you need to fill out if a control med has been reported lost or stolen
DEA form-106
intravenous
in the veins
intramuscular
in the muscle
intradermal
in the top layer of skin
subcutaneous
under the skin
eternal administration
gastrointestinal + digestive system
parenteral administration
injections/ non-oral
OTC
over the counter
BTC
behind the counter
Legend label
“federal law prohibits dispensing without a prescription”
What do vaccines treat
viruses, specific pathogens, provide active immunity that produces anti bodies in response to the entry of antigens
these are expected and can occur with a usual dosage. non life threatening, and could even be beneficial
Side effects
these are undesirable sometimes dangerous effects of a med. Can affect the organs and body system
adverse effects
what is required on a patients profile?
> full name/address > DOB, weight and sex > known diagnosis, medical conditions > allergies of any kind > medication sensitivity, history > third party payer info
BIN
bank identifier number
PCN
processor control number
person code
spouse or dependent
group code/number
identifies employer plan
DDI
drug to drug interactions
the practice of ensuring that insurance claims are not paid multiple times
coordination of benefits
types of 3rd party payers
Medicare, medicaid services
DME
durable medical equipment
En
each nostril
IV
intravenous
IVPB
intravenous piggy back
LOC
locally
UD, UT
as directed
TOP
topically
VAG
vaginally
AMP
ampule
CAP
capsule
CR
cream
ELIX
elixir
EXPECT
expectorant
FL
fluid
LIQ
liquid
LOT
lotion
PULV
powder
SOL
solution
SUPP
suppository
SUSP
suspension
SYR
syrup
TAB
tablet
TINC
tincture
UNG, OINT
ointment
AD, LIB
as often as needed
AM
morning
ASAP
as soon as possible
ATC
around the clock
H, HR
hour
NOC
night
NV
nausea/vommitting
PC, HS
after meals, at bedtime
PM
afternoon, evening
Q
every
Q4H
every 4 hours
QHS
every night at bedtime
STAT
at once or immediately
UD, UT
as directed
W/
with
w/o
without
PSP
prescription monitoring programs
DUR
drug utilization review
ADM
automated dispensing machine
NDC
national drug code
medications that should not be repackaged
Pradaxa
Azithromycin (z pack)
Methylprednisone (medrol)
Accutane
An agent or factor that causes malformation of an embryo and has special handeling requirments
Teratogen medications
inhibiting the maturation and proliferation of malignent cells
Anti-neoplastic
REMS
Risk evaluation and mitigation strategies
strategies made by manufactures to ensure the benefits out weigh the risk
Risk evaluation and mitigation strategies (REMS)
ETASU
elements to assure safe use
requirements that are intended to reduce specific risk
elements to assure safe use (ETASU)
Garbing
PPE requirements/process of putting PPE on for function to be performed
equipment that provides therapeutic benefits to a patient in need due to medical conditions/illnesses
durable medical equipment (DME)
OBRA
Omnibus budget reconciliation act
a law that changed reimbursement limits and mandated drug utilization evaluation, pharmacy and patient consultation, and educational out reach programs
omnibus budget reconciliation act (OBRA)
signs of false prescriptions
of refills, red ink, 2 different handwriting, blurry, tampered, not signed, long time after prescription date, misspelling, improper sig codes, DEA number, Expo date
what are the 3 systems of measurement
metric system, apothecary system, avoirdupois system
how to calculate doses for children.
Clark’s Rule
a publication issues by the US pharmocopeia to improve the safety of the compounding environment and products produced here. defines risk levels
USP 797
types of PPE
gowns, gloves, goggles, face shields, bootie covers, and bouffant caps
Anteroom
where technicians perform garbing before starting a compound
ADM
automated dispensing machines
comprised of cabinets of various sizes that contain drawers and compartments for different medications. Also known as unit-based cabinets
automated dispensing machine (ADM)
technology based on human characteristics that is often used for identification and access control
biometrics marker
systems that dispense medication one at a time
unit-dose/ unit-of-use
identifies the drug establishment, the formulation, the package size/type of product packaging
NDC
a required return of a possibly harmful or defective product
recall
what drugs should be avoided to those who are pregnant for the fact that these meds can be absorbed through skin
finasteride (proscar, propecia), dutasteride (Avodart), methotrexate, thalidomide
inhibiting the maturation and proliferation of malignant cells
antineoplastic
a label added on to a dispensed medication package intended to provide supplementary information regarding safe administration, use and storage of the med
auxiliary label
some of the most common medication classes that require medication guides are
NSAIDS, anti-depresssnts, ADHD, ADD, insomnia medications long acting beta agonists and products containing isotretinoin
for controlled substance prescriptions to be written on what? the type of paper contains a special watermark of the word “copy” that is visible in the background
tamper resistant paper
a pharmacy tech should identify that levothyroxine (synthroid) should have which auxiliary label on the bottle?
take on an empty stomach
what is a pharmacy techs role in using the ADM in a hospital setting
to restock medication in the system
EC
enteric coated
brand name for hydrocodone-Apap
vicodin, norco, lortab
brand name for levothyroxine
synthroid, tirosint
brand name for prednisone
rayos, deltasone
brand name for lisinopril
zestril, prinivil
brand name for amoxicillin
amoxil
brand name for gabapentin
neurontin
brand name for metformin
glucophage
brand name for atorvastatin
lipitor
brand name for alprazolam
xanax
brand name for amlodipine
norvasc
antianginals
stop chest pain
antibiotics
kill bacteria
ACE inhibitors
lowers blood pressure
anticoagulants
delay blood clotting
anticonvulsants
prevent or treat seizures
antidepressants
lessen depression
antidiarrheals
relieve diarrhea
antiemetics
prevent/ relieve nausea/vomitting
antipyretics
reduce fever
antitussives
relieve cough
beta blockers
regulate heart rate
bone resorption inhibitors
prevent/treat bone density loss
bronchodilators
open the airways
calcium channel blockers
reduces the hearts work load
corticosteroids
reduce inflammation
decongestants
reduce nasal congestion
hormones
regulate body functions
hypothyroid agents
reduce thyroid hormone excess
laxatives
promotes bowel movement
lipid-lowering agents
reduces cholesterol
NSAIDs
reduce inflammation
opiod analgesics
relieve pain
sedative/hypnotics
promote sleep
vascular HA suppressants
ease migraines and cluster HAs
brand for donepezil
aricept
brand for enoxaparin
lovenox
brand for azithromycin
zithromax
brand for zolipidem
ambien
brand for sumatriptan
imitrex
brand for ondansetron
zofran
brand for acetaminophen (APAP)
tylenol
brand for fluctisone/salmeterol
advair HFA
how many cups in 1 quart
4 cups
how often should floors and counters be cleaned
daily
how often should walls and ceilings be cleaned
monthly
how often should a high risk gloved finger tip test be taken
bi-annually
how often should a medium to low risk gloved finger tip test be performed
yearly
how often should a high risk media fill test be performed
bi- annually
how often should a medium to low risk media fill test be performed
yearly
language used to describe anatomical structures, procedures, conditions, treatments, and processes
medical terminology
an enacted law
statutes
moral principles that govern a persons behavior and actions
ethics
a fixed amount a patient pays at the time of receiving a med or service that health insurance covers
co pay
sublingual
under the tongue
a liquid preparation consisting of solid particles dispersed through out a liquid in which they are not soluble
suspension
referring to a cream, ointment, lotion or other preparation for external use only
topical
process of submitting third party insurance claims for payment
adjudication
a medication that blocks the effects of histamine, relieves allergy symptoms
antihistamine
a series of steps and precautions that are used to decrease the chance of contamination during preparation of a sterile product
aseptic technique
how many ounces in a pound
16 oz
a group of medications that treat seizures, anxiety, panic, insomnia, muscle spasms, alcohol withdrawal, and other conditions
benzodiazepine
the slanted part of the needle tip
bevel
the date assigned to a compound prescription beyond which the compound should not be used
beyond use date (BUD)
state board that regulates pharmacy practice
the board of pharmacy (BOP)
trademark of a medication or device created by the originating manufacturing companies for marketing purposes
brand/trade name
a disorder affecting the respiratory system that causes difficulty breathing and a high risk for infection
chronic obstructive pulmonary disease (COPD)
