Chapter 2 - Pharmacy Procedures and Dosage Calculations Flashcards

1
Q

Pharmacy

A

The art and science of preparing and dispensing medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pharmacology

A

Study of how drugs work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Drug Order

A

Request by a Veterinarian to dispense or administer a drug within a hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Prescription

A

Drug order sent from a licensed professional (vet) to a separate dispensing facility (pharmacy) where it is filled by another licensed professional (pharmacist)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Controlled Substances /Schedule Drugs

A

Drugs like narcotics, strong sedatives, analgesics, or hallucinogenic drugs that have the potential for abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Drug Enforcement Agency (DEA)

A

Regulates the use of potential abuse drugs in the US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How many classes of controlled substances are there?

A

5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which is the higher potential for abuse controlled substance, I or V

A

One

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe

Class I Controlled Substances

A

Extreme potential for abuse. No approved medicinal purposes in the US

(ex: heroin, LSD, non-medical marijuana)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe

Class II Controlled Substances

A

Highest potential for abuse that can be prescribed and can lead to severe physical or psychological dependence

(ex: opium, fentanyl, oxycodone, oxymorphone, pentobarbital, morphine, cocaine, methamphetamine, Ritalin, adderal and wild animal restraint drugs like etorphine hydrochloride)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe

Class III Controlled Substances

A

Some potential for abuse, may lead to low to moderate physical dependence or high psychological dependence.

(ex: Ultra-short acting barbiturates, Ketamine, Telazol, Tylenol + codeine, anabolic steroids)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe

Class IV Controlled Substances

A

Generally low potential for abuse, but use may lead to limited physical or psychological dependence

(ex: Butorphanol, Diazepam/Valium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe

Class V Controlled Substances

A

Subject to state and local regulations and restrictions but have a low potential for abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dosage Regimen

A

Complete information needed to determine the mass of the drug to be given, route of admin, how often to admin, and how long it is to be administered to the animal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dose

A

Specific amount of drug to be given to a specific patient (50mg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dosage

A

Description of the mass of drug needed per unit of weight of animal for use in any animal (10mg/kg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Dosage Range

A

Allow the Veterinarian to have some latitude in deciding whether to use the top or lower end of the approved dosage range (2-6mg/kg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe ideal storage of controlled substances

A
  • ALL C-II to CV drugs to be stored here
  • Securely locked
  • Substantially constructed cabinet
  • Limited access to employees (few have key or know code)
  • Appropriate controlled substance log
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Reverse Distributors

A

Authorized persons who have legal authority to receive and dispose of expired, damaged, or otherwise unstable controlled substances. Any such disposal needs to be documented in the Controlled Substance log

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

OD

A

Right eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

OS

A

Left eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

OU

A

Both eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

STAT

A

Immediately

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

mg

A

Milligram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
ml
Milliliter
26
disp
Dispense
27
BID
Twice daily
28
TID
Three times daily
29
SID
Once a day
30
QOD
Every other day
31
SQ
Subcutaneous
32
Tbsp
Tablespoon (14.79 ml)
33
tsp
Teaspoon (4.93 ml)
34
QID
Four times daily
35
PO
By mouth
36
QD
Daily
37
PRN
As needed
38
L
Liter
39
gtt
Drop
40
gr
Grain
41
G
Gram
42
IP
Intraperitoneal
43
IM
Intramuscular
44
IV
Intravenous
45
lb
Pound
46
Kg
Kilogram
47
q4h
Every 4 hours
48
q8h
Every 8 hours
49
qh
Every hour
50
cc
Cubic centimeter
51
mcg
Micrograms
52
Metric System
Measurement system most commonly used in vet med (kilo-, centi-, milli-) (gram (mass) liter (volume) meter (length))
53
Apothecary System
Very old system, not used much, but such things as "fl oz", "minims" and "grains" are sometimes seen in vet med.
54
Household Measurement System
Based on household units of measurements, sometimes used in vet med (tsp, tbsp, cup, pint, gallon and lb), but metric is preferred (ex: converting tsp to mls)
55
Dimensional Analysis (cancel out method)
Known Value (body weight in units (kg)) x Conversion factor (dose expressed in units (mg/kg)) = Answer (left with # of mg when kg cancel out) (ex: 5kg x 10mg/kg = 50mg)
56
Concentration/Strength of Dosage Form
Ratio of the mass or volume of a solute to the mass or volume of the solution or solvent (ex: 100mg/ml)
57
Percentage Solution/ Weight by Volume Percentage Solution (w/v)
Most commonly use in liquid dosage forms as number of grams (g) or drug in a volume (100ml) of medium
58
Volume by Volume Percent Solutions (v/v)
Representing the number of milliliters (ml) of drug per 100 ml of total liquid medium
59
Weight by Weight Percentage Solutions (w/w)
Number of grams of drug per 100 grams of drug and medium (mass of powdered drug mixed with powdered filler medium or mass of drug mixed with mass of liquid medium)
60
Compounding
Defined by the FFDCA (Federal Food, Drug, and Cosmetic Act) as ANY manipulation of a drug product to produce a different dosage form other than what is is approved by the FDA
61
Veterinarian Client Patient Relationship (VCPR)
The Veterinarian has examined or has adequate medical knowledge of the patient and has agreed to assume responsibility for Veterinary care of the patient
62
Federal Food, Drug, and Cosmetic Act (FFDCA)
A set of laws allowing the U.S Food and Drug Administration to regulate food, drug, and cosmetics safely
63
Extra-label Drug Use (ELDU)
Use of a drug in an animal in a manner that is not in accordance with the approved labeling
64
Animal Medicinal Drug Use Clarification Act of 1994 (AMDUCA)
Gives the Veterinarian the opportunity for off-label or extra-label drug use under certain conditions
65
Food and Drug Administration (FDA)
The federal agency responsible for protecting public health by controlling and supervising safety standards for food, drug, and cosmetic products that are either administered internally or are absorbed significantly into the body if administered topically
66
Poison Prevention Packaging Act of 1970
Enabled the FDA to require special packaging for drugs that may be dangerous for children
67
Withdrawal time
Time between the last administration of the drug and the time when the animal can be sent to market or the food products (milk/eggs) can be used
68
Cytotoxic Drugs
Causes cell destruction "Cell Poison" should be stored away from other drugs with special care to temperature and light exposure.
69
Occupational Safety and Health Administration (OSHA)
Created in 1986 by the US Department of Labor. Developed and published guidelines for safe storage, use, and disposal of hazardous chemicals and drugs
70
Tetratogenic/Mutagenic Effects
Birth defects in the fetus of a pregnant veterinary professional by improper handling of cytotoxic and hazardous drugs resulting in accidental exposure, inhalation, or ingestion of the drug
71
Carcinogenic Effects
Increase the risk of cancer or pre-neoplastic changes in animals and humans from exposure of cytotoxic and hazardous drugs
72
Material Safety Data Sheets (MSDS)
For every cytotoxic agent or hazardous compound used in the practice. The MSDS must contain guidelines for protective precautions, clean up procedures and first aid for accidental exposure