Chapter 6 Flashcards
Rx
take this drug
sig
directions for taking the medicine
ac
before meals
hs
bedtime/hour of sleep
po
by mouth
PRN
as needed; when patient requests it
dispense as written codes
0 = no product selection indicated 1 = substitution not allowed 2 = substitution allowed; patient requested product 3 = substitution allowed; pharmacist request product 4 = subs. allowed; generic drug not in stock 5 = subs allowed; brand drug dispensed as generic 6 = override 7 = subs not allowed; brand drug mandated by law 8 = subs allowed; generic drug not available in marketplace 9 = other
unit dose labeling
trade/generic name of drug drug manufacturer strength of drug BUD lot number of meds a unit dose log must be maintained
Auxiliary/ancillary labels
provide additional info
do not drink alcohol
may cause drowsiness
take w food or milk
otic
for the ear
unit-dose packaging procedures
facility - low relative humidity and controlled room temp
equipment - appropriate design should allow cleaning to prevent cross contamination
blister pack components
blister - holds the medication
lidding stock - material that seals the blister
unit-dose system
provides a medicine in its final “unit of use”
may be manual, semiautomatic, or automatic
may be a single drop or double drop
modified unit-dose system
combines unit-dose medications, blister packaged onto a multiple-dose card instead of in a box
blended unit-dose system
combines unit-dose system with non-unit dose
multiple-medication package or modular casette
hermetic container
impervious to air or gas
unit of use container
drug meant to be dispensed as is with no changes
centralized pharmacy
found in central pharmacy
used to improve manual unit-dose cart fill process
cant handle all dosage forms
decentralized pharmacy
in patient care areas of a hospital
help with management issues
ability to dispense and return meds, document medication waste, and produce reports
pyxis
supports decentralized medication
automated dispensing system
bar code scanning
cubie system
only one medicine at a time
reduce nurse selecting wrong med
pyxis CII safe
tracks/monitors controlled substance inventory in a hospital
patient package insert requirements
description clinical pharmacology indications and usage contraindications warnings precautions adverse reactions drug abuse and dependence overdosage dosage administration how supplied date of most recent revision of labeling
when you have to give patient package inserts
metered-dose inhalers, oral contraceptives, estrogen, progesterone, isotretinoin
inscription
name of medication and its quantity
subscription
informs pharmacist how to compound the prescriptionn
sig
directions for taking the medication
PO
by mouth
AC
before eating
STAT
med should be filled within 15 min
patient profile info
patient information billing information disease states or health conditions medications patient is taking drug allergies
BM
bowel movement
BP
blood pressure
BPH
benign prostatic hypertrophy
BS
blood sugar
CA
cancer
CAD
coronary artery disease
CHF
congestive heart failure
COPD
chronic obstructive pulmonary disease
CP
chest pain
CVA
cerebrovascular accident
DJD
degenerative joint disease
DM
diabetes mellitus
DT
delirium tremens
GERD
gastroesophageal reflux disease
GI
gastrointestinal
GT
gastrostomy tube
GU
genitourinary
HA
headache
HBP
high blood pressure
HR
heart rate
HT, HTN
hypertension
JRA
juvenile rheumatoid arthritis
NKA
no known allergies
NKDA
no known drug allergies
N&V, N/V
nausea and vomiting
OA
osteoarthritis
P
pulse
PTT
prothrombin time
PVC
premature ventricular contraction
RA
rheumatoid arthritis
SCT
sickle cell trait
SOB
shortness of breath
Sx
symptom
TED
thromboembolic disease
Tx
treatment
UA
uric acid/urinalysis
URI
upper respiratory infection
UTI
urinary tract infection
VS
vital sign
WBC
white blood cell