Hospital Pharmacy II Flashcards

1
Q

Sum total of those activities necessary for
acquisition, storage, sale, disposal or use of materials

A

Inventory Management

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2
Q

Functions of Inventory Management (2)

A
  1. Operational
  2. Financial
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3
Q

Inventory control turn-over rate

A

Annual Purchase/
Annual Inventory

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4
Q

Medicinal mixtures using plants, animals, and minerals
dates back ______

A

4000 years

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5
Q

In ______ (year), ____% of prescriptions in the first U.S. Pharmacopoeia were compounds

A

In 1820, 80%

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6
Q

do not necessarily treat everyone, are not always commercially available

A

Premade Dosages

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7
Q

2 Examples of Premade Dosages

A

Pediatric doses
Hospice patients

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8
Q

Type of compounding done in vertical hood or on clean work surface as stated in USP <795>

A

Non–sterile compounding

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9
Q

Non-Sterile Compounding done as stated in USP ______

A

795

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10
Q

NS Compounding | Common Items

A

Creams, ointments, oral suspensions

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11
Q

NS Compounding | Less Items

A

Capsules, suppositories, syringe

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12
Q

Measuring liquids requires reading a ______

A

meniscus

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13
Q

Solution - larger part

A

Solvent

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14
Q

Solution - ingredient used in solvent

A

Solute

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15
Q

will dictate the type of dosage form that needs to be prepared

A

Solubility

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16
Q

Reconstitution of _______ may be done away from the compounding area

A

premade oral suspensions

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17
Q

used for forming types of oral dosage forms

A

Molds

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18
Q

disintegrate quickly when they come into contact with moisture

A

Molded Tablets

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19
Q

can be made one at a time or in multiple doses

A

Tablets or Lozenges

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20
Q

Normally made with flavors to enhance their taste
and sugar

A

Lozenges

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21
Q

3 Types of Lozenges

A

Hard, Soft, Chewable

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22
Q

Applied directly to a site on the body that needs treatment

A

Medication sticks

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23
Q

Hydrophobic base

A

Ointment

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24
Q

Suppository Bases

A

Oleaginous bases
Water-soluble bases
Glycerinated gelatins

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25
Q

Factors affecting stability (3)

A

Amount of light and air
Temperature
pH alters longevity

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26
Q

_____ forms have longer shelf life than liquid forms

A

Solid

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27
Q

It is easier for a liquid product to ____ or for its components to
separate

A

degrade

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28
Q

Log book

A

Compounding record (CR)

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29
Q

Recipe book

A

Formulation record (FR)

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30
Q

Many medications can degrade with ______ exposure;

A

ultraviolet (UV) light

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31
Q

often called Total Parenteral
Nutrition (TPN)

A

Central Parenteral Nutrition

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32
Q

TPN is delivered into a ___ vein

A

central

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33
Q

Delivered into a smaller or peripheral vein

A

Peripheral Parenteral Nutrition (PPN)

34
Q

Hypertonic solution

A

> 300mOsm/L of dextrose and amino acids

35
Q

1960, University of Pennsylvania
(3 Doctors)

A

Dr. Stanley J. Dudrick,
Dr. Jonathan E. Rhoads
Dr. Douglas Wilmire

36
Q

Requires a catheter or port
that empties into the superior
or inferior vena cava

A

Total Parenteral Nutrition

37
Q

if lipid is added directly to
the solution

A

Total Nutrient Admixture or
3-in-1 or All-in-One
Parenteral Nutrition

38
Q

Pre-Mixed Total Nutrient Admixture Brands (3)

A

Vitrimix
Kabiven
Nutripack

39
Q

Nutritional support that supplements oral intake and provide only part of the daily nutritional requirements.

A

Peripheral Parenteral Nutrition

40
Q

Patient needs IV nutritional support but does not have a central line

A

Peripheral Parenteral Nutrition

41
Q

Therapy is expected to be short term (10-14 days)

A

Peripheral Parenteral Nutrition

42
Q

Energy and protein needs are moderate, Fluid restriction is not necessary

A

Peripheral Parenteral Nutrition

43
Q

Peripheral PN Formulation Osmolarity is ___

A

<600-900 mOsm/L

44
Q

when one or more sterile
products are added to an IV fluid
for administration

A

IV Admixture

45
Q

it is prepared with aseptic
technique or environment
provided by laminar flowhood, in
which the air is filtered through
HEPA (high efficiency particulate
air) filter

A

IV Admixture

46
Q

Involves procedures designed to preclude contamination by microorganisms during processing.

A

Aseptic Preparation

47
Q

bypasses the skin andgastrointestinal tract, the bodies natural barriers to infection

A

Parenteral Administration

48
Q

Parenteral medications account for ___ of all medications administered in institutional practice

A

> 40%

49
Q

HEPA filter meaning

A

High Efficiency Particulate Air filter

50
Q

removes 99.97% of all air particles 0.3mm or larger

A

HEPA filter

51
Q
A
52
Q

best way to determine the
proper functioning of a HEPA filter is
to use the ________
test using the vapor at room
temperature

A

dioctylphthalate (DOP)

53
Q

All aseptic manipulations should be performed at least ___ within the hood.

A

6 inches

54
Q

Laminar Flow mostly run for ______ if turned off & back on

A

15-30 minutes

55
Q

Materials for cleaning Laminar Flow Workbenches

A

-70% Isopropyl Alcohol
-Lint-free cloth

56
Q

Demands meticulous “NO – TOUCH” technique, EVERY TIME!

A

Aseptic preparation

57
Q

Aseptic Prep:
To prevent contamination

A

Swab rubber closure with 70% alcohol using firm strokes in
the SAME direction

58
Q

Aseptic Prep:
To prevent core formation

A

○ Insert needle to penetrate the rubber closure at same point
with both tip and heel of bevel

59
Q

Aseptic Prep:
To vacuum contamination

A

Inject an equal amount of air for the volume of fluid to be
removed

60
Q

Aseptic Prep:
Reconstituting drug powder

A

Remove an equal amount of air for the volume of diluent
added

61
Q

Ampule
DO NOT BREAK TOWARD _____

A

HEPA FILTER

62
Q

A trolley for storing lifesaving
drugs and equipment in a
hospital ER, ICU, clinics and
other areas

A

Crash Cart

63
Q

Characterized by being easily
movable and readily
accessible

A

Crash Cart

64
Q

ACLS meaning

A

Advanced Cardiac Life Support (ACLS)

65
Q

3 Types of Crash Cart

A

Adult E-cart
Pediatric E-cart
Newborn Intensive Care E-cart

66
Q

All carts will be opened and checked for contents _____

A

Once monthly and following each
use

67
Q

________ will be checked prior to
placement on the cart and monthly.

A

Laryngoscopes

68
Q

______ is replaced when the tank
has emptied.

A

Oxygen cylinder

69
Q

CODE RED

A

Fire

70
Q

CODE BLACK

A

Bomb Threat

71
Q

CODE PURPLE

A

Hostage Taking

72
Q

CODE WHITE

A

Actual or Potential Behavior

73
Q

CODE YELLOW

A

Missing Patient

74
Q

CODE BROWN

A

Hazardous Material Spill/Leak

75
Q

CODE GREY

A

Infrastructure Loss/Air Exclusion

76
Q

CODE ORANGE

A

External Disaster

77
Q

CODE GREEN

A

Evacuation

78
Q

CODE BLUE

A

Cardiac Arrest / Medical Emergency

79
Q

is designed to assist students in
exploring career options through practical training. The
program provides students opportunity to acquire
knowledge and develop their skills in the hospital
pharmacy.

A

Hospital Pharmacy Internship Program

80
Q

A practice in which the pharmacist utilizes his professional judgment in the application of pharmaceutical sciences to foster the safe and appropriate use of drugs, in or by patients, while working with members of the health care team

A

CLINICAL PHARMACY

81
Q

provision of oral or written information about drugs & other health-related information to a patient or his / her representative during the dispensing process or stay in hospital

A

Patient Counseling