Hospital Pharmacy II Flashcards by Xei Lee

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

Inventory Management

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Functions of Inventory Management (2)

Operational
Financial

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Inventory control turn-over rate

Annual Purchase/
Annual Inventory

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

4000 years

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

In 1820, 80%

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do not necessarily treat everyone, are not always commercially available

Premade Dosages

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2 Examples of Premade Dosages

Pediatric doses
Hospice patients

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

Non–sterile compounding

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Non-Sterile Compounding done as stated in USP ______

795

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NS Compounding | Common Items

Creams, ointments, oral suspensions

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NS Compounding | Less Items

Capsules, suppositories, syringe

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Measuring liquids requires reading a ______

meniscus

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Solution - larger part

Solvent

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Solution - ingredient used in solvent

Solute

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

Solubility

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Reconstitution of _______ may be done away from the compounding area

premade oral suspensions

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used for forming types of oral dosage forms

Molds

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disintegrate quickly when they come into contact with moisture

Molded Tablets

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can be made one at a time or in multiple doses

Tablets or Lozenges

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Normally made with flavors to enhance their taste
and sugar

Lozenges

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3 Types of Lozenges

Hard, Soft, Chewable

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Applied directly to a site on the body that needs treatment

Medication sticks

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Hydrophobic base

Ointment

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Suppository Bases

Oleaginous bases
Water-soluble bases
Glycerinated gelatins

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Factors affecting stability (3)

Amount of light and air Temperature pH alters longevity

_____ forms have longer shelf life than liquid forms

Solid

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

degrade

Log book

Compounding record (CR)

Recipe book

Formulation record (FR)

Many medications can degrade with ______ exposure;

ultraviolet (UV) light

often called Total Parenteral Nutrition (TPN)

Central Parenteral Nutrition

TPN is delivered into a ___ vein

central

Delivered into a smaller or peripheral vein

Peripheral Parenteral Nutrition (PPN)

Hypertonic solution

>300mOsm/L of dextrose and amino acids

1960, University of Pennsylvania (3 Doctors)

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

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

Total Parenteral Nutrition

if lipid is added directly to the solution

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

Pre-Mixed Total Nutrient Admixture Brands (3)

Vitrimix Kabiven Nutripack

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

Peripheral Parenteral Nutrition

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

Peripheral Parenteral Nutrition

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

Peripheral Parenteral Nutrition

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

Peripheral Parenteral Nutrition

Peripheral PN Formulation Osmolarity is ___

<600-900 mOsm/L

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

IV Admixture

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

IV Admixture

Involves procedures designed to preclude contamination by microorganisms during processing.

Aseptic Preparation

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

Parenteral Administration

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

>40%

HEPA filter meaning

High Efficiency Particulate Air filter

removes 99.97% of all air particles 0.3mm or larger

HEPA filter

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

dioctylphthalate (DOP)

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

6 inches

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

15-30 minutes

Materials for cleaning Laminar Flow Workbenches

-70% Isopropyl Alcohol -Lint-free cloth

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

Aseptic preparation

Aseptic Prep: To prevent contamination

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

Aseptic Prep: To prevent core formation

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

Aseptic Prep: To vacuum contamination

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

Aseptic Prep: Reconstituting drug powder

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

Ampule DO NOT BREAK TOWARD _____

HEPA FILTER

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

Crash Cart

Characterized by being easily movable and readily accessible

Crash Cart

ACLS meaning

Advanced Cardiac Life Support (ACLS)

3 Types of Crash Cart

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

All carts will be opened and checked for contents _____

Once monthly and following each use

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

Laryngoscopes

______ is replaced when the tank has emptied.

Oxygen cylinder

CODE RED

Fire

CODE BLACK

Bomb Threat

CODE PURPLE

Hostage Taking

CODE WHITE

Actual or Potential Behavior

CODE YELLOW

Missing Patient

CODE BROWN

Hazardous Material Spill/Leak

CODE GREY

Infrastructure Loss/Air Exclusion

CODE ORANGE

External Disaster

CODE GREEN

Evacuation

CODE BLUE

Cardiac Arrest / Medical Emergency

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.

Hospital Pharmacy Internship Program

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

CLINICAL PHARMACY

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

Patient Counseling

Hospital Pharmacy II Flashcards

(81 cards)