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Pharmacy Practice Lab Final Exam > Hospital Pharmacy Powerpoint > Flashcards

Hospital Pharmacy Powerpoint Flashcards

1
Q

Model A

Operations

__________

Compounding

Management

A

Clinical

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1
Q

Model B

_____________

Decentralized

Management

A

Centralized

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2
Q

Operations/Staff Pharmacist (Centralized)

Responsibilities

_______medication orders

Prepare/check IV __________

________ inpatient pharmacy technicians and interns

Check medications prior to distribution to the floors

A

Verify

admixtures

Supervise

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3
Q

Clinical Pharmacist (Decentralized)
Responsibilities

Verify medication orders

__________ with medical teams

Direct bedside care such as counseling or _______ response

Drug information questions

Drug consults

Therapeutic ____________

A

round medical teams

code

monitoring

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4
Q

Med Order entered by provider–>Enters RPh verification queue

Three ways it can go

1) Problem with medication order and pharmacist clarifies with provider or suggests alternative

2)RPh verifies order—> Order goes to technician queue–>Technician prepares medication–>pharmacist checks medication–>technician delivers medication to the floor—>RN administers medication to pt

3)RPh verifies order–>medication available from ADM—>RN pulls med and administers to patient

A
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5
Q

Enteral—>Through the GI tract

Oral

Sublingual

Buccal

Rectal

A
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6
Q

With an NG Tube Medications are typically _________ in order to
be administered

A

crushed

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7
Q

Things to watch out for with an NG Tube

Interactions between enteral __________ and medications

Interactions between ___________ & tubing

A

enteral feedings

medications

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8
Q

Oral PO (by mouth)

Tablets
Capsules
Oral granules
Suspensions
Solutions

A
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9
Q

Nasogastric NG

__________ tablets
Open ________
Suspension or Solution

A

Crushed

capsules

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10
Q

Parenteral

Intravascular/Intravenous (IV)
Subcutaneous (SC or SQ)
Intrathecal (IT)
Intramuscular (IM)
Intradermal
Epidural
Intraosseous
Intrapleural
Intraperitoneal

A
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11
Q

_______________

Administered via a needle through your veins

Types of IV lines include:
Peripheral
Central
Midline

A

Intravenous IV

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12
Q

Transdermal & Topical

What’s the difference?
Topicals:
Cream
Lotion
Gel
Aerosol
Powder
Patch
Solution
Paste
Foam

A
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13
Q

Otic & Ophthalmic

Ophthalmic order of administration:
_________
Suspension
Ointment

A

Solution

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14
Q

Inhalation & Intranasal

Inhalation
Inhalers

____________

A

Nebulizers

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15
Q

Intranasal
Naloxone
Midazolam
____________

A

Fentanyl

16
Q

Compatibility

Frequent drug information question

Can I _____-…?

Can X & Y IV medications be hung together?

Can ____ be administer via ng tube?

Can these medications be mixed and _________ together?

A

Crush

medication

nebulized

17
Q

Compatibility

Trissel’s IV Compatibility

Do NOT Crush list

Meds That Should Not Be Crushed
(therapeuticresearch.com)

Previously ISMP Do Not Crush List

A
18
Q

Hospital Packaging

____________ Use preferred
Bar Code
Unit Dose

A

Single patient use

19
Q

Cart/Cassette Fills

______________drawers filled with medication

Each drawer is patient specific

Contains ________ H worth of meds

Kept in cart on nursing unit, or individual draws placed in med room

Must be kept secured according to laws & regulations

A

patient specific drawers

24 hr worth of meds

20
Q

ADMs (Automated Dispensing machines)

__________drug storage device that allows medication to be kept at the Point of Care

Typically within a medication room

Controls & _______distribution

A

computerized

tracks

21
Q

Advantages of Carts
No __________ in line

May allow RN more time with ________

A

no waiting

patient

22
Q

Disadvantages of Carts

New meds aren’t available _________

Increase __________ on pharmacy

A

immediately

workload

23
Q

Advantages of ADMS

Meds available ____________

Control of med __________ & billing

Decrease drug ____________

Decrease medication errors

A

immediately

inventory

decrease drug diversion

24
Q

Disadvantages of ADMS

____________ in line

Costly

System __________

Requires internet & electricity

A

waiting

system malfunction

Pharmacy Practice Lab Final Exam (23 decks)

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