MEASUREMENTS, PACKAGING, AND HOSPITAL DELIVERY Flashcards
Name the two types of measuring devices used for measuring weight.
The balance and the scale.
The measurement of solids in the pharmacy commonly involve the use of a _______ _______.
Torsion balance
What is the weight range measured by a torsion balance?
6 mg - 120 mg
In order to use the torsion balance, you must use a set of __________ ________ _______.
calibrated pharmacy weights
What is used to handle the weight when using a balance so that no contamination occurs?
Tweezers
Describe, in order, the proper usage of a balance.
Zero out (level) the balance.
Place sample in the center of the left pan.
Place weights in the center of the right pan.
True or False
The Baker 2000 scale is electronic and needs counterweights to function.
False.
It’s electronic, but does NOT need counterweights to function.
Scales are used to measure ______ amounts of solid materials.
larger
Methods of measuring products at home include:
Medicine droppers and spoons, and oral syringes.
Name 3 units of measuring solids.
Gram, Pound, Milligram, Kilogram, Ounce.
Name 3 units of measuring liquids.
Liter, Milliliter, Pint, Gallon, Quart.
Which of the following is used to measure a small volume of liquid?
a) Graduated Cylinder
b) Syringe
b) Syringe
Which of the following is used to measure a medium-large volume of liquid?
a) Graduated Cylinder
b) Syringe
a) Graduated Cylinder
If a sample measures ____ ____ __% of a graduated cylinder total volume, you should choose a _______ one to use.
less than 20%
smaller
Describe the difference between reading the values of plastic and glass graduated cylinders.
With plastic, the value is read at the top edge of the liquid.
With glass, the value is read at the bottom edge of the liquid.
What is the name of the optical illusion that occurs when reading a volume of liquid through a graduated cylinder made of glass?
The meniscus.
Where do you read the volume contained within a syringe?
The black ring closest to the tip touching the barrel.
Name the three factors responsible for the breakdown of chemical reactions in medicine, and give one example to minimize these factors.
Heat - Store at correct temperature.
Moisture - Store with tightly sealed cap.
Light - Store in brown bottle that blocks light.
Define Unit of Use.
Dispensable packaging containing a single pill, injection, or other dosage form.
Define Monthly Packs.
Meds packed for a month supply
Define Therapeutic Packs.
Meds given for a specific period of time, then dc’d.
Define Metered Dose inhalers.
Aerosol meds
Define Bulk Packaging.
Meds not packed individually (creams).
Define Extemporaneous Compounding.
Compounds without written directions. Only prepared by pharmacist.
Define Bulk Compounding.
Compounding that has a written protocol for single treatment of a single patient.
Created by Tech, with permission.
Bulk Manufacturing.
Bulk compounding for several patients.
Created by Tech, with permission.
List all information that must be affixed to the prescription bottle.
Pharmacy: name, address and telephone. Fill date and script #. Pharmacist initials. Patient and Dr.'s name. Drug name, strength, and qty. Complete instructions.
A waiver for non-locking caps should be signed:
a) once, when the patient is added to the computer
b) every time a new prescription is presented at the pharmacy
c) whenever a Nitrostat prescription is dispensed
d) none of the above
b) every time a new prescription is presented at the pharmacy
Name 3 ways meds are dispensed in the hospital.
Medstation, MAR, and Unit Dose.
What does MAR stand for and what is it’s purpose?
MAR = Medication Administration Record
A central record of all medications a patient takes, and who prescribed and administered them.
True or False
If a discrepancy is found when counting controlled substances within a medstation, an audit is triggered.
True
IV bags stored in the pharmacy don’t have to be labeled immediately upon being made.
False
Must be labeled immediately upon being made to avoid confusion.
Name two terms for intravenous products.
Large Volume Parenteral (LVP)
Small Volume Parenteral (SVP)
Describe how LVP is different than SVP.
Large IV volume delivered slowly over extended period of time.
Used for fluid replacement.
Describe how SVP is different than LVP.
Small IV volume delivered over short period of time.
One form is IV Piggyback.
How are Nitroglycerin IV’s dispensed and why is this?
Have special administration sets because they bind to normal IV administration sets.
How are Nitroprusside Sodium IV’s dispensed and why is this?
Must be immediately wrapped in aluminum foil or other light blocking material once mixed because it’s extremely sensitive to light.
Which of the following will appear on a SVP IV label?
a) Patient’s name, location, and billing account #
b) Date/Time of IV
c) Pharmacist Initials
d) Pharmacist NPI
e) Base fluid and volume of IV
f) All of the above will appear on the label
a) Patient’s name, location, and billing account #
b) Date/Time of IV
c) Pharmacist Initials
e) Base fluid and volume of IV
Which of the following will appear on a LVP IV label?
a) Exact dosing schedule of medication
b) Administration ordered rate and intended time
c) Beyond use date/time of IV
d) Space for initials of person starting IV
e) Space for time IV was started
f) All of the above will appear on the label
b) Administration ordered rate and intended time
c) Beyond use date/time of IV
d) Space for initials of person starting IV
e) Space for time IV was started
True or False
The exact dosing schedule of a medication will appear on the labels for both SVP and LVP IV’s.
False
It will only appear on the label of the SVP IV.
Frozen = __°C?
< 0°C
Refrigerated = __°C?
0-5°C
Room (controlled) Temp = __°C?
15-25°C
Warm Room = __°C?
30-35°C
Extreme Heat = __°C?
> 35°C
______ is used as our household scale for temperature.
Fahrenheit
______ is a scale for temperature predominantly used in the field of science.
Celsius
Name the freezing and boiling temps for water in °F.
Freezing: 32°F
Boiling: 212°F
Name the freezing and boiling temps for water in °C.
Freezing: 0°C
Boiling: 100°C