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Pharmacy123 > Mikey's Pharmacy Party > Flashcards

Mikey's Pharmacy Party Flashcards

1
Q

Drug Idiosyncrasy

A

Unusual reactions that does not occur in majority of patients.

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2
Q

6 rights

A
  1. Patient
  2. Drug
  3. Route
  4. Dose
  5. Time
  6. Documentation
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3
Q

Receptor

A

Macromolecule that binds to the substance(drug)

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4
Q

5 bronchodilator classes

A
  1. Beta 2 agonist
  2. Muscarinic antagonist
  3. Leukotriene antagonist
  4. Mast cell stabilizer
  5. Corticosteroid
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5
Q

Inhaled corticosteroids treats…

A

Long term asthma

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6
Q

Contraindicated analgesics for sulfa allergies?

A

Celecoxib

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7
Q

CNS stimulant use

A

ADHD

Narcolepsy

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8
Q

Route for sensitivity testing?

A

ID

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9
Q

Parenteral routes?

A

IM
IV
SC
ID

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10
Q

Who can prescribe medication?

A

Accredited providers

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11
Q

Cumulative drug affect:

A

Drug has not fully metabolized before next dose.

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12
Q

Synergism:

A

Occurs when drugs produce an effect greater than the sum of separate actions

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13
Q

Pharmacodynamics:

A

Action

Effect

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14
Q

Naloxone antagonist to:

A

Morphine

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15
Q

Thyroid hormone action:

A

Increases metabolic rate of tissue

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16
Q

Progesterone:

A

Natural female hormone

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17
Q

Progestin

A

Synthetic female hormone

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18
Q

Proton pump instructions

A

30-60min before a meal

Bi-daily: breakfast and dinner

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19
Q

Agonist

A

Binds with receptors to produce therapeutic response

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20
Q

Oral anti-diabetic use:

A

DM type 2

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21
Q

Pharmaceutics phase:

A

Dissolution of a drug

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22
Q

Sedative and Hypnotic aka…

A

Barbiturates

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23
Q

Sedative and Hypertonic treat:

A

Seizures
Alcohol withdraw
Anti-convulsion

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24
Q

3 contraindications a for MAOI?

A

CHF
14 days of TCA
Setraline use with MAOI is fatal

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25
Q

How long do antidepressants take to work?

A

4-6 weeks

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26
Q

Dry cough is a side effect of?

A

ACE inhibitors

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27
Q

When do you use insulin?

A

DM type 1

Severe type 2

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28
Q

4 factors effecting insulin dosing?

A
  • Pt eats too little
  • Dose incorrectly measured
  • Drastic increase in PT
  • Infection
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29
Q

What reaction occurs when the combined effect of 2 drugs is equal?

A

Addictive reaction

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30
Q

What occurs when a drug produces an effect that is greater than the sum of their separate actions

A

Synergism

1+1=3

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31
Q

6 Factors influencing drug response

A 
Age
Weight
Gender
Disease
Route
IV( most rapid)
Drug use/ pregnancy
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32
Q

What are 3 ORAL routes?

A

Nasogastric tube
Buccal
Sublingual

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33
Q

What are the 4 PARENTERAL drug administration?

A

SC ( between skin and muscle )
IM
IV
ID ( typically used for sensitivity test )

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34
Q

Drugs that can be applied to the skin or mucus membrane?

A

Topical
Transdermal ( SYSTEMIC EFFECT )
Inhalation ( LOCAL EFFECT )

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35
Q

What are the actions of barbiturates?

A 
Anticonvulsant 
Depressed sensory cortex
Decreased motor activity 
Drowsiness 
Sedation
Hypnosis
(NO ALCOHOL USE)
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36
Q

What are the 2 anti-anxiety drug classes?

A

Benzodiazepines ( short term use )

Non Benzodiazepines

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37
Q

What are some example’s of benzodiazepines?

A

Alprazolam
Diazepam
Lorazepam

Pam Pam Pam

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38
Q

What are the 5 classes of antidepressants?

A

(TCA)-Tricyclic antidepressants
(MAOI)-Monoamine Oxidase Inhibitors
(SSRI)-Selective Serotonin Reuptake Inhibitors
(SANRIs)-Serotonin-norepinephrine reuptake inhibitor
Dopamine/Norepinephrine-Reuptake Inhibitors

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39
Q

What is the action of antipsychotics?

A

Block dopamine receptors in the brain

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40
Q

What is the use of an antipsychotic?

A

Treat acute and chronic psychosis

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41
Q

What are the contraindications of antipsychotics?

A

Servers depression

Hypotension

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42
Q

What is the use of anticonvulsants?

A

Used to decrease the severity of seizures

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43
Q

What drug do you not give patients with epilepsy?

A

Welbutrol

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44
Q

Drug tolerance:

A

Decrease response to a drug, increase dose for therapeutic effect.

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45
Q

Pounds to KG?

A

Divide by 2.2

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46
Q

Contraindications for ketamine?

A

Cardiac issues

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47
Q

Ketamine has what kind of effect?

A

Catalyptic

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48
Q

Pharmacogenetic reactions

A

Inherited trait that causes abnormal metabolism.

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49
Q

What are the 5 anti-acid uses?

A 
Heartburn 
GERD
Sour stomach 
Indigestion 
Peptic ulcer
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50
Q

H2 antagonist action:

A

Reduce secretion of gastric acid

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51
Q

What are 2 examples of anti-anxiety meds?

A

Diazepam
Lorazepam

Short term due to dependence

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52
Q

What is the action of ant-emetics and anti-nausea meds?

A

Block 5-HT3 receptor sights

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53
Q

What is the pregnancy code for antiemetic and anti-nausea meds

A

X do not use

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54
Q

Best medication for antiemetic and anti-nausea

A

Odanestron

Formerly Phenogren

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55
Q

4 analgesic classes:

A

Salicylate
Non Salicylate
NSAID
Urinary

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56
Q

Antipyretic use:

A

Reduce body temp

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57
Q

Antianginal aka:

A

Nitrates

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58
Q

Contraindications for antianginal?

A

Hypotension

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59
Q

Avoid ace inhibitors in what population?

A

AA

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60
Q

Thyroid hormone examples:

A

Levothyroxine

Aka Synthroid

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61
Q

Beta blocker treat what chronic condition?

A

Angina

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62
Q

Beta blocker action:

A

Decreases heart rate

Reduces excitability

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63
Q

4 antihypertensive drug classes:

A

Ace/ Arb
Diuretics
Calcium channel blockers
Beta blockers

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64
Q

Stage 1 HTN:

A

Systolic=130-139

Diastolic=80-89

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65
Q

Stage 2 hypertension:

A

140/90

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66
Q

Where is the cough center?

A

Medulla

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67
Q

What is the most common expectorant?

A

Guaifenesin

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68
Q

Drug physiology:

A

Pancreas
Circulates through blood
Metabolized in the liver
Filtered through kidneys

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69
Q

What drugs are contraindicated in patients with G6PD?

A

Aspirin
Chloroquine
Sulfamides

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70
Q

6 factors of bioavailability

A 
Route
Liver metabolism
GI mucosa 
Good/drugs
Solubility 
Drug form
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71
Q

SIGNA definition

A

Patient instructions. No numbers and no abbreviations

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72
Q

Pharmacodynamics

A

Drug action and effects

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73
Q

Hemorrhoid agents aka

A

Topical corticosteroid

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74
Q

Hemorrhoid agent adverse effect

A

Tissue atrophy

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75
Q

Liver disease effect on dose

A

Lower dose; med not well metabolized by liver

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76
Q

MANMED Pharmacy chapter

A

21

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77
Q

DOD prescription form

A

DD1289

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78
Q

Fat soluble vs water soluble

A

Fat soluble is faster and lasts longer

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79
Q

Bioavailability

A

% of drug administered in that reaches circulation

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80
Q

Bioavailability

A

% of drug administered that reaches circulation

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81
Q

Pinotcytosis

A

cell drink

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82
Q

active absorption

A

requires energy/ ATP

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83
Q

passive absorption

A

diffuses high to low

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84
Q

Beta 2 Agonist contraindications

A

Cardiac Arrhythmia

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85
Q

Beta 2 Agonist action

A

Blocks Beta Blocker

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86
Q

Gen 1 vs Gen 2 Antihistamines

A

Gen 2 less drowsy

87
Q

Afrin max days

A

3

88
Q

Antihistamines bind to :

A

H1 Receptors

89
Q

Antihistamines pregnancy class

A

C/D

90
Q

Antihistamine Alt Use

A

Motion Sickness

91
Q

Narcotic Analgesic action

A

bind to opioid receptor; alters perception

92
Q

Pyridium Dose

A

100mg TID for 5 days

93
Q

Pyridium pregnancy class

A

B

94
Q

NSAID example

A

Motrin

95
Q

NSAID Action

A

inhibits prostagland synthesis

96
Q

NSAID 2 treatments

A

Arthritis and Dysmenorrhea

97
Q

Discontinue NSAIDS if

A

Prolonged bleed or dark stool

98
Q

Non-Salicylate example

A

Acetaminophen

99
Q

Non-Salicylate and liver

A

ask about liver; associated with liver failure

100
Q

Non-salicylate example

A

Acetaminophen

101
Q

Acetaminophen max dose

A

4G a day

102
Q

Bactericidal vs Bactericidic

A

kills bact vs slow bact

103
Q

Analgesic type causing uticaria

A

non-salicylates

104
Q

anti-convulsants for seizures

A

Use benzo to break seizure

ex: Lorazepam/Diazepam

105
Q

Anti-convulsants not uncommon to require _____

A

more than one medication

106
Q

Fastest Drug route

A

IV

107
Q

Drug Ratings safe for pregnancy

A

A/B

108
Q

HTN Regimen 4 Steps

A
  1. Lifestyle Changes
  2. Diuretics
  3. Inc. Dose or Combine Drugs
  4. Combine 2-3
109
Q

Additive drug reaction

A

Occurs when two drugs is equal to sum of each

110
Q

Narcotic Analgesics Bind to What Receptor

A

Mu

111
Q

Meloxicam is what class of analgesic

A

NSAID

112
Q

GI bleed is an adverse effect of what class analgesics

A

Salicylates and NSAIDS

113
Q

Non-Salicylate pregnancy category

A

B

theres a bee? :O

114
Q

anti-tussives depress what?

A

cough center

115
Q

Transdermal Effect

A

Systemic

116
Q

Half-life

A

Time it takes to to eliminate 50% of a drug

117
Q

Antagonist

A

Binds with receptor stronger than agonist producing no effect

118
Q

Salicylate pregnancy category

A

D

119
Q

5 Drug metabolism organs

A 
liver 
kidney 
lung 
plasma 
intestines
120
Q

Expectorant Action

A

Reduce viscosity of secretions by increasing respiratory tract fluid

121
Q

Antiarrythmic action

A

Deceases symptomology; increases dynamic performance

122
Q

Anti-Arrythmics block (3)

A

Na / K Channels
Beta Receptors
Calcium Channles

123
Q

Therapeutic Effect too high

A

toxic

124
Q

Therapeutic Effect too low

A

Decreased effect

125
Q

Routes via mucous membranes/skin

A

Topical
Transdermal
Inhalation

126
Q

Albumin

A

water soluble protein; moves medication; produced by liver

127
Q

4 pharmacology principles

A

Action
reaction
interaction
response

128
Q

Pharmacokinetic

A

activities of drug after entering body

129
Q

Max NARCS prescribed by IDC

A

10 days no refills

130
Q

poly prescription form

A

NAVMED 6710/6

131
Q

Class 2 Anti Arrhythmia Action

A

Beta Blocker ; blocks beta receptors

132
Q

Class 3 Anti Arrhythmia action

A

Amiodarone blocks potassium channels

133
Q

Class 3 Anti Arrhythmia uses

A

dysrhythmia

fibrillation

134
Q

Emergency diuretic

A

furosemdie

135
Q

Salicylate action

A

Inhibit prostaglandins; dilate blood vessels

136
Q

Salicylate contraindications

A

no pregnancy

bleeding disorder

137
Q

Salicylate example

A

aspirin

138
Q

On ship antihyperlipidemic

A

Simvastatin aka Zocor

139
Q

2 types of antipsychotics

A

1st Gen/Typical

2nd Gen/Atypical

140
Q

Antipsychotic action

A

block dopamine receptors

141
Q

1st Gen vs 2nd Gen antipsychotic

A

2nd gen have few adverse reactions

142
Q

Benzo receptor

A

GABA

143
Q

Non-benzo receptor

A

Dopamine

144
Q

Muscarinic Antagonist aka

A

Antichlorogenic

145
Q

Muscarinic Antagonist Contraindication

A

Arrhythmia

146
Q

Muscarinic Antagonist poem

A 
Red as a beet
blind as a bat
stuffed as a pipe
mad as a hatter
hot as a hare 
dry as a bone
147
Q

Normal Flora

A

non pathogenic microorganisms in body

148
Q

Broad Spectrum

A

Effective against gram pos and gram neg

149
Q

Sulfonamide Use

A

UTI

150
Q

Sulfonamide Action

A

Bareostatic caused by sulfonamide antagonism

151
Q

Sulfa Adverse Rx

A

Stephens Johnson Syndrome

152
Q

Cephalosporin Contraindication

A

Penicillin Allergy

153
Q

Cephalosporine Action

A

Affect Bacteria Cell Wall

154
Q

Tetracycline Action

A

Inhibit bacteria protein synthesis

155
Q

Tetracycline Pregnancy Class

A

D

156
Q

Macrolides Treat

A

Pnuemonia, Chlamydia and Otitis Media

*alternative to PCN

157
Q

Fluoroquinolone on ship

A

Cipro

158
Q

Carbapenem Tx

A

Meningitis, Hospital Pnuemonia

159
Q

Anaerobic Bacteria Tx on Ship

A

Metronidazole

160
Q

Lincosamides (bactericidal or bacteriostatic)

A

bacteriostatic

161
Q

3rd Gen Cephalosporin on ship

A

Ceftriaxone

162
Q

LFT frequency for oral antifungals

A

30 days

163
Q

Muscle Relaxer Use

A

Back Pain

Muscle Spasm

164
Q

Corticosteroid Shuts Off

A

Pituitary Release; Adrenal Insufficiency

165
Q

Antimigraine Action

A

Vasoconstriction

166
Q

Sumatriptan Contraindications

A

Wolff Parkinson
White Syndrome
Arrhythmia

167
Q

Topical Antiviral Example

A

Penciclovir

168
Q

local anesthetic action

A

temporarily inhibit sensory nerve fibers

169
Q

3 Otic Preparation Categories

A
  1. Antibiotic
  2. Antibiotic and Steroid
  3. Misc.
170
Q

2 Keratolytics

A

condylox

salicylic acid

171
Q

creatine over use

A

stroke

172
Q

What neutralizes the effect of heparin?

A

Protamine Sulfate

173
Q

Other name for pyridium

A

Phenazopyridine

174
Q

Odanestron blocks the effects of ____ at the 5-HT3 receptor?

A

Serotonin

175
Q

NSAID contraindicated for sulfa allergy

A

Celecoxib

176
Q

non benzo example

A

hydroxyzine

177
Q

Seizure with alternate contraction and relaxation of muscles

A

Tonic-clonic

178
Q

Seizure brief loss of consciousness during which

physical activity ceases.

A

Absence seizures: (petit mal)

179
Q

antitussive on ship

A

teslon pearls ; do not chew

180
Q

what two ant-anxiety medications can you give pregnant women?

A

BuSpar and Zolpidem (both class B)

181
Q

Drugs similar in structure to penicillin

A

Cephalosporines

182
Q

Generic name Tessalon Perles

A

Benzonatate

183
Q

Subcutaneous

A

between skin and muscle

184
Q

Intradermal

A

under first layer of skin

185
Q

Short Term anti-anxiety meds

A

BENZO (GABA Receptor)

186
Q

Long Term Anti Anxiety

A

NON BENZO (Dopamine Receptor)

187
Q

Analgesic class for anti-pyretic

A

Non-salicylate

188
Q

Other Betablocker contraindication

A

Glaucoma

189
Q

Loop Dietetic MOA

A

increases excretion of sodium chloride

190
Q

prolonged laxative use can cause

A

abdominal pain; NVD; mental dependency

191
Q

laxative irritant example

A

Bisacodyl

192
Q

organ needs to be working for oral antidiabetics

A

pancreas

193
Q

organ influences every tissue in body

A

thyroid

194
Q

adverse rx to contraceptive

A

thrombosis, bleeding , headaches

195
Q

3 influences on antibiotic efficiency

A

location, ability to reach, ability to resist

196
Q

nicotine replacement med forms

A

NOT FR**KING PILLS LOL

197
Q

RESPONSIBLE FOR MEDS ABOARD SHIP

A

CO

198
Q

RESPONSIBLE FOR MAINTAINING MEDS

A

SMDR

199
Q

AMOUNT OF SAFE AND CODE CHANGES

A

2 EVERY 6 MONTHS

200
Q

MAINTAIN CSIB RECORDS FOR

A

3 YEARS

201
Q

CSIB INVENTORY

A

QUARTLERY OR MONTHLY IF TRANSACTIONS OCCUR

202
Q

FORM FOR THEFT OF CONTROLLED SUBSTANCE

A

DEA FORM 106

203
Q

FORM FOR DESTROYED MEDICATION

A

DD200

204
Q

of members required for destruction

A

3

205
Q

may enhance oxygen to muscles

A

nitroxide (NO explode)

206
Q

Used to reduce GI bleed risk

A

COX 1

207
Q

COX 1 VS COX 2

A

Selective vs Non-Selective

208
Q

Non-Salyicte Uses

A

Pain/Reduce Body temp/Arthritis

209
Q

Salicyte use

A

Px/Reduce Body Temp/inflammation/MI risk/Blood Clots

210
Q

Dopamine Inhibitor example

A

Welbutrin

211
Q

MAOI example

A

Nardil

212
Q

TCA example

A

Elavil

213
Q

SANRI example

A

Duloxetine

214
Q

SSRI example

A

Trazadone

Pharmacy123 (2 decks)

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