mixed (high alert drugs, Ipledge, ISMP, and IV) Flashcards
opioids
are considered high-alert medications because they can cause fatal respiratory suppression. Opioids, such as morphine, hydromorphone, and fentanyl, are used to treat severe pain.
anticoagulants
are considered high-alert medications because they can cause fatal bleeding. Neuromuscular blockers are considered high-alert medications because they can interfere with the ability to breathe. Insulins are considered high-alert medications because they can cause fatal hypoglycemia.
ISOTRETINOIN SAFETY AND RISK MANAGEMENT ACT OF 2004
Isotretinoin (Accutane) is a very powerful medication used to treat acne. Unfortunately, the medication has been found to cause severe birth defects; induce spontaneous abortions; and produce adverse psychiatric effects, including depression, psychosis, suicidal ideation, suicide attempts, and suicide. Components of this legislation include:
* Mandatory registry of all patients, practitioners, and pharmacists
* Education of all practitioners and pharmacists regarding the risks associated with the drug, including birth defects and mental health risks
* A requirement that Accutane and its generic form are prescribed only for severe recalcitrant nodular acne, the medical condition for which Accutane was approved, that is unresponsive to conventional therapy, including antibiotics. Accutane and its generic are often prescribed for mild acne or without other medications being tried first.
Monthly education of patients, both male and female, regarding the need to avoid pregnancy, as well as completion of a survey to warn the patient of the adverse side effects. Patient visits include one-on-one counseling, and patients or parents must sign an informed consent form.
* Certification of medical offices and clinics as treatment centers. No Internet, phone, or mail order prescriptions may be filled.
Thirty-day prescription allotments
* A requirement that female patients have monthly pregnancy testing and receive a negative test result before a prescription is renewed
* Appropriate blood testing during treatment and 30 days after treatment
* Yearly evaluation of treatment centers to ensure compliance with program
* Mandatory quarterly reporting of all adverse reactions and mandatory reporting within 15 days of all patient deaths associated with the drug
A pharmacy technician should recognize that a prescription for isotretinoin (accutane) must be filled at a pharmacy that uses which of the following?
ipledge
List of Error-Prone Abbreviations
Sample Question: A pharmacy technician should identify that which of the following abbreviations is included on the Institute for Safe Medical Practices (ISMP) List of Error-Prone Abbreviations?
AC
PRN
QS
QOD
QOD
A pharmacy technician should recognize that medication errors should be reported to which of the following agencies?
institute for safe medication practices(ISMP)
Oversees Look-alike Drugs
Sample Question: Which of the following medications are classified as look-alike medications on the list of confused medication names developed by the institute for Safe Medication Practices (ISMP) answer
Sertraline and simvastatin
Metformin and minocycline
Hydroxyzine and hydralazine
Lisinopril and lamotrigine
A pharmacy technician should identify that which of the following are examples of look-alike, sound-alike medications?
Baclofen and benazepril
Fluoxetine and fenofibrate
Prednisone and prednisolone
Tamoxifen and tamsulosin
hydroxyzine and hydralazine, tamoxifen and tamsulosin
Sample Questions: Which of the following safety features should a pharmacy technician use to distinguish between mediations with names that look or sound alike?
tall man lettering
A pharmacy technician notices that the laminar airflow hood is turned off. How long should the technician let the hood run prior to compounding a medication?
30 minutes
A pharmacy technician should recognize that a multi-dose vial (MDV) is stable for how many days after it is opened?
28 days
Sample Question: A pharmacy technician is cleaning a laminar flow hood. Which of the following actions should the technician take?
Use chlorhexidine to clean the hood
Use tap water to clean the hood
Wipe the hood in a horizontal fashion, from back to front
Wipe the sides of the hood from bottom to top.
wipe hood in a horizontal fashion, from back to front
Sample Question: According to USP<79>, which of the following locations should the pharmacy technician use a gown, gather materials, and label medications for IV preparation?
Clean room
Pharmacy supply closet
Anteroom
Laminar airflow workbench
anteroom
