New Review Flashcards
Delivery of nutrients through feeding tube
Enteral nutrition/feeding
Catheter inserted into jugular vein leading to vena cava or right atrium
Central venous catheter or central line
Tube inserted through skin into stomach
Gastric tube
Steel clamps to clamp tubing
Hemostat
Another name for tpns
Hyperalimentation
Filter near end of Iv tubing to remove particulate from tpn soln prior to admin
In line filter
Long tube inserted into peripheral vein in arm and goes to large vessel near heart
PICC line
Peripherally inserted central catheter
How are chemo meds ordered
Mg/m2
Mg per meters squared
Safety procedures defined by? And by what orgs?
Usp chapter 797 and p&p manual
NIOSH
ASHP
OSHA
Niosh
Nat institute for occupational safety and health
Ashp
American society of health system pharmacists
OSHA
Occup safety health admin
Chemo spill sizes
Small under 5 g or 5 ml
Large over 5 ml
How many more hours must chemo tech be trained
20 more
Chemo prepared in what
Class II BSC or Caci
Cva stands for
Cerebral vascular accident
Stroke
MI
Myocardial infarction
Heart attack
URI
Upper resp infect
Chart.
Powder in paper. Mix with water.
What is the inscription
Meds ordered
Subscription
Instructions to RPh
ODT
Orally disintegrating tablet
PACU
Post anesthesia care unit
Dx
Diagnosis
Hx
History
Ngt or NGT
Ng tube
Tx
Treatment
ABx
Antibiotic
B1
B 1 eye
Thiamin
B2
B 2 ribs
Ribo
B3
B 3 knees
Niacin
B5
B 5 pants
Pant acid
B6
B 6 pumps
Pyrox
B9
B 9 foliage
Folic acid
eMar
Electronic med admin record
H2o2
Hydrogen peroxide
HRT
Hormone replacement therapy
Ivp
Iv push
TDS
Transdermal delivery system
aa (line over)
Of each
c (line over)
With
s (line over)
Without
Who keeps up with drug shortages
Drug shortage? Drink cider.
CDER
Center for Drug Eval and Research
Drugs requiring refrige
Gabapentin
Insulin
Phenergan suppository
Drugs require freezer
Botox
Some vaccines mmr zoster
Diff HMO v PPO
HMO has dr network called PCP. Lower premiums. Need referrals.
PPO can see any dr. Lower copay for PPO listed. No referral.
What does HMO mean
Health maint org
What does PPO mean
Pref provider org
What is FDAAA
Food drug admin amendment act of 2008
What is RCRA
Resource Conservation and Recovery Act of 1976
What drugs are on RCRA list P list?
Warfarin
Epinephrine
Phentermine
Nicotine
Drugs on RCRA u list?
Chemo drugs
What drugs are on RCRA D list?
Barium mercury selenium chromium other heavy metals
Traits of RCRA hazardous wastes
Crit
Ignitable
Corrosive
Reactive
Toxic.
Who regulates RCRA?
EPA and/or state empowered waste regulating agencies
What should metronidazole not combine with
Alcohol
If no monograph for storage requirements where else can find it
Usp
What is PCN
Primary care network
What is BIN
Bank ID number. Always used by pharmacy to file insurance claim
Interaction of macrolides
Statins. Cause muscle wasting
Interaction of AB
OJ. Zinc. Antacids. Iron. High carb meals at same time as take drug.
Interaction of methotrexate
PNC
Which narc has the most interactions
Demerol
Ginkgo interacts with
ASA. NSAIDs
Xanax interacts with
Kava
Categories of interactions
Type A dose dependent
Type B idiosyncratic
Which vitamin interact with Coumadin
Vit K
What drugs FDA recommend flushing to dispose
Fentanyl. Demerol. Percocet. Oxy. Dilaudid. Methadone. Morphine.
USp freezer temp
-25 and -10 c. Which is -13 and 14 F.
Usp cold temp
Not over 8 c or 46 F
Usp excessive heat temp
Over 40 c or 104 f
Usp dry place
Humidity not over 40%
In Parenteral prep what does not have to list the amount
Substances added for pH or to achieve isotonicity. Must list additive and why but not amount.
Pharmacokinetic order
Absorption
Distribute
Metabolism
Elimination
Insulin dosed in u. U is number of units per ? ml
1 ml
Brand name of shingles vaccine
Zostavax
Insulin 10 ml vial how many u?
1000 u per 10 ml
Min filter require for hepa filters
99.97% of part greater than 0.3 microns
Federal law for sch II script expiration date
Never expires
1 gallon ? L
3.8 L
1 gr ? Mg
65 mg
1/4. 1/3. 1/2. 5/8. 3/4.
- 25
- 333
- 5
- 625
- 75
Youngs rule
Child age/chile age + 12 x adult dose
Unrefrigerated insulin good for
28 days