pick and pack

Question 1

Labelling requirements (7)

Answer 1

1. Quantity + API & Strength + Dosage form
2. Batch / reference number
3. Dosing + administration instruction
4. Patient name
5. Date of dispense, expiry date
6. Pharmacy address
7. Cautionary label

Question 2

Prescription requirements (5)

Answer 2

1. Patient’s name & IC
2. Dosing instructions
3. Medication name & dose
4. Name, address & signature of prescriber
5. Date of prescribing

Question 3

Eyedrops dose calculations (2)

Answer 3

Eyedrop 1% = 10 mg/1ml = 20 drops
1 drop = 0.05 ml (0.5 mg / administration)
(Number of drops = volume in microliters / 30 microliters)

Question 4

Creams dose calculations (2)

Answer 4

2 Finger Tip Unit = 1 g
1 hand = 0.5 FTU

Question 5

Insulin dose calculation principles

Answer 5

1. Must prime the pen before each injection use (2 units each time)
2. Calculate total amount (unit) needed per day x number of days
3. Each pen = 300 units
   —> calculate number of pens needed (round up)

Question 6

Calculation on % strength (w/v, v/v, w/w)

Answer 6

W/w = g/100 g
W/v = g/100 mL
V/v = mL/100 mL
ｗ/ｗ x specific gravity = w/v

Question 7

Equations for calculations
(combining drug, dilution, specific gravity)

Answer 7

1. Combining drug: strength = total amount / total mass or volume
2. Dilution: Q1C1 = Q2V2
3. Specific gravity = density of substance / density of water (1g/cm3)

Question 8

Abbreviations
1. 3/7
2. 3/53
3. 5/12

Answer 8

1. 3 days
2. 3 weeks
3. 5 months

Question 9

Abbreviations
1. q.d. or QD
2. b.i.d., b.d., b.d.s or BD
3. t.i.d., t.d., t.d.s or TDS
4. q.i.d, q.d.s

Answer 9

1. Once a day
2. twice a day
3. three times a day
4. four times a day

Question 10

Abbreviations
1. OM
2. ON
3. Q
4. PRN
5. a.c.
6. p.c.
7. h.s.
8. n.
9. n. et. m.

Answer 10

1. every morning
2. every night
3. every
4. when necessary
5. before meals
6. after meals
7. at bedtime
8. at night
9. night and morning

Question 11

Abbreviations
1. o.d.
2. o.s.
3. sig.
4. mitt.
5. p.p.a
6. q.s.

Answer 11

1. right eye
2. left eye
3. label
4. send
5. shake the bottle
6. as much as sufficient

Question 12

Prescription requirements for CD

Answer 12

1. In indelible ink
2. Name & address of prescriber
3. Handwritten
   - Name & address of patient
   - Dosage form of the specific product
   - Strength of specific product
   - Total quantity (in words and figures)
   - Should be signed & dated

Question 13

Dipsensing made in installments

Answer 13

1. Amount at each dispensing
2. Interval between ech dispensing

Question 14

Repeat prescription

Answer 14

2 repeats = can give 2 more times
eg 6 tab (2 repeats) –> total of 18 tabs can be supplied

Question 15

Requirements for Partial Supply

Answer 15

1. Patient has original prescription, keep photocopy of prescription
2. Record (in table form) on both original and copy: item, qty prescribed, qty dispensed, balance –> in practice, paste dispensing label (shows drug name, dose)
3. Also record date of dispensing, name of patient, time, address of pharmacy