Test Prep Book Review Flashcards
DEA 41
Form used to destroy controlled substances
DEA 222
Triplicate form - receive, order or return C2’s
Complete or incomplete must be kept for 2 years - hold for 2 years
DEA 106
Used to report lost or stolen controlled substances.
Must also notify DEA diversion office and HPD
DAW 1
Substitution not allowed
DISPENSE AS WRITTEN
BRAND ONLY
DAW2
Substitute allowed, pt requests brand
DAW3
Substitute allowed, RPh selected brand
DAW4
Substitute allowed, generic not in stock
Product may cause temporary but reversible adverse effects and there is little likelihood of serious adverse effects
Drug Recall Class II
There is a strong likelihood that the product will cause serious adverse effects or death
Drug Recall Class I
Product is not likely to cause adverse effects
Drug Recall Class III
Act that requires RPh to provide patient counseling when dispensing a prescription
OBRA - Omnibus Budget Reconciliation Act
Which schedule controls must be counted exactly?
CII AND any containers that hold more than 1,000.
The number of days it takes to use the complete stock or an item
Turn over rate
CIII and CIV allowable refills?
Up to 5 times within 6 months of issue date
NDC number breakdown
XXXXX-YYYY-ZZ
X: manufacturer
Y: strength
Z: bottle size
Any error in the dispensing or administration of a drug
QRE - quality related event
Medications that you need to pay special attention to because they can cause significant harm when calculation or other errors are made.
High Alert medications.
Examples of high alert medications
Narcotics
Parenternal nutrition preparations
Sterile water for injection
Epinephrine, Oxytocin, Vasopressin, Insulin I-500
Which have prescription processing requirements and are part of the restricted drug program?
Isotretinoin
Thalidomide
Clozapine
Are suffixes standardized, or can different suffixes be used for an identical formulation and vice versa?
NOT standardized
What should you avoid while taking Warfarin?
Vitamin K (potassium) - leafy greens vegetables or any others high in vitamin K
Aspirin
Antibiotics
beat-blockers can worse asthma
Pseudoephedrine can increase the blood pressure of those with hypertension
Drug-Disease interaction
What should you avoid while taking statins and why?
Grapefruit juice
Because GFJ decreases metabolism is statins causing muscle or liver damage (due to build up of statins in the body)
carcinogenicity
the ability to cause cancer
teratogenicity
the ability to harm fetal development
hepatotoxicity
the ability to harm the liver
nephrotoxicity
the ability to harm the renal system
hematological effects
blood clot
bleeding
etc
gastrointestinal effects
ulcers
nausea
diarrhea
CNS effects
drug dependence
tolerance
resistance
DEA 222 copy 1 (top)
Supplier
DEA 222 copy 2
sent to DEA
DEA 222 copy 3
retained by the purchaser (pharmacy)
what control class can be refilled as many times are specified by the prescriber?
CV
how many times can a CIII and CIV be refilled?
up to 5 times in 6 months
iPledge program drug, use and requirements
isotretinoin (Claravis) - severe acne
iPledge - MD and patient both fill out their part consent form
Redo every 30 days
Blood test before and 30 days after
Pregnancy tests and 2 forms of birth control
Filled and picked up within 7 days (date of pregnancy test is day 1)
STEPS drug, use and requirements
thalidomide (Thalomid) - leprosy/skin cancer
used to be used for morning sickness, caused birth defects in thousands
similar steps to iPledge
restricted drug program that monitors white blood cells
clozapine
antipsychotic
PSE sales restrictions - daily limit
3.6g
PSE sales restrictions - monthly limit
9g
Provides standards compounding NON-sterile drugs
USP-795
Provides standards compounding STERILE drugs
USP-797
contains information on chemicals, identifying characteristics, flammability, volatility, and what to do in case of a spill or emergency.
Required in EVERY pharmacy.
MSDS - Material Safety Data Sheets
blood pressure reading as your heart pumps blood through the body
systolic reading
blood pressure reading as your heart relaxes and fills back up with blood
diastolic reading
140/90
“Normal” blood pressure
“bad” cholesterol that builds up on arterial walls
should be below ___
LDL: low-density lipoproteins
below 100mg/dL
“good” cholesterol that pick up cholesterol in the body and deliver it to the liver
good range?
HDL: high-density lipoproteins
40-50 mg/dL Men
50-60 mg/dL Women
range for total cholesterol
below 200 mg/dL
