WEEK 4 Flashcards

1
Q

refers to the sum of processes performed by a
pharmacist from:—-
Reading
validating and interpreting prescriptions
preparing, packaging, labeling
record keeping
dose calculations and counseling or giving information,
in relation to the sale or transfer of pharmaceutical
products, with or without a prescription
order
.

A

Dispensing

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2
Q

The manner in which a pharmacist processes a prescription order is important in fulfilling
his/her ____ and can enhance his/her____ with the physician and
the patient.

A

professional responsibility; image

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3
Q

covers all activities involved, from receiving the prescription to issuing
the prescribed medicine to the patient

A

dispensing process

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4
Q

It is desirable that the patient present the prescription order directly to the pharmacist

A

Receiving of the Prescription

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5
Q

prescription order directly to the pharmacist will yield:

A

enhancesthe pharmacist-patient relationship and (b) facilitatesthe
gathering of essential disease and drug information from the patient.

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6
Q

are trained to accept/receive the prescriptions

A

Pharmacy technicians

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7
Q

Pharmacist should:

A

–Cross –check.
–Confirm the name of the patient

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8
Q

Non-Pharmacists Personnel
According to R.A. 10918 (Philippine Pharmacy Act)

A

Pharmacy aide
Pharmacy assistant
Pharmacy technicians

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9
Q

Assist pharmacists in all areas, minimal degree
of independence, no patient interaction

A

Pharmacy aide

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10
Q

Assist pharmacists in all areas, minimum degree
of independence, interact w/ patients
(supervised by Pharmacist)

A

Pharmacy assistant

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11
Q

Assist pharmacists in compounding and
dispensing

A

Pharmacy
technicians

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12
Q

It is a legal requirement
to number the prescription order and to place same number
on the label.

A

Numbering

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13
Q

It serves to identify the bottle or package and to connect it with the original order for
reference

A

Numbering

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14
Q

Consecutive numbers are assigned by prescription ____ or manually
______

A

computers; numbering machines

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15
Q
  • is also a legal requirement
    .- This is important in determining the appropriate refill frequency and patient
    compliance.
A

Dating

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16
Q

It is also an alternate means of locating the prescription
prescription number be lost by the patient.

A

Dating

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17
Q

The prescription order first should be read ____
and ____.

A

completely; carefully

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18
Q

Upon receiving a prescription, the staff member responsible should

A

confirm the
name of the patient.

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19
Q

This action is particularly important when the pharmacy is dealing with a large crowd of people and when there is
any risk that staff or patients may mix up prescriptions.

A

Reading, Checking & Interpreting the
Prescription

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20
Q

contribute to making sure the right patient
where many people share the same surname.

A

matching numbers or symbols

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21
Q

Read and check the prescription and check the following:

A

Age of the patient
Weight and condition of the patient
Dose and dosage form prescribed
Possible influence of the other drugs being taken (Drug-drug interaction)
Frequency of administration

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22
Q

Correctly interpret any ____ used by the Prescriber

A

abbreviations

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23
Q

is required on the prescription or medication order to provide
the necessary information to allow the pharmacist to evaluate the appropriateness of
the order.

A

Complete information

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24
Q

When the order is _____
, the pharmacist must obtain the required information
from either the patient
or the ____
.

A

incomplete; prescriber

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25
Q

If an incomplete prescription or one which requires
clarification
further
is received, attempts must always be made to

A

contact the prescriber:

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26
Q

If the prescriber can be contacted and is available on site_____ for such prescriptions should be discussed with the prescriber
prior to sending the prescription back to him/her.

A

Remedial action

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27
Q

If the prescriber cannot be contacted, patient should be _____
and the prescription must be _____ to the prescriber with
information on the clarification/action needed.

A

informed ; sent back

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28
Q

If the prescriber is not available to amend the prescription
himself/herself, _____ to make the change may be obtained
_____
through the phone.

A

authorization; verbally

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29
Q

Amending the prescription:- The amendments to the prescription should be ____ to the prescriber to ensure _____
.

A

repeated back; accuracy

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30
Q

The amendments should be documented the prescription and endorsed with:

A
  • “PRESCRIBER CONTACTED” (PC)
  • dated and
  • initialed by the pharmacist/person dispensing.
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31
Q

The following should be considered during an evaluation: ——
1. Patient’s _____requiring treatment
2. Patient’s ______
3. The ______ of the prescribed product
4. The prescribed _____
5. Whether the prescribed product might result in a ____, ____, ____ interaction
6.____&____ are safe and likely
to meet the needs of the patient

A

disease or condition

allergies or hypersensitivities

pharmacological or biological action

route of administration

drug drug, drug-disease, or drug-food

Dose, dosage form, and dosage regimen

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32
Q

Whether the patient will have any adhering difficulties
to the regimen and the potential impact on the therapeutic outcome desired

A

Adherence

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33
Q

Whether the total quantity of medication
prescribed is sufficient
course of therapy

A

Quantity

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34
Q

Whether a physical or chemical
incompatibility might result (i.e., if the product requires
extemporaneous compounding)

A

Incompatibility

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35
Q

Whether a licensed practitioner
, acting in the
course and scope of practice, issued the prescription in
good faith, for a legitimate

A

Legitimacy

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36
Q

A good dispenser selects the item by reading the label and cross matching the

A

product name, strength, dosage form and quantity

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37
Q

The dispenser should check the stock to make sure
that it has not _____ and choose the oldest stock (______) or first expiry, depending on the stock rotation
method used.

A

expired; first in/first-out

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38
Q

Measure or count quantity from

A

stock containers

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39
Q

must be measured in a clean vessel and should be poured from
the stock bottle with the label kept upward.

A

Liquids

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40
Q

It can be counted with or without the assistance of a counting
device.

A

loose Tablets and capsules

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41
Q

The most important rule
to follow is that the dispenser’s hands must not
be in _____ with the medicine.

A

direct contact

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42
Q

Using the hands is bad practice for both _____ and product _____
reasons.

A

hygienic; quality

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43
Q

Counting should be done using one of the following:

A
  1. Clean piece of paper and clean knife or spatula–
  2. Clean tablet-counting device
  3. Lid of the stock container in use
  4. Any other clean, dust-free surface
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44
Q

Most well-trained staff members deliberately read the container label at least _____
during the dispensing process.

A

twice

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45
Q

Dangerous Practices:
a) Selecting according to the _____ OR ____ of the container, without consciously
reading the label, is poor dispensing practice and may have ____ consequences.

A

color or location; fatal

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46
Q

Dangerous Practices:

b) Another dangerous practice that should be discouraged is having many ______ at the same time.

A

stock containers open

47
Q

In this situation, product selection is frequently made only according to appearance,
which could lead to

A

errors.

48
Q

In addition, medicines continuously exposed to the air eventually

A

deteriorate in quality.

49
Q

It is important to open and close containers

A

one at a time

50
Q

It is defined as a situation where the prescribed medicine is not available at the pharmacy
when a prescription is being processed.

A

Stock-out

51
Q

This may be due to the medicine being temporarily out-of stock at that time or the
pharmacy does not keep stock of that particular medicine.

A

Stock-out

52
Q

If there is stock-out:

A

Inform the prescriber if substitution can be done.

53
Q

If the medicine cannot be substituted with
another medicine that is available,

A

inform the patient

54
Q

If the patient agrees for it to be supplied at a later time, arrange to get ____ so as to enable
prompt supply the medicine to the patient.

A

stocks

55
Q

If the patient requires the medicine urgently, the pharmacist/person dispensing must
communicate with the _____to discuss if the prescribed medicine can be substituted with
another medicine which is readily available.

A

prescriber

56
Q

According to FDA, generic products should be
_____ to the innovator brand.

A

bioequivalent

57
Q

Pharmaceutical equivalents
that have similar bioavailability
when given in the same molar dose
and studied under similar experimental conditions.

A

Bioequivalent drug products

58
Q

Pharmaceutical equivalents
These are drug product with same:

A

Active pharmaceutic ingredient
Dosage form
Dosage strength
Mode of administration
Standard of quality

59
Q

Process of dispensing a different
brand or unbranded drug product in
place of the prescribed drug product.
Consent from the prescriber is not
needed (RA6675 Generics Act of
1988)

A

Generic Substitution

60
Q

Pharmaceutical equivalents may differ in characteristics such as

A

shape, scoring configuration,
release mechanisms, packaging, excipients (including colors, flavors,
preservatives), expiration time, and, within certain limits, labeling

61
Q

Drug products that contain the same therapeutic
moiety

A

Pharmaceutical alternatives

62
Q

Pharmaceutical alternatives Drug products that contain the same therapeutic
moiety
But differ in:

A

salts, esters or complexes
Different dosage forms and strengths within a product
line by a single manufacturer

63
Q

Process of dispensing a
pharmaceutic alternative for the
prescribed drug product
Consent from the prescriber is
needed

A

Pharmaceutic Substitution

64
Q

Drug products containing different
active ingredients that are indicated for the same
therapeutic or clinical objectives.

A

Alternatives

65
Q

Drug products that can be used
interchangeably in clinical practices

A

Equivalents

66
Q

Process of dispensing a therapeutic
alternative in place of the prescribed
drug product
Consent from the prescriber is needed

A

Therapeutics Substitution

67
Q

Apply Legal & Ethical Considerations

The pharmacy professionals should confirm:

A
  1. Legality
  2. Legibility
  3. Ethical concerns
  4. Give Appropriate discounts
68
Q

A prescription is legal when: —-
It is written (can also be typed) and _____ by an authorized prescriber
____ prescription for controlled drugs
Date of issue
Has ____ the information required to be contained with respect to parts of prescription

A

signed; Yellow; all

69
Q

A brief examination of each prescription should be made immediately upon receiving it
from the patient

A

Legibility

70
Q

Pharmacy professional must examine the prescription only behind the _____,
and must not allow themselves to be _____ while doing so.

A

dispensing counter; distracted

71
Q

When confronting with ethical dilemmas always apply the ____
for pharmacists and
the _____
such

A

code of ethics; basic healthcare ethics

72
Q

When confronting with ethical dilemmas always apply the code of ethics
for pharmacists and
the basic healthcare ethics
such as:

A

Autonomy
Beneficence
Nonmaleficence
Justice

73
Q

describes a conflict between two morally correct courses of action. There is a
conflict between values or principles.

A

ethical dilemma

74
Q

is that you would be doing something right and
wrong at the same time, and by taking one right course you will negate the other right course.

A

dilemma

75
Q

SENIOR CITIZEN- RA 9994 (____ Discount NON VAT)

PWD (Persons with Disability)- RA _____(20% Discount NON VAT)

A

20%; 10754

76
Q

Senior citizens in the Philippines are exempted from paying

A

Value Added Tax (VAT)

77
Q

The pharmacist should decide the exact procedure to be followed in____
and ___ the ingredients

A

dispensing; compounding

78
Q

The pharmacist should perform this responsibility on the basis of his knowledge of the
___, ____, &____ to the patient

A

quality, effectiveness, and cost

79
Q

Prescription that requires compounding
Upon receipt of prescription, take into consideration the following

A

Chemical and physical incompatibility
Order of mixing
Need for special adjuvant and techniques
Mathematical calculations required

80
Q

When selecting the medicine to be dispensed, prevent any medication errors by
establishing an _____
to ensure that the correct medicine is selected,
especially if there are medicines with similar names and packaging,

A

appropriate system

81
Q

Look-alike and sound alike drug names:

A

Quinidine and Clonidine,
Doxycycline and Doxofylline

82
Q

High risks drugs or high alert drugs

A

Blood modifying agents- Heparin & Warfarin
Narcotics and sedatives- Diazepam (Valium), Neuromuscular paralyzing agents, Chemotherapy drugs

83
Q

it should be used to enable correct and accurate selection
of the medicine.

A

barcode system

84
Q

Proper packaging is required to ensure

A

(1) product stability,
(2) to promote patient compliance, and to (3) comply with
legal requirements.

85
Q

Proper packaging is commonly found in

A

United States Pharmacopeia (USP)

86
Q

Medicines should be dispensed in _____ packaging as far
as possible.

A

original

87
Q

Medicines which need to be packed
such as _____ should be packed into a clean, dry container,
such as a bottle or plastic envelope which will not
compromise the quality of the product after dispensing.

A

loose capsules/tablets

88
Q

Selection of container is based primarily on:

A

a) Type and quantity of medication to be dispensed
b) Method of its use
c) Pharmacists may select a container from among
various shapes, sizes, mouth openings, colors, and
composition.

89
Q

Types of containers generally used in pharmacy are:

A
  1. round vials – for capsules and tablets
  2. prescription bottles – for liquids of low viscosity
  3. wide mouth bottles – for bulk powders, large quantities of tablets or capsules, suspensions (viscous liquids)
  4. dropper bottles – for ophthalmic, nasal, otic and oral liquid preparation
  5. applicator bottle – for wound and skin surface
    6.ointment jars and collapsible tubes – semi-solid dosage form
  6. sifter-top containers – for powders
  7. hinged-lid or slide boxes – for suppositories and divided powders
90
Q

Labelling the Prescription

It should have an

A

aesthetic and professional appearance

91
Q

Labeling includes:

A

Name and address of the pharmacy
Patient’s name
Original date of filling
Prescription number
Directions for use
Product’s brand
Product strength (if available in more than one strength)
Quantity of medication dispensed
Prescriber’s name
Expiration date of the medication
Pharmacist’s initials

92
Q

contain one dose or one unit of
medication.

A

Unit-dose packages

93
Q

To ensure proper medication use, storage, and
compliance with applicable statutes, and to reinforce
information provided during counseling, auxiliary
and/or cautionary labels should be affixed when
appropriate

A

Auxiliary and cautionary labels.

94
Q

Examples of Auxiliary labels

A

proper storage
refill status
warnings or precautions

95
Q

Counter-checking should be done by a _____, other
than the staff who did the previous filling and labelling tasks.

A

second person

96
Q

Counter-checking is essentially important for those drug products available in?

A

Multiple strengths

97
Q

Once the counter-checking is done, the person performing
this task should ___
on the prescription.

A

initial

98
Q

This will increase the likelihood of obtaining the desired outcomes

A

Counter-checking

99
Q

Issuing or supply of medicine should only be done
by

A

registered pharmacist
.

100
Q

When dispensing the medicines, ensure the 5Rs:

A

Right Patient- Right Medicine- Right Dose- Right Route- Right Time

101
Q

Right Patient- Right Medicine- Right Dose- Right Route- Right Tim

A

Patient Counselling

102
Q

In addition, the following topics might also be appropriate during the counseling
session:

A

Special procedures.
Proper storage.
Potential adverse effects.
Over-the-counter (OTC) products.
Compliance aids

103
Q

item should be stored at room temperature (68-77°F), ideally inside
cabinet, cupboard, pantry, or cellar, as their relative humidity is approximately 80%.

A

Store in a cool dry place

104
Q

thermostatically controlled between 20C and 25C with allowed
excursions between 15C to 30C

A

Store in room temperature

105
Q

As appropriate, the pharmacist should advise patients on how to take the medication
(e.g., on an empty stomach, with plenty of water) and instruct them on foods to avoid
while taking the medication (e.g., alcoholic beverages, dairy products).

A

Special procedures.

106
Q

The pharmacist should counsel patients on how to store medications properly to
ensure stability and potency.

A

Proper storage

107
Q

The pharmacist should ensure that patients are
aware of the possible adverse effects associated
with the medication

A

Potential adverse effects.

108
Q

Patients should understand the following for adverse effect:

A

The frequency of an adverse effect.
The severity of an adverse effect.
What action should be taken to manage or
minimize the adverse effect.

109
Q

a response to a drug that is
noxious and unintended,

A

ADR

110
Q

the result of the intrinsic
properties of the drug and
cannot be prevented

A

ADR

111
Q

Let the patient ___ what you have counsel to
them.

A

repeat

112
Q

1) Prescription record book—
2) Dangerous drug book-
3) Poisonous substances record book—
4) Referral logbook-

A

kept in the drug store for 2
years
kept for 2 years
5 years
kept for 2 years

113
Q

Three different methods can be used to keep a
record of medicines dispensed

A

A. Prescription is retained
B. Prescription is returned to the patient
C. Use of computers to record the dispensing details

114
Q

Enumerate Processing of Prescription:

A
  1. Receiving of the Prescription
  2. Reading, Checking & Interpreting the
    Prescription
  3. Validate Appropriateness of the
    Prescription
  4. Check Availability of Medicine
  5. Apply Legal & Ethical Considerations
  6. Preparing the Prescription
  7. Select Proper Packaging
  8. Labelling the Prescription
  9. Counter-checking
  10. Issuance of Medicine to the Patient
  11. Patient Counselling
  12. Filing & Recording of Prescription