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Material Safety Data Sheet (MSDS)
Instructions for hazardous substances such as chemotheraputic agents that indicate when special handling & shipping is required
State Board of Pharmacy
Ensure what specific standards are met for the licensure of pharmacist, permits are issued & requirements are met
Bureau of Alcohol, Tobacco, and Firearms
Oversees use & taxings of alcohol in hospitals
Chemotherapeutic agents
Cytotoxic materials.
Must be prepared in a biological safety cabinet or vertical flow hood
Pharmacology
Study of drugs,their properties,uses, application & effects
State Board of Pharmacy (bop)
State agency that oversees practice of pharmacy in a given state
Laminar flow hood
Should be on 30 min before use
Ss
One half
C
With
gtts
drop, drops
Centers for Medicare and Medicaid Services (CMS)
Agency responsible for administering the Mediare and Medicaid programs.
The Joint Commission (TJC)
Requires unit dose dispensing & pharmacy-based if additive programs
antidepressant meds
Effexor
Lexapro (escatilopram)
Pristiq
Wellbutrin (bupropion)
Respitory meds
Advair
Allegra
Combivent
Flovent
Nasacort
Nasonex
Pulmicort
Quar
Singulair
Spirivia
Symbicort
NDC number
1ST 5 digits: manufacture
Next 4 digits: drug products
Final 2 digits: package size and packaging
Drug Enforcement Administration (DEA)
Enforces compliance w/ the controlled substance act overseen by the dept of justice
Food Drug and Cosmetic Act of 1938
Prohibits interstate commerce of drugs not shown to be safe and effective
Required new drug applications to be filed w/ FDA
OSHA (Occupational Safety and Health Administration)
The main federal agency charged with regulating safety and health in the workplace.
Tablet
Prepared by compressing or molding
Schedule 2 drugs
Codeine
Fentanyl
Methadone
Oxycodone
Persocet
* medical use but high abuse potential
Capsule
Drug contained in a shell of gelatin that will dissolve in 10-20 min
Liquids
Effective more quickly than a solid dosage form b/c the drug is already dissolved in a liquid
Syrup
Aqueous solution containing sucrose or sucrose substitutes
Schedule I (C-I)
Cocaine
Crystal meth
Marijuana
Heroin
* no accepted medical use in the U.S.
Formulary
List of drugs that are approved for use in an institution such as a hospital or whose cost will be reimbursed by a 3rd party Oharacter to a pharmacy
point of sale
item is deducted from inventory as dispensed and automatically reordered
Durham-Humphrey Amendment of 1951
Required all products to have directions
Separated drugs into 2 cat. Legend/ non legend (otc)
Amendment of food, drug, and cosmetic act
Kefauver Harris Amendment of 1962
Requires al meds to be pure, safe , &effective
Aux. label examples
1.- Take w/ food
2. May cause drowsiness
3. For external use only
3rd party provider
Provider that may develop a formulary for its members regarding products covered for reimbursement
Ad
Right ear
As
Left ear
Od
Right eye
Os
Left eye
Ou
Both eyes
The Joint Commission (TJC)
-addresses quality of patient care and safety
-can be considered for medicare funding
Inventory Management
Provide adequate stock of pharmacist and supplies
Reduce stockouts
Minimize cost of placing orders
Poison Prevention Packaging Act of 1970
Requires use of child-resistant containers for prescription and nonprescription drugs
C2
No refills, has to be written no fax or call in UNLESS of emergency
C3-5
Good for 6 months from date written
Allowed 5 refills
Can be faxed/called in
Suspension
2 phase system in which solid particles are dispersed in a liquid vehicle
drug dependency meds
Chantix
Hypotonic meds
Ambien (zolpidem)
Lunesta
NSAID
Ibuprofen
Meloxican
Naproxen
Opiate
Codeine
Fentanyl
Hydrocodone
Morphine
Oxycodone
Class II recall
Use of product will cause adverse health events that are temporary
Class 1 recall
Use of the product will cause or lead to serious adverse health events or deals
Antihyperlipidermic (high cholesterol)
Atorvastatin
Lovastatin
Pravastatin
Simvastatin
Antifungal
Nystatin (cream)
Antiviral
Acyclovir
Anti-infectives
Amoxicillin
Azithromycin
Ampicillin
Cephalexin
Clindamycin
Levofloxacin
Penicillin
Trimethoprina
antihypertensive (high BP)
Amlodiohine
Atenolol
Clonidine
Enalapril
Furosemide
Lisinopril (zestril)
Metoprololol
Propranolol
cardiovascular
Carvedilol
Nitroglycerin
Heparin warfarin
Atorrvastatin
Po
By mouth
Tsp
Teaspoon
Tbsp
Tablespoon
AWP (Averace whole price)
Reimbursement that is mostly commonly used by pharmacies
Or/o
Mouth
Anesthetic
Med which decreases body's sensitivity to pain or touch
anticonvulsant
Med to prevent seizures or convulsions
Cephal/ o
Head
Antiemetic
Medication used for motion sickness that prevents or relieves nausea and vomiting
Psychotropic meds (antipsychotic)
Cymbalta
Provigil
Strattera
antagonism
One drug action works against the action if of another drug
ABC Analysis
Method to identify & define inventory items based on usage
Vertical laminar flow hood
Used to prepare chemotherapy drugs
Reconstitution
Process of mixing a liquid & powder to form a suspension or solution
2 cups
1pt
2pt
1qt
4q
1 gallon
5ml
1tsp
3tsp
1tbsp
2Tbsp (tablespoon)
1oz (ounce)
8fl oz
1 cup
Maxalt (Rizatriptan).
Anti migraine meds
Antiepeleptic (antiseizure)meds
Dilantin (phenytoin)
Antiglaucoma meds
Alphagan (briminidine)
Combiganc
Lumgigan (bimatoprost)
Travalan (travoprost)
Opthalmic meds
Restasis (Cyclosporine)
Vigamox (floxacin)
Alzheimer's med
Excelon Patches (rivastigmine)
Namenda (memantine)
Penicillin
Prevent bacteria from forming a cell wall
Amoxicillin (amoxil)
Ampicillin (omnipen)
Sulfonamides
Interfere w/ para-amino benzoic acid & destroy bacteria
-bactrim
-silvadene
Antiarrymthmic
Drugs used to threat abnormal heart rhythms
-lotensin
-zevstril
-altace
ASAP order
Not as urgent as STAT but should be given special preference in filling
70% isopropyl alcohol
Used to clean laminar flow hood
Ad
Right ear
As
Left ear
Od
Right eye
Os
Left eye
Ou
Both eyes
Calcium Channel Blockers
-dipine
Inhibits smooth muscle contraction in the arteries
ARB
Sartan
Antagonizes angil directly by blocking Angil at its receptor
15-30c
59-86F
Room Temp
30-40C
86-104F
Warm
8-15c
46-59F
Cool
Rx label info
Date rx filled
Serial # of rx
Name & address of pharmacy
Pt name
Drs name
Directions for use
Red book
Source of information concerning price
Chemotherapeutic agents
Drugs that act against diseases
Cytoxan
Cytostar
Temodar
Tribid
Triplex
beta blockers
decrease heart rate and dilate arteries by blocking beta receptors
Atenolol
Carvedilol
Esmolol