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11
the maximum number of refills permitted for non-controlled drugs.
fluoroquinolone
an antibacterial drug class that end in the suffix -floxacin
tendon damage and rupture is a notable side effect, must avoid with multivitamins like iron and calcium
H2 receptor antagonists
used to treat conditions that cause excess gastric acid production, like dyspepsia (famotidine)
tyramine
patients taking monoamine oxidase inhibitors should avoid foods with ____
helps to prevent hypertensive crisis
excipients
inactive ingredients of a medicine are called ____
DEA Form 224
this must be completed by pharmacies to be licensed to dispense controlled substances
po
the pharmacy abbreviation for "taken orally"
polypharmacy
refers to the concurrent use of multiple medicines at the same time
iPLEDGE
this is the risk evaluation and mitigation strategy guide for the drug, isotretinoin, because this anti-acne drug carries a high risk of birth defects
Beers' list
the _____ ____ is a compilation of medicines that inform healthcare professionals of the risk that medicine may have to an older patient and what approach can/should be taken.
suspensions
____ always contain a "shake well before use" label because particles suspended in the medicine can cake to the bottom, meaning that, if the medicine is not shaken, the patient does not receive an accurate dose of the medicine.
3
there are ____ parts to an NDC code
drug manufacturer
the first five digits of an NDC code refer to the ____ ______
drug product/strength
the second set of 4 digits of the NDC code refer to the ____
packaging size
the final 2 digits of the NDC code refers to the ____ _____
Auxiliary label
additional instructions on labels that inform the patient on the safe and effective use of a medicine. For example, "avoid sunlight".
photosensitivity, tooth discoloration
2 side effects of tetracyclines
2
pharmacies should complete an inventory of controlled substances every ___ years
green leafy vegetables
contain vitamin K, which opposes the anticoagulant effect of warfarin
varenicline, bupropion
2 drugs that are used to assist patients with smoking cessation
ACE inhibitors
used in the treatment of hypertension and chronic heart failure. Side effects include a persistent dry cough and hyperkalemia (high potassium levels). Examples include ramipril, lisinopril, and perindopril.
material safety data sheets
a direct outcome of the Occupational Health and Safety Act, 1970. MSDS are forms completed by compound manufacturers that provide detailed commentary on
four
there are ___ parts to Medicare coverage
A
part ___ of medicare covers hospital insurance
B
part ___ of medicarecovers outpatient or medical insurance
C
part ____ of medicare allows private health insurance plans such as PPOs or HMOs to offer benefits
D
part ___ of medicare covers prescription drugs
B, C
what vitamins are water soluble (not stored in body, need regular replenishment compared to fat soluble)
A,D,E,K
what vitamins are fat soluble
HMG-COa reductase
statins work by inhibiting the enzyme ______
Side effects with statins include muscle aches and pains, elevation of liver enzymes, and an increased risk of type 2 diabetes in at-risk patients. Statins are used to lower high blood cholesterol.
NSAIDs
____ work by inhibiting the COX enzyme, reducing pain and inflammation
drug utilization reviews
reviews that analyse a patient profile to ensure that medications dispensed to a patient in the past were correct. It was mandated by the Omnibus Budget Reconciliation Act 1990.
tincture
a medicine that is made by dissolving in alcohol, therefore it has a high alcohol percentage
ex.= iodine tincture
analgesics
medicines used to relieve pain
ex.= tylenol, morphine
95% ethyl alcohol
Alcohol USP refers to the use of ______
drug enforcement administration
responsible for enforcing laws relating to controlled substances
orange book
used to identify products that are therapeutically equivalent
one
For a non-controlled substance prescription drug, the prescription is valid for up to ___ year from the date of issuance.
subscription
The _____ part of a prescription refers to instructions given to the pharmacist, such as the number of refills permitted, or whether a generic drug can be used in place of a branded drug.
protease inhibitors
used to combat HIV/AIDS. Examples include lopinavir, ritonavir, darunavir, and atazanavir.
Z drugs
used for the short-term (fewer than 4-weeks) treatment of insomnia. Examples include zaleplon, zolpidem, and zopiclone.
DEA form 41
used to report destroyed controlled substances
colchicine, allopurinol
2 medicines used in the treatment of gout.
beta blockers
always end in the suffix -lol. Examples include bisoprolol, metoprolol, and esmolol.
PDE5 inhibitors
used in the treatment of erectile dysfunction. Examples include tadalafil (Cialis) and sildenafil (Viagra).
United states pharmacopeia
All pharmacies are obliged by law to contain a copy of the ____
DEA form 222
used when ordering both Schedule I and Schedule II medicines.
antitussive drugs
used in the treatment of cough. Examples include codeine and dextromethorphan.
gtts
pharmacy abbreviation for "drops", such as eye drops.
calcium channel blockers
used to treat hypertension and symptoms of stable angina. Examples include nifedipine, amlodipine, diltiazem, and verapamil.
amber medicine containers
used to protect the medicine against the harmful effects of sunlight radiation.
trituration
process where tablets or other substances are ground down to a fine powder.
the joint commission
the body tasked with the responsibility of accrediting and certifying healthcare organizations.
USP <800>
sets standards in handling hazardous drugs for healthcare professionals, patients, and the environment.
grapefruit juice
interacts with many medicines, including many statins - inhibiting CYP enzymes and increasing the risk of serious adverse effects.
intrathecal administration
refers to administering a medicine into the spinal canal.
pharmacokinetics
refers to how an organism affects a drug - often summarized as ADME: Absorption, Distribution, Metabolism, and Excretion processes of a drug.
pharmacodynamics
talks about what a drug does to the body; the biochemical and physiological effects of the drug on the body. This is important when trying to establish the optimum dose of a medicine
half life
defined as the time is takes for the total amount of drug in the body to reduce by 50 percent. For example - a drug has a half-life of 2-hours. After 2-hours of taking the medicine, 50% remains in the body. After 4-hours, only 25% remains and, after 6-hours, just 12.5% remains in the body.
not an NSAID, though it is an antipyretic - a drug that treats fever.
SSRIs
used in the treatment of major depressive disorder. Examples include paroxetine, sertraline, citalopram, escitalopram, fluoxetine, and fluvoxamine. SSRIs are selective serotonin reuptake inhibitors.
0.3
HEPA filters within laminar flow hoods remove particles that are at least ____ microns in size.
red
Sharps containers can be identified as they are typically ____ in color.
asepsis
being free from disease causing microorganisms
spatulation
Ointments can be made using a technique called _______; using a spatula to evenly and homogenously mix two or more substances together. The mixture is combined against an even, flat, and smooth surface.
wedgwood mortar
an effective tool used to grind down and mix powders to form a uniform arrangement of active and non-active ingredient.
0.22 micron filter
should be used when sterilizing an ophthalmic solution.
purified water USP
cannot be used when compounding a sterile product.
six
Laminar flow hood air quality must be certified every ___ months
bisphosphonates
used in the treatment of osteoporosis. Examples include alendronic acid, pamidronate, and zoledronic acid.
do not use
The Joint Commission issue a _____ list, which is a list of pharmacy abbreviations and acronyms that should be avoided as they may cause confusion and risk patient safety.
leur-lok syringe
should be used when compounding hazardous drugs.
hepatitis B
OSHA mandates that workers in the healthcare setting are vaccinated against
30
Before being used, a laminar flow hood should be turned on for at least ______ minutes
ototoxicity, nephrotoxicity
2 notable side effects of aminoglycoside antibacterial drugs such as gentamicin and tobramycin.
diameters
As a rule, the lower the needle gauge size, the larger the _____
orphan drugs
are used to treat a rare disease. Governments often provide financial incentives for pharmaceutical companies to develop drugs to treat rare diseases, known as orphan diseases.
c
pharmacy abbrev for with
s
pharmacy abbrev for without
no
can schedule 2 drugs be refilled?
five
Schedule III-V drugs can be refilled a maximum of ____ times
benzodiazepines
work by enhancing the binding of GABA to the GABA A receptor; medicines used to treat a wide range of conditions such as anxiety, insomnia, epilepsy, and seizures. Examples include diazepam, midazolam, and temazepam and oxazepam.
triptans
used in the treatment of migraine
ex.= sumatriptan, zolmitriptan
highly active anti-retroviral therapy
used to treat HIV/AIDS.
Examples of antiretroviral drugs: entry inhibitors, fusion inhibitors, integrase inhibitors, and reverse transcriptase inhibitors.
one handed scoop
the _____ technique should be used if a needle needs to be recapped. To avoid an accidental needle stick injury, never recap a needle using both hands.
Class III prescription balance
A ______ must be certified on an annual basis.
29 particles of 5 microns
There should be no more than ________ (or greater) in size within an ISO Class 5 environment.
UTI
Drugs used to treat _____s include trimethoprim, fosfomycin, and nitrofurantoin.
3
there are ___ classes of FDA drug recall
most
a class 1 FDA drug recall is the ___ serious
least
a class 3 FDA drug recall is the ____ serious
proton pump inhibitors
used to treat conditions caused by excess gastric acid production. Proton-pump inhibitors can be identified courtesy of the suffix -prazole. Examples include omeprazole, lansoprazole, and pantoprazole.
cinchonism
a syndrome of side effects associated with the anti-malarial drug, quinine. These effects include fever, fatigue, visual disturbances, and deafness.
DEA form 106
used to report the theft or loss of a controlled substance.
tall man letterine
used to reduce the error of confusing two drugs with one another based on how they sound or read. For example: prednisONE and prednisOLONE; or cycloSERINE and cycloSPORINE.
beta 2 agonists
used in the treatment of asthma and COPD. Examples include albuterol, salmeterol, formoterol, and terbutaline.
insulins
Examples of rapid-acting _____ (peak time - 1 hour) include insulin aspart, lispro, and glulisine.
long
Insulin detemir and insulin glargine are _____-acting insulins.
intermediate
Isophane insulin is an _____-acting insulin.
diuretics
used to promote water and electrolyte loss. There are various classes