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What are the non-sterile compounding standards?
USP 795 Regulations
What are ointments?
Oil-based in which they are preparations of water in oil.
What are creams?
Water-based in which they are preparations of oil in water.
What is spatulation?
Mixing of semi-solids and powders on an oil slab by use of a spatula.
What is important to note when mixing for the process of spatulation?
Mixing needs to be geometric, meaning small equal parts of each ingredient are mixed so that all ingredients are integrated to form a uniform mixture.
What is a suspension?
A simple pharmacy mixture that is composed of a medication in powder form that is suspended into a liquid vehicle, typically sterile water.
What is a homogeneous mixture at a desired concentration?
A solute completely dissolved in a solvent.
What is an emulsion?
Two liquid substances that do not mix.
What does immiscible mean?
Liquid substances that do not mix.
What are suppositories?
Solid formulations that are used mostly rectally, but sometimes vaginally.
How are suppositories prepared?
Hand rolling, fusion molding, or compression molding.
What are enemas?
Solution formulations that are used rectally to treat various conditions.
What does Weight/weight (w/w%) mean?
Measured in grams of the ingredient/100 grams of the total product.
What does Volume/volume (v/v%) mean?
Measured in mL of the ingredient/100 mL of the total product.
What does Weight/volume (w/v%) mean?
Measured in grams of the ingredient/100 mL of the total product.
What is a ratio?
Relative value between two numbers.
Ex. 1/2, 1:2 or parts per ratio 1:1:1.
What is a proportion?
Equality of two ratios.
Ex. a:b=c:d, a/b=c/d, a:b::c:d
Volume:
1 tsp=_ mL
1 tbsp=_ mL
1 L=_ dL=_ cL=_ mL=_ mcL
1 mL=~_ drops
1 gal=_ qts
1 fl oz.=_ mL
1 qt=_ pints
1 pt=~____ mL
5 mL, 15 mL, 10 dL, 100 cL, 1000 mL, 1000000 mcL, 20 drops, 4 qts, 29.6 mL, 2 pints, 473 mL
Weight:
1 kg=_ Ib
1 gm=_ dg=_ cg=_ mg=_ mcg
1 grain=_ mg
1 Ib=_ oz
1 Ib=~_ gm
2.2 Ib, 10 dg, 100 cg, 1000 mg, 1000000 mcg, 64.8 mg, 16 oz, 454 gm
Length:
1 inch=____ cm
2.54 cm
What are sig codes and why are they used?
Shorthand abbreviations used on prescriptions to ease the amount of text the prescriber needs to write.
What is the basic format of a sig prescription?
Quantity+ route of administration+ frequency+ other
Ex. 1 TAB PO BID PRN PAIN (take one tablet by mout twice daily as needed for pain)
QOW means?
Every other week
BID means?
Twice daily
TID means?
Three times daily
QID means?
Four times daily
Q4H, Q6H, Q8H, Q12H means?
Every fours hours, every six hours, every eight hours, every twelve hours
Route of administration PO means?
By mouth
SL means?
Sublingually (under the tongue)
BUCC means?
Buccally (inside the cheek)
TOP means?
Topically
SC, SUBQ means?
Subcutaneously
IM means?
Intramuscularly
IV means?
Intravenously
IN means?
Intranasally
ID means?
Intradermally
IT means?
Intrathecally
INH means?
inhale
PV means?
Per vagina or vaginally
PR means?
Per rectum or rectally
Opth means?
Ophthalmic (eye)
Otic means?
Ear
Roman numerals:
I (i)-
V (v)-
X (x)-
L-
C-
D-
M-
One, five, ten, fifty, one hundred, five hundred, one thousand
What does Stat mean?
Immediately
What does PRN mean?
As needed
What does Tab mean?
Tablet
What does Cap mean?
Capsule
What does AAA mean?
Apply to affected area
What does Amp means?
Ampule
What does Gtt mean?
Drop
What does OS, OD, OU mean?
Left eye, right eye, both eyes
What does AS, AD, AU mean?
Left ear, right ear, both ears
What does AM, PM, HS mean?
Morning, evening, bedtime
What does Q mean?
Every
What does UD mean?
As directed
What does C mean?
with
What does AC, PC mean?
Before meals, after meals
What does NPO mean?
Nothing by mouth
What does Preop, postop mean?
Before surgery, after surgery
What does N/S mean?
Normal saline
What does oint, ung mean?
Ointment
What does Sol mean?
Solution
What does Sup mean?
Suppository
What does Susp mean?
Suspension
What does Syr mean?
Syrup
What does Inj mean?
Injection
What does TDS mean?
Transdermal delivery system
What does ODT mean?
Oral Disintegrating Tablet
What does MDI mean?
Metered Dose Inhaler
What does Neb mean?
Nebulization
What does ATC mean?
Around the clock
What does NR mean?
No refill
What does DAW mean?
Dispense as written
What does D/C mean?
Discontinue
What does Diag mean?
Diagnosis
What does Disp mean?
Dispense
What does D5W mean?
Dextrose 5% in water
What is day supply?
The amount of days the medication lasts which is calculated by the pharmacy tech based on the prescribed quantity and direction. There is not day supply however listed if the medication is a maintenance medication meaning it is long term.
When is medication unit dosed into single small packages?
Hospital or inpatient setting
What are prefilled insulin pens?
Calibrated insulin syringes used to administer a patient's insulin.
A diabetic will test their blood sugar by using?
Lancet Device
What is a Lancet Device?
Pricks a patient's finger and draws a small amount of blood.
What is a glucose meter (glucometer)?
Tests glucose levels by taking an associated test strip that has the patient's sample of blood.
What are spacers used for?
Used on the end of inhaler to create a chamber between the inhaler and the patient's mouth.
What are the three district parts of an injectable syringe?
Plunger, barrel, needle
How does an oral syringe differ from an injectable syringe?
There is no needle
What is a drug given on it's packaging during the manufacturing process?
A lot number
Why are lot numbers important?
If a drug needs to be recalled, a lot number is used to track the drug.
What will a drug manufacturer put on a drug's packaging other than a lot number?
Expiration Date
What is the National Drug Code (NDC)?
Three segment, 10 digit number that identifies the manufacturer, product, and packaging size of the drug.
What is on a usage report and why is it important?
Month-to-date usage, year-to-date usage, and last dispensed date. Provides valuable information to determine if the medication should be returned.
It is important for the pharmacy to perform _ and temporarily sticker anything that ___ within the __ with the expiration month.
Monthly shelf checks, expires, calendar year.
What medications are considered good candidates for return?
Dispensable medications and supplies (unopened, maintain good condition, and many months out from their listed expiration date)
If a medication is expired they must be returned how and why?
Returned to reverse distributor to dispose of the medication properly typically by incineration.
What does a credit return do in result?
There is a restocking fee which deducts 10-20% off of the return value of the product.
When does a retail pharmacy return a medication to stock?
When a patient has failed to pick up medication within two weeks.
When is reverse distribution used?
When a drug product is returned to drug manufacturer or authorized distributor for processing or disposal all due to product being outdated or unusable.