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Stack #991283

Chapter 4

After the prescription form has been received and processed, the next step is to? Obtain the correct medication from inventory
All information on the manufacturer's label must match that of the order, with the exception of the (). Dosage strength
Dosage strength may be converted to match the order, using ()? Dosage conversion calculation
List the information on a drug label. 1) NDC 2)Amount of drug in each tablet or unit of volume 3) Proprietary name and generic name 4) Dosage form (tablet, capsule, suspension, solution) 5) Drug manufacturer 6) Federal legend
What does NDC stand for? National Drug Code
How many digits is NDC? 10-digit number
Purpose of NDC? 1)Allows for rapid and accurate entry of product and labeler information for use in the national drug quality surveillance program
What is the NDC? Denotes the generic name of the drug, manufacturer, proprietary label, dosage form, strength and type of packaging
Segment 1 of NDC? Manufacturer's code (registered through the FDA)
Segment 2 of NDC? Identifies product
Segment 3 of NDC? Identifies packaging
Tools used for measuring the drug for dispensing? Tablet counter, automatic dispensers
An order for almost any amount of drug () be filled, as long as the amount dispensed is accurate and appropriate to the route of administration. Can
Solids are easy/hard to dispense accurately? Easy
How are solids dispensed? Simply count the tablets or capsules, using a tablet counter, in a sanitary, accurate manner
Liquids must be measured out using? Properly calibrated equipment and correct procedures
The () is the solid dosage form that can be most accurately converted, only if it is scored. Tablet
Tablets may be broken at the () using a (). groove, tablet splitter
A capsule can/cannot be accurately divided, so an order for these dosage forms must be (). Cannot, filled as written
Unlike solid dosage forms, the liquid forms must be accurately measured in an (). appropriately calibrated measuring device
The concentration of drug in the solution or suspension may be found on the (). This concentration is used to determine what? manufacturer's label; the proper amount of solution or suspension to dispense for the order
The majority of liquids that are dispensed are for () or () use. oral, parenteral
Drugs in liquid form are usually dispensed in (). containers specific for the intended use
Examples of drugs in liquid form that are dispensed in containers specific for the intended use? Ophthalmic drugs (eye) or optic drugs (ears)-prepackaged in a sterile bottle with a dropper tip
What kinds of uses would institutional pharmacies dispense liquids? Oral, topical, parenteral
What kinds of uses would retail pharmacies dispense liquids? Oral, topical
Liquids for oral dosage are normally dispensed in () that have (). plastic dispensing bottles; markings on the side for mL, dr, oz, or all three
The markings on a liquid dispensing bottle are/are not to be used for accurate measurement. Are not
The markings on a liquid dispensing bottle are a () for the patient to determine (). guide; approximate value that is left in the bottle
Solutions or suspensions must be measured (), using (). Room temperature, accurate devices
Orders for liquid formulations are normally given in (). Milligrams
The type of container used varies according to the (). intended use of the drug
What kind of container does a topical solution use? A bottle with a dropper cap
What kind of container do creams or ointments use? Ointment tube or jar
What kind of container do liquids for oral dosing use? a small neck bottle suitable for slow pouring
What kind of container do solid dosage forms use? large-mouthed dispensing container
The size of the dispensing container should be () to the amount of drug product dispensed. Appropriate
A container that is too small may () tablets or (). crush; force a liquid or cream out of the package
A container that is too large will allow the medication (), which may result in (). Also, the () would be compromised, and the patient may have trouble (). too much freedom to move; damaged capsules or tablets; general appearance (sloppy); retrieving the medication from the container
All dispensing bottles should be sealed with (), according to the (). child-proof caps, Poison Prevention and Packaging Act
An () cap may be placed on the bottle if the patient signs a () indicating that this type of cap is requested. easy-open, waiver form
List the information required to be on the label. 1) Name, address, and phone number of the pharmacy (usually pre-printed on the label) 2) The name of the patient for whom the drug is prescribed (or the name of the owner, if the drug is for an animal) 3) The name of the prescriber (Physician)
List the information required to be on the label. (continued) 4) Date of dispensing (usually the initials of the person dispensing the drug will appear bu the date of filling)
List the components of a properly labeled container. 1) the name of the drug 2) the strength of the medication 3) the strength of the drug dispensed 4) directions for dosage (SIG)
Example of type of prescription label? Auxillary label
Purpose of auxillary label? Reminds the patient of the best way to use the drug for maximum effect and emphasizes things to avoid
What is extemporaneous compounding? The preparation of a dosage form for drug delivery that is customized for a particular patient
Extemporaneous compounding must be () performed by the (). legally, pharmacist
If the pharmacist generates a () for the preparation of the dosage form, it may then be prepared by the (). This procedure may involve (). written protocol, technician, combining the components by weight or by percentage
Define 'aseptic technique'. Practice of cleanliness and disinfection designed to prevent contamination of drug products, particularly IV drugs
What are parenteral solutions? Straight to the bloodstream
Preparation of sterile solutions? All procedures performed inside a laminar flow hood with disinfected hands and hair pulled back
Preparation of sterile solutions: disinfect the () with () prior to withdrawal septum, alcohol
Preparation of sterile solutions: Keep syringes and needles (), leaving the () on at all times sterile, protective cap
Preparation of sterile solutions: Needle should pierce the () at ()-degree angle to prevent () septum, 45, coring
Preparation of sterile solutions: when the medication is (), the needle should be at () degrees. withdrawn, 90
Example of hazardous drugs? Chemotherapy drugs
What is required when handling hazardous drugs? Protective coverings, additional safeguards
Examples of protective coverings? Lab coat, safety glasses, shoes
Examples of additional safeguards? Masks, gloves, shoe covers
Keep hands at least ()" inside the hood away from your (). 6, face
The label on an intravenous solution should be placed near the () of the () so that any () that may have settled to the bottom are clearly (). top, IV bag, contaminants, visible
Labels on a syringe should be as () as possible and should be placed at the () of the syringe, (), so as not to cover the () on the syringe. narrow, top, crosswise, markings
Created by: yquyenvu