Chapter 1
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Give an example of a retail medication order. | Prescription
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| Medications are received and communicated to the pharmacy by: | 1) presented by the patient 2) telephone 3) fax 4) email
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| What are Schedule II drugs? | narcotics
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| Schedule II drugs have a specific criteria for (). | presenting prescriptions
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| A written prescription order is written on a form that is normally () with certain (). | pre-printed, information
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| A written prescription order must (). | be completed in ink
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| A written prescription order must contain specific () when it is () in the (). | info, received, pharmacy
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| Where is 'required info' written on the prescription? | Upper portion
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| What is an example of required info and why? | Patient's full name for positive ID
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| What is another example of required info and why? | Date of issue of prescription b/c of expiration
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| Prescriptions are only valid for how long? With the exception of (). | One year, prescriptions for controlled substances
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| How long are Schedule II-V drugs valid? | 6 months or as little as three days
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| Examples of names and titles of possible prescribers? | Doctor of medicine (MD), osteopathic medicine (DO), optometry (OD), dentistry (DDS), veterinary medicine (DVM), physician's assistance and nurse practitioners
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| What is the DEA #? | Drug Enforcement Agency #, a 7-digit number issued to the prescriber or institution by the DEA
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| Purpose of DEA #? | to prevent forgeries
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| What are DEA #'s required for? | controlled substances only
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| DEA #'s begin with () letters. | 2
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| First letter of the DEA # designates the () of the (). | status, prescriber
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| Second letter of the DEA # is the () of the prescriber's (). | first letter, last name
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| What is required in the middle portion of the required info of a prescription? | Name of the drug prescribed: generic OR brand name
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| What is required in the middle portion of the required info of a prescription? | Strength and dosage
Ex: 40 mg tablets
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| What is required in the middle portion of the required info of a prescription? | Quantity to be dispensed
Ex: 20 tablets, 80 ml (liquid)
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| What is required in the middle portion of the required info of a prescription? | Instructions for dosage
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| What is SIG? | Instructions for dosage
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| What does the SIG entail? | -numerical designations of the number of tablets, teaspoons, etc
-are written in lowercase Roman Numerals
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| What is required in the middle portion of the required info of a prescription? | Instructions for labeling
-including what info is to be printed
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| What is required in the middle portion of the required info of a prescription? | Signature of the prescriber
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| Rule for sig. of the prescriber? | Must be in ink, no pre-stamped facsimiles are acceptable.
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| What is required in the middle portion of the required info of a prescription? | Authorization for generic substitution
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| If the prescriber designates the () option, the prescription must be filled exactly as written. | Dispense as written, DAW
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| What is required in the middle portion of the required info of a prescription? | Refill info
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| What is required in the middle portion of the required info of a prescription? | Instructions for preparation of the drug
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| Three bullets on instructions for preparation of the drug? | -rarely seen on prescription form
-if the drug needs to be in a certain form such as cream, lotion, or suppository instead of a tablet
-if specific written instructions exist for preparation of the drug, it may be prepared by the technician
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| Verification of the DEA Number: At present, () prescribers are assigned with either a capital letter () or () as a first letter of the DEA number. As more DEA numbers are assigned, the letter () will probably be used, moving on to (), etc. | top-level, A, B, C, D
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| Verification of the DEA Number: () (list examples) are assigned the letter M. | Mid-level practitioners; physician assistants, nurse practitioners (A, B, or M)
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| () and () use the DEA # assigned to the hospital in which they practice, with the letter () included, for (). | Medical residents and pharmacy residents, T, trainee
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| DEA Validity: Verified () by adding the ()-numbered digits to the sum of the ()-numbered digits multiplied by 2. The () digit of the sum number should be the same as the () number in the prescriber's DEA number. | mathematically, odd, even, last, seventh
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| What is info you write on RX at the time of acceptance? | -Patient's address and contact info
-Age or DOB of the patient
-Allergies and concurrent medications
-Medications
-Method of payment/insurance coverage
(info transf. to pat. prof.)
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| Authentication and Clarification of the Prescription Order: If the prescription form is () or (), the technician should ask the () for clarification. | illegible, questionable, pharmacist
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| Authentication and Clarification of the Prescription Order: Especially important in the case of written prescriptions for () drugs, as they may be altered in order to obtain more drugs for () or (). | Schedule II, abuse, sale
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| Accepting Refill Requests: Refills are normally spaced out over an appropriate amount of time. Medication may be dispensed in ()/() increments, if the patients request it...1: (), 2:() | larger, smaller
-At pharmacist's discretion
-except controlled substances
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| Accepting Refill Requests: No refills may be dispensed on a prescription for a () drug. | Schedule II
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| Refill authorization: when a patient runs out of a needed medication, the () may contact the prescriber to extend the original prescription. | pharmacy
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| A refill authorization may be taken only by a () or (). | Licensed pharmacist, pharmacy intern
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| Prescriptions for Schedule II Drugs: Prescriptions for controlled substances must be filled () as prescribed. | Exactly
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| Prescriptions for Schedule II Drugs: Prescriptions for Schedule II drugs must be completed when (). No () or () are permitted. | Presented, corrections, additions
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| If any corrections or () appears on the form when presented, the prescription should not be filled but should be brought to the attention of the (). | extra writing, pharmacist
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| Receiving Prescriptions by Electronic Means: Prescriptions received electronically must be () onto a prescription form () for purposes of (). | transcribed, hard copy, documentation
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| Receiving Prescriptions by Electronic Means: Can only be done by a ()...EX: (). | Licensed practitioner, pharmacist, pharmacy intern
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| () may not take orders from electronic devices. | Technicians
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| Examples of institutional pharmacies? | A hospital, nursing home, prisons, etc
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| What is an RX? | Medication order
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| Institutional pharmacies are much more () than retail pharmacies. | Detailed
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| MAR? | Medication Administration Record
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| On a medication order/RX: Pharmacist verifies the () and that the (). | drugs prescribed, dosage is appropriate
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| On a medication order/RX: Exact () form of the drug. Examples? | dosage
-solution
-suspension
-tincture
-etc instead of liquid
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| On a medication order/RX: Routes of administration? | Orally, intravenously, intramuscularly
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| On a medication order/RX: Proper dilution -What diluent to use. Example? | Distilled water
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| What does TPN stand for? | Total Parental Nutrition Solutions
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| Purpose of TPN? | -For undernourished, vomiting, or severe diarrhea patients
-Intravenous feeding
-Exact mixture of sugars, fats, and proteins is on the medication order (comatose patients)
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| Hospital order includes: | Drugs to be administered, doses, route of administration, reason for use, date of order, date drug therapy started and is to finish, designation if generics may be substituted, instructions for compounding
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| MAR is generated by the (). | Pharmacy
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| Purpose of MAR? | Record that the drug was administered to the patient, by whom, and the time of administration
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| Filling the MO: Usually transmitted by () | computer
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| Filling the MO: () reviews and then gives the MO to the () | Pharmacist, tech
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| Filling the MO: Tech () info onto the () | transcribes, MAR
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| Unit Dose System: Unit dose is the () of drug for () dose. | amount, one
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| () drug doses that are needed for the individual patient for () day(s) is/are prepared at () time(s) and distributed | All, one, one
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| Unit Dose System: () calculates amount needed, prepares the drug and put it into a (). | Technician, cassette
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| Each cassette must be labeled with: | -Patient name/location
-Hospital identification number (bar-coded)
-Attending physician's name
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| Cassette is put into (). | Medication cart
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| The medication cart is located on: | patient floors
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| Medication cart: () delivers the unit doses in cassettes to the medication cart and (). | Pharmacy tech, files
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| Medication cart: () medications may be () to the pharmacy for () IF it has not been (). | Unused, returned, restocking, opened
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| Retail vs. Institutional Settings: The major difference is the amount of () presented. | detail
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| Retail vs. Institutional Settings: Institutional medication orders give a detailed schedule of administration and more identifying info to ensure that the meds are administered to the right patient, (), (), (), (), etc. | diagnosis, laboratory tests, height, weight
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| Retail vs. Institutional Settings: Retail orders give only instructions to be followed by the () because the meds are (). | patient, self-administered
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