In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Question: What elements should a prescription ?Answer: *Patient name + *Address
*Date of Rx
*Rx med and dose
*Info about disp. generic alternatives
*Directions for use, method, and frequency of administration
*Amount disp.
*# of refills
*DEA number
*Prescriber's name, address, and contact info
Question: What should the technician do when filling a ?Answer: Verify insurance info and ask other meds the patient is taking, including OTC meds and herbal supplements, and confirm any allergies Question: In case of a partial fill, how many days' worth are usually dispensed until the full is available?Answer: 3-5 Question: If a pharmacy does not have the entire Rx amount in stock for a C-II drug and the patient wants whatever is in stock, what are the ?Answer: The patient is required to get a new Rx from the prescriber in order to get the rest of Rx Question: for oral medicationsAnswer: *Take
*Give
*Dissolve
*Swallow Question: Directions for external/topical Answer: *Apply
*Rub Question: for suppositoriesAnswer: *Insert Question: Directions for /otic medicationsAnswer: *Instill
*Place Question: for nasal/bronchial medicationsAnswer: *Instill
*Place Question: ADAnswer: Right Question: ASAnswer: Left Question: AUAnswer: Both ears or each Question: Answer: In each Question: IMAnswer: Question: Answer: Intravenous Question: IVPBAnswer: Intravenous back Question: Answer: Locally Question: ODAnswer: Right Question: OSAnswer: Left Question: Answer: Both Question: Answer: By ; orally Question: PRAnswer: Per or rectally Question: SC, SQ, or Answer: Subcutaneous Question: Answer: Sublingual Question: Answer: Topically Question: UD or UT Answer: As directed Question: Answer: Vaginally Question: AMPAnswer: Question: Answer: Capsule Question: Answer: Cream Question: EL or Answer: Elixir Question: EXPECTAnswer: Question: Answer: Fluid Question: Answer: Liquid Question: Answer: Lotion Question: Answer: Powder Question: SOLAnswer: Question: SUPPAnswer: Question: Answer: Suspension Question: Answer: Syrup Question: TABAnswer: Question: Answer: Tincture Question: UNG or Answer: Question: Answer: food/ meals Question: AMAnswer: Question: AD Answer: As needed, Question: Answer: As soon as Question: Answer: the Clock Question: BIDAnswer: a day Question: W/Answer: Question: H, HRAnswer: Question: HSAnswer: Question: NOCAnswer: Question: NVAnswer: /vomiting Question: Answer: After food/ Question: PC and Answer: After meals and at Question: PMAnswer: , evening Question: PRNAnswer: As Question: Answer: Every Question: Answer: Every four Question: QHAnswer: Every Question: QHSAnswer: Every hour at Question: QIDAnswer: Four a day Question: W/OAnswer: Question: STATAnswer: Question: Answer: Three times a Question: UD or UT Answer: As directed Question: U (unit)Answer: Can be as the numvers 0 and 4, the abbreviation cc Question: IU (international unit)Answer: Can be misinterpreted as the 10, the abbreviation IV Question: QD (daily)Answer: Can be misinterpreted as QID and Question: QOD (Every day)Answer: Can be as QID and QD Question: Training zeros on Answer: Can be misinterpreted through decimal point Question: Lack of leading zeros or Answer: Can be misinterpreted missed decimal points Question: The "@"Answer: Can be misinterpreted as the number Question: What is the first step in medication ?Answer: Create or update the profile Question: What should a patient's profile ?Answer: *Demographic information
*Medication *Allergies
*Chronic diseases and conditions
Question: How should a technician identify patients as to errors?Answer: *DOB
*Gender
*Address
*Other patient Question: What be done in the case of a system alert?Answer: *Technician not override the alert
*Notify the pharmacist Question: What patient information must a technician have to file a ?Answer: *Member ID # and/ or ss #
*Group *Plan code
*Insurance info such as BIN/PCN Question: What will once a prescription is submitted in a claim?Answer: *Patient eligibility is determined
*Whether or not the patient's plan will cover the prescription is determined
*Quantity is determined
*Amount of payment the pharmacy received is verified Question: If was a rejection or issue with a claim, what must be done?Answer: Contact the -party toll-free number for assistance Question: What should a technician do if an Rx has a note on it?Answer: *Dispense as written, no generic or *Include the appropriate DAW code when submitting a claim. Question: DAW code 0: No selection indicated- what does it mean?Answer: Used when product selection is not an issue, for example, dispensing a brand product when only the brand is available. Question: DAW code 1: not allowed by the prescriber- what does it mean?Answer: Used when the prescriber specifically instructs to dispense the as written Question: DAW code 2: allowed- what does it mean?Answer: Used when generic is allowable, but the specifies the brand Question: DAW code 3: Substitution - pharmacist selected- what does it mean?Answer: Used when the is allowable, but the pharmacist dispensed the brand Question: DAW code 4: allowed- generic not in stock- what does it mean?Answer: Used when the pharmacy does not have the product available, and the brand is dispensed Question: DAW code 5: allowed- brand dispensed as generic- what does it mean?Answer: Used when the pharmacist is using a brand product in place of a Question: DAW code 6: - what does it mean?Answer: Used by processors Question: DAW code 7: not allowed- what does it mean?Answer: Used when the allows for a generic, but law or regulation specifies that the brand be dispensed Question: DAW code 8: allowed- generic not available- what does it mean?Answer: Used when the product is not available in the market Question: DAW code 9: - what does it mean?Answer: Used when a medication is not in use Question: Informational Answer: Used when the computer flags with a certain medication and they should be included with the 's prescription Question: To prepare a medication in an outpatient setting, what tools does a need?Answer: *Counting tray
*Spatula
*Clean and appropriate sized bottle
*Appropriate *Label for counted medication Question: What is an ISO 5?Answer: Glove box for preparing medications Question: What is an ISO 8?Answer: An entire clean room to medications in Question: How long should hoods run to use?Answer: 30 minutes at Question: What should the technician do in the case of preparing in an ISO Class 5 workbench?Answer: Place manipulated items into the antechamber for 15 minutes prior to placing them into the Question: Proper aseptic technique for using a box.Answer: Wear gloves and place arms through box Question: Proper PPE for using an ISO 8Answer: *Shoe booties
*Shower *Face mask
*Gown
*Gloves
(OF COURSE SCRUB HANDS) Question: use of ISO Class 8 Answer: *Place all items into an antechamber before manipulation
*Clean the hood with at least 70% alcohol before + after each use
*Keep needles + syringes in sterile wrapping until use
*Work at least 6 in. in the hood for *Calculate before begining Question: Technician responsibilities within preparation area for pharmaciesAnswer: *Clean all equipment (ointment slabs, spatulas, containers, compounding instructions, and logs)
*Calibrating and the scales
*Keeping records Question: What is Hydroxyzine confused with?Answer: Hydralazine Question: What is Humalog confused with?Answer: Humulin Question: What is commonly confused with?Answer: Question: What is commonly confused with?Answer: Oxycodone Question: What is commonly confused with?Answer: Alprazolam Question: What is commonly confused with?Answer: Question: What is Topamax commonly with?Answer: Toprol Question: What is Zantac commonly with?Answer: Xanax Question: What is Amicar commonly with?Answer: Question: What is commonly confused with?Answer: Coumadin Question: What is commonly confused with?Answer: Question: What is Zestril confused with?Answer: Question: What is commonly confused with?Answer: Zyrtec Question: What is the safest distribution system in a setting?Answer: Unit-dose; they provide checks and balances for preventing errors, improving drug control, decreasing cost, ensuring more billing, and reducing inventory. Question: In case of an error, what should the do?Answer: *Document errors according to facility's policy
*Communicate the error to patient according to facility's policy Question: What information should prescription labels contain?Answer: *Pharmacy name, address, and phone #
*Patient's name
*Disp. date
*Directions for use
*Rx #
*Prescriber's name
*Medication name, , and dosage
(SOME states may require exp. date) Question: Who the final check before dispensing the medications?Answer: Pharmacist Question: How to avoid errors when pick their prescriptions up?Answer: Use information such as or DOB Question: When if the best time to offer the pharmacist's services to the patient?Answer: At Rx pick-up Question: What are the three measurement systems used in the ?Answer: *Apothecary
*Metric
*Avoirdupois Question: What is the system?Answer: Measures weight and volume in increments of ten and uses decimals rather than fractions. Weight is measured ni grams, kilograms, and . Volume is measured in liters or milliliters Question: 1 gram (gm) is to how many milligrams (mg)?Answer: 1,000 Question: 1,000 milligrams (mg) are to how many micrograms (mcg)?Answer: 1,000,000 Question: 1,000,000 (mcg) are equal to how many grams (gm)?Answer: 1 Question: 1 kilogram (kg) is equal to how many (gm)?Answer: 1,000 Question: 1 (l) is equal to how many milliliters (mL)?Answer: 1,000 Question: What is the system?Answer: Rarely used; The standard unit for weight is gran (gr):Volume is in drams (z)- abbreviation is "fl dr." Question: 5 grains (gr) is to how many milligrams (mg)?Answer: 325 Question: 1 Dram (z) is to how many milliliters (mL)?Answer: 5 Question: What is the system?Answer: Most used in commerce by manufacturers and suppliers: weight is based on the 16 ounce pound: Weight is measured in ounces and pounds: volume is measured in cups, pints, quarts, gallons, and teaspoons and tablespoons (use dosing spoons + cups) Question: 1 (lb) is equal to how many ounces (oz)?Answer: Question: 1 tablespoon (tbsp or t) is to how many teaspoons (tsp)?Answer: 3 Question: 3 teaspoons (tsp) is to how many milliliters (mL)?Answer: Question: 15 (mL) are equal to how many tablespoons (tbsp or t)?Answer: Question: 1 ounce (fl oz) is equal to how many milliliters (mL)?Answer: Question: How to set up ratios and (used when trying to find the relationship between two quantities.Answer: 1. Cross multiply and divide
2. Get all like-values on the same side (gm=mL)
3. Work the out with PEMDAS Question: How to do preparations (Weight to volume)Answer: of grams (gm) in 100 milliliters (mL) Question: How to do percentage preparations (Weight to )Answer: Number of (gm) in 100 grams (gm) Question: How to do preparations (Volume to volume)Answer: Number of milliliters (mL) in 100 (mL) Question: How are flow measured?Answer: per hour, milliliters per minute, an drop per minute Question: How to D5W 1,000 mL with 40 mEq K over 8 hr (flow rate)Answer: 1.1,000 mL must be given over 8 hr
-1,000mL/8hr=125 mL/1 hr
--2.1 mL/min
*(If per minute is needed, divide the mL/hr by 60) Question: Fahrenheit to Answer: (F-32) x 5/9= Question: to FahrenheitAnswer: (Cx 9/5) + 32= Question: When should a technician drug dosages?Answer: *When the dosages appear out of normal limits
*When dosing for young or older patients Question: Since dosage equations are X mg/kg of body weight, how would you convert pounds (lb) to kilograms (kg) for a 120 lb ?Answer: 1 kg/ 2.2 lb= kg/120 lb
-Mlutiply both sides by 120 to get
*(120) X 1 kg/ 2.2= X kg
-Perform *54.54 kg= X kg Question: What is the of the dosing of a child?Answer: Weight of Child (lb)/150 X dose= approximate child's dose Question: Lanoxin 0.125 mg q am -- how many to ?Answer: 30 (allow up to 34) Question: Augmentin 1 tsp tid x 14 days -- how much to ?Answer: 210 Question: 0.5 mg; 1/2 tab hs x 3 weeksAnswer: Question: What are punch cards/ packs?Answer: Typically individualized for the patient. This provides accountability for dosing and minimizes the opportunity for giving a patient the medication Question: What are unit-dose ?Answer: Individually packaged to control drug Question: What must the process of bulk medications into units of individual use, or smaller packages include?Answer: *Product ID
*Environmental *Handling
*Usability Question: What are additional guidelines for repackaging ?Answer: *Use clean area w/good space that is isolated
*Repackage 1 med @ a time
*Follow procedure close
*Label w/med name, strength, lot , + exp. date
*Ingredients + labels
*Always check w/pharmacist
*Maintain equip.
*Keep records for @ least 1 yr Question: What are compliance aids and what are some ?Answer: Assist patient with taking their medications more and effectively; Dosage spoons, pill cutters, droppers, oral syringes, dosing planners or pill organizers, watches/ reminders Question: What is USP 797?Answer: Sets forth suggested that health care organizations may adopt. Even in a community pharm., techs may prepare sterile ophthalmic products. Be aware of regulations in this setting as well. Question: What is a product?Answer: A product containing no pyrogens, which are bacteria or other substances that potentially cause infection Question: What are products?Answer: Products that are administered directly into the body. They are administered subcutaneously (SQ), intramuscularly (IM), or intravenously (IV). Most is IV fluids Question: What is the personal preparation step to technique?Answer: Remove all jewelry and garments, wash hands thoroughly with water and antibacterial soap. Cosmetics are banned (including nail polish). Donning gowns, masks, gloves, and show covers. Question: What is the of work surfaces step to aseptic technique?Answer: Disinfect the work surface from the back to the front. USP 797 specifies cleaning hoods a minimum of every shift, before each batch prep, every 30 minutes during continuous compounding, or any time contamination is suspected. Disinfect counters Question: What is the assurance step to aseptic technique?Answer: Test and compounding practices through the testing of products compounded in the sterile environment. This is done minimally on an annual basis, or more frequently if required. Question: How far into the hood you work and why?Answer: 6 inches at least; air closest to the is the cleanest Question: How to for compoundingAnswer: Arrange all of the necessary during the process Question: Why do you review before compounding?Answer: To the necessary supplies, such as syringes, needles, and alcohol swabs Question: What not to touch when Answer: or tip of syringe Question: What do you clean the top of the vial with prior to the solution?Answer: swab Question: How to draw up Answer: 1. Uncap the needle
2. Pull the plunger to the desired volume
3. Insert needle into vial at 45 degree angle
4. Inject air into vial and withdraw the desired . Insert amount withdrawn into desired location Question: What to do when more than one productAnswer: Check for chemical and physical incompatibilities and always check final for clarity and any particulate matter Question: What be on the label of a sterile prescription?Answer: *Pharmacy name, , and phone number
*Patient name
*Rx date
*Prescriber name
*Date compounded
*Med name and all additives, including diluents and volume
*DIrections
*Pharmacist and technician ID
*Directions
*Expiration date/time Question: What is the in Fahrenheit for 28 degrees Celsius?Answer: 82.4 Question: the following sig; " 1 T PO Q4H PRN NV UTD)Answer: Take one tablet by mouth four hours as needed for nausea and vomiting as directed Question: Which agency establishes the for IV admixture technique?Answer: USP Question: How much does child weigh in kilograms if he 17 lb?Answer: 7.727 Question: How long must a laminar flow hood run using?Answer: 30 Question: How far should objects be in the flow hood in order to be in compliance?Answer: 6 Question: Adulterated Answer: Drugs that differ in strength, quality, or from the official drug standards Question: AliquotAnswer: required when the quantity of drug required for a compound is less than the minimum amount that can be weighed on a Class A prescription balance Question: Answer: A room where hand washing, gowning, and gloving take , and where supplies are sanitized before taking into the clean room Question: AsepsisAnswer: The complete of microbes Question: Aseptic Answer: Conditions in which there is a absence of living pathogenic organisms Question: techniquesAnswer: Procedure for mixing sterile compounded products with a absence of viable microorganisms Question: inventoryAnswer: A figure calculated by adding the beginning inventory and ending inventory for the period of time Question: Average priceAnswer: The calculated national average price that a retail pharmacy might pay for a package size of a drug Question: isolatorAnswer: A sealed laminar flow hood that is supplied with air through a HEP filter, maintaining an ISO Class 5 Question: Bio Answer: A hazardous biological agent that presents a risk to the of humans exposed Question: safety cabinet (BSC)Answer: A ventilated cabinet designed to protect the worker, the product, and the environment with a downward HEPA-filtered and exhaust Question: Bolus Answer: A large, initial dose given to bring the blood level of a drug up to level Question: Answer: Testing the accuracy of a balance by comparing it with known Question: Chemo kitAnswer: A kit that contains PPE and equipment for cleaning up a spill Question: CleanroomAnswer: An enclosed room with smooth walls, , and ceiling that are resistant to damage from sanitizing agents Question: CoringAnswer: Piece of rubber cored out from the rubber bung that the solution causing particulate matter contamination Question: DispersionAnswer: Uniform distribution of each ingredient in a mixture Question: DisplacementAnswer: Uses the density to determine the amount of base that is needed to compound a given quantity of product when the density factor is more or less than one Question: Extemporaneous Answer: A compounded in the pharmacy pursuant to a prescriber's order for a given patient Question: Fluid (total fluid )Answer: The total amount of that a patient needs to receive from the TPN to satisfy daily fluid requirements Question: Geometric Answer: The process of mixing two solid chemicals together by taking equal pats of each in small amounts, mixing , and continuing to add small, equal parts Question: Good manufacturing (GMP)Answer: Regulations that set minimum standards to by the manufacturing industry for human and veterinarian drugs Question: protocolsAnswer: established by a hospital to standardize procedures in different departments Question: Intra-arterial Answer: An injection into an Question: -articular administrationAnswer: An into a joint Question: Intracardiac Answer: An injection directly into the Question: Intradermal Answer: An injection the layers of the skin Question: Intramuscular (IM) Answer: An into a large muscle Question: Intraperitoneal Answer: An injection into the cavity Question: administrationAnswer: An into the pleural sac surrounding the lungs Question: Intravenous Answer: An injection or infusion into a Question: medicationAnswer: A medication prepared under aseptic conditions and injected or infused into the veins of a Question: ISO Class Answer: International Organization for Standardization Class 5 environment, in which a maximum of 100 particles 0.5 microns in size, will be for every cubic foot of air space Question: ISO 8Answer: International Organization for Standardization 8 cleanroom environment, in which a maximum of 100,000 particles, 0.5 microns in size, will be present for every cubic foot of air Question: IV Answer: of preparing intravenous fluids using aseptic technique Question: Laminar air flow (LAF) Answer: A workbench that meets the ISO 5 standard Question: flow hoodAnswer: A workbench that provides an environment of air filtered through a high-efficiency air filter to facilitate aseptic work conditions Question: -volume parenteral (LVP)Answer: A -dose injection containing more than 100 mL of solution for intravenous use Question: Medication Answer: A preventable event that may cause or lead to medication use or patient harm Question: dosage formsAnswer: Injectable doses of medications subcutaneously, intramuscularly, or intravenously Question: Pharmaceutical Answer: A term used to describe a compounded formulation that is made and packaged to present a pleasuring appearance Question: PipettesAnswer: Thin, hollow used for volumetric measuring Question: assuranceAnswer: A set formula to analyze and improve pharmacy procedures to provide excellent pharmaceutical care to Question: ReconstitutionAnswer: Purified water or an appropriate is added to a powder to produce a solution on suspension for oral administration Question: -volume parenteral (SVP)Answer: A single-dose injection 100 mL or less of solution for intravenous use; also called a mini-bag or piggyback Question: Answer: A chemical dissolved in a Question: SolventAnswer: A liquid used to dissolve a Question: StabilityAnswer: The of time a drug or compound retains its potency Question: United States (USP)Answer: The official listing of and the quality standards they must meet Question: USP Chapter Answer: Guidelines established to the standards involved in IV admixture |
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