Chapter Three
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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show | *Patient name + DOB
*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
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show | Verify insurance info and ask about other meds the patient is taking, including OTC meds and herbal supplements, and confirm any allergies
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In case of a partial fill, how many days' worth are usually dispensed until the full amount is available? | show 🗑
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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 requirements? | show 🗑
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Directions for oral medications | show 🗑
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Directions for external/topical medications | show 🗑
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Directions for suppositories | show 🗑
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Directions for ophthalmic/otic medications | show 🗑
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Directions for nasal/bronchial medications | show 🗑
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AD | show 🗑
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AS | show 🗑
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show | Both ears or each ear
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IEN | show 🗑
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show | Intramuscular
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show | Intravenous
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show | Intravenous piggy back
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show | Locally
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show | Right eye
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show | Left eye
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OU | show 🗑
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PO | show 🗑
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show | Per rectum or rectally
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show | Subcutaneous
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SL | show 🗑
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TOP | show 🗑
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show | As directed
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show | Vaginally
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show | Ampule
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CAP | show 🗑
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CR | show 🗑
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show | Elixir
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EXPECT | show 🗑
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show | Fluid
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show | Liquid
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LOT | show 🗑
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PULV | show 🗑
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SOL | show 🗑
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SUPP | show 🗑
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SUSP | show 🗑
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show | Syrup
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TAB | show 🗑
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show | Tincture
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UNG or OINT | show 🗑
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show | Before food/ meals
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AM | show 🗑
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AD LIB | show 🗑
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show | As soon as possible
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ATC | show 🗑
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show | Twice a day
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show | With
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H, HR | show 🗑
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HS | show 🗑
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show | Night
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show | Nausea/vomiting
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PC | show 🗑
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PC and HS | show 🗑
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show | Afternoon, evening
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show | As needed
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Q | show 🗑
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Q4H | show 🗑
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show | Every hour
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show | Every hour at bedtime
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show | Four times a day
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show | Without
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show | Immediately
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TID | show 🗑
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UD or UT DICT | show 🗑
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U (unit) | show 🗑
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show | Can be misinterpreted as the number 10, the abbreviation IV
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show | Can be misinterpreted as QID and QOD
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QOD (Every other day) | show 🗑
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show | Can be misinterpreted through missed decimal point
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Lack of leading zeros or decimals | show 🗑
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The symbol "@" | show 🗑
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What is the first step in medication profiling? | show 🗑
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What should a patient's profile include? | show 🗑
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show | *DOB
*Gender
*Address
*Other patient numbers
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show | *Technician should not override the alert
*Notify the pharmacist
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show | *Member ID # and/ or ss #
*Group number
*Plan code
*Insurance info such as BIN/PCN
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What will happen once a prescription is submitted in a claim? | show 🗑
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If there was a rejection or issue with a claim, what must be done? | show 🗑
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show | *Dispense as written, no generic or substitutes
*Include the appropriate DAW code when submitting a claim.
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DAW code 0: No product selection indicated- what does it mean? | show 🗑
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DAW code 1: Substitution not allowed by the prescriber- what does it mean? | show 🗑
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DAW code 2: Substitution allowed- what does it mean? | show 🗑
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DAW code 3: Substitution allowed- pharmacist selected- what does it mean? | show 🗑
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show | Used when the pharmacy does not have the generic product available, and the brand is dispensed
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show | Used when the pharmacist is using a brand product in place of a generic
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DAW code 6: Override- what does it mean? | show 🗑
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show | Used when the prescription allows for a generic, but law or regulation specifies that the brand be dispensed
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show | Used when the generic product is not available in the market
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show | Used when a medication is not currently in use
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show | Used when the computer flags with a certain medication and they should be included with the patient's prescription
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show | *Counting tray
*Spatula
*Clean and appropriate sized bottle
*Appropriate lid
*Label for counted medication
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What is an ISO Class 5? | show 🗑
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show | An entire clean room to prepare medications in
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show | 30 minutes at least
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What should the technician do in the case of preparing medications in an ISO Class 5 workbench? | show 🗑
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show | Wear gloves and place arms through glove box
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show | *Shoe booties
*Shower cap
*Face mask
*Gown
*Gloves
(OF COURSE SCRUB HANDS)
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show | *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 sterility
*Calculate before begining
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Technician responsibilities within preparation area for compounding pharmacies | show 🗑
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show | Hydralazine
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What is Humalog commonly confused with? | show 🗑
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What is Metformin commonly confused with? | show 🗑
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What is Oxycontin commonly confused with? | show 🗑
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show | Alprazolam
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What is Heparin commonly confused with? | show 🗑
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show | Toprol XL
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show | Xanax
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What is Amicar commonly confused with? | show 🗑
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What is Cardura commonly confused with? | show 🗑
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What is Tramadol commonly confused with? | show 🗑
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show | Zetia
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show | Zyrtec
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What is the safest distribution system in a hospital setting? | show 🗑
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show | *Document errors according to their facility's policy
*Communicate the error to patient according to facility's policy
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show | *Pharmacy name, address, and phone #
*Patient's name
*Disp. date
*Directions for use
*Rx #
*Prescriber's name
*Medication name, strength, and dosage
(SOME states may require exp. date)
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Who performs the final check before dispensing the medications? | show 🗑
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show | Use information such as address or DOB
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show | At Rx pick-up
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show | *Apothecary
*Metric
*Avoirdupois
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What is the metric system? | show 🗑
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show | 1,000
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1,000 milligrams (mg) are equal to how many micrograms (mcg)? | show 🗑
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1,000,000 micrograms (mcg) are equal to how many grams (gm)? | show 🗑
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show | 1,000
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1 liter (l) is equal to how many milliliters (mL)? | show 🗑
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What is the apothecary system? | show 🗑
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show | 325
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show | 5
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What is the avoirdupois system? | show 🗑
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1 pound (lb) is equal to how many ounces (oz)? | show 🗑
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1 tablespoon (tbsp or t) is equal to how many teaspoons (tsp)? | show 🗑
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show | 15
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show | 1
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show | 30
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show | 1. Cross multiply and divide
2. Get all like-values on the same side (gm=mL)
3. Work the product out with PEMDAS
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How to do percentage preparations (Weight to volume) | show 🗑
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How to do percentage preparations (Weight to weight) | show 🗑
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show | Number of milliliters (mL) in 100 milliliters (mL)
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show | Milliliters per hour, milliliters per minute, an drop per minute
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show | 1.1,000 mL must be given over 8 hr
-1,000mL/8hr=125 mL/1 hr
--2.1 mL/min
*(If milliliter per minute is needed, divide the mL/hr by 60)
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Fahrenheit to Celsius | show 🗑
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Celsius to Fahrenheit | show 🗑
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When should a technician verify drug dosages? | show 🗑
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Since dosage equations are X mg/kg of body weight, how would you convert pounds (lb) to kilograms (kg) for a 120 lb patient? | show 🗑
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show | Weight of Child (lb)/150 X adult dose= approximate child's dose
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Lanoxin 0.125 mg q am -- how many to dispense? | show 🗑
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Augmentin 1 tsp tid x 14 days -- how much to dispense? | show 🗑
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Alprazolam 0.5 mg; 1/2 tab hs x 3 weeks | show 🗑
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What are punch cards/ blister packs? | show 🗑
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What are unit-dose packages? | show 🗑
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What must the process of repackaging bulk medications into units of individual use, or smaller packages include? | show 🗑
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show | *Use clean area w/good space that is isolated
*Repackage 1 med @ a time
*Follow procedure close
*Label w/med name, strength, lot number, + exp. date
*Ingredients + labels
*Always check w/pharmacist
*Maintain equip.
*Keep records for @ least 1 yr
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show | Assist patient with taking their medications more consistently and effectively; Dosage spoons, pill cutters, droppers, oral syringes, dosing planners or pill organizers, watches/ reminders
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show | Sets forth suggested guidelines 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.
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show | A product containing no pyrogens, which are bacteria or other substances that could potentially cause infection
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What are parenteral products? | show 🗑
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What is the personal preparation step to aseptic technique? | show 🗑
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show | 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 daily
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show | Test and validate 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.
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show | 6 inches at least; air closest to the filter is the cleanest
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How to prepare for compounding | show 🗑
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show | To determine the necessary supplies, such as syringes, needles, and alcohol swabs
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What not to touch when compounding | show 🗑
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show | Alcohol swab
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How to draw up solution | show 🗑
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show | Check for chemical and physical incompatibilities and always check final product for clarity and any particulate matter
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show | *Pharmacy name, address, 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
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show | 82.4
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Interpret the following sig; " 1 T PO Q4H PRN NV UTD) | show 🗑
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show | USP 797
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show | 7.727
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How long must a laminar flow hood run before using? | show 🗑
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How far should objects be in the laminar flow hood in order to be in compliance? | show 🗑
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show | Drugs that differ in strength, quality, or purity from the official drug standards
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show | Calculations 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
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Anteroom | show 🗑
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show | The complete absence of microbes
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show | Conditions in which there is a complete absence of living pathogenic organisms
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show | Procedure for mixing sterile compounded products with a complete absence of viable microorganisms
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Average inventory | show 🗑
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show | The calculated national average price that a retail pharmacy might pay for a given package size of a drug
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Barrier isolator | show 🗑
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Bio hazard | show 🗑
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Biological safety cabinet (BSC) | show 🗑
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Bolus dose | show 🗑
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Calibrate | show 🗑
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show | A kit that contains PPE and equipment for cleaning up a hazardous spill
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Cleanroom | show 🗑
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Coring | show 🗑
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show | Uniform distribution of each ingredient in a powder mixture
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show | Uses the density factor 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
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Extemporaneous compound | show 🗑
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show | The total amount of fluid that a patient needs to receive from the TPN to satisfy daily fluid requirements
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Geometric dilution | show 🗑
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Good manufacturing practices (GMP) | show 🗑
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show | Policies established by a hospital to standardize procedures in different departments
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show | An injection into an artery
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show | An injection into a joint
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Intracardiac administration | show 🗑
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show | An injection between the layers of the skin
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Intramuscular (IM) administration | show 🗑
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Intraperitoneal administrations | show 🗑
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Intrapleural administration | show 🗑
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show | An injection or infusion into a vein
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show | A medication prepared under aseptic conditions and injected or infused into the veins of a patient
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ISO Class 5 | show 🗑
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ISO Class 8 | show 🗑
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IV admixure | show 🗑
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Laminar air flow (LAF) workbench | show 🗑
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Laminar flow hood | show 🗑
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show | A single-dose injection containing more than 100 mL of solution for intravenous use
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Medication error | show 🗑
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show | Injectable doses of medications delivered subcutaneously, intramuscularly, or intravenously
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Pharmaceutical elegance | show 🗑
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Pipettes | show 🗑
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show | A set formula to analyze and improve pharmacy procedures to provide excellent pharmaceutical care to patients
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Reconstitution | show 🗑
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show | A single-dose injection containing 100 mL or less of solution for intravenous use; also called a mini-bag or piggyback
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show | A chemical dissolved in a liquid
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show | A liquid used to dissolve a solute
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Stability | show 🗑
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show | The official listing of drugs and the quality standards they must meet
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USP Chapter 797 | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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