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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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Question
Answer
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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