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NAPLEX Key Drugs Guy & Study Tip Gal
1. Light Sensitivity
"Protect Every Necessary Med from Daylight": Phytonadione (vit K) Epoprostenol (Flolan) Nitroprusside (Nitropres) Micafungin (Mycamine) Doxycycline Others that should be light protected during administration: Amphotericin B Dexoxycholate, Anthracyclines, Dacar- bazine (if extravasates protect exposed tissue from light), Thiotepa, and Pentamidine
2. Drugs needing filters
"Thats's my GAL PAL": Golimumab (Simponi) Amiodarone Lorazepam* Phenytoin* Lipids - 1.2 microns**
2 / Amphotericin B (lipid formulations)** Taxanes, except docetaxel
- requires filter for continuous infusion but not IV push ** - larger pore size filter required Other common drugs requiring filters: Abatacept (Orencia), Abciximab (ReoPro), Infliximab (Remicade), Isavucona- zonium (Cresemba), Mannitol (Osmitrol), Thiotepa, and some albumin products require filters
3. Do not refrigerate drugs
"Dear Sweet Pharmacist, Freezing Makes Me Edgy!": Dexmedetomidine (Precedex) Sulfamethoxazole/Trimethoprim (Bactrim) Phenytoin - crystallizes Furosemide - crystallizes Metronidazole Moxifloxacin (Avelox) Enoxaparin (Lovonox)
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- Failure to receive medication
- Adverse drug reaction
- Nonadherence
5. Order of Operations
Billy, Please Eat Mom's Delicious Apple Strudel (B-PEMDAS): Brackets’ Parentheses & other grouping symbols’ Exponents’ Multiplication & Division’ Addition & Subtraction
6. Ready to Submit Your Answer?
Not so fast. Do a double check first!: Ask yourself these questions to avoid common mistakes:
- Does the answer match the question? Re-read the question, Did you solve for the right thing? Remember, many problems on the exam require more than one step
- Is the answer in the correct units? This is a common mistake. The problem may have been done correctly, but one more step is required to convert the answer to the specified units
- Is the answer rounded correctly? The rounding instructions must be followed to get the problems right on the exam.
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- Does the answer make sense? If the problem asks how many liters of fluid a patient will receive in one day, 20,000 liters is unlikely to be the right answer. It does not make sense.
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9. Saline (no dextrose) - A DIAbetic Cant't Eat Pie
Diluent incompatibility: Ampicillin Daptomycin Infliximab Ampicillin/sulbactam Caspofungin Ertapenem Phenytoid
10. Dextrose (no saline) - Outrageous Bakers Avoid Salt
Diluent incompatibility: Oxaliplatin Bactrim (SMX/TMP) Amphotericin B Synercid (Quinupristin/dalfopristin)
