NHA:PHARMACY TECHNICIAN EXAM-with 100% verified solutions 2024-2025-tutor verified, Exams of Nursing

Download NHA:PHARMACY TECHNICIAN EXAM-with 100% verified solutions 2024-2025-tutor verified and more Exams Nursing in PDF only on Docsity! NHA:PHARMACY TECHNICIAN EXAM-with 100% verified solutions 2024-2025-tutor verified how to dispose of chemotherapy yellow sharps container how to dispose of fentanyl patches flush down toilet USP United States Pharmacopeia: info about product, med quality standards, and info about legend + OTC Pink book provides info about vaccines and diseases The Merck Index lists chemical attributes of chemicals, meds, and biologicals barbiturates central nervous center depressant, used to treat seizures and anxiety medicaid health care coverage for low income children, adults, elderly, and people with disabilities National Formulary (NF) list of officially recognized names of drugs that have an established usefulness how often is the national formulary updated every 5 years PDR (Physician's Desk Reference) The most widely used refernces for drugs in current use. Who act created the FDA Pure Food and Drug Act of 1906 Pure Food and Drug Act of 1906 prevented the adulteration and mislabeling of foods and pharmaceuticals The Joint Commission Independent non-profit organization, sets healthcare quality standards and protects patients and visitors, conducts inspections of healthcare facilities. tort act that causes harm/injury to a person intentionally or negligently Harrison Narcotic Act of 1914 curb the recreational use of opium, established that opiums cannot be purchased without an rxs Federal Food, Drug, and Cosmetic Act of 1938 created because the pure food and drug act was not worded strictly enough, emphasized adulteration and misbranding Combat Methamphetamine Epidemic Act of 2005 • Enacted to regulate the OTC sales of pseudoephedrine. • Identity and address of each purchaser to be kept for two years daily limit of pseudoephedrine 3.6 grams 30 day limit of pseudoephedrine 9 grams physicians can write up to how many c-ii prescriptions for a patient 3 ( allows the patient to get the drug filled over the course of 90 days) how often does the DEA require inventory to be taken every 2 years how long do c-ii invoices have to be kept 2 years circumstances in which a c-ii rx can be given verbally -physician determines that it is an emergency and there are no alternative treatments -physician is away from the office how many times can a ciii-v be transferred to a different pharmacy only once How many refills are allowed on CIII-V? 5 times in 6 months Safety Data Sheet (SDS) info on all potentially dangerous chemicals used in the workplace, enforced by OSHA required on a unit dose label drug name strength dosage form lot # manufacturer exp date Category A pregnancy risk controlled studies in humans show no risk to the fetus Category B pregnancy risk No controlled studies have been conducted in humans; animal studies show no risk to the fetus Category C pregnancy risk Risk in animals; little human data; most drugs are here Category D pregnancy risk Positive evidence of human fetal risk. Use only if no other choice Category X pregnancy drugs Bosentan (anti-endothelin, anti-pulmonary hypetensive) Statins Warfarin Category X pregnancy risk Risks involved in drug use clearly outweigh potential benefits, NEVER use by pregnant women Medwatch This is the FDA reporting service for adverse effects that occur from use of approved drugs. who can report to medwatch anyone what are buccal tablets meant to do dissolve slowly, absorb into bloodstream w/out passing digestive tract what are controlled release meds do med is released over extended amount of time to avoid concentrations in digestive tract/provides longer duration of action LA long action SA sustained action SR sustained release CR controlled release ER extended release TR time release effervescent tab dissolve into water, fizzy enteric coated tab protective out later so tab doesn't dissolve in stomach, dissolves in stomach emulsions liquid mixture of oil and water pastes stiff ointment that doesn't melt at body temp. syrups concentrated mix of sugar and water with active ingredients elixers water, alcohol, and flavoring collodions liquids that dry as flexible films on skin routes of administration enteral, parenteral, topical enteral gastrointestinal/digestive tract parenteral outside the digestive tract (injections) intravenous major veins intramuscular deltoid, vastus lateralis, ventrogluteal muscles intradermal into the skin subcutaneous most insurance require rx to be ____ used before refill 75% BIN processor bank identification # PCN processor control # person code Identifies which household member is receiving services EN each nostril IVBP intravenous piggyback UD, UT as directed TOP topically AMP ampule EXPECT expectorant (cough med used to help clear muccus) PULV powder SL sublingual AB rating rating from FDA stating there is adequate evidence supporting bioequivalence of brand and generic what insurance is typically billed first? Medicare Medicare for those who are: older than 65 disabled and unable to work have end-stage renal disease end-stage renal disease terminal disease what two parts of medicare does the pharmacy focus on most part B(DME) and D(drugs) DME durable medical equipment COB coordination of benefits proper sequence of COB medicare -> commercial insurance (BCBS, cigna etc) -> medicaid Medicaid 1tbsp=____ml 15 ml 1 fl oz = ___ mL 30 ml 20 gtt = ___ml 1 ml 1 cup = 8 oz = 1/2 pint = ___ml 240 ml 1 oz = ___g 30 g 2.2lbs = ____kg 1kg 1 in = ____cm 2.54 cm temperature conversion equation 5F = 9C + 160 standard precations created by the CDC to protect healthcare workers Bloodborne Pathogen Standard federal law requiring that healthcare facilities protect employees from bloodborne health hazards Garbing order shoe cover, hair cover, beard cover, mask, gown, gloves how often should laminar hoods be cleaned -at the beginning of each shift -before each batch preparation -every 30 minutes during continuous compounding of a single CSP how often should the ceilings be cleaned in compounding areas monthly how often should counters and work surfaces be cleaned in compounding areas daily how often should the floors be cleaned in compounding areas daily how often should storage bins be cleaned in compounding areas monthly how often should the walls be cleaned in compounding areas monthly media fill testing a quality assurance tool that uses a soy broth growth medium to detect pathogens in a compounded sterile product low risk compounding mixing 3 or more sterile ingredients medium risk compounding mixing less than three sterile ingredients high risk compounding mixing non sterile or mixing in nonsterile environment Methotrexate chemotherapy, compounded in a biological safety cabinet International Organization for Standardization (ISO) standards for compounded ISO 5 standard that requires sterile airflow during compounding process ISO 7 clean room ISO 8 anteroom how often should HEPA filters be inspected and certified every 6 months HEPA filters remove bacteria from the air BUD date for nonsterile, semisolid prep with h2O 30 days critical site on a syringe during sterile compounding syringe plunger what is used to dilute hydrocortisone ointment petroleum jelly what must unit dose systems include -product identification -environmental exposure -usability -handling what could be the reason that patients run out of medications faster than expected? (rf too soon) -prescriber has increased the dose but pt has not given the new prescription to the pharmacy -pt taking more than prescribed -pt misunderstands proper use of medicaiton -pt is diverting or abusing the med what could be the reason why patients may be taking less medication than they should? -they cannot afford it -they experience side effects they do not like -the prescriber has reduced the dose but the new prescription has not been given to the pharmacy -pt may be forgetting to take their medications why do SSRIs need to be dispensed with a medguide increased risk of suicidal thoughts in adolescents why do NSAIDs need to be disp w/ medguide risk of GI bleeding why does isotretinoin need to be disp w/ medguide risk of birth defects why do fluoroquinolones need to be disp w/ medguide risk of tendinitis why does eszopiclone need to be disp w/ medguide risk of sleep related activities you may not remember why does metoclopramide need to be disp w/ medguide V 5 X 10 C 100 L 50 D 500 M 1000 recommended age group for diphteria, tetanus, pertussis vaccine 6 weeks - 7 years recommended age group for haemophilus influenza type B vaccine 6 weeks - 19 years recommended age group for hepatitis A vaccine 12 months and older recommended age group for hepatitis B vaccine all ages recommended age group for zoster(shingles) vaccine 59 years and older recommended age group for HPV(human papilloma virus) vaccine 9 - 27 years recommended age group for influenza vaccine 6 months and older recommended age group for measles, mumps, and rubella vaccine 12 months - 60 years recommended age group for meningococcal vaccine 6 weeks and older recommended age group for pneumococcal vaccine older than 6 weeks recommended age group for pneumoccal polysaccharide vaccine 2 years and older recommended age group for rotavirus vaccine older than 1 month recommended age group for varicella(chicken pox) vaccine 10 years and older tincture A solution where a solute is dissolved into alcohol API Active Pharmaceutical Ingredient oleaginous base MDI metered dose inhaler How long does a pharmacy have to fill the remaining amount on a partially filled C2? 72 hours How long does a pharmacy have to fill the remaining amount of a partially filled C3-5? until the prescription expires (usually 6 months) For how long is a DEA form 222 valid? 60 days DEA form 106 report of theft or loss of controlled substances DEA form 41 request permission to destroy exp C-2 DEA form 224 Apply for a DEA registration number (to disp control) DEA form 222 Order form for CI and CII substances. Must be kept for 2 years. Medicare part A hospital insurance Medicare part B -physicians services -diabetic services -specialty meds -medical equipment Medicare part C provides supplemental coverage allow patients to participate in HMO/PPO for extra cost Medicate part D Prescription drug coverage (insulin, vaccines..) DAW 0 no product selection indicated, generic ok, pt ok DAW 1 substitution not allowed by prescriber, fill exactly as written DAW 2 substitution ok, but pt request that brand be disp'd DAW 3 substitution ok, but pharmacy fills brand even though generic is available DAW 4 Substitution allowed - generic drug not in stock DAW 5 substitution allowed but pharmacy uses the brand DAW 6 override DAW 7 substitution not ok, brand mandated by state both eyes po by mouth pr rectal pv vaginally sub q subcutaneous sl sublingual (under the tongue) ac before meals bid twice daily hs at bedtime pc after meals prn as needed qh every hours qid four times daily tid three times daily aaa apply to affected area gtts drops ha headache qs quantity sufficient ung ointment Patience Adherence pt taking meds exactly as directed and going to all doctor appointments and labs Why do hospital pharmacies only give a 24 hour supply? reduces stealing, any qty after 24 hours would clutter the upper floor, its best to wait for pt's tests and results to come in the basic layout of the pharmacy intake area, processing area, processed rxs area, out window drug-age drug-health condition NKDA no known drug allergies to all drugs NKA no known allergies to anything Trissel's Handbook on Injectable Drugs Provides information on the stability and compatibility of injectable drugs post after, behind peri around, surrounding how to dispose of antibiotics mixed with coffee grounds or soaked in water how to dispose of warfarin hazardous, so meant to be placed in a specific bin for professional disposal