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118 notecards = 30 pages (4 cards per page)

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Pharm Comp Retention IPT 2

front 1

Policies and procedures that guide the pharmacy department in providing safe, effective, and cost-effective drug therapy

back 1

The Joint Commission

front 2

The personnel in a hospital pharmacy are classified into three categories. In order, from highest to lowest, they are:

back 2

professional, technical, and support

front 3

The medication order must contain the following information:

back 3

dosage schedule and strength, patient's name, height, weight, date of birth, medical record number, medical condition, and known allergies, route of administration and direction of use, and instructions for preparing the drugs

front 4

A disadvantage of the floor stock system is:

back 4

potential for medication errors

front 5

Many unit-dose systems use which system during the cart exchange process?

back 5

24-hour medication cart

front 6

The roles and duties of the technician in the hospital setting are:

back 6

maintenance of medication records and compounding medications, preparing unit doses and packaging, computer data input and maintaining privacy, and working safety and communication skills.

front 7

Pharmacy technician re-certification requires:

back 7

20 continuing education credits with 1 being in pharmacy law every 2 years

front 8

Who monitors the use of scheduled drugs and those who prescribe them:

back 8

DEA

front 9

For scheduled drugs, federal law requires that records be kept on file for how many years, depending on a state's law?

back 9

2-5 years

front 10

use of incorrect abbreviations

back 10

one way in which a physician can cause a medication error

front 11

lack of appropriate labeling

back 11

one way in which a manufacturer or pharmacist can cause a medication error

front 12

monitor for any undesirable effects

back 12

what nurses and other health care professinals must do after administering medications

front 13

medication administration record

back 13

what should health care professionals should double-check medications against

front 14

process of cleaning to remove undesirable debris

back 14

sanitization

front 15

A vertical laminar airflow hood is used for

back 15

chemotherapeutic agents

front 16

The work surface of the laminar airflow hood should be cleaned with

back 16

70% isopropyl alcohol

front 17

Medication errors should be reported to which agency by using the program MedWatch?

back 17

FDA

front 18

Which of the following factors may cause the patient harm during administration of medication using pumps?

back 18

when equipment and technique are not sterile

front 19

The HEPA filter should be serviced and certified

back 19

every 6 months

front 20

Which of the following is used to measure the intensity of a patient's pain level?

back 20

pain scale

front 21

Risk factors for medication errors regarding human factors include all of the following, EXCEPT

back 21

reviewing medical records

front 22

Which of the following is NOT essential to avoid medication errors?

back 22

verifying the patient's Social Security number

front 23

Medication errors in the health care setting may occur in which of the following processes?

back 23

ordering medications, dispensing medications, and transcribing medications

front 24

According to the USP, low-risk compounding products can be kept in a refrigerator for

back 24

14 days

front 25

The work area is bathed by positive, pressurized flowing air called

back 25

laminar

front 26

Which of the following medications is NOT on the list of "highest alert" concerning medication errors?

back 26

penicillin injection

front 27

The process of killing all microorganisms and their pathogenic products is known as

back 27

sterilization

front 28

Which of the following is an example of leading zeros?

back 28

0.6

front 29

The most common sterile irrigations include

back 29

gentamicin irrigation solution

front 30

How long must the blower run in a laminar airflow hood prior to use?

back 30

30 minutes

front 31

Which of the following is a good risk reduction strategy for preventing medication errors?

back 31

documenting essential patient information

front 32

A device that uses a combination of heat, steam, and pressure to sterilize equipment is known as a(n)

back 32

autoclave

front 33

Which of the following does not influence prescribing errors?

back 33

expiration of license

front 34

Most experts agree that medication errors are due to a

back 34

poor system

front 35

HEPA filters need to be certified every

back 35

6 months

front 36

Which statement is false about parenteral products?

back 36

They must be chemically and physically unstable

front 37

Which of the following factors has been documented as the second most prevalent cause of medication errors?

back 37

illegible handwriting

front 38

The most effective method of destruction of all types of microorganisms is

back 38

autoclave

front 39

Which of the following organizations works to analyze dangerous medication errors?

back 39

FDA and ISMP

front 40

Medication errors may occur

back 40

in pharmacies, in hospitals, and during manufacturing

front 41

To avoid medication errors, patients should be encouraged to

back 41

ask questions about their medications

front 42

Small spills of body fluids on the counter surfaces of a pharmacy must be cleaned with

back 42

household bleach

front 43

Which of the following is false about disadvantages of parenteral administration?

back 43

more readily controls the therapeutic response of a drug

front 44

Wrong doses can easily be avoided by using

back 44

unit-dose systems

front 45

The process for compounding ophthalmics properly takes

back 45

from 1 to 2 weeks

front 46

Which of the following is true about a HEPA filter?

back 46

It removes 99% of possible contaminants

front 47

Which of the following is the most common cause of death in the United States?

back 47

medical errors

front 48

The process of entering a physician's order into a computer is called

back 48

transcription

front 49

The time from when a sterile drug product is compounded until it is administered to a patient is referred to as

back 49

beyond-use date

front 50

There is only one second-generation cyclic antidepressant. What is the trade name?

back 50

Wellbutrin

front 51

The trade name for fluvoxamine is

back 51

Luvox

front 52

Name of drug that can be given for Bipolar Disorder?

back 52

Depakene

front 53

True or False: Elavil can be give IM

back 53

True

front 54

Patients with renal or hepatic insufficiency should be started with low doses of which anti-depressant?

back 54

Paxil or Paroxetine

front 55

Sucrets Cough's Generic Name is

back 55

Dextromethorphan

front 56

What are the two types of Anti-Tussives?

back 56

opioids and nonopioids

front 57

Can Codeine be given SC?

back 57

Yes

front 58

Only one of these Anti-Tussives can be given BID only. What is the trade name of this drug?

back 58

Tussionex

front 59

A drug distribution system that provides medication in its final unit of use form

back 59

unit-dose system

front 60

A group of medications provided to a hospice patient by the hospice pharmacy to provide a "start" in treatment for most urgent problems that can develop during the last days or weeks of life

back 60

starter kit

front 61

An intravenous feeding that supplies all the nutrients necessary for life

back 61

total parenteral nutrition

front 62

A safe and economical way of distributing a drug

back 62

drug distribution system

front 63

A high-volume pharmacy that fills prescriptions for a number of individual pharmacies

back 63

central fill pharmacy

front 64

A drug distribution system that combines a unit-of-use medication package with a non-unit-dose drug distribution system

back 64

blended dose system

front 65

A drug dispensing system that is computer or robot based

back 65

automatic dispensing system

front 66

An established commercial website that enables a patient to obtain medications by way of the Internet

back 66

Internet pharmacy

front 67

Originally a facility, usually within a hospital, intended to care for the terminally ill, in particular, by providing physical comfort to the patient and emotional support and counseling to the patient and the family; currently hospice care is also provided in home settings

back 67

hospice

front 68

A licensed pharmacy that uses the mail or other carriers to deliver prescriptions to patients

back 68

mail-order pharmacy

front 69

An organization involving a licensed professional pharmacy or practice that provides medications and clinical services to long-term care facilities and other residents

back 69

long-term care pharmacy org

front 70

A range of health and health-related support services provided over an extended period of time

back 70

long-term care

front 71

The practice of pharmacy that provides medications, home health care products and services, and pharmaceutical care to patients at home

back 71

home health care pharmacy

front 72

Feedings given through a tube passed directly into the stomach or intestines

back 72

enteral nutrition

front 73

A mail-order pharmacy that concentrates on specific areas of the prescription drug market

back 73

specialty mail-order pharmacy

front 74

Vials containing particular compounds, usually in freeze-dried form used in nuclear pharmacy

back 74

reagent kit

front 75

A drug that is or has been made to be radioactive

back 75

radiopharmaceutical

front 76

A combination of amino acids, dextrose, fats, vitamins, minerals, electrolytes, and water administered intravenously

back 76

parenteral nutrition

front 77

A pharmacy that is specially licensed to work with radioactive materials

back 77

nuclear pharmacy

front 78

A medication package in which all medications for a specific medication time are packaged together

back 78

multiple medication package

front 79

A drug distribution system that combines unit-dose medications blister packaged onto a multiple dose card

back 79

modified unit dose system

front 80

These cassettes contain either one-week or two-week medication strips that also contain reserve closes in a narrow plastic slidetray design.

back 80

modular cassette

front 81

One of the fastest-growing parts of the health care market is

back 81

home health care pharmacy

front 82

The major sources of payment for home health services are:

back 82

Medicare and Medicaid

front 83

TPNs consist of:

back 83

amino acid and dextrose, fats and electrolytes, and vitamins and trace elements

front 84

Hospice pharmacy services can be divided into two areas:

back 84

clinical services and dispensing services

front 85

Ambulatory care services provide:

back 85

mobile imaging, rehabilitation, and dialysis centers

front 86

Mucous membranes of the eyes

back 86

conjunctiva

front 87

A method of cleaning equipment used for instruments that cannot be exposed to the high temperatures of steam sterilization

back 87

chemical sterilization

front 88

Date after which a product is no longer effective and should not be used

back 88

beyond use date

front 89

A sterilizing machine. It uses a combination of heat, steam, and pressure to sterilize equipment

back 89

autoclave

front 90

Preparing and handling sterile products in a manner that prevents microbial contamination

back 90

aseptic technique

front 91

A method of sterilization that uses heated dry air at a temperature of 320 degrees to 365 degrees for 90 minutes to 3 hours

back 91

dry heat sterilization

front 92

The use of a gas such as ethylene oxide to sterilize medical equipment

back 92

gas sterilization

front 93

A system of circulating filtered air in parallel-flowing planes in hospitals or other health care facilities. The system reduces the risk of airborne contamination and exposure to chemical pollutants in surgical theaters, food preparation areas, hospital pharmacies, and laboratories.

back 93

laminar airflow hood

front 94

Nutrition system involving the intravenous infusion directly into a vein of lipids, proteins, electrolytes, sugars, salts, vitamins, and essential elements.

back 94

total parenteral nutrition

front 95

The complete destruction of organisms before they enter the body

back 95

surgical asepsis

front 96

Complete destruction of all forms of microbial life.

back 96

sterilization

front 97

A process of cleaning to remove undesirable debris

back 97

sanitization

front 98

Complete destruction of organisms after they leave the body

back 98

medical asepsis

front 99

Bypassing the skin and gastrointestinal tract; injected

back 99

parenteral

front 100

Parenteral products must have the following unique qualities:

back 100

must be sterile, be free from contamination by endotoxins, and free from visible particles

front 101

A disadvantage of parenteral administration is that:

back 101

asepsis is required at administration

front 102

Important properties of parenteral preparations that must be considered include:

back 102

compatability and osmolality

front 103

Methods of sterilization include:

back 103

application of steam under pressure, dry heat and gas, and chemicals and radiation.

front 104

Used to remove particulates and microorganisms from solutions:

back 104

filters

front 105

Laminar airflow hoods are used to prepare sterile compounds by circulating air through HEPA filters to remove how much possible contaminants?

back 105

99%

front 106

Sneezing produces how many aerosol droplets?

back 106

200,000

front 107

Inventory control systems that allow monthly drug use reviews

back 107

perpetual inventory system

front 108

A list of drugs and devices that routinely need to be reordered

back 108

want book

front 109

The stock of medications a pharmacy keeps immediately on hand

back 109

inventory

front 110

A document showing received items; it should match the purchase order exactly

back 110

receiving report

front 111

An inventory control system that allows inventory to be tracked as it is used

back 111

point-of-sale master

front 112

A mathematical calculation of the number of times the average inventory is replaced over a period of time (usually annually)

back 112

inventory turnover rate

front 113

Controlling the amount of product on hand to maximize the return on investment

back 113

inventory control

front 114

Several important factors and issues with regard to inventory are:

back 114

How much inventory should be maintained, when should inventory levels be adjusted, and where should inventory be stored

front 115

A common inventory management error is

back 115

miscounting the final inventory and creating labels that are not easily read

front 116

One of the simplest and most widely used methods of inventory control is

back 116

the want book

front 117

Board regulation requires that a pharmacist should keep what type of inventory for each controlled substance in Schedule II, which has been received, dispensed or disposed of?

back 117

perpetual inventory

front 118

An advantage of computerized inventory control systems is

back 118

time saving for the pharmacy and the business office.