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What are 2 types of activities of a pharmacy technician's role
processing prescriptions, and maintaining the pharmacy department
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Can a pharmacy tech receive oral/phone prescriptions from prescribers?
no, only a Registered Pharmacist (RPH) can do this
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who is to counsel patients at the pharmacy?
the RPH
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is confidentiality an important role of a pharmacy tech?
yes, the pharmacy is highly trusted.
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what are the departments of a pharmacy?
medication storage area, speed shelf, and refrigerator, also work area (in-window, data entry station, filling station, and out window)
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Who can write prescriptions?
physicians, dentists, osteopaths, veterinarians, podiatrist, optometristis, physician assistants, and nurse practitioners
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what is needed on a prescription order?
prescriber's name, address, and phone #, patient's full & legible name, Date issued, med infor(strength, name, and dosage form), directions(sig), number of refills, generic substitution is permitted or not, and prescriber's signature, if it is a controlled substance, you also need patient's address and prescriber's DEA number.
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what does sig mean?
latin word of you write
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when a pharmacist takes an oral prescription, what will they do?
they will write out the order on a prescrption blank as the prescriber dictaes and will sign the prescribers name and initial and date it.
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when transcribing, what do you write if the dose form is po?
you would use the word take for adults, and give for children
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If you are transcribing for suppositories, what is your directions gonna start with?
insert
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instill or place refers to what?
drops (eye or ear)
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what does infuse refer to?
IV
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what do you do with oral drops??
take or give
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Capsules
made of gleatin & filled with meds, come in 8 sizes
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tablets
compressed powder, usually swallowed whole so that they break apart in the stomach
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Buccal
place between the cheek and gums, absorbed directly into the blood stream
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sublingual
under tongue, dissolves rapidly, direct absorption into the blood stream
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chewable
chew before swallowing
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effervescent tablets
acid & sodium bicarbonate, must be dissolved in water
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enteric coated tablets
coated to not dissolve in the stomach, dissolves in the intestines
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troches & lozenges
held in mouth till dissolved. Kept in contact with the mouth and throat
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controlled release
released over an extended period of time at fixed rate. XL- entended release, SR- sustained release, LA- long acting
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solution
solid dissolved in liquid; clear, not colorless
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suspensions
medication particles suspended in liquid, must be well shaken
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elixirs
clear, contain water & alcohol, usually flavored
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Fluid Extracts & tinctures
water & alcohol, plant extract as active ingredient
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spirit
high alcohol content, stored in air tight container so it doesn't evaporate
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syrups
sugar & water with active ingredients
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emulsions
oil & water, will separate and oil will float on water
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ointments
oil preparation that leaves oil on skin, must be protected
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creams
water, oil and other ingredients, less greasy, absorbed thru the skin
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lotions
more liquid applied over large area of skin
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liniments
oil, alcohol and solutions of soap, produces heat, do not apply to broken skin
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gels
semi- solid suspension with small particles suspended in water base
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collodions
liquid that dries as flexible film on the skin
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transdermal patches
sticker with drugs applied to skin, avsorbed thru the skin
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suppositories
glycerin, melts at body temp, can be used in vagina, rectum, or urethra
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vaginal tablets
dissolve or melt with body fluids, inserted in vagina
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otic
go in eares, can be solutions or suspensions
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ophthalmic
used in eyes or ears, solutions or suspensions or ointments
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aerosols
spayable products using pressurized gas to deliver medicaition, usually seen as oral and nasal inhalers
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gum
medication is distributed in a chewing gum for absorption throught the mucous membrane
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Containers- Vials
cylinder shaped container for tabs and caps, usually amber color to protect drugs from light
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Containers - Ointment jars
plastic or glass jars, usually opaque
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Containers- Bottles
used for liquids, also amber colored, many different sizes
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Containers- Dropper bottles
glass or plastic with dropperst attached to lid
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Containers- Applicator bottles
little glass rods attached to the lid of container, used to help apply to affected area
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Closures
come as child resistant and easy open, PPA says all medicatons will use child resistant cap unless the patient or physician requests otherwise, some exceptions
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What are the exceptions to the child proof caps?
NTG, bith control, sodium chloride, inhalers
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when does a label have to have the brand or trade name listed
only if the medication is a brand
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when do you put a generic name on prescription label
all medication labels must have this
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medication strength on a RX label
per each unit of issue (ie. tablet, capsule or mL)
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what is the Legend Statement
Caution: Federal law prohibits dispensing without a prescription
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What is the NDC number
national Drug Code, assigned both by the FDA and the manufacture and it identifies the medicaton
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What does the NDC number consist of
3 parts; first 5 digits = manufacture, assigned by FDA... nex 4 digits = name, strength, and dosage form of drug... last 2 digits = package size
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