Pharmacy Tech Essentials Part 3

Pharmacy Technician Certification Exam50 CardsCreated 3 months ago

This deck covers key concepts and facts essential for pharmacy technicians, including drug classifications, storage requirements, and medication interactions.

Methylphenidate treats:

• ADHD
• NARCOLEPSY

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Key Terms

Term
Definition

Methylphenidate treats:

• ADHD
• NARCOLEPSY

PRN refills on methylphenidate last how long?

• no refills are allowed on C-II drugs

Which antibiotics cause photosensitivity?

• Bactrim DS/ Septra DS ( sulfameth/trimeth )
• tetracycline ( all the - cyclines )

Pseudoephedrine is contraindicated to what disease state?
Pseudoephedrine is Sudafed and this cannot be taken with hypertension or heart disease

Which drug is a beta blocker?

Beta blockers end in -olol. Know the generic/brand names of this class of medication. You know that the generics end
in -olol but the test will ...

The three parts of a needle are:
Shaft, lumen, and hub

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TermDefinition

Methylphenidate treats:

• ADHD
• NARCOLEPSY

PRN refills on methylphenidate last how long?

• no refills are allowed on C-II drugs

Which antibiotics cause photosensitivity?

• Bactrim DS/ Septra DS ( sulfameth/trimeth )
• tetracycline ( all the - cyclines )

Pseudoephedrine is contraindicated to what disease state?
Pseudoephedrine is Sudafed and this cannot be taken with hypertension or heart disease

Which drug is a beta blocker?

Beta blockers end in -olol. Know the generic/brand names of this class of medication. You know that the generics end
in -olol but the test will list the answers in the brand names.

The three parts of a needle are:
Shaft, lumen, and hub
Which book gives information on general disease categories and their treatments?
Merck Index

Coumadin and aspirin

• Coumadin (warfarin) interacts with aspirin. Coumadin thins the blood and so does aspirin. If taken together - the blood
could be thinned too much and unusual bleeding can occur.
• Drugs with aspirin: Percodan, Fiorinal, Ecotrin, Bayer, Bufferin, Excedrin, Darvon
• A customer has a prescription for coumadin and asks the tech if it is okay to take aspirin occasionally. What should the
tech do? Answer: refer the customer to the pharmacist.

Digoxin is a:

• Cardiac glycoside
• Anti-arrhythmic
• If you can only pick one and not both - pick cardiac glycoside

If a patient came in with a script containing 5 different drugs listed (one drug is TCN) what should the patient be warned about?

• Know your auxiliary labels and side effects of medications
• TCN: photosensitivity, no calcium products, no antacids, not for children and pregnancy, if expired it is fatal

If a patient is deficient in cyanocobalamine, what should the patient take?
Vitamin B-12

What you should know about the expiration date:

• Expires the last day of the month at midnight
• 50% of the manufacturer date to a maximum of 1 year on repackaging of medication.

What are capsules made out of?
Gelatin, sugar, and water

What schedule is codeine?

• Codeine by itself is a C-II
• Codeine mixed within the medication is a CIII

What size is a HEPA filter?

• 0.22 micron
• It filters out 0.3 micron particles and larger

The use for syrup of ipecac is:
To induce vomiting in case of an overdose of medication or poison
The largest amount of energy in an IV bag is:
Comes from FATS
NaHCO3
Sodium bicarbonate
How would you dispose of a needle?
Sharps container

Know how to dispose chemotherapy medications and that there is a spill kit to use if you spill chemo drugs
to dispose:

place in a leak proof, puncture resistant container, placed in a larger container and incinerated

What would you use for a dry, hacking cough?

• Anti-tussive : Robitussin DM , Vicks 44 DM, DM stands for dextromethorphan,
• HYCODAN (hydrocodone) tablets- schedule III drug

Cozaar and Hyzaar:

• they are both ACE inhibitors use for high blood pressure
• they do not produce the side effect of cough like the other ACE inhibitors
• other ACE inhibitors end in -pril

An ampule lid is made out of what?
An ampule is entirely made out of glass (one piece)
Most common drug used in Parkinson's disease:
Sinemet (Carbidopa/levidopa)

What are buccal tablets?

• It is a tablet that is placed in-between the cheek and gum.
• Intended to dissolve slowly to stay in the mouth (where the infection) is longer

HS stands for what?
At bedtime (hour of sleep)
Intron A is stored where?
In the refrigerator
1 grain (gr) =
65 mg (the range is actually 60-65 mg)

How would you use PenG and where would you store it?

• Penicillin G is an antibiotic and would be stored in the refrigerator
• Any liquid penicillin in a syringe will be stored in the refrigerator

A pre-filled syringe is made out of glass or plastic?
Glass
What is mupirocin?
The brand name is Bactroban and is an antiseptic cream or ointment for the skin.
PRN refills on CIII, CIV, and CV mean what?
They are refillable to a maximum of 5 refills or 6 months
Work done with antineoplastic drugs is done in
A vertical laminar flow hood. (also called: Biological Safety Cabinet)

Where are controlled drugs kept?

• Pharmacies may disperse these substances (including CII's) throughout their stock of non-controlled substances in a
manner that will obstruct theft.
• CII's cannot be placed in automatic counting devices.

Where are antineoplastic drugs kept?

• Separate storage area where the drug cartons, shelves, bins, counters, and trays have warning labels and
designed to minimize falling and breakage of materials.
• Only specific trained personnel allowed access

Type B-ADR (Adverse Drug Reaction) is
Serious and life threatening
Where is Domboro stored?
Domboro is an OTC antiseptic....it would be stored next to the bacitracin
What does AWP mean?
Average Wholesale Price

How many units per ml in insulin? (i.e. U-100 insulin)

• U-100 means that there are 100 units per 1 ml of insulin.
• A vial is 10 ml therefore there are 1000 units per vial. ( 100 units/ml x 10 ml )

Know what drugs qualify as an 'Automatic Stop Order'

• Antibiotics
• Antineoplastics

Know examples of antibiotics for the ear.
Cortisporin Otic: neomycin/polymyxin B/hydrocortisone
What is the most important tech function when entering medication orders?
Correctly inputting patient information
Class B balance weighs up to
120 gms (grams not milligrams) (Bulk balance)
The most accurate way to measure a liquid?
With a graduated cylinder reading the bottom of the meniscus at eye level on a
What is the shelf-life of an antibiotic after reconstitution?
14 or 10 days

What does water soluble mean?

Refers to vitamins, when taken in excessive they will not build up in the body and become toxic

A customer brings in two prescriptions to be filled. One is for atenolol and the other is for Tenormin. What should the
technician do next?

Atenolol is the generic of Tenormin; therefore the patient does not need both due to a possible drug overdose. The
technician should bring this to the attention of the pharmacist. THIS IS DUBLICATE THERAPY

Know which drugs require a PPI and how often should you dispense it?

• MDI's, Birth Control, Estrogens, Progesterones, Accutane, and IUD's.
• Must be dispensed every time.

What is the generic name of Accutane? What is the special warning?

• Isotretinoin
• Will cause severe birth defects. Women of child bearing age must test negative to pregnancy before starting Accutane.
• No refills are allowed and prescription should be filled within 7 days of written date.

Only one type of insulin can go into an IV bag. Which one?
Regular