Chapter 6 Flashcards
(71 cards)
Rx
take this drug
sig
directions for taking the medicine
ac
before meals
hs
bedtime/hour of sleep
po
by mouth
PRN
as needed; when patient requests it
dispense as written codes
0 = no product selection indicated 1 = substitution not allowed 2 = substitution allowed; patient requested product 3 = substitution allowed; pharmacist request product 4 = subs. allowed; generic drug not in stock 5 = subs allowed; brand drug dispensed as generic 6 = override 7 = subs not allowed; brand drug mandated by law 8 = subs allowed; generic drug not available in marketplace 9 = other
unit dose labeling
trade/generic name of drug drug manufacturer strength of drug BUD lot number of meds a unit dose log must be maintained
Auxiliary/ancillary labels
provide additional info
do not drink alcohol
may cause drowsiness
take w food or milk
otic
for the ear
unit-dose packaging procedures
facility - low relative humidity and controlled room temp
equipment - appropriate design should allow cleaning to prevent cross contamination
blister pack components
blister - holds the medication
lidding stock - material that seals the blister
unit-dose system
provides a medicine in its final “unit of use”
may be manual, semiautomatic, or automatic
may be a single drop or double drop
modified unit-dose system
combines unit-dose medications, blister packaged onto a multiple-dose card instead of in a box
blended unit-dose system
combines unit-dose system with non-unit dose
multiple-medication package or modular casette
hermetic container
impervious to air or gas
unit of use container
drug meant to be dispensed as is with no changes
centralized pharmacy
found in central pharmacy
used to improve manual unit-dose cart fill process
cant handle all dosage forms
decentralized pharmacy
in patient care areas of a hospital
help with management issues
ability to dispense and return meds, document medication waste, and produce reports
pyxis
supports decentralized medication
automated dispensing system
bar code scanning
cubie system
only one medicine at a time
reduce nurse selecting wrong med
pyxis CII safe
tracks/monitors controlled substance inventory in a hospital
patient package insert requirements
description clinical pharmacology indications and usage contraindications warnings precautions adverse reactions drug abuse and dependence overdosage dosage administration how supplied date of most recent revision of labeling
when you have to give patient package inserts
metered-dose inhalers, oral contraceptives, estrogen, progesterone, isotretinoin
