Class 3 Summary Flashcards
(39 cards)
What is repackaging?
The process of dividing a bulk supply of medications into individual unit doses, with proper labeling and documentation.
Why is repackaging important?
It improves accuracy, safety, and efficiency in drug administration.
What are the first steps in the repackaging process?
Clean the work area, wear protective equipment, and separate products to prevent mix-ups.
What personal protective equipment (PPE) is required during repackaging?
Gloves, a bouffant (in some cases), and other protective gear as needed.
How should tablets and capsules be handled during repackaging?
Use tweezers and counting trays; avoid direct contact with the medication.
What information must be documented during repackaging?
Date of repackaging
Manufacturer’s name, lot number, and original expiry date
Drug Identification Number (DIN)
New lot number and expiry date
Quantity and dose packaged
Initials of all personnel involved
What details must appear on a unit dose label?
Generic drug name
Strength or concentration
Manufacturer name
Expiry date and lot number
Dosage form and physical description
Drug Identification Number (DIN)
What is the purpose of auxiliary labels?
To provide supplementary safety or storage instructions, such as “Refrigerate” or “Shake Well.”
When should a tablet splitter be used?
For splitting tablets during repackaging, especially if the tablet is scored.
What is the general rule for splitting tablets?
Scored tablets can typically be split, while non-scored tablets should only be split with prior approval.
How should oral liquids be measured during repackaging?
Use one decimal point if over 1 mL.
Use two decimal points if under 1 mL.
What is an example of dosage calculation during repackaging?
If a medication has a concentration of 125 mg/5 mL and the patient requires 375 mg, calculate the mL needed using cross-multiplication.
Why is it important to maintain a clean workspace during repackaging?
To prevent contamination and ensure the accuracy of repackaged medications.
What equipment should be used to handle oral syringes?
Avoid touching critical parts like the tip and plunger to maintain sterility.
How should repackaging tools be stored?
In sealed zip-lock bags to prevent contamination.
What is a multidose blister pack?
A medication package that organizes and stores multiple medications according to a patient’s scheduled doses, commonly used in long-term care facilities.
What are the key features of a multidose blister pack label?
Patient’s name and room number
List of medications (names, strengths, dosage forms)
Physical description of each medication
Manufacturer details
Why are multidose blister packs used?
To improve medication adherence, accuracy, and safety for patients on multiple medications.
What is a Medication Administration Record (MAR)?
A legal document that records details about a patient’s medications, including administration times and instructions.
What information is included in a MAR?
Patient details (name, date of birth, record number, room number)
Physician, diagnosis, and special instructions
Medication name, strength, directions, and description
Give an example of a medication schedule from a MAR.
Ramipril 5 mg: Take 2 capsules once daily at 0800 hours
Amlodipine 5 mg: Take 1 tablet at bedtime (QHS)
Spironolactone 25 mg: Take 1 tablet in the morning (QAM)
What are the benefits of multidose packaging?
Reduces the risk of missed or incorrect doses
Simplifies medication management for patients and caregivers
Enhances safety with clear labeling and organization
How are medications organized in a multidose blister pack?
By administration time (e.g., morning, evening, bedtime), with each bubble representing a scheduled dose.
What are the steps for preparing a multidose blister pack?
Refer to the MAR for the patient’s medication schedule
Organize medications into their respective time slots
Apply an accurate and complete label to the pack
