Calculations
Types of Pharmacies
What can we do
Devices
miscellaneous
OTCs
Drugs
100
How much of a 4% cream can be made using 80mg of an active ingredient
2 g
100
Defined as 5 or more stores owned by a common owner(S) and run through a head office
Chain Pharmacy
100
Name three aspects of a Pharmacy Technicians role that is not done by assistants
Checking RXS, Device training, Calling Physicians, Transferring RXs, Medication administration
100
What hormone do Pregnancy tests test for and when is the best time to use for the most accurate result
hCG and first morning urine.
100
Name 4 types of information commonly found on Auxilary labels
Safe/Proper use of medication, Storage conditions, Refill information, Side effect information, Route of admin, Staability
100
Name 2 Pediculicides
Nix lotion, cream, shampoo, Kwellada rinse, R&C Shampoo/Conditioner, Nyda
100
Give an example of a Straight Narcotic drug
Morphine, Hydromorph Contin, Codeine, Dilaudid, Fentantyl, Methadone, Oxycodone, etc
200
You receive a prescription for Amoxicillin 500mg q8h f10d. How many capsules would you dipsense of 500mg
30 caps
200
Independently owned pharmacy, may pay a fee up front or percentage of profits to use the name. Give an example
Franchise (Shoppers drug mart, Jean coutu)
200
Name 6 OTC Sections of a store and 4 items that can be found in them
First aid, Eye care, home health care, pain/analgesics, vitamins, herbal products, cough/cold, feminine hygeine, Stomach, laxatives, acne, foot care
200
What do the numbers on the lancing device mean? If someone turns it to 1 vs 5 what does that mean
They are the depth gauge, 1 would be the most shallow and the higher number would be the deeper the lancet would go
200
This is a list of drugs sent from a manufacturer or wholesaler to a pharmacy
Invoice
200
Which of these products is an antihistamine: NeoCitran, Reactine, Tylenol, or Immodium
Reactine
200
Teva-Lenoltec #3 is an example of what type of narcotic
Narcotic Prep/verbal narcotic
300
If a patient is taking 5 tsp of a 1g/10mL suspension bid. What is the total amount of drug in mg per day.
5000 mg
300
Independently owned Pharmacy that is affiliated with a central office and pay a fee for the right to use a recognized name
Banner (Guardian, Pharmasave, PharmaChoice)
300
Name 3 types of prescription errors that we could find and report in a CQI meeting
Wrong drug, missed allergy/reaction, wrong qty, wrong labelling, wrong formulation of product, documentation error, education error, contaminated product, wrong sig, wrong refills, wrong doctor, wrong patient.
300
What is the difference in how you position the ear when applying ear drops for adults vs children?
For adults gently pull the ear up and back. For children under 3 pull the ear down and back.
300
IF a store has Too-High Inventory, what can happen? Give 2 possible issues
The products are not earning anything, loss of money if expire, loss of space as taking up usable space, Unnecessary expenditure as they have been paid for by the store and just sitting there.
300
ASA, Acetaminophen, Ibuprofen, Naproxen are all examples of what TYPE of medication and what are they generally treating
Analgesics and they treat pain/are painkillers
300
This OTC may enhance the anticoagulant effects of warfarin
Cranberry
400
How many of each product will we order?
2 bottles of Cephalexin, 7 Ventolins, 1 tub Hyderm
400
Example of this type: Costco (name that type)
Mass Merchandiser/Food Store
400
A patient presents to the pharmacy for their witnessed OAT dosing. They present with slurred speech, dilated pupils and speaking incoherently. Should the pharmacist dose them? if not what should they do
NO! Should complete the assessment form and reach out to the MD for clarification on next step
400
What options for pregnancy tests are out there for people who have vision difficulties or language issues
Ones with words(Pregnant or not Pregnant), symbols (+ or -)
400
The cost/price the pharmacy pays to acquire medication
AAC (Actual Acquisition cost)
400
On what OTC would you see a warning for Ryes syndrome?
ASA
400
What type of inhalers should you advise a patient to rinse their mouth out after
Steroid inhalers
500
Prescription for little Julia (who weighs 25 lbs) is for Amoxil 50mg/kg/day divided tid for 10 days. What is the mL per dose she will take and the total quantity if using a 250mg/5mL suspension.
give 3.8 mL per dose and total quantity of 114 ml
500
Created to help fill for nursing homes, compliance packs and compounding. NO public access
Central Fill Pharmacy
500
Name 5 types of Services offered by a community Pharmacy
Filling RX, Compliance packaging, OTC meds, Poison control, Prescribing, Medical supplies, Home Health care services, Diabetic care, Drug Information services, "Clinic days", Injection services, Delivery services
500
Name 5 examples of compliance aids
Dosette, Daily Medication holders, compliance/blister card, Dispill, Pacmed, Inhalers, Eye drop aids (autosqueeze, opticare, autodrop), Insulin pens, Mobile apps, Pre-programed vial aids, Measuring spoons
500
Can you drink Grapefruit juice with Lipitor?
no!
500
Name 3 of the 5 categories of Laxatives
Fecal/Stool softeners, Bulk forming, Osmotic, Stimulant, Emollient
500
This auxiliary label goes on most "prazole" products
Do not chew or crush
600
You need 300mg of a medication available as a 2:50 w/w mixture. How much will you need?
0.75 g
600
This shelf contains medications used most often
Fast mover
600
List 4 professional attitudes all pharmacy staff should have
Respect, acknowledge differences, observe confidentiality, discreet, empathy, problem solving, follow law/limitations, professionalism
600
In average, how long should you wait between instilling different eyedrops and in what order?
5 minutes, thinnest to thickest
600
What are the 2 goals of treating Diarrhea? and what products can we use for each
Treat symptoms (Imodium, Kaopectate) and Treat Dehydration/fluid loss (Pedialyte, Gastrolyte, Hydralyte)
600
Name 3 Brands of drugs (otc or prescription) that are used to treat GERD
Gaviscon, Zantac, Pepcid, Losec, Nexium, Prevacid, Pantoloc, Tecta
600
Most antibiotics and NSAIDS have this label in common
Take with food
700
If you have a new product that has an AAC of $13.50, how much would the SRP be with a 40% markup.
$22.50
700
Where can Schedule 1, Schedule 2, Schedule 3 and OTC drugs be kept
Prescription only, behind the counter away from patients.
Behind the counter, no public access and direct pharmacist intervention
Self selection area but phc must be available (lock n leave)
anywhere/free for all drugs
700
List 8 of the main steps involved in the dispensing process from start to finish (including the steps while interacting with the patients - hint there are 15 steps total)
1. Receive the prescription. Check the prescription for:
• Legibility
• Missing information
• Required legal information
2. If this is the first prescription for the patient, a patient profile information
must be created. If the patient has had a prescription filled at this pharmacy previously, ensure that their profile record information such as address, and phone number is up to date.
3. Check with the patient regarding any new allergies/medical conditions they
may have. and Ask if the patient has an insurance plan (Third Party Plan) or if there have been any changes to the insurance information you have on file.
4. Check to see if the medication is in stock. If the medication is not in stock,
and it is agreeable with the patient, order the medication from the supplier
immediately.
5. Give the patient an estimated waiting time for the prescription.
6. Ensure dosage ordered is reasonable for the patient’s age and body size and Calculate the number of doses required to fill the prescription.
7. Type all appropriate information from the prescription into the proper
fields in the computer.
8. Prepare, count out, or pour out the calculated (or requested) amount of
medication prescribed.
9. Check that you are using the correct medication for the prescription. As you
take the medication from the shelf, ensure you have the correct drug and
strength. Always check by referring to the physician’s prescription, as well
as the computer label. Check that the drug and strength on the label
matches that on the container you are using. Ensure that DIN numbers match.
10. Place in a safety vial (unless expectations apply – decreases accidental child poisonings) and place label on medication container.
11. Check the physicians’ prescription again for any errors or omissions, and
check that you have filled the prescription accurately as prescribed.
12. Record or list any medications that need to be ordered if necessary.
13. Place the physicians’ prescription, all paperwork, plus labelled vial, and
stock bottle in the appropriate area to be checked by a pharmacist or
technician (or it may be only the labelled vial that is checked). Verify drug
name and strength one last time as you are doing that.
14. Once the pharmacist has approved the prescription for therapeutic
appropriateness and a final technical check has been completed, the
medication may be given to the patient after collecting the required
payment.
15. Always remember to ask the customer if they have any questions for the pharmacist (or refer them to the pharmacist if counselling is required) and do not forget to thank the customer
700
How long should a patient rest for before taking their blood pressure and how should they be sitting.
5 minutes, sitting with feet flat on the floor and arm at heart level.
700
Yes or no questions
Closed ended questions
700
avoid this OTC in patients with hormone sensitive conditions such as breast, uterine r ovarian cancers or if allergic to flowers in the daisy family
Milk Thistle
700
What information is missing from this RX?
no patient name, no date, no drug strength, no MD signature
800
Jason drops off a new prescription for Methadone daily witnessed ingestion. His daily dose is 54mg and the prescription is for 7 days. How much of the 10mg/mL solution do you use per dose and how much for the full week?
5.4 mL per dose and 37.8 mL for the week
800
What can you look at to improve the layout of a retail pharmacy dispensary? Name 4 things that you could change or improve efficiency on
Location of generics, Seperate sections for otcs, fast mover shelf, location of vials, computer by the cash area, location of fridge
800
Name the steps involved in the final technical check prior to dispensing (hit the key points)
1. Check each part of the prescription for accuracy ─ name and address, drug,
strength, quantity, sig, refills, and doctor information.
2. Ensure the lot and expiry date have been recorded, and that the
medication will not expire before the patient can reasonably be expected
to use it.
3. Ensure the proper auxiliary labels are attached if any are needed.
4. Ensure the medication is packaged properly (for example, if the patient
requested snap caps or blister packing).
5. Initial the hard copy and receipt (this step may be done within the
computer system).
6. Include any dispensing aid that is required (pill splitter, dosage syringe and so on).
7. Bag and file the prescription for pickup or delivery.
800
Explain the steps that you would explain to a patient who is using eye drops for the first time.
Wash hands prior to use
Shake bottle if required
Tilt head back
Gently pull lower eyelid down to form a pouch
Remove the cover and hold the bottle over the eye as close as possible without touching the eye
Squeeze the bottle to instill the drop into the pouch
Close the eye and may use 1 finger to apply gentle pressure to the inside corner of the eye
Use a clean tissue to wipe away any excess liquid around the eye
If applying second drop repeat the steps
Put cap back on the bottle – do not touch tip or try to clean it
Wash hands again
Emphasize importance of not touching the dropper to the eye or with fingers
800
What does the whistle show on an aerochamber
patient is breathing too hard or quickly
800
OTC used to treat depression
St. Johns wart
800
Is this RX appropriate to dispense and if not why? and what would your next step be
1. Allergy to drug 2. Overdosing patient based on weight
no appropriate, would need to call MD to adjust to an appropriate medication and dosing based on weight.