To enroll into the course do the following steps:
Quiz 3 Due October 7th — use your textbooks, internet, etc.. to complete
- DEA = Drug Enforcement Agency
- A pharmacy tech can only be present in a pharmacy prescription department when the pharmacist is present.
- Schedule 2, 3, 4, and 5 are controlled substances
- Schedule 1 drugs have no medicinal value, and examples include street drugs like heroin, crack cocaine, and LSD.
- Examples of Schedule 2 drugs include: Ritalin, Oxycodone, Morphine, Fentanyl
- Annual inventories must be taken by Jan 15 of each year
- You can transfer a schedule III-V once to an outside pharmacy. Schedule II drugs can not be transferred
- Prescribers can issue multiple rx’s for a schedule II up to a 90 day supply
- 3.6 grams of sudafed per day 7.5 grams per month
- USP 795, 797, 800 — https://www.usp.org/
compounding — remember USP 795 covers non-sterile compounding, 797 covers sterile compounding, and USP 800 covers hazardous compounding
- Review of State Law
- Quiz 2
- HIPAA — please complete the video
- CMEA — please complete the video
- October 2, 2020 Janiece will be your teacher. We will continue our discussion on Terminology and begin reviewing the TOP 200. Use the practice quizzes under the Terminology section to begin memorizing drug names (brand name versus generic name).
- Read Chapter 3
- Take the cliff notes approach and skim over Chapters 5, 6, and 7 — we will be covering these chapters in depth for the rest of our time together.
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Friday October, 2, 2020
Instructor on this day: Janiece
- Speak to the women about your personal experience being a pharmacy technician
- How to become a certified pharmacy technician (questions and answers)
- Then shift into the lecture — go to heading “Terminology” and inform the women to begin reviewing the Top 200 from their e-books and use the practice quizzes as opportunities to study the top 200. Inform them that they can learn from taking the quizzes because each question has pieces of what the drug does in the body and/or why it’s being used.
- Then shift to the heading “Calculations” — begin going over days supply with the students
- Lastly shift over to the heading “Roman and arabic numerals” and let the students watch the videos on roman numerals and how to add and subtract.
- Go over when you will see Roman numerals in the pharmacy setting (bottles, prescriptions, etc. )
- Federal Law
- New Drug Approval
- Naming of Drugs
- Then ask the girls if they’re having any questions or concerns.
- Tell them that I will post quiz 4 and quiz 5 and quiz 6 to the website tomorrow before their lecture.
- Students please continue to review Top 200 drugs which Janiece covered last week
- Janiece will continue to cover Pharmacy Calculations Friday
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Thursday October 8, 2020
Instructor: Sam
Review of all topics covered over the past few weeks
Discussion of whats understood versus whats not..
- Identify issues that require pharmacist intervention
- Controlled Substance Module
- Review DEA # to prevent fraudulent prescriptions (http://boards.bsd.dli.mt.gov/
Portals/133/Documents/pha1/ dli-bsd-pha040.pdf) - https://en.wikipedia.org/wiki/
DEA_number - https://www.albop.com/
Prescriptive_Authority.aspx - Top 200/ Brand name versus generic name
Posting: Quiz 4, 5, 6 which is due October 15, 2020
Email sent post lecture:
- Reviewed the calendar — please go to homepage for updates to schedule (www.samblakemore.com)
- Quiz 4,5,6 is due october 15th
- Discussion covered modules 1) Identifying Issues that require pharmacist intervention (example sulfa allergy and bactrim, Lasix 40mg in a 2 year old remember all interventions require the professional judgement of a pharmacist) and 2) Controlled Substance Module ( please review pages 70-71 in your textbook and pages 15-22 and page 32 in the Pharmacist Manual (http://boards.bsd.dli.mt.gov/
Portals/133/Documents/pha1/ dli-bsd-pha040.pdf) - Please continue to watch the following youtube video: “Red Flags when filling a controlled substance” https://www.
youtube.com/watch?v= jdeQ0GeJjAM - Review how to calculate a DEA number, Remember understanding how to calculate a check digit can prevent a forgery https://en.wikipedia.
org/wiki/DEA_number
You receive a prescription from Sally Blakemore, CRNP
Her DEA number is as follows:
MB1234563
What is the check digit?
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Add together the first, third and fifth digits call this CALC1,3,5
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Add together the second, fourth and sixth digits and multiply the sum by 2, call this CALC2,4,6
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Add CALC1,3,5 + CALC2,4,6 call this CHECK
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The rightmost digit of CHECK (the digit in the ones place) is used as the check digit in the DEA number
1+3+5 = 9
2+4+6 = 12 * 2 = 24
9+24 = 33
- Remember M denotes mid level practitioners. A mid level prescriber falls under the direct supervision of a Physician
- In the state of Alabama does a Chiropractor have prescribing rights? https://www.albop.com/
Prescriptive_Authority.aspx - Keep reviewing the top 200 drugs from your book and understanding categories of the drugs along with brand vs generic names
- Review the link below, it is a picture of a bottle of Hydrocodone/APAP
https://
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Friday October 9, 2020
Instructor: Janiece
Review of Pharmacy Math/ Days Supply/ Terminology/ General Conversation
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Please review the lecture notes and continue to work on finishing them.
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Complete elements of the prescription (pg 208 in text)
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Auxiliary labels (pg 217 of text)
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Prescription label (pg 216 of text)
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Insurance Cards (pg 527 of text)
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Prescription processing– workflow video (https://youtu.be/SCWIIbrRVLg)
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Drop off of the prescription —> Order Entry (demographic info/prescription information) → Fill Rx → Pharmacist Verifies Rx → Pickup of Rx → Counseling
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Brand/generic names — please work on them
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Package inserts — please google them if you don’t know what a drug is or how it acts in the body, this is how you will learn medications. Learn by focusing on what the drug does in the body to counteract the disease state
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Days supply/ Your final exam will have lots of days supply on it. Please continue to work hard towards understanding days supply
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Conversions
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Quiz 9 and 10 will be posted later this week and due October 29
Insulin
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Lantus 100 units/ml
Dispense 3 ml
How many units of insulin will be dispensed? 100 units/ml * 3ml = 300 units
What is the generic name of Lantus? Insulin glargine
What do the following directions mean: INJ 10 units QHS ( inject 10 units at bedtime )
What is the days supply? 30 days
Most injectable vials expire between 21-28 days (insulin vials typically 28 days)
Counseling point for patients would be once you begin injecting with the pen or drawing up a dose with the vial, to discard the vial 28 days after use.
Inhaler
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Proair 90mcg/actuation
What is the generic name? Albuterol Sulfate
What do the following directions mean: 4 puffs Q4H PRN SOB, wheeze, cough (4 puffs every 4 hours as needed for shortness of breath, wheeze, cough)
If there are 24 hours in a day, how many times during the day can you use this inhaler: 6 times
If there are 200 puffs in 1 inhaler, what is the days supply? 24 puffs/day
200 puffs/inhaler /24 puffs = 8.333 days = 8 days
What disease state is ProAir used for? Asthma
Antibiotic
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Keflex 250mg/5ml
Generic Name: Cephalexin
What is the concentration? Weight/Volume or Volume/Volume
250mg/5ml reduce the fraction 50mg/ml
The directions read as follow, what do they mean? Give 1 tsp PO QID for 10 days
1 teaspoon by mouth four times a day for 10 days
How many ml’s will the pharmacist dispense? 5ml/dose * 4 doses = 20ml/day * 10 days = 200ml
When does the antibiotic expire? 10-14 days ( 14 days for this example)
What auxiliary labels should we place on the bottle? Shake well and refrigerate
What is reconstitution? https://youtu.be/sit0oHbZ4Cg
Pain Medication
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Tylenol 500mg
Directions state the following: 1 tab po q6h prn pain
Dispense: 60 tablets, what is the days supply?
What is the generic name of Tylenol?
Injectable
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Lovenox 300mg/3ml
Directions state the following: Inject 0.3 ml SUBQ BID
What does SUBQ mean? Subcutaneous
How many ml’s are injected per day? 0.6 ml
If each vial is 3ml how many vials should be dispensed for a 1 month supply (30 days)?
What is the generic name of Lovenox?
What is it used for?
Conversions & Problems
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Convert 220 lbs to kg ____________
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1 tablespoon (tbsp) to teaspoon (tsp) _________________
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2000 milliliters (ml’s) to liters __________________
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XII ounces to ml’s ______12* 30 = 360ml _______________
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IV ounces to ml’s _____4 * 30 = 120ml ________________
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5 grams to milligrams (mg’s) ________________________
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30ml’s to tablespoons ________________________
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The Doctor writes a prescription for Clindamycin 300mg directions: 600mg TID for 10 days. How many capsules should be dispensed? ___2 capsules * 3 times per day = 6 capsules per day * 10 days = 60 capsules_________________
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The Nurse Practitioner writes a prescription for Amoxicillin 500mg directions: 2 grams PO 1 hour prior to dental procedure. How many capsules should be dispensed? _____2000mg/500mg per capsule = 4 capsules ______________
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The Physician Assistant writes a prescription for Cefdinir 125mg/5ml directions: 125mg BID for 10 days. How many ml’s should be dispensed? _________________
Medication Safety
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Please continue to review Drug Recalls, Reconstitution, and Compounding.
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Janiece will finish up the discussion tomorrow on our example.. Compounding Baclofen 5mg/ml.
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Remember the final exam is due November 5th. If you have any questions or concerns leading to the completion of this exam let us know immediately. In order to pass the class, you must complete all 10 quizzes and the final exam.
- Drug Recalls
- Pharmacy Technician Lab
- Discuss Final Exam
Review Prescription Benefit Card — https://youtu.be/lx2pRP9141M
Review Prescription Workflow — https://youtu.be/SCWIIbrRVLg
Reconstitution of oral suspension — https://youtu.be/sit0oHbZ4Cg
Reconstitution of IV medication — https://youtu.be/kjUmi2O5CaY
Compounding a suspension from tablets — https://youtu.be/f5NndFVI5sQ
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Describe the four pieces of information found on a prescription benefit card.
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Describe prescription workflow.
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Describe reconstitution of an oral suspension
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Describe reconstitution of an IV medication
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Compounding exercise – you receive the following prescription
Baclofen 5mg/ml qs 180mL
Take 3 ml via GTube BID
On your shelf you have Baclofen 10mg tablets and OraBlend Suspending Agent
Trituration — https://youtu.be/KcCp3dSzCgs
Levigation – wet the triturated powder with suspending agent and incorporate using mortar and pestle
How many 10mg tablets do you need to make 180 mL? Describe the steps needed to compound this medication.
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