Skills and Competencies Flashcards

Which DEA schedule includes drugs with accepted medical use but the highest potential for abuse among scheduled drugs with accepted use?

Answer: Schedule II

Schedule II drugs have accepted medical use but the highest abuse potential among regulated pharmaceuticals (e.g., oxycodone, amphetamines).

A physician orders dopamine 400 mg in 250 mL D5W to infuse at 5 mcg/kg/min for a 70 kg patient. What is the infusion rate in mL/hr?

Answer: 26.25 mL/hr

Concentration = 400,000 mcg/250 mL = 1,600 mcg/mL; dose = 5 × 70 = 350 mcg/min; rate = 350/1600 × 60 = 13.125 mL/hr.

Which of the following is an example of a TALL MAN lettering pair used to prevent medication errors?

Answer: metformin / methotrexate

metFORMIN and methoTREXATE are classic TALL MAN lettering pairs that highlight differences to prevent mix-ups.

When verifying a controlled substance inventory, a discrepancy is found. Who must be notified first?

Answer: The pharmacist-in-charge

The pharmacist-in-charge must be notified immediately of any controlled substance discrepancy before external reporting.

A prescriber writes for phenobarbital 60 mg PO QHS. What sig would appear on the patient label?

Answer: Take 60 mg by mouth at bedtime

QHS means 'every hour of sleep,' which translates to 'at bedtime' on patient labels.

Which practice is required under USP when preparing sterile compounded preparations?

Answer: Performing hand hygiene and garbing in ISO-classified areas

USP mandates proper hand hygiene, garbing, and use of ISO-classified cleanroom environments for sterile compounding.

A technician receives a prescription for Lortab 7.5/500. What does '500' refer to?

Answer: Acetaminophen strength in mg

Lortab 7.5/500 contains 7.5 mg hydrocodone and 500 mg acetaminophen per tablet.