Rite Aid Exam Latest 2023 with Certified Solutions

Rite Aid Exam Latest 2023 with Certified Solutions DY (QD) Daily BID 2x TID 3x QID 4x 5ml= 1tsp 15ml= 1tblsp 1oz= 30ml 1oz= 28 grams 1 gram= 1000mg GTT drops OU Both Eyes OD Right Eye OS Left Eye Insulin 100 units in 1ml Eye Drops 20 drops in 1ml 1. HIPAA 2. DEA 3. OBRA 4. CBT 5. FDA 6. RACS 7. NPI 8. DPC 9. RAP 10. PDM Health Insurance Portability and Accountability act of 1996 2. Drug Enforcement Administration -controlled substances 3. Omnibus Budget Reconciliation Act of 1990 -Designed for Medicade 4. Computer Based Training 5. Food and Drug Administration 6. Retail Automated Customer Service -becoming important 7. National Provider Identifier 8. District Pharmacy Coordinator 9. Rite Aid Portal 10. Pharmacy District Manager State Board of Pharmacy Regulates the Operations of the pharmacy -made up of public members -consumer members, academics, techs, pharmacy members in that store FDA Assigns national drug codes -official wording of drug literature/directions for OTC products CPSC Poison prevention Normal BP 120/80 Dynamic Process 2. pharmacology All happen at the same time 2. branch of medicine -concerned with the uses, effects and modes of action of drugs Absorption How product gets into blood -parenteral products have no absorption Distribution How product is transported to its site Metabolism Chemical process the body uses to alter the drug Excretion Removal of drug from body Hypertension 1. Diuretics 2. Beta blockers 3. ACE inhibitors 4. Calcium channel blockers 5. ARBs 6. Alpha blockers High blood pressure: want to lower it 1. remove excess fluids from blood to reduce pressure on artery wall -called water pills 2. decreasing heart rate, blocks adrenaline -end in -olol 3. block enzyme that converts Angiotensin 1 to 2 to open artery 4. block calcium channel which makes heart vessel relax 5. block actions of Angiotensin 2 6. help vessels stay open by blocking chemicals that raise blood pressure 1. LDL 2. HDL 3. Triglycerides 1. low density lipoprotein -bad forms thick deposits on walls of arteries 2. high density -good helps remove cholesterol from blood 3. most common cholesterol in blood normal blood glucose level -systolic pressure is 70-99 mg/dl -when hear is pumping Diabetes type 1 type 2 1. insulin dependent treatments= insulin injection -dont make insulin 2. non-insulin dependent= don't use insulin in the correct way -oral pills -adult onset common thyroid meds synthriod & levothyroxine arthritis joint inflammation -uses non-steroidal anti-inflammatory drugs like naproxen -also uses acetaminophen ulcers open sores -med: sucralfate -treatment: h2 blockers and proton pump inhibitors asthma lungs inflate and narrows airway which causes wheezing -long term meds: singulair accolate -short term meds: alupent & prevenril, pro air, ventolin corticosteroids -hormones produced in adrenal glands -ex: cortisol & decadron anti-coagulants prevent formation of blood clots ex: coumadin, eliquis, xarelto, fradmin anti-depressants most prescribed class of medicines -SSRI's and SNRI's ex: celexa (citalopram), lexapro (esciatalopram), prozac (fluoxetine), zoloft (sertraline), alilifty (aripipazole), cymbalta (duloxetine) effexor (venlafaxine) anti-anxiety meds end in -pam (lorazepam, clonazepam) ADHD attention deficit hyperactive disorder -adderal (dextroamphetamine) -concerta (methylphenidate) -vyvanse (lisdexamfetamine_ Phase 1 Researchers test a new drug or treatment in small group to determine -safety -dosage range -side effects Phase 2 Drug or treatment is given to a larger group to test safety and effectiveness further Phase 3 Drug or treatment is given to an even larger group to confirm: -side effects -effectiveness -collect information on safety -compare to other treatments Submit a New Drug Application (NDA) to allow it to be sold in the US Phase 4 Post marketing studies are done after the drug/treatment has been marketed to gather info in various populations on side effects/long term use effects NDC 10 digits -first 5=drug manufacturer -next 4= drug product -last 2=package size DAW requests brand over generic 1= dr request 2=patient request QOD every other day 1. SL 2. HS 3. UD 4. AC 5. PC 6. IM 7. AA 8. mcg 9.AD 1. sublingual 2. at bedtime 3. as directed 4. before meal 5. after meal 6. intra muscular 7. of each 8. microgram 9. right ear How to check DEA # 1. first letter is A or F, second letter is beginning of last name 2. Count up number 1+3+5 then count 2+4+6 x2 3. ending number should have same ending as DEA # What must be on a prescription? patient name, address, med, prescriber name and signature, DEA #, date prescription work flow 1.Drop off 2. data entry 3. production 4. Clinical review 5. QA review 6. pick up get prescription -verify that medication is in stock -ask patient when they want to pick up 2. enter prescription (aka what kelly does) -look for high priority notes 3. fills and labels prescriptions 4. done by pharmacist -checks DURs 5. pharmacist reviews medication history, prescription image, meds 6. goes into will call Medicare 4 parts Part A Part B Part C Part D A: Covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some health care B: Covers certain doctors services, outpatient care, medical supplies, and preventive services C: Offered by a private company that contracts with Medicare to provide you with all your Part A, Part B, and sometimes Part D benefits D: Adds prescription drug coverage to Original Medicare Decline Agency will pay for product with DUR -dose-age-sex-drug interactions Reject Agency refuses to pay for claim -patient not covered -drug not covered -patient has other insurance State Vs. Federal Laws If they do not match, follow the more strict of the two Aseptic Technique Series of steps and precautions used to decrease the chance of contaminations -provides for the use of Laminar flow hoods -HEPA filters Sterile Free from living organisms/microorganisms Parenteral Introduced otherwise by way of intestine Subcutaneous Intramuscular Intravenous -Very fine, Short needle, just below the bottom layer of skin -Longer needle and larger opening, can be designed to deliver meds over extended periods of time in excess of three months -various size needles directly to vein TPN Total Parental Nutrition -balanced solution used when person has digestive problems to eat Wash hands for... 30-60 seconds Drip Rate (Total # of mL/Total # of Min)*drip factor Flow Hoods: Horizontal Vertical Horiz: HEPA is perpendicular to the work surface. The Clean air blows from the filter towards person working in hood Vert: The HEPA filter is parallel to the work surface. Clean air blows straight towards the work surface and exhausted through vent around work surface Flow Hoods Clean top to bottom and back to front -work 6in into food and have nothing closer than 2in from sides or back ROMAN NUMERAL I V X L C D M I=1 V=5 X=10 L=50 C=100 D=500 M=1000 1kg= 2.2 lbs PPPA poison prevention packaging act in 1970 requires child proof lids Controlled substance act in 1973 the FDA gained control of regulations of controlled drugs maintenance drug drug used for a long period of time to control health and symptoms