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CMB-Chapter 2
CMB - Chapter 2 - Rx Medications (General)
Question | Answer |
---|---|
emulsions | mixtures of oil & water |
elixirs | clear, hydroalcoholic liquids |
fluid extracts & tinctures | use alcohol, water, or combination of the two as their base & usually contain plant extracts as active ingredients |
spirits or essences | are alcoholic or hydroalcoholic solutions of volatile substances - require storage in tight containers to prevent loss through evaporation |
syrups | are concentrated solutions of sugar in water with active ingredients, may also contain alcohol |
ointments | greasy preparations, usually with a petroleum jelly base |
creams | combinations of water, oil, & other substances |
lotions | are like creams but contain much more water |
liniments | mixtures of various substances in oil, alcoholic solutions of soap, or emulsions intended for external use |
gels | semisolid suspensions of very small particles |
collodions | liquids that dry as flexible films on skin |
transdermal patches | topical delivery systems designed for prolonged action |
parenteral medication | sterile preps injected with syringes |
pharmaceutical equivalence | same active ingredients, same dosage form, same route of admin, & same strength |
therapeutic equivalence | same rate and extent of absorption of the active ingredients into the bloodstream |
pharmaceutical alternatives | meds that have the same therapeutic moiety but may differ with regard to the particular chemical complex or dosage form or strength |
therapeutic alternatives | meds that do not have the same active ingredients but have similar clinical effects |
National Drug Code | NDC |
(NDC) 1st five = | manufacturer |
(NDC) next four = | name, strength, & dosage form |
(NDC) last two = | package size |
NCC MERP | The National Coordinating Council for Medication Error Reporting & Prevention |
Purpose of NCC MERP | categorizes errors based on whether an error was actually made & what harm (if any) occurred in the patient |
Med Error A | no error |
Med Error B | error that does not reach patient (near miss) |
Med Error C | error reaches patient but did not cause harm |
Med Error D | error reaches patient & requires monitoring and/or intervention to confirm that no harm was made to the patient |
Med Error E | error resulting in temp harm |
Med Error F | error resulting in temp harm & prolonged hospitalization |
Med Error G | error resulting in permanent harm |
Med Error H | error & intervention required to sustain life |
Med Error I | error causing death (sentinel event) |
MedWatch | an FDA initiated voluntary reporting system for adverse effects or medications errors with pharmaceutical products |
Safety alerts, recalls, withdrawals, & important labeling changes are distributed to the medical community & general public via the... | FDA Enforcement Report |
Drug Recalls-Class I | a drug product is being recalled because there is a strong chance of serious adverse effects or death to the patient |
Drug Recalls-Class II | a drug product is being recalled because there is a temporary (but reversible) chance of adverse effect, or little chance of serious adverse effect |
Drug Recalls-Class III | a drug product is being recalled because of some problem that is not likely to cause adverse effects |
Preg. Category A | failed to show a risk to the fetus; fetal harm appears remote |
Preg. Category B | either animal studies have shown no risk, but controlled studies in pregnant women are not done, or animal studies have shown an adverse effect that was not confirmed in women |
Preg. Category C | either animal studies have shown an effect on the fetus & there are no controlled trials in women, or there are not studies in either animals or women; should be given only if the risk to fetus outweighs the benefits |
Preg. Category D | there is + evidence of risk to a human fetus; must weigh the risks vs the benefits |
Preg. Category X | there are studies to show fetal abnormalities; the drug is contraindicated in women who may be pregnant |