Preface | p. vii |
The Pharmacy Technician | p. 1 |
Ancient Origins | p. 1 |
The Roles of the Pharmacist | p. 2 |
Evolution of the Pharmacist's Roles | p. 2 |
Duties of the Pharmacist | p. 4 |
Education and Licensing Requirements for Pharmacists | p. 4 |
The Roles of the Pharmacy Technician | p. 5 |
Work Environments and Conditions | p. 5 |
Characteristics of the Pharmacy Technician | p. 5 |
Training, Certification, Pay, and Job Outlook | p. 6 |
The Pharmacy Workplace | p. 6 |
Community, or Retail, Pharmacies | p. 6 |
Hospital Pharmacies | p. 7 |
Other Pharmacy Workplaces | p. 8 |
Home Healthcare Systems | p. 8 |
Long-term Care Facilities | p. 9 |
Chapter Summary | p. 10 |
Chapter Review | p. 11 |
Pharmacy Law, Standards, and Ethics for Technicians | p. 15 |
The Need for Drug Control | p. 15 |
A Brief History of Statutory Pharmacy Law | p. 16 |
Pure Food and Drug Act of 1906 | p. 16 |
Food, Drug, and Cosmetic Act (FDCA) of 1938 | p. 17 |
Durham-Humphrey Amendment of 1951 | p. 18 |
Kefaufver-Harris Amendment of 1962 | p. 18 |
Comprehensive Drug Abuse Prevention and Control Act of 1970 | p. 19 |
Poison Prevention Act of 1970 | p. 19 |
Drug Listing Act of 1972 | p. 20 |
Orphan Drug Act of 1983 | p. 20 |
Drug Price Competition and Patent-Term Restoration Act of 1984 | p. 20 |
Prescription Drug Marketing Act of 1987 | p. 20 |
Omnibus Budget Reconciliation Act of 1990 (OBRA-90) | p. 20 |
FDA Modernization Act | p. 21 |
Dietary Supplement Health and Education Act (DSHEA) of 1994 | p. 21 |
National Oversight Agencies | p. 22 |
Food and Drug Administration (FDA) | p. 22 |
Drug Enforcement Administration (DEA) | p. 23 |
National Association of the Boards of Pharmacy (NABP) | p. 23 |
State Boards of Pharmacy and Legal Duties of Pharmacy Personnel | p. 25 |
Violation of Law and Regulation | p. 29 |
Civil Law | p. 29 |
Law of Agency and Contracts | p. 29 |
Torts | p. 30 |
Codes of Ethics | p. 31 |
Chapter Summary | p. 33 |
Chapter Review | p. 34 |
Pharmaceutical Terminology and Abbreviations | p. 39 |
Greek and Latin Word Parts | p. 39 |
Drug Nomenclature | p. 47 |
Important Terminology | p. 49 |
The Language of Prescriptions and Medication Orders | p. 52 |
Chapter Summary | p. 59 |
Chapter Review | p. 60 |
Drugs, Dosage Forms, and Delivery Systems | p. 65 |
Pharmaceuticals | p. 65 |
Drug References | p. 65 |
National Drug Code (NDC) | p. 66 |
Classes of Drugs | p. 66 |
Sources of Drugs | p. 66 |
Drugs from Natural Sources | p. 67 |
Synthetic, Synthesized, and Semisynthetic Drugs | p. 67 |
Radiopharmacuticals | p. 69 |
Uses of Drugs | p. 69 |
Therapeutic Agents | p. 69 |
Pharmacodynamic Agents | p. 69 |
Diagnostic Agents | p. 70 |
Prophylactic Agents | p. 70 |
Destructive Agents | p. 70 |
Dosage Forms and Delivery Systems | p. 70 |
Solid Dosage Forms | p. 71 |
Capsules | p. 71 |
Effervescent Salts | p. 73 |
Implants or Pellets | p. 73 |
Lozenges, Troches, or Pastilles | p. 73 |
Pills | p. 73 |
Plasters | p. 73 |
Powders and Granules | p. 73 |
Suppositories | p. 74 |
Tablets | p. 74 |
Liquid Dosage Forms | p. 76 |
Solutions | p. 76 |
Dispersions | p. 78 |
Gas, Vapor, and Other Dosage Forms | p. 79 |
Delivery Systems | p. 80 |
Inhalation Delivery Systems | p. 80 |
Syringe, Injection, and Infusion Delivery Systems | p. 80 |
Intrauterine and Cervical Delivery Systems | p. 82 |
Transdermal Delivery Systems (TDS) | p. 82 |
Other Delivery Systems | p. 83 |
Chapter Summary | p. 84 |
Chapter Review | p. 85 |
Routes of Drug Administration | p. 89 |
Factors Influencing the Route of Administration | p. 89 |
Compliance | p. 89 |
Ease of Administration | p. 89 |
Site of Action | p. 90 |
Rate of Action | p. 90 |
Duration of Action | p. 90 |
Quantity of Drug | p. 90 |
Susceptibility of Metabolism by the Liver | p. 90 |
Toxicity | p. 90 |
Routes of Administration | p. 91 |
Oral and Peroral | p. 91 |
Dosage Forms | p. 91 |
Advantages and Disadvantages | p. 91 |
Sublingual and Buccal | p. 91 |
Dosage Forms | p. 92 |
Advantages and Disadvantages | p. 92 |
Epicutaneous (Topical) or Transdermal | p. 92 |
Dosage Forms | p. 92 |
Advantages and Disadvantages | p. 92 |
Ocular, Conjunctival, Nasal, and Otic | p. 92 |
Dosage Forms | p. 93 |
Advantages and Disadvantages | p. 93 |
Rectal | p. 93 |
Dosage Forms | p. 93 |
Advantages and Disadvantages | p. 93 |
Vaginal and Urethral | p. 93 |
Dosage Forms | p. 93 |
Advantages and Disadvantages | p. 93 |
Intrarespiratory | p. 93 |
Dosage Forms | p. 94 |
Advantages and Disadvantages | p. 94 |
Parenteral | p. 94 |
Dosage Forms | p. 94 |
Advantages and Disadvantages | p. 94 |
More on Parenteral Administration | p. 94 |
Characteristics of Parenteral Preparations | p. 94 |
Methods of Injection | p. 95 |
Routes of Parenteral Administration | p. 95 |
Intravenous | p. 95 |
Intradermal | p. 96 |
Subcutaneous | p. 96 |
Intramuscular | p. 96 |
Chapter Summary | p. 98 |
Chapter Review | p. 99 |
Basic Pharmaceutical Measurements and Calculations | p. 103 |
Systems of Pharmaceutical Measurement | p. 104 |
The Metric System | p. 104 |
Common Measure | p. 106 |
Roman Numerals | p. 106 |
Basic Mathematics Used in Pharmacy Practice | p. 108 |
Fractions | p. 108 |
Adding and Subtracting Fractions | p. 109 |
Multiplying and Dividing Fractions | p. 110 |
Decimals | p. 111 |
Converting Fractions to Decimal Equivalents | p. 112 |
Converting Decimals to Fractions | p. 112 |
Adding and Subtracting Decimals | p. 113 |
Multiplying Decimals | p. 113 |
Dividing Decimals | p. 113 |
Rounding Off Decimals | p. 114 |
Ratios and Proportions | p. 114 |
Percents | p. 116 |
Changing a Ratio to a Percent | p. 116 |
Changing a Percent to a Ratio | p. 117 |
Changing a Percent to a Decimal | p. 117 |
Common Calculations in the Pharmacy | p. 117 |
Converting Measures between the Metric and Apothecary Systems | p. 117 |
Calculation of Dosages | p. 120 |
Electrolytes | p. 122 |
Understanding Millimoles and Millequivalents | p. 122 |
Determining the Milliequivalents of Compounds | p. 123 |
Converting between Milligrams and Milliequivalents | p. 123 |
Measuring Electrolytes | p. 124 |
Specific Gravity | p. 124 |
Calculation of IV Rate and Administration | p. 125 |
Preparation of Solutions | p. 127 |
Preparing Solutions Using Powders | p. 127 |
Working with Dilutions | p. 128 |
Using Alligation to Prepare Solutions | p. 129 |
Business Math Used in Pharmacy Practice | p. 131 |
Markup | p. 132 |
Discount | p. 132 |
Average Wholesale Price (AWP) Applications | p. 133 |
Capitation Fee | p. 134 |
Inventory Management | p. 134 |
Chapter Summary | p. 136 |
Chapter Review | p. 137 |
Dispensing, Billing, and Inventory Management | p. 143 |
Community Pharmacy Operations | p. 143 |
Technician Duties Related to Dispensing Over-the-Counter Drugs | p. 143 |
Technician Duties Related to Dispensing Prescription Drugs | p. 144 |
Receiving and Reviewing Prescriptions | p. 144 |
Preparing, Checking, and Updating the Patient Profile | p. 149 |
Policies and Procedures for Patient Profiles | p. 150 |
Updating the Patient Profile | p. 150 |
Managing Computer Systems | p. 150 |
The Parts of a Computer System | p. 152 |
How Pharmacy Computer Systems Work | p. 153 |
Selecting and Preparing Medications | p. 154 |
Preparing Oral Dosage Forms | p. 154 |
Extemporaneous Compounding | p. 154 |
Dispensing of Prepackaged Drugs | p. 155 |
Choosing Containers | p. 155 |
Preparing Labels | p. 156 |
Checking the Prescription | p. 158 |
Billing and Third-Party Administration | p. 158 |
Purchasing, Receiving, and Inventory Control | p. 159 |
Purchasing | p. 160 |
Receiving | p. 160 |
Inventory Control | p. 161 |
Chapter Summary | p. 162 |
Chapter Review | p. 163 |
Extemporaneous Compounding | p. 169 |
The Need for Extemporaneous Compounding | p. 169 |
Equipment for Weighing, Measuring, and Compounding | p. 170 |
Balances | p. 170 |
Forceps and Spatulas | p. 171 |
Compounding Slab | p. 171 |
Mortar and Pestle | p. 172 |
Graduates and Pipettes | p. 172 |
Master Formula Sheet | p. 172 |
Technique for Weighing Pharmaceutical Ingredients | p. 173 |
Technique for Measuring Liquid Volumes | p. 175 |
Comminution and Blending of Drugs | p. 176 |
Geometric Dilution Method | p. 176 |
Some Examples of Compounding | p. 177 |
Preparation of Solutions | p. 177 |
Preparation of Suspensions | p. 177 |
Preparation of Ointments and Creams | p. 178 |
Preparation of Powders | p. 179 |
Preparation of Suppositories | p. 179 |
Preparation and Filling of Capsules | p. 179 |
Labeling, Record Keeping, and Cleanup | p. 180 |
Chapter Summary | p. 181 |
Chapter Review | p. 182 |
Human Relations and Communications | p. 185 |
Personal Service in the Contemporary Community Pharmacy | p. 185 |
Attitude and Appearance | p. 186 |
Appear Professional | p. 186 |
Respond to Customers | p. 187 |
Know Your Pharmacy | p. 187 |
Respect the Customer's Privacy | p. 188 |
Smile and Make Eye Contact | p. 188 |
Use Common Courtesies | p. 188 |
Be Sensitive to Cultural and Language Differences | p. 189 |
Follow the Policies and Procedures | p. 189 |
Do Not Dispense Medical or Pharmaceutical Advice | p. 189 |
Telephone Courtesies | p. 190 |
Interprofessional Relations | p. 191 |
Other Aspects of Professionalism | p. 191 |
Professional Behavior | p. 191 |
Verbal and Nonverbal Communication | p. 192 |
Harassment and Disputes | p. 192 |
Chapter Summary | p. 193 |
Chapter Review | p. 194 |
Hospital and Institutional Pharmacy Practice | p. 197 |
The Functions of the Hospital or Institutional Pharmacy | p. 197 |
The Formulary and Information Center | p. 198 |
Universal Precautions | p. 199 |
Disease, Sterilization, and Aseptic Technique | p. 200 |
The Development of the Germ Theory of Disease | p. 200 |
Microorganisms and Disease | p. 201 |
Viruses | p. 201 |
Bacteria | p. 201 |
Fungi | p. 201 |
Protozoa | p. 202 |
Asepsis and Sterilization | p. 202 |
Heat Sterilization | p. 202 |
Dry Heat Sterilization | p. 202 |
Mechanical Sterilization | p. 203 |
Gas Sterilization | p. 203 |
Chemical Sterilization | p. 203 |
Contamination | p. 203 |
Touch | p. 203 |
Air | p. 203 |
Water | p. 203 |
Aseptic Technique and Equipment | p. 203 |
Preparing Parenterals | p. 205 |
Equipment Used in Parenteral Preparation | p. 206 |
Syringes | p. 206 |
Filters | p. 206 |
IV Sets | p. 206 |
Catheters | p. 210 |
Pumps and Controllers | p. 211 |
IV Solutions | p. 212 |
Parenteral Preparation Guidelines | p. 213 |
Vials | p. 216 |
Ampules | p. 217 |
Preparing a Label for an IV Admixture | p. 218 |
Medication Orders and Unit Dose Distribution | p. 220 |
Automation in the Pharmacy | p. 226 |
Floor Stock | p. 227 |
Handling and Disposal of Hazardous Agents | p. 227 |
Receipt and Storage of Hazardous Agents | p. 229 |
Protective Clothing | p. 229 |
Technique for Handling Hazardous Agents | p. 229 |
Hazardous Agent Spills | p. 231 |
Procedures in Case of Exposure | p. 232 |
Nonparenteral Hazardous Dosage Forms | p. 232 |
Chapter Summary | p. 232 |
Chapter Review | p. 233 |
Your Future in Pharmacy Practice | p. 237 |
Increasing Your Employability | p. 237 |
Certification and the National Certification Examination | p. 238 |
Recertification | p. 238 |
Adjusting to the Work Environment | p. 241 |
The Job Search | p. 243 |
Clarify Your Career Goals | p. 243 |
Write a Good Resume | p. 243 |
Establish a Network | p. 244 |
Identify and Research Potential Employers | p. 244 |
Write a Strong Cover Letter | p. 244 |
Prepare for the Interview | p. 245 |
Trends in Pharmacy Practice | p. 247 |
New Medicines and New Drug Development Technologies | p. 248 |
New Dosage Forms and Drug Delivery Mechanisms | p. 248 |
Robotics | p. 248 |
Higher Professional Standards | p. 249 |
Continued Growth in Clinical Applications | p. 249 |
Increased Emphasis on Home Healthcare | p. 249 |
Increased Technician Responsibility and Specialization | p. 249 |
Web Pharmacies | p. 249 |
Online Reference Works | p. 249 |
Increase in Geriatric Applications | p. 249 |
Chapter Summary | p. 250 |
Chapter Review | p. 251 |
Common Prescription Abbreviations | p. 255 |
Common Categories of Drugs | p. 257 |
Reference Lab Values | p. 261 |
Resources | p. 263 |
Guide to Preventing Prescription Errors | p. 273 |
Index | p. 275 |
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