Kaiser_FM.qxd 6/30/09 12:39 PM Page i THE PHARMACY TECHNICIAN’S Reference Guide Kaiser_FM.qxd 6/30/09 12:39 PM Page iii THE PHARMACY TECHNICIAN’S Reference Guide Cristina Kaiser, MA Curriculum Technician, Allied Health San Joaquin Valley College Visalia, California Kaiser_FM.qxd 6/30/09 12:39 PM Page iv Acquisitions Editor: David Troy Product Manager: Andrea M. Klingler Marketing Manager: Christen Murphy Designer: Stephen Druding Compositor: Macmillan Publishing Solutions First Edition Copyright © 2010 Lippincott Williams & Wilkins, a Wolters Kluwer business 351 West Camden Street Baltimore, MD 21201 530 Walnut Street Philadelphia, PA 19106 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at 530 Walnut Street, Philadelphia, PA 19106, via email at permissions@lww.com, or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Kaiser, Cristina. The pharmacy technician’s reference guide / Cristina Kaiser.—1st ed. p. ; cm. ISBN 978-0-7817-9814-3 1. Pharmacy technicians—Handbooks, manuals, etc. I. Title. [DNLM: 1. Pharmaceutical Preparations—Handbooks. 2. Pharmaceutical Preparations—administration & dosage—Handbooks. 3. Technology, Pharmaceutical—Handbooks. QV 735 K13p 2010] RS122.95.K35 2010 615'.19—dc22 2009025320 To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300. Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. Kaiser_FM.qxd 6/30/09 12:39 PM Page v To daddy, for your endless support, and in memory of my mom. I love you both. Thank you for being my best friends. I have definitely been blessed to have parents like you. DISCLAIMER Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. Kaiser_FM.qxd 6/30/09 12:39 PM Page vi Preface The Pharmacy Technicians Reference Guide is a small, discrete guide that is easy to fit in a lab coat or smock. This reference guide is a great addition to the classroom environment; its easy access helps the student study and become acquainted with basic pharmacy information. It is also a perfect guide for the beginning Pharmacy Technician because he or she can use it to review important topics and work toward greater competency. The information provided has been arranged for easy review and includes abbreviations, conversions, classifications, formulas, prescription information, professional titles, and terminology. Additional features include State Board websites and pharmacy organizations that are beneficial for the Pharmacy Technician. Blank sections at the bottom of pages allow space for the vi Kaiser_FM.qxd 6/30/09 12:39 PM Page vii Pharmacy Technician to note information relevant to the pharmacy job and help them better retain the material. Completely searchable Full Text is available online at http://thepoint.lww.com/Kaiser. Also available there are Flash Cards, which can be used for studying and will provide help in retaining common information pertinent to Pharmacy Technician competencies. I hope you use this guide whether you’re in the classroom or any pharmacy job with confidence. Enjoy! PREFACE vii Kaiser_FM.qxd 6/30/09 12:39 PM Page viii Contents Classification of Drugs 1 Anti-infectives 1 Antineoplastic 1 Biologic/Immunologic 2 Blood/Vessels 2 Cardiovascular 3 Central Nervous System 4 Dermatologic 6 Endocrine 6 Excretory/Renal 7 Gastrointestinal 7 Ophthalmic 8 Otic 8 Respiratory 8 Abbreviations 10 Abbreviations Not Accepted by JCAHO 10 Dosage Forms 10 Drugs 12 Drug Forms 16 Measurements 17 Medical Terminology 19 Routes of Administration 31 Units of Time 33 Vitamins 35 Diseases 36 viii Kaiser_FM.qxd 6/30/09 12:39 PM Page ix Formulas 41 Dosage Calculations 41 Body Surface Area 41 Volume 43 Percent of a Quantity 44 Ratio–Proportion Method 44 Solutions 44 FDA-Mandated Medication Guides 45 Hospital Chart Information 46 Order Requirements 46 Maximum Daily Dosages 47 Metric Conversions Household Metric Conversions Volume 48 Weight 49 Dry Measure 49 48 48 Prefixes and Suffixes Prefixes Suffixes 50 50 54 Pregnancy Categories 57 Professional Titles 59 Retail Hardcopy Information 63 Patient Information 63 Expiration Date of Prescriptions CONTENTS 63 ix Kaiser_FM.qxd 6/30/09 12:39 PM CONTENTS Page x x Roman Numerals 64 Inappropriate Medications for Seniors 68 Antianxiety Agents 68 Antiemetic Agents 68 Antidepressant Agents 68 Antihypertensive Agents 69 Narcotic Analgesics 69 Sedative–Hypnotic Agents 70 Sulfonylurea 70 Temperature Scales 71 24-Hour Clock 72 Pharmacy Organizations 75 State Boards of Pharmacy 76