AFAMS Interpret a Prescription Order (Dari) EO 003.03

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AFAMS

Interpret a Prescription Order(Dari)

EO 003.03

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Purpose of Lesson(Dari)

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Proper interpretation and processing of prescription is important in pharmacy practice.

It requires skills and knowledge in order to transcribe the prescription order correctly and properly. Errors in interpreting a prescription order may compromise patient safety and overall health.

و ترجمه فارمسی های پركتس در . اين ميباشند مهم نسخه پروسسروی برای فهم و مهارتها تقاضای . مينمايد را ها نسخه كردن نويسیاساس به نسخه ترجمه در ها غلطی . ميباشد صحت كننده تضمين آن خوبنموده ترجمه را معلومات درس اين دراين جريان در كه تداوی و نسخه برایرا مياموزند كورس اين در كه دورهيك. تهيه بايد نيز شاگردان بياموزند

بدانند دوا توزيع برای را .نسخه

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Purpose of Lesson(Dari)

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Insert DariIn this lesson, the students will interpret information on the prescription or medication order using skills learned during the course.

The students will also learn how to prepare the prescription for dispensing to the patients.

This topic will be taught using a lecture format and students will be given a chance to practice these skills during an in-class assignment as well as during a skills lab.

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Overview of Lesson(Dari)

(1) Brand, generic and chemical names of medications.

(2) Routes of administration

(3) Various Formulations

(4) SIG codes

(5) Perform basic pharmaceutical calculations

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Insert Dari

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Names of Medications(Insert Dari)

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Generic Name(Insert Dari)

Generic Name refers to a name applied to a unique medication chemical entity.

Also referred to as the non-proprietary name of the drug.

جنريک Generic نامName

بينظير كيمياوي نام . يعني ميباشد دوا يك

غير نام يك اينيك براي اختصاصي

ميباشد .دوا

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Brand Name(Insert Dari)

Brand Name or trade name is a name trademarked by a pharmaceutical manufacturer for their version of a given drug product.

تجارتی نامBrand Name or trade name

طرف از كه است اسم از عبارتيک باالی كننده توليد شركت

میشود گذاشته .دوا

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Chemical Name(Insert Dari)

Chemistry based name of the active ingredient contained in the medication.

Insert Dari

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Routes of Administration(Insert Dari)

Insert Dari

Insert Dari

Insert Dari

Insert Dari

Insert Dari

Insert Dari

Insert Dari

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Definition:

A route of administration is the path by which a drug, fluid, poison or other substance is brought into contact with the body.

(Insert Dari)

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Routes of administration can be divided into:

• Topical: Drugs are applied directly to the skin or mucous membranes, mainly for local action.

• Oral: used for systemic a whole body effect,

substance is given via the digestive tract.

• Parenteral: A drug administered parenterally is one injected via a hollow needle into the body at various sites and to varying depth.

• Rectal: Drugs given through the rectum by suppositories or enema.

• Inhalation: The lungs provide an excellent surface for absorption when the drug is delivered in gaseous, aerosol or ultrafine solid particle form.

Insert Dari

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Topical Route(Insert Dari)

Skin

Dermal – acts at the site of application.

Trans-dermal - absorption of drug through skin.

Mucosal Membranes

• eye drops (onto the conjunctiva)

• ear drops

• intranasal route (into the nose)

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Oral Route(Insert Dari)

Enters the body through the mouth.

It is intended for total body effect resulting from drug absorption through the gastrointestinal tract.

Insert Dari

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Oral Route(Insert Dari)

• Advantages:

Convenient - portable, no pain, easy to take.

Cheap - no need to sterilize, compact, multi-dose bottles, automated machines produce tablets in large quantities.

Variety - tablets, capsules, suspensions, liquids.

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Oral Route(Insert Dari)

Disadvantages:

Sometimes inefficient - certain drugs are not very well absorbed into the bloodstream.

First-pass effect - drugs

absorbed orally are transported to the general circulation via the liver. Drugs are then extensively metabolized in the liver reducing the amount of active drug circulating in the body.

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Oral Route(Insert Dari)

Disadvantages:

Food - Food and G-I motility can affect drug absorption.

Often patient instructions include a direction to take with food or take on an empty stomach.

Not suitable for unconscious patient - Patient must be able to swallow solid dosage forms. Liquids may be given by tube.

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Buccal/Sublingual route(Insert Dari)

Some drugs are taken as smaller tablets which are held in the mouth (buccal tablet) or under the tongue (sublingual tablet).

Advantages

Avoid hepatic first pass - The liver is by-passed thus there is no loss of drug by first pass effect for buccal administration.

Rapid absorption - Because of the good blood supply to the area, absorption is usually quite rapid.

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Parenteral route(Insert Dari)

Insert DariInsert Dari

Insert Dari

Insert Dari

Insert Dari

Insert Dari

Insert Dari

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Intravascular (IV, IA):

Placing a drug directly into blood stream.

• Intravenous (into a vein) • Intraarterial (into an artery).

Advantages • precise, accurate and quicker

onset.

Disadvantages• risk of embolism (blood clot).• high concentrations attained

rapidly leading to greater risk of adverse effects.

Parenteral route(Insert Dari)

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Parenteral route(Insert Dari)

Intramuscular :

into the skeletal muscle.

Advantages

• suitable for injection of drugs formulated for rapid action and drug formulated for sustained release.

Disadvantages

• Pain at injection sites for certain drugs.

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Subcutaneous (under the skin), e.g. insulin.

Intradermal, (into the skin itself) is used for skin testing some allergens.

Intrathecal (into the spinal canal) is most commonly used for spinal anesthesia .

Parenteral route(Insert Dari)

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Rectal route(Insert Dari)

Most commonly by suppository or enema.

Advantages

By-pass liver - Some of the veins draining the rectum lead directly to the general circulation, thus by-passing the liver. Reduced first-pass effect.

Useful - This route may be most useful for patients unable to take drugs orally (unconscious patients) or with younger children.

- if patient is nauseous or vomiting

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Disadvantages

Erratic absorption - Absorption is often incomplete and erratic.

Not well accepted by patients.

Rectal route(Insert Dari)

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Inhalation route(Insert Dari)

Used for gaseous agents and aerosols.

Advantages• Large surface area• thin membranes separate alveoli

from circulation• high blood flow

As result of that a rapid onset of action due to rapid access to circulation.

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Disadvantages

Most addictive route of administration because it hits the brain so quickly.

Difficulties in regulating the exact amount of dosage.

Sometimes patients have difficulties in giving themselves a drug by inhaler.

Inhalation route(Insert Dari)

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Formulations(Insert Dari)

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• Oral dosage forms• Topical dosage forms• Parenteral dosage forms• Miscellaneous dosage forms

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Oral dosage forms: Tablet(Insert Dari)

A tablet is a hard, compressed medication in round, oval or square shape.

A coating may be applied to:1- hide the taste of the tablet's components. 2- make the tablet smoother and easier to swallow .3- make it more resistant to the environment. 4- extend its shelf life.

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Oral Dosage Form : Buccal and sublingual tablet(Insert Dari)

Sublingual and buccal medications are administered by placing them in the mouth, either under the tongue (sublingual) or between the gum and the cheek (buccal).

The medications dissolve rapidly and are absorbed through the mucous membranes of the mouth, where they enter into the bloodstream.

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Oral Dosage Form: Effervescent tablet(Insert Dari)

Effervescent tablets are uncoated tablets that are intended to be dissolved

in water before use.

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Oral Dosage Form: Chewable tablet

These are tablets that are chewed prior to swallowing.

-They are designed for administration to children or adults who cannot swallow other oral dosage forms.

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Oral Dosage Form: Capsule(Insert Dari)

A capsule is a medication in a gelatin container.

Advantage: mask the unpleasant taste of its contents.

The two main types of capsules are:

hard-shelled capsules, which are normally used for dry, powdered ingredients,

soft-shelled capsules, primarily used for oils and for active ingredients that are dissolved or suspended in oil.

Soft gelatin capsule(Insert Dari)

Hard gelatin capsule(Insert Dari)

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Oral Dosage Form :Lozenge

It is a solid preparation consisting of sugar and gum.

It is used to medicate the mouth and throat for the slow administration of indigestion or cough remedies.

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Oral Dosage Form: Powder(Insert Dari)

There are two kinds of powder intended for internal use. Bulk Powders are multidose preparations consisting of solid, loose, dry particles of varying degrees of fineness. They contain one or more active ingredients and if necessary, coloring matter and flavoring substances (i.e. fibre preparations, antacids).

Divided Powders are single-dose presentations of powder (for example, a small sachet) that are intended to be issued to the patient as such, to be taken in or with water.

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Oral Dosage Forms : Liquid preparations(Insert Dari)

Oral solution: Oral solutions are clear liquid preparations for oral use containing one or more active ingredients dissolved in a suitable vehicle.

Oral emulsion:Oral emulsions are oil-in-water dispersions, either or both may contain dissolved solids.

Oral suspension:Oral suspensions are liquid preparations for oral use containing one or more active ingredients suspended in a suitable vehicle. They may show a sediment which is readily dispersed on shaking to give a uniform suspension.

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Syrup:It is a concentrated aqueous solution of a sugar, usually sucrose. Flavored syrups are a convenient form of masking disagreeable tastes.

Elixir:It is pleasantly flavored clear liquid oral preparation of potent or nauseous drugs. May contain a high proportion of ethanol or sugar together with antimicrobial preservatives which allows for better stability of the preparation.

Oral Dosage Forms : Liquid preparations(Insert Dari)

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Gargles:They are aqueous solutions used in the

prevention or treatment of throat infections.

• Patients gargle the medication for a few seconds and then spit it back out.

Mouthwashes: These are similar to gargles but are

used for oral hygiene and to treat infections of the mouth.

• Patient are generally directed to swish the solution around in their mouth for 60 seconds and either spit back out or swallow the liquid.

Oral Dosage Forms : Liquid preparations(Insert Dari)

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Oral dosage forms: How to Take(Insert Dari) Oral dosage forms are

administered by mouth and swallowed whole (not chewed) unless directed otherwise. Usually taken with a glass of water.

Formulations not swallowed whole: -Chewable tablets

Formulations that may not be swallowed (i.e. spit back out)-Gargles -Mouthwash

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Topical dosage forms: Ointments(Insert Dari)

Ointments are semi-solid, greasy preparations for application to the skin, rectum or nasal mucosa.

Ointments may be used as emollients (protectives or moisturizers) or to apply suspended or dissolved medications to the skin.

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Topical dosage forms: Creams(Insert Dari)

Creams are semi-solid emulsions, that is mixtures of oil and water.

They are divided into two types:

oil-in-water (O/W) creams: which are composed of small droplets of oil dispersed in a continuous aqueous phase.

Oil-in-water creams are less greasy and more easily washed off using water.

water-in-oil (W/O) creams: which are composed of small droplets of water dispersed in a continuous oily phase. These creams are more difficult to handle but tend to be more moisturizing.

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Topical dosage forms: Gels(Insert Dari)

A gel is a solid, jelly-like material that can have properties ranging from soft and weak to hard and tough.

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Topical dosage forms: Lotions(Insert Dari)

These are fluid preparations for external application without friction.

They are usually dabbed on the skin and then rubbed into the skin

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Topical dosage forms: Patches(Insert Dari)

A transdermal patch is a medicated adhesive patch that is placed on the skin to deliver a specific dose of medication through the skin and into the bloodstream.

An advantage of a transdermal drug delivery route over other types such as oral, topical, etc is that it provides a controlled release of the medication into the patient.

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Topical dosage forms : Aerosol Spray(Insert Dari)

Several different types of pharmaceutical product may be packaged in pressurized dispensers, known as aerosols.

May be used as surface disinfectants, wound or burn dressing, relieve irritation of bites.

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Topical dosage forms : How to use(Insert Dari)

Applied directly to the affected area.

Prescription instructions will describe how often and if the preparation should be applied liberally (large quantity) and sparingly (smaller quantity).

Important that patients wash their hands before and after application.

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Rectal dosage forms: Suppositories(Insert Dari)

It is a small solid medicated mass, usually cone-shaped ,that is inserted either into the rectum (rectal suppository), where it melts at body temperature .

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Rectal dosage forms: Enema(Insert Dari)

An enema is the procedure of introducing liquids into the rectum and colon via the anus.

Evacuant enema: used as a bowel stimulant to treat constipation.

See product monograph for specific instructions on how to use.

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Parenteral dosage forms: Injections(Insert Dari)

An injection is an infusion method of putting liquid into the body, usually with a hollow needle and a syringe which is pierced through the skin to a sufficient depth for the material to be forced into the body.

Liquids for injections are generally kept in vials or ampules.

Some vials will contain powder to be reconstituted (sterile water added) prior to administration.

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Parenteral dosage forms: Intravenous Injection(Insert Dari)

It is a liquid administered directly into the bloodstream via a vein.

It is advantageous when a rapid onset of action is needed.

Can be done using only a needle.

For extended periods of administration an IV administration set can be used.

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Parenteral dosage forms: Intramuscular Injection(Insert Dari)

It is the injection of a substance directly into a muscle.

Many vaccines are administered intramuscularly.

Depending on the chemical properties of the drug, the medication may either be absorbed fairly quickly or more gradually.

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Parenteral dosage forms: Subcutaneous Injection(Insert Dari)

Subcutaneous injections are given by injecting a fluid into the subcutaneous layer, which is the layer of skin directly below the dermis and epidermis.

Vaccines and insulin can be administered this way.

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How to self-administer a subcutaneous injection(Insert Dari)

Most commonly: insulinVery important that the patient using a clean needle each time they inject insulin.

Insert Dari

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Inhaled dosage forms: Inhalers(Insert Dari)

Inhalers are solutions, suspensions or emulsion of drugs in a mixture held under pressure in an aerosol dispenser.

A dose of the medication is released from the container through a spring-loaded valve The patient then inhales the released drug through a mouthpiece.

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Inhaled dosage forms: Inhalers(Insert Dari)

In some types, the valve is actuated by finger pressure, in other types the valve is actuated by the patient breathing in through the mouthpiece.

It is commonly used to treat asthma and other respiratory problems.

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How to use an inhaler(Insert Dari)

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Inhaled dosage forms: Nebules and Nebulizer(Insert Dari)

A nebulizer is a device used to administer medication to people in forms of a liquid mist to the airways.

A nebule is the liquid contained in a vial that is intended for use with a nebulizer.

The neublizer pumps air or oxygen through a liquid medicine to turn it into a vapor, which is then inhaled by the patient.

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Inhaled dosage forms(Insert Dari)

As a general rule, doctors generally prefer to prescribe inhalers for their patients, because:

1-These are cheaper 2- more portable 3- carry less risk of side effects.

Nebulizers, for that reason, are usually reserved only for serious cases of respiratory disease, or severe attacks.

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Ophthalmic dosage forms: Eye Drops and Ointment(Insert Dari)

Eye drops are saline-containing drops used as a vehicle to administer medication in the eye.

Eye drops sometimes do not have medications in them and are only lubricating and tear-replacing solutions.

Ophthalmic ointment & gel:These are sterile semi-solidPreparations intended for applicationTo the conjunctiva or eyelid margin.

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How to use eye drops(Insert Dari)

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How to use eye ointments/gels(Insert Dari)

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Otic dosage forms: Ear Drops(Insert Dari)

Ear drops are solutions, suspensions or emulsions of drugs that are instilled into the ear with a dropper.

It is used to treat or prevent ear infections, especially infections of the outer ear and ear canal.

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How to properly instill ear drops(Insert Dari)

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Nasal dosage forms: Drops and Sprays(Insert Dari)

Drugs in solution may be instilled into the nose from a dropper or from a plastic squeeze bottle.

The drug may have a local effect, e.g. antihistamine, decongestant.

Alternatively the drug may be absorbed through the nasal mucosa to exert a systemic effect.

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How to use a nasal spray(Insert Dari)

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SIG Codes(Insert Dari)

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Commonly, medical and measurement abbreviations are in Latin terms.

Latin terms are universally understood by healthcare personnel and the language is historically used by health providers in writing prescriptions.

Terms and abbreviations are used to express dosing schedules, routes of administration, quantities and symptoms, as well as other information. It is important to understand the term definition and abbreviation in order to avoid confusion and interpretation error.

SIG Codes : Medical Abbreviations used in prescribingميشوند استعمال ها نسخه در كه ختصاراتطبی

اختصارای اصطالحات ،K معموالزبان در گیری اندازه و طبی

التينی . اصطالحات ميباشد التيندر طبی پرسونل توسط

فهم قابل جهان سرتاسراين تاریخی نگاه از ميباشد،

گان کننده عرضه توسط لساناستفاده نسخه نوشتن در صحتاختصارات. و اصطالحات میشود

بندی، دوز های جدول برایو ها مقدار تطبيق، های طریقه

ارائه برای همچنان و اعراض . میشود استفاده معلومات دیگر

اختصار و اصطالح معنی فهمیدناز داری خود بمنظور

مهم غلط ترجمه و سراسیمگیشک. در وقتیکه میباشد

صحت که است بهتر میباشید،داکتر با همراه را نسخه بودن

اطمینان اینکه تا نمائید تائیدبه درست ادویه که شود حاصل

است شده توزیع درست .مریض

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Roman Numerals(Insert Dari)

Still commonly used when writing quantities on prescriptions.

Numbers 1 to 10 can be expressed in Roman numerals as follows:I, II, III, IV, V, VI, VII, VIII, IX, X.

Symbols are placed from left to right in order of value, starting with the largest.

• the numeral I can be placed before V and X to make 4 units (IV) and 9 units (IX) respectively • X can be placed before L and C to make 40 (XL) and 90 (XC) respectively • C can be placed before D and M to make 400 (CD) and 900 (CM) according to the same pattern

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Roman Numerals(Insert Dari)

An example using the rules on the previous slide would be 1904: this is composed of 1 (one thousand), 9 (nine hundreds), 0 (zero tens), and 4 (four units).

To write the Roman numeral, each of the non-zero digits should be treated separately.

Thus 1,000 = M, 900 = CM, and 4 = IV.

Therefore, 1904 is MCMIV.

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Units of Measurement(Insert Dari)

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Common Metric Units: Weight

Basic Unit Equivalent

1 gram (g) 1000 milligrams (mg)

1 milligram (mg)1000 micrograms (mcg),

one thousandth of a gram (g)

1 kilogram (kg) 1000 grams (g)

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Basic Unit Equivalent

1 meter (m) 100 centimeters (cm)

1 centimeter (cm) 0.01 m

10 millimeters (mm)

1 millimeter (mm)

0.001 m

1000 micrometers

or microns (mcm)

Common Metric Units: Length

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Basic Unit Equivalent

1 liter (L) 1000 milliliters (mL)

1 milliliter (mL) 0.001 L

1000 microliters (mcL)

Common Metric Units: Volume

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Calculation Issues(Insert Dari)

It is extremely important that decimals be written properly. An error of a single decimal place is an error by a factor of 10.

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Conversion Instruction Examplekilograms (kg) to grams (g)

multiply by 1000 (move decimal point three places to the right)

6.25 kg = 6250 g

grams (g) to milligrams (mg)

multiply by 1000 (move decimal point three places to the right)

3.56 g = 3560 mg

milligrams (mg) to grams (g)

multiply by 0.001 (move decimal point three places to the left)

120 mg = 0.120 g

Common Metric Conversions

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Conversion Instruction Example

liters (L) to milliliters (mL)

multiply by 1000 (move decimal point three places to the right)

2.5 L = 2500 mL

milliliters (mL) to liters (L)

multiply by 0.001 (move decimal point three places to the left)

238 mL = 0.238 L

Common Metric Conversions

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Measurement Unit Equivalent within System Metric Equivalent

1 tsp (teaspoonful) 5 mL

1 tbsp (tablespoonful) 3 tsp 15 mL

1 fl oz (fluid ounce) 2 tbsp 30 mL (29.57 mL)*

1 cup 8 fl oz 240 mL

1 pt (pint) 2 cups 480 mL*

1 qt (quart) 2 pt 960 mL

1 gal (gallon) 4 qt 3840 mL

Household Measure: Volume

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Measurement Unit Equivalent within System Metric Equivalent

1 oz (ounce) 30 g

1 lb (pound) 16 oz 454 g

2.2 lb 1 kg

Household Measure: Weight

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In-class Assignment(Insert Dari)

You will have 5 minutes to complete each question before the instructor discusses the answers with the class. There are 5 questions in total.

Insert Dari

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1. Match the following Sig Code with it’s meaning(Insert Dari)

A) Bid

B) PRN

C) UD

D) O.D.

1) As needed

2) As directed

3) Twice a day

4) Into the right eye

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1. Answer: Match the following Sig Code with it’s meaning(Insert Dari)

A) Bid (3) twice a day

B) PRN(1) as needed

C) UD (2) as directed

D) O.D. (4) into the right eye

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2. Interpret the following prescription(Insert Dari)

Blink Fresh gtts

i – ii gtts O.D. qid prn

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2. Answer: Interpret the following Sig code.(Insert Dari)

Blink Fresh gtts

i – ii gtts O.D. qid prn

Mitte: 1 bottle

Answer: Instill 1 to 2 drops in the right four times a day as needed.

(Insert Dari)

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3. Fill in the blanks(Insert Dari)

A) IX = ______

B) _____= 25

C) _____= 54

D) XIV= ______

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3. Answer: Fill in the blanks(Insert Dari)

A) IX = __9__

B) __XXV__ = 25

C) __L IV___= 54

D) XIV = __24_

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4. Write the abbreviation for the following terms. (Insert Dari)

A) Three times a day

B) Into the left eye

C) Apply to the affected area

D) At bedtime.

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4. Answer: Write the abbreviation for the following terms. (Insert Dari)

A) Three times a day – tid

B) Into the left eye – O.S.

C) Apply to the affected area - AAA

D) At bedtime - qhs

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5. Right the correct term for the following Sig codes(Insert Dari)

A) sc

B) caps

C) ung

D) iv

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5. Right the correct term for the following Sig codes(Insert Dari)

A) sc - subcutaneous

B) caps -capsule

C) ung - ointment

D) iv - intravenously

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Pharmacy Calculations(Insert Dari)

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Prescription Quantity Calculations(Insert Dari)

It is very important that the amount of medication to be dispensed is calculated correctly based on the prescription.

This ensures that the patient receives the right treatment for the appropriate amount of time.

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Sample Prescription Calculation #1(Insert Dari)

Amoxicillin Capsule 500mg

Sig: 1 cap tid x 10 days What is the quantity to be dispensed?

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Sample Prescription Calculation #1(Insert Dari)

Amoxicillin Capsule 500mg

Sig: 1 cap tid x 10 days What is the quantity to be dispensed?

Calculation: 1 capsule multiplied by 3 times daily = 3 x 10 days = 30

Answer: 30 capsules of amoxicillin 500mg

شود؟ توزيع بايد مقدار چهدر 1محاسبه: وقت سه در ضرب كپسول

= x 10 3روز= 30روز اموكسسلين 30جواب: گرام 500كپسوا ملي

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Sample Prescription Calculation #2(Insert Dari)

Dextromethorphan 5mg/ml syrup

Sig:1 tsp q8h prn x 5 days What is the quantity to be dispensed?

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Sample Prescription Calculation #2(Insert Dari)

Dextromethorphan 5mg/ml syrup

Sig:1 tsp q8h prn x 5 days What is the quantity to be dispensed?

Calculation: 1 tsp = 5 mls x every 8 hours in one day (3) when needed x 5 days

Answer: 75mls of Dextromethorpan 5mg/ml syrup to be dispensed

شود؟ توزيع بايد مقدار چهخوری = 1محاسبه: چای ليتر 5قاشق ملیدر روز )8ضرب يك در در( 3ساعت

ضرورت روز 5صورتشربت 75جواب: ليتر ملي

Dextromethorpan 5mg/ml توزیع بایدشود

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In-class Assignment(Insert Dari)

You will have 30 min to complete the following 5 problems. After 30 min the instructor will review the answers with the class.

Insert Dari

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Problem #1(Insert Dari)

Atenolol 50mg tabletSig:1 tab po od x 3 months

What is the quantity to be dispensed?

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Problem #1(Insert Dari)

Atenolol 50mg tabletSig:1 tab po od x 3 months

What is the quantity to be dispensed?

Calculation: 1 tablet to be taken once daily x 90 days (3 months) = 90

Answer: 90 tablets of Atenolol 50mg to be dispensed

شوند؟ توزيع بايد مقدار چهروز 1محاسبه: يك در روز x 90تابليت

ملي Atenolol 50تابليت 90جواب: شود توزيع بايد گرامه

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Problem #2(Insert Dari)

Humulin N 1000U / 10 ml vialSig: Inject 35U qam and 40U qpm x 1 month

What is the quantity to be dispensed?

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Problem #2(Insert Dari)

Humulin N 1000U / 10 ml vialSig: Inject 35U qam and 40U qpm x 1 month

What is the quantity to be dispensed?

شود؟ تجويز بايد مقدار چهبه 75محاسبه: و روز در انسولين يونت

ماه 2250روز =30مدت يك در يونتويال 2.25يا

توزيع Humulin Nويال 3جواب: بايداز جز یک توان نمی بخاطریکه شود

. نمود توزیع را انسولین ویال

Calculation: 35U + 40U = 75 U of insulin per day x 30 days = 2250U per month

2250U/ 1000U per vial = 2.25 vial

Answer: 3 vials of Humulin N to be dispensed since we cannot dispense a partial insulin vial.

AFAMS

Problem #3(Insert Dari)

Morphine Sulfate 5mg

Sig: i tab po q8h x 10 days

What quantity is to be dispensed?

AFAMS

Problem #3(Insert Dari)

Morphine Sulfate 5mg

Sig: i tab po q8h x 10 days

What quantity is to be dispensed?

Tablet every 8 hours = 3 tabs per day

3 tabs per day x 10 days = 30 tablets

AFAMS

Problem #4(Insert Dari)

Azithromycin 250 mg

Sig: ii tab STAT and then i tab od for 4/7.

What quantity is to be dispensed?

AFAMS

Problem #4(Insert Dari)

Azithromycin 250 mg

Sig: ii tab STAT and then i tab od for 4/7.

What quantity is to be dispensed?

2 tablets now = 2 tablets

1 tablet once a day for 4 days = 4 tablets

2+4= 6 tablets

AFAMS

Problem #5(Insert Dari)

cephalexin 500mg

Sig: i cap qid x 7 days

What quantity is to be dispensed?

AFAMS

Problem #5(Insert Dari)

cephalexin 500mg

Sig: i cap qid x 7 days

What quantity is to be dispensed?

1 capsule 4 times a day= 4 capsules/day

4 capsules/day x 7 days = 28 capsules

AFAMS

Labeling(Insert Dari)

AFAMS

Labeling a Prescription Medication(Insert Dari)

This will be covered in much more detail in EO 003.04.

However, an example will be shown now in order to facilitate the upcoming skills lab for this lesson.

In the skills lab you will receive a prescription and from that prescription you must create a label.

This will require you to: (1)Interpret the Sig code(2)Calculate the quantity of medication required.

AFAMS

AFAMS

Questions?(Insert Dari)

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