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Question:

What is the term used to describe "drugs that can cause significant and considerable harm when used in error"?

A high-alert medications

explanation

High-alert medications are defined by the Institute for Safe Medication Practices as "drugs that can cause significant and considerable harm when used in error." Adverse drug events, drug-drug interactions, and prescription drug abuse may be associated with or result from use or misuse of these medications.

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Which of the following drug classifications is not listed on the ISMP List of High-Alert Drug Classes or Categories of medications?

Antibiotics

Antibiotics; medications identified on the ISMP List of high-alert drug classes include adrenergic agonists, adrenergic antagonists, anesthetic agents, antiarrhythmics, antithrombotic agents, cardioplegic solutions, chemotherapeutic agents, dextrose, dialysis solutions, epidural or intrathecal medications, oral hypoglycemics, inotropic agents, insulin, liposomal forms of drugs, moderate sedation agents, narcotics and opioids, neuromuscular blocking agents, parenteral nutritional agents, radiocontrast agents, sterile water for injection, inhalation, and irrigation sodium chloride for injection.

Which organization oversees MedWatch?

FDA

The Food and Drug Administration (FDA) is responsible for overseeing Med Watch.

With what type of medication should a patient package insert be provided?

estrogen-containing medications

Certain classes of medications, including estrogen-containing medications and oral contraceptives, must be dispensed with patient package inserts. This is a mandate by the Food and Drug Administration.

To avoid transcription errors in the pharmacy, which of these solutions is recommended?

Repeat back all phone orders before hanging up.

Transcription errors result from incorrect data entry on the part of a human operator. Therefore, repeating back phone orders to the caller before hanging up would be the best approach to avoid this specific type of medication error.

Which of these includes a trailing zero?

5.0

For whole numbers, trailing zeros (e.g., 5.0) should be avoided because it could result in a 10-fold increase in the dose if the period is mistakenly overlooked. Instead, this should have been written simply as "5." The other options are examples of appropriate use of zeros and/or decimal points.

What should a pharmacy technician do if he or she receives a warning during the drug utiliza- tion evaluation phase of prescription processing?

Inform the pharmacist immediately.

Any warnings occurring during drug utilization evaluation should be referred to the pharmacist to make a decision in filling the prescription. A pharmacy technician is not permitted to judgment decisions in the practice of pharmacy.

A patient complains of experiencing an adverse drug effect, what should the pharmacy technician do?

Listen carefully to the patient and inform the pharmacist of the situation.

A pharmacy technician should listen carefully to the patient and inform the pharmacist of the situation; only the pharmacist can make a decision on the proper course of action.