Re: Questions that I cannot find the answers to- Thanks for all your help!

[Guest guest]

***Ketoconazole 2% in polyethylene glycol is commonly used for

ringworm treatment. To compound a pint of this solution, the pharm

tech must weigh what amount of ketoconazole?

Hint:

2 % means

2 grams pg/100ml total solution

Set this up to the amount you need:

2 grams/100ml = X grams / 1 pt

now convert pt to ml

you know that 1 pt is 480ml (16 ounces x 30 ml/ounce)

2 grams/100ml = X grams / 480ml

Solve for ratio/proportion to get your answer

***A patient requires 1500ML to be infused over 18 hours. How many

ML/min will the patient need to receive to ensure the entire volume

is infused?

Hint:

You need Ml per min or Ml/min

You already have the " Ml " (1500ml)

So NOW convert the hours to minutes!

Then you will have 1500ml/X minutes

Reduce to the lowest terms.

***Preparing and packaging Hydrocortisone ointment for use by more

than one patient is referred to as:

Unit Dose? Parenteral Admixture? Unit of Uses? Bulk Componding?

I will defer this to Karin, Dell and Dora. Because if you are making

this for many people then I would say it is not compounding as that

should be done per person by law, and I do not believe it is

certainly not Unit Dose because that is packaging of one unit per

dose per person. It is not an IV parenteral admixture inthe sense of

the word parenteral in that it is not intraventious. But parenterals

do not have to be intravenous. Suppositories can be. So it may be

this in a very very loose context. I have never heard of Unit of

uses. But then while I am very experienced, it does not mean that I

am a know it all.

***Which of the following meds require a DEA Form 222 when ordering?

Duragesic? Equagesic? Depo-Medrol? Enbrel?

Hint: Look up each one on the internet. Find out which ones are

Controlled Substances and you will have your answer!

[Guest guest]

***Preparing and packaging Hydrocortisone ointment for use by more

than one patient is referred to as: Unit Dose? Parenteral Admixture?

Unit of Uses? Bulk Componding?

I think what is throwing me off is used by more than one patient!

Yuck! But some floor stock that is COMMERCIALLY prepared is considered

a Bulk Compound.

Okay my answer is Bulk Compounding but I can say that compounding by

law is for ONE patient only.

However labeling a product that could be used more than one time by

ONE patient, whether it is a commercial product or a compounded product

is a Bulk Compound.

I have my TEXPERTS on this and my resident pharmacist to give their

opinions as well.

Jeanetta Mastron CPhT BS

Founder/Owner

[Guest guest]

***Preparing and packaging Hydrocortisone ointment for use by more

than one patient is referred to as: Unit Dose? Parenteral Admixture?

Unit of Uses? Bulk Componding?

I think what is throwing me off is used by more than one patient!

Yuck! But some floor stock that is COMMERCIALLY prepared is considered

a Bulk Compound.

Okay my answer is Bulk Compounding but I can say that compounding by

law is for ONE patient only.

However labeling a product that could be used more than one time by

ONE patient, whether it is a commercial product or a compounded product

is a Bulk Compound.

I have my TEXPERTS on this and my resident pharmacist to give their

opinions as well.

Jeanetta Mastron CPhT BS

Founder/Owner

[Guest guest]

i would say bulk compounding.  and there would be times for this, such as 2

patients at or near the same time need it, or this is a question in reference to

the places that actually CAN do this.  another option is you need to know what

something is in order to know if it is legal or not. 

From: Jeanetta Mastron CPhT BS Chemistry <rxjm2002@...>

Subject: Re: Questions that I cannot find the answers

to- Thanks for all your help!

Date: Wednesday, November 19, 2008, 1:29 PM

***Ketoconazole 2% in polyethylene glycol is commonly used for

ringworm treatment. To compound a pint of this solution, the pharm

tech must weigh what amount of ketoconazole?

Hint:

2 % means

2 grams pg/100ml total solution

Set this up to the amount you need:

2 grams/100ml = X grams / 1 pt

now convert pt to ml

you know that 1 pt is 480ml (16 ounces x 30 ml/ounce)

2 grams/100ml = X grams / 480ml

Solve for ratio/proportion to get your answer

***A patient requires 1500ML to be infused over 18 hours. How many

ML/min will the patient need to receive to ensure the entire volume

is infused?

Hint:

You need Ml per min or Ml/min

You already have the " Ml " (1500ml)

So NOW convert the hours to minutes!

Then you will have 1500ml/X minutes

Reduce to the lowest terms.

***Preparing and packaging Hydrocortisone ointment for use by more

than one patient is referred to as:

Unit Dose? Parenteral Admixture? Unit of Uses? Bulk Componding?

I will defer this to Karin, Dell and Dora. Because if you are making

this for many people then I would say it is not compounding as that

should be done per person by law, and I do not believe it is

certainly not Unit Dose because that is packaging of one unit per

dose per person. It is not an IV parenteral admixture inthe sense of

the word parenteral in that it is not intraventious. But parenterals

do not have to be intravenous. Suppositories can be. So it may be

this in a very very loose context. I have never heard of Unit of

uses. But then while I am very experienced, it does not mean that I

am a know it all.

***Which of the following meds require a DEA Form 222 when ordering?

Duragesic? Equagesic? Depo-Medrol? Enbrel?

Hint: Look up each one on the internet. Find out which ones are

Controlled Substances and you will have your answer!

[Guest guest]

Dear Karin,

 

Thank you for your input. I think we agree on commercially available drugs. (see

Mylanta example)

Okay a  long time ago we used to send floor stock of 16 ounce Mylanta to the

floors of a central pharmacy. The nurses would charge per dose per patient. Pour

the med in the cup.

this is a BULK medication.

But it is not compounded by the technician, but it may be labeled by the tech.

It is commercially available.

 

Federal Law prohibits any drug that is commercially available to be compounded.

 

If you compound a drug it must be fore one patient and per the order of a

physician.

 

So I do not know of a bulk compound (made by tech) that is for more than one

patient.

 

Can someone give me an example?

 

An example of a bulk compound that could be made by a teck is  an ointment. But

again it must  be compounded for ONE individual according to fedreal compounding

laws.

 

Some one correct me if I am wrong!

 

Thanks

Jeanetta Mastron CPhT BS

Founder/Owner

 

 

Thanks

 

 

 

From: Jeanetta Mastron CPhT BS Chemistry <rxjm2002@...>

Subject: Re: Questions that I cannot find the answers

to- Thanks for all your help!

Date: Wednesday, November 19, 2008, 1:29 PM

***Ketoconazole 2% in polyethylene glycol is commonly used for

ringworm treatment. To compound a pint of this solution, the pharm

tech must weigh what amount of ketoconazole?

Hint:

2 % means

2 grams pg/100ml total solution

Set this up to the amount you need:

2 grams/100ml = X grams / 1 pt

now convert pt to ml

you know that 1 pt is 480ml (16 ounces x 30 ml/ounce)

2 grams/100ml = X grams / 480ml

Solve for ratio/proportion to get your answer

***A patient requires 1500ML to be infused over 18 hours. How many

ML/min will the patient need to receive to ensure the entire volume

is infused?

Hint:

You need Ml per min or Ml/min

You already have the " Ml " (1500ml)

So NOW convert the hours to minutes!

Then you will have 1500ml/X minutes

Reduce to the lowest terms.

***Preparing and packaging Hydrocortisone ointment for use by more

than one patient is referred to as:

Unit Dose? Parenteral Admixture? Unit of Uses? Bulk Componding?

I will defer this to Karin, Dell and Dora. Because if you are making

this for many people then I would say it is not compounding as that

should be done per person by law, and I do not believe it is

certainly not Unit Dose because that is packaging of one unit per

dose per person. It is not an IV parenteral admixture inthe sense of

the word parenteral in that it is not intraventious. But parenterals

do not have to be intravenous. Suppositories can be. So it may be

this in a very very loose context. I have never heard of Unit of

uses. But then while I am very experienced, it does not mean that I

am a know it all.

***Which of the following meds require a DEA Form 222 when ordering?

Duragesic? Equagesic? Depo-Medrol? Enbrel?

Hint: Look up each one on the internet. Find out which ones are

Controlled Substances and you will have your answer!

[Guest guest]

Compounding pharmacies are allowed to bulk compound products but have

to dispense them in individual packaging for each patient, pursuant to

a prescription for that drug and that patient. There are some things

that you get prescriptions for all the time so according to PCCA we

could make an amount that would last a week or two (as long as the

stability allowed that long or more). We could not supply other

pharmacies or physicians offices but as long as we used everything we

made in the store and it was labelled properly on the shelf it was

okay. We also could not make a huge amount as that would be seen as

manufacturing (grey area).

In hospital, we bulk compound all the time. We make liters of all

sorts of oral liquids that get dispensed to multiple patients. Again,

it wouldn't make sense to make 100's of 5ml doses of tacrolimus liquid

or prevacid liquid. We also bulk compound topicals and injectables.

We have the IV center make a 100 ml bag of Solu-Medrol 10mg/ml and

then pull individually labelled doses from that bag in the hood in the

satellites for stat doses. We also do this for many antibiotics.

Joy

[Guest guest]

You are most welcome to any help I or this site can give you!

Jeanetta

[Guest guest]

Thank you Joy for answering this. I just could not get past the 'for

many different patients'.

I bulk compounded in the hospital all the time !

Jeanetta

>

> Compounding pharmacies are allowed to bulk compound products but

have

> to dispense them in individual packaging for each patient, pursuant

to

> a prescription for that drug and that patient. There are some

things

> that you get prescriptions for all the time so according to PCCA we

> could make an amount that would last a week or two (as long as the

> stability allowed that long or more). We could not supply other

> pharmacies or physicians offices but as long as we used everything

we

> made in the store and it was labelled properly on the shelf it was

> okay. We also could not make a huge amount as that would be seen as

> manufacturing (grey area).

>

> In hospital, we bulk compound all the time. We make liters of all

> sorts of oral liquids that get dispensed to multiple patients.

Again,

> it wouldn't make sense to make 100's of 5ml doses of tacrolimus

liquid

> or prevacid liquid. We also bulk compound topicals and

injectables.

> We have the IV center make a 100 ml bag of Solu-Medrol 10mg/ml and

> then pull individually labelled doses from that bag in the hood in

the

> satellites for stat doses. We also do this for many antibiotics.

>

> Joy

>

[Guest guest]

its not an ointment, but we do mix from a 10gm vail of cefazolin 5 bags of 2gm

in 100ml d5w that we label for surgery.  these do not have a patient name on it

and is used for emergent cases.

From: Jeanetta Mastron CPhT BS Chemistry <rxjm2002 (DOT) com>

Subject: [JeanettasPTCBStudy Group] Re: Questions that I cannot find the answers

to- Thanks for all your help!

JeanettasPTCBStudyG roup@groups .com

Date: Wednesday, November 19, 2008, 1:29 PM

***Ketoconazole 2% in polyethylene glycol is commonly used for

ringworm treatment. To compound a pint of this solution, the pharm

tech must weigh what amount of ketoconazole?

Hint:

2 % means

2 grams pg/100ml total solution

Set this up to the amount you need:

2 grams/100ml = X grams / 1 pt

now convert pt to ml

you know that 1 pt is 480ml (16 ounces x 30 ml/ounce)

2 grams/100ml = X grams / 480ml

Solve for ratio/proportion to get your answer

***A patient requires 1500ML to be infused over 18 hours. How many

ML/min will the patient need to receive to ensure the entire volume

is infused?

Hint:

You need Ml per min or Ml/min

You already have the " Ml " (1500ml)

So NOW convert the hours to minutes!

Then you will have 1500ml/X minutes

Reduce to the lowest terms.

***Preparing and packaging Hydrocortisone ointment for use by more

than one patient is referred to as:

Unit Dose? Parenteral Admixture? Unit of Uses? Bulk Componding?

I will defer this to Karin, Dell and Dora. Because if you are making

this for many people then I would say it is not compounding as that

should be done per person by law, and I do not believe it is

certainly not Unit Dose because that is packaging of one unit per

dose per person. It is not an IV parenteral admixture inthe sense of

the word parenteral in that it is not intraventious. But parenterals

do not have to be intravenous. Suppositories can be. So it may be

this in a very very loose context. I have never heard of Unit of

uses. But then while I am very experienced, it does not mean that I

am a know it all.

***Which of the following meds require a DEA Form 222 when ordering?

Duragesic? Equagesic? Depo-Medrol? Enbrel?

Hint: Look up each one on the internet. Find out which ones are

Controlled Substances and you will have your answer!

[Guest guest]

this forum is very informative, people have all these questions about taking the

pharmacy tech exam and you can find out a lot..seems like there is opportunity

in the pharmacy tech area especially in a hospital if you move up to the higher

levels..

From: Jeanetta Mastron CPhT BS Chemistry <rxjm2002 (DOT) com>

Subject: [JeanettasPTCBStudy Group] Re: Questions that I cannot find the answers

to- Thanks for all your help!

JeanettasPTCBStudyG roup@groups .com

Date: Wednesday, November 19, 2008, 1:29 PM

***Ketoconazole 2% in polyethylene glycol is commonly used for

ringworm treatment. To compound a pint of this solution, the pharm

tech must weigh what amount of ketoconazole?

Hint:

2 % means

2 grams pg/100ml total solution

Set this up to the amount you need:

2 grams/100ml = X grams / 1 pt

now convert pt to ml

you know that 1 pt is 480ml (16 ounces x 30 ml/ounce)

2 grams/100ml = X grams / 480ml

Solve for ratio/proportion to get your answer

***A patient requires 1500ML to be infused over 18 hours. How many

ML/min will the patient need to receive to ensure the entire volume

is infused?

Hint:

You need Ml per min or Ml/min

You already have the " Ml " (1500ml)

So NOW convert the hours to minutes!

Then you will have 1500ml/X minutes

Reduce to the lowest terms.

***Preparing and packaging Hydrocortisone ointment for use by more

than one patient is referred to as:

Unit Dose? Parenteral Admixture? Unit of Uses? Bulk Componding?

I will defer this to Karin, Dell and Dora. Because if you are making

this for many people then I would say it is not compounding as that

should be done per person by law, and I do not believe it is

certainly not Unit Dose because that is packaging of one unit per

dose per person. It is not an IV parenteral admixture inthe sense of

the word parenteral in that it is not intraventious. But parenterals

do not have to be intravenous. Suppositories can be. So it may be

this in a very very loose context. I have never heard of Unit of

uses. But then while I am very experienced, it does not mean that I

am a know it all.

***Which of the following meds require a DEA Form 222 when ordering?

Duragesic? Equagesic? Depo-Medrol? Enbrel?

Hint: Look up each one on the internet. Find out which ones are

Controlled Substances and you will have your answer!

[Guest guest]

Dear All,

I sent a private email to my TEXPERTS and my resident pharmacist.

Also the post here generated input.

I received the following on Date: Thursday, November 20, 2008, 7:16 AM

but I have not had time to post it and I also wanted Della's

permission to post it.

" With regards to the Morphine. In order for a pharmacy to order

Morphine, since it is a C-II, youhave to fill out a Form 222 to order

it from your wholesaler. When you submit the form to the wholesaler,

you have to fill out who thewholesaler is, what medications that you

want, and once the form reaches the wholesaler, they will fill out

their parts of the blanks(NDC's, Quantities shipped, etc), then send

you the meds, and you have to finish filling out the blanks

(quantities received, date received)on your copy of the 222.So if you

are needing C-II's from another pharmacy, you would fill outthe 222

as if the other pharmacy is the wholesaler (who you are

ordering/purchasing the medication from), and they'd fill out the

wholesaler part (what they are shipping/providing), then when you got

back to your pharmacy, you'd fill out your parts (quantity received,

dates). Basically, you'd treat the other pharmacy as the wholesaler,

because they are providing the medication to your pharmacy. But the

other pharmacy would have to submit one copy of the 222 to the

DEA as a final step, since all of the 222 pages end up in different

places.

But YES, you could get C-II's from another pharmacy, you'd just have

to go through the same laws/rules/regulations as if you were ordering

it from your wholesaler. *AND* the other pharmacy has to be willing

to do it.

Hopefully this makes sense.

Gotta change and head out for work.

Della "

Okay all with the input from some techs and two pharmacists you got

the word and the HOW .

Jeanetta Mastron CPhT BS

F/O

>

> ***The hospitals morphine injection inventory is depleted on Friday

> and the wholesaler does not deliver again until Monday morn, What

> does the pharmacists do? Can they borrow from another hospital as

> long as it is documented?

>

>

> ***Ketoconazole 2% in polyethylene glycol is commonly used for

> ringworm treatment. To compound a pint of this solution, the pharm

> tech must weigh what amount of ketoconazole?

>

>

> ***A patient requires 1500ML to be infused over 18 hours. How many

> ML/min will the patient need to receive to ensure the entire volume

> is infused?

>

>

> ***Preparing and packaging Hydrocortisone ointment for use by more

> than one patient is referred to as:

> Unit Dose? Parenteral Admixture? Unit of Uses? Bulk Componding?

>

>

> ***Which of the following meds require a DEA Form 222 when ordering?

> Duragesic? Equagesic? Depo-Medrol? Enbrel?

>