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Levothyroxine PO to IV 50% - 75% of the original dose
Monopril Fosinopril
A home health pharmacy stocks Joint Commission
medical oxygen, who regulates?
DEA 222 forms original to pharmacy, green copy (copy 2) to DEA,
blue copy
(copy 3) to waste management company
Atropine incompatible with dextrose solutions
Filling of controlled substances Rph only
Clerk cannot take drugs off shelf
Controlled substance inventory is 2 years
every
Form 106 employee theft
Form 41 disposal of controls
Form 224 new application for pharmacy
,Pharmacy technicians non- 1. remove drugs from stock
discretionary tasks... 2. count/pour/mix
3. place product in container
4. affix label
5. package and repackage
Pharmacist shall notify board within 30 days
____ days of address/name change
How many days do you have to report 14 days
an employee CS loss to the board?
How many days does a pharmacist 60 days
have to join the boards email address?
Signing for an order by an intern is _____ not
permitted
Major CYP inducers PS CROPS
1. Phenytoin
2. Smoking
3. Carbamazepine
4. Rifampin
5. Oxcarbazepine
6. Phenobarbital
7. St. Johns wort
Major CYP inhibitors G <3 PACMAN
1. Grapefruit
2. P.I.s
3. Azoles.
4. Cimetidine
5. Macrolides
6. Amiodarone
7. Non-DHP CCBs
Acute UTI treatment Bactrim, Nitrofurantoin, fosfomycin
,MRSA treatment Vanco
Dapto
Linezolid (Zyvox)
Nuzyra (omadacycline)
Tygacil
Telavancin
PO: bactrim, doxycycline, linezolid
Macrobid CrCl cut-off <60 = DONT GIVE
chlamydia & gonorrhea treatment ceftriaxone 500mg x 1, then doxy 100mg PO BID x 7d
Pseudomonal infection treatment cipro + gentamycin
zosyn
ceftazidime (Fortaz)
Post surgical abdominal infections Ertapenem
Zosyn
Levo/cipro + metronidazole
Chlamydia treatment Azithro 1g PO x 1
Doxy 100mg PO BID x 7 d
Urine infection bugs PEKEPS
Proteus, eccoli, klebsiella, enterococci,
psuedomonas, staph saphro.
pyelonephritis bactrim, urinary quinolones (cipro/levo)
IV ceftriaxone if pregnant
CAP treatment amoxicillin 1g PO TID
doxy 100mg PO BID
if comorbidities: levo, moxi, gemifloxacin or PO beta-
lactam (augmentin) + doxy or macrolide
Ribavirin Preg cat X
Hemolytic anemia, monitor CBC
, Monurol Fosfomycin
simple UTI ONLY
Azactam Aztreonam
Invanz ertapenem
VRE treatment Dapto
Synercid (quinapristin, dalfopristin)
Linezolid
Tigecycline
Oritavancin
Rifampin w/ or w/o food empty stomach
RIFAMPIN IS ONE OF THE STRONGEST CYP
INDUCERS
will decrease drug levels
PIs LAND FIRST
-navir
Reyataz Atazanavir (PI), w/ cobicistat (Evotaz)
Monitor ECG, AV blockage, CKD (nephrolithiasis,
cholesthiasis)
Prezista Darunavir (PI), w/ cobicistat (Prezcobix), w/ cobicistat
+ emtricitabine + TAF (Symtuza)
SULFA
PI class effects GI effects, lipodystrophy, hyperglycemia,
hyperlipidemia (wt. gain), increased risk of MI,
increased bleeding, hepatotoxicity ( go thru LIVER)
Contraindicated with RIFAMPIN & ST JOHNS WORT
Don't give with simvastatin or lovastatin
Most w/ food
Norvir Ritonavir, BOOSTER