PHARM TECH MIDTERM REVIEW The pharmacy purchased 20 tablets of carisoprodol 350 mg for $37.26 and sold 20 tablets for $60.89. What is the gross profit? What is the net profit? The pharmacy purchased 100 tablets of E.E.S. 400 mg for $21 .06 and sold 28 tablets for $12.35. What is the gross profit? What is the net profit? - - ' The pharmacy purchased 100 capsules of fluoxetine 20 mg for $223.56 and sold 30 capsules for $ 1 08. 1 0. What is the gross profit? What is the net profit? ^ Solve for the gross profit and the net profit for problems 21-40 using the tiered dispensing fees on the chart below based on the average wholesale price. AWP Dispensing Fee Less than $20.00 S3. 50 $20.00 - $50.00 $5.00 Greater than $50.00 $7.50 The pharmacy purchased 25 nebulizer vials of albuterol inhalation solution for $27.90 (the AWP is $3 1 .00 for 25 vials) and sold 25 vials for $46.85. What is the gross profit? What is the net profit? -sco = The pharmacy purchased 20 tablets of carisoprodol 350 mg for $37.26 (the AWP for 20 tablets is $41 .40) and sold 20 tablets for $60.89. What is the gross profit? What is the net profit? The pharmacy purchased 1 00 tablets of E.E.S. 400 mg for $2 1 .06 (the AWP for 1 00 tablets is $23.46) and sold 28 tablets for $12.35. What is the gross profit? What is the net profit? Solve the following powder volume problems. 1) If 192 mL of sterile water for injection (SWFI) is used to reconstitute a 20 g vial of cefazolin Na, the concentration obtained is 100 mg/mL. What is the powder volume of this drug? J PHARMTECH MIDTERM REVIEW 2) Using another 20 g vial of cefazolin Na, how many mL of SWFI should be added to obtain a concentration of 200 mg/mL instead? (Hint: The powder volume from the previous question is required to solve this.) P + \5 & f- x ICO ' 3) A vial contains a combination drug of arnpicillin/sulbactarn. There is 1 g of ampicillin and 0.5 g of sulbactam in the vial. When the vial is reconstituted with 3.2 mL of sterile water, : you end up with a total volume of 4.0 mL. fV"D "=• 7" M a) How many mL of powder volume are there? b) What is the concentration of each drug? 4) The label on a bonle of oral amoxicillin suspension states you are to add 39 mL of purified or distilled water to the bottle to obtain a suspension with a concentration of 150 mg/tsp. The total amount of active ingredient in the bottle is 2 g. What is the powder volume? ./ .-^ Solve the following Percentage Strength problems. 1) You need to prepare 120 g of a 2% zinc oxide ointment. How many grams of zinc oxide will be needed to prepare this ointment? 3_ IK> 2) How many liters of a 0.02% solution of cinnamon oil in alcohol could be made from 5 mL of cinnamon oil? 3) A patient is to be given 1 g of magnesium sulfate IM. The label on a 10 mL vial reads "50% solution of Mag Sulf." How many mL will you need? _ J4 oo «i M / / -7 «>< PHARM TECH MIDTERM REVIEW 4) You have 20 mL of 2% lidocaine on the shelf. The order calls for 1 00 mg. How many mL do you need to use? 5) You have in stock a 250 mL stock bottle of 23.4% concentrated sodium chloride injection. a) How many grams of sodium chloride are in the bottle? ^ b) How many mg are in I mL? o- Solve the following ing body bo weight problems. A 66 pound pediatric patient is to receive cefuroxime 25 mg/kg q8h. How many mg per dose should this patient receive? Ceftazidime is ordered for a 55 pound patient with meningitis at a dosage of 50 mg/kg every 8 hours. The drug when reconstituted has a concentration of 100 mg/mL. How many mL of the reconstituted solution will be required for each dose? A patient weighing 198 pounds is to receive 2.5 mg/kg/day of oral cyclophospamide. If cyclophosphamide is available in the pharmacy as 25 mg/tablet. how many tablets will he need? Solve the following Drip Rates and Infusion Problems 1) A medication order requests a 1 liter bag of NS to be infused over 8 hours. What is it infusion rate in milliliters per hour? /hr 2) Ten mL of MVI, 1 mL of folic acid, 1 mL of trace elements, and 8 mL of 50% magnesium sulfate are being added to a 500 mL bag of D5W. If this bag were being infused over 5 hours via a venoclysis set with a drop factor of 15, what should the drip rate be? = A PHARM TECH MIDTERM REVIEW 3) A 1 liter IV solution was hung at 1300 on Tuesday and has an infusion rate of 75 mL/hr. When will the bag finish? sit IftOOvvii ,c IK/: . r 4) If a particular medication is to be infused at a rate of 50 mcg/kg/min, what would be the infusion rate for a 100 mL IV bag with 500 mg of drug if the patient receiving it weighed 180 Ibs? >>. - IVY 5) A 500 mL bag of 20% mannitol is ordered at a rate of 4 g/hr for a particular patient a) What is the irtfijsion rate in mL/hr? iv b) '2#&o_ y& = 20 How long will the'bag take to infuse? \\ hen looking at the problems below. onK determine \\hich method(s) (alligation method, dilution formula, and a series of ratio-proportions) would function for solving them, and solve them. 1) You have 50 mL of a 15% solution. You dilute the solution to 150 mL. What is the final percentage strength of this solution? 2) Available in stock is a 70% dextrose solution and a 40% dextrose solution. How many mL of each stock solution would be needed to prepare a liter of 45% dextrose? 70% 3) On hand in the pharmacy are three different percentage strength solutions; 200 mL of 80% solution, 100 mL of 40% solution, and 50 mL of 20% solution. If all three solutions are mixed together, what would be the final volume and the final concentration? .T 4) Determine how many mL of a 14.6% sodium chloride solution and how many mL of SWFI need to be mixed together to make 500 mL of'/4NS (0.225% sodium chloride). 0.12* I PHARM TECH MIDTERM REVIEW Calculate the quantity of volume that needs to be withdrawn from the following vials to fill their orders. 1) 75 mg of drug ordered; a 10 cc vial with a concentration of 100 mg/cc is available. 2) 40 mg of drug ordered; a 10 cc vial with a concentration of 100 mg/cc is available. 3) 50 mg of drug ordered; a 10 cc vial with a concentration of 100 mg/cc is available. 4) 20 mg of drug ordered; a 10 cc vial with a concentration of 50 mg/cc is available. ^Wsc- ^ 5) 60 mg of drug ordered; a 10 cc vial with a concentration of 40 mg/cc is available. KNOW THE FOLLOWING Pharmacy Laws: Poison Prevention Packaging Act Food Drug and Cosmetic Act Hazardous Substance Labelina Act Orphan Drug Act Controlled Substance Act Pure Food and Drug Act OBRA HIPPA NbC- 5 What is an NDC and how is it used? (Identify the parts) What is a DEA Number and how is it solved? The Pharmacy Technician Code of Ethics: Be able to defend them Books: Redbook Orange Book Facts and Comparisons Physicians Desk Reference (PDR) United States Pharmacopeia (USP) SIG Codes A *~ / ^ ~ ^_ ^^
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