Whichvitaminshould be takenbefore and during pregnancyto help avoidneural tube defects?
Folic acid (Vitamin B9) is crucial for fetal development, reducing the risk of neural tube defects like spina bifida.
Recommended dose: At least 400 mcg daily before pregnancy and during the first trimester.
Reference:CDC Folic Acid Pregnancy Guidelines, PTCE Vitamin & Supplement Guide.
Thegeneric name for Concertais:
Concerta = Methylphenidate (extended-release) used for ADHD.
Other ADHD drugs:
Dexmethylphenidate = Focalin
Dextroamphetamine = Adderall
Lisdexamfetamine = Vyvanse
Reference:FDA ADHD Drug Classifications, PTCB Medication Guide.
While unpacking today's shipment, a pharmacy technician notices that a vial of Apidra arrived frozen. The technician's best course of action is to prepare the item to be:
Apidra (insulin glulisine)is arapid-acting insulinthat must bestored between 36F and 46F (2C to 8C)in the refrigerator. If frozen,it is no longer usableand shouldnever be thawed or dispensed. The best course of action is toreturn it to the distributorto ensure medication integrity and patient safety.
A . Thawed and stored in a refrigerator Incorrect;frozen insulin loses its potencyand shouldnot be used.
B . Sent to the prescriber Incorrect; the prescriber does not handle medication storage or replacements.
C . Dispensed to a patient Incorrect;frozen insulin is ineffectiveand could harm the patient.
Other Answer Choices Explained:Reference:
FDA Insulin Storage and Handling Guidelines
USP <797> Sterile Preparations -- Storage Conditions
Manufacturer Storage Requirements for Apidra (Sanofi-Aventis)
Which of the following medications is available only with a prescription?
Pantoprazole (Protonix)is aproton pump inhibitor (PPI)that isonly available by prescriptionfor treatingGERD, Zollinger-Ellison syndrome, and peptic ulcers.
Omeprazole (Prilosec), Lansoprazole (Prevacid), and Esomeprazole (Nexium)are availableOTC and by prescriptionin different strengths.
Prescription PPIsare typically higher strength than OTC versions.
Reference:FDA Drug Approvals for OTC and Prescription PPIs.
A pharmacy technician discovers that a shipment received today containsexpired medications. Of the following, it would be most appropriate for the technician to first:
Expired medications should first be reported to the wholesaler or manufacturer for return or replacement.
Reverse distributorshandlecontrolled substance disposalbut are not the first point of contact for expired non-controlled medications.
Reference:DEA Medication Disposal Regulations, PTCE Inventory Management Guide.
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