The technician’s role is to recognize a potential drug therapy problem (allergy concern) and immediately alert the pharmacist. The pharmacist is responsible for the clinical decision to contact the prescriber, recommend an alternative, or, after assessing the risk, proceed with counseling. Technicians should not make clinical judgments or contact prescribers directly about therapy changes.

The correct sequence is designed to prevent contamination of the sterile gown and gloves. Personal attire (hair cover, shoe covers) is donned first upon entering the ante-area. The sterile gown is then put on, followed by sterile gloves as the final step, ensuring the gloves cuff the gown sleeves and no skin is exposed.

Levothyroxine doses must be precise. Since a 125 mcg tablet is not in stock, the correct therapeutic equivalent is one 100 mcg tablet plus one 25 mcg tablet taken together once daily. This provides the exact 125 mcg dose. Splitting the dose or using five 25 mcg tablets (125 mcg total but a non-standard quantity) are not standard practices without prescriber approval.

TID means three times daily. 3 doses/day x 10 days = 30 total doses. Each dose is 500 mg. Since the suspension is 500 mg/5 mL, each dose is 5 mL. 30 doses x 5 mL/dose = 150 mL total volume needed. This matches the total volume of the reconstituted bottle.

Linezolid is a monoamine oxidase inhibitor (MAOI). Sumatriptan is a serotonin agonist. Concurrent use poses a risk of serotonin syndrome, a potentially life-threatening condition characterized by agitation, fever, and autonomic instability. This is a severe drug-drug interaction requiring pharmacist intervention.

The DSCSA mandates the provision of the “T3″—Transaction History, Transaction Information, and Transaction Statement—with each change of ownership in the drug supply chain. This requirement is key to enhancing the traceability of prescription drugs and helping to identify and remove potentially counterfeit, stolen, or otherwise harmful products.

While technicians can guide patients to OTC aisles, product selection for a medical condition like head lice requires a clinical assessment. The technician should gather relevant information (age, allergies) and then involve the pharmacist. The pharmacist can consider age-appropriateness, potential allergies to ingredients, and need for prescription-strength treatment.

Federal regulations for Schedule II prescriptions are strict. This prescription is invalid because it is not written in ink or indelible pencil (pencil is not acceptable), it is likely expired (most states have a 30-day limit for C-IIs from date of issue), and it lacks essential information (quantity). The pharmacy must not fill it. Contacting the prescriber would be for a new, valid prescription.

First, find total units in the vial: 10 mL x 100 units/mL = 1000 units. The patient uses 15 units/day. Days’ supply = Total Units / Daily Dose = 1000 units / 15 units/day = 66.67 days. This rounds down to 66 days for billing and supply purposes.

The technician’s role is to recognize a potential drug therapy problem (allergy concern) and immediately alert the pharmacist. The pharmacist is responsible for the clinical decision to contact the prescriber, recommend an alternative, or, after assessing the risk, proceed with counseling. Technicians should not make clinical judgments or contact prescribers directly about therapy changes.0