Practice Quiz

MACE Medication Aide

Category - MACE

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You are given an order that reads: Tamoxifen 200 mg PO bid. What should be your next step?
  1. Call the prescribing physician with a question about the dose.
  2. Dispense as prescribed.
  3. Dispense as prescribed, but note your concerns on the record.
  4. Call the prescribing physician with a question about the route of delivery.
Explanation
Answer: A - Tzmoxifen comes as an oral soulution (10mg/5mL) and as tablets (10 mg, 20 mg). 200 mg represents a 10-fold overdose. The prescriber must be called and informed of the mistake. Tamoxifen can cause DVT and pulmonary emboli as well as blood dyscrasias. It is unethical to dispense as written without checking or to simply document your concerns.
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