Pharm Rounds

PharmaCompass Education

Pharm Rounds

NCLEX pharmacology from the pharmacist's side of the Pyxis. 422 cards and unfolding cases that teach what the nurse does before, during, and after giving the drug. Written and reviewed by a board-certified clinical pharmacist with 30 years in the ICU.

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$39 per year. One price, every card, every case, every update.
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Try six cards. No sign-up.

These six are from the Before You Push set. The full deck has 416 more.

Why a pharmacist wrote this

I have spent three decades watching good nurses get hurt by what nobody taught them in pharmacology class. Not the mechanism of action. The practical things: that fentanyl pushed fast can lock a chest wall, that furosemide pushed fast can take someone's hearing, that a 1 mg dose of hydromorphone and a 1 mL dose are not the same thing. Those lessons usually come from an incident report. They should come from a flashcard.

Every card in Pharm Rounds answers the questions NCLEX actually asks: what do I assess before I give it, what is the one lab, what does the patient report, and what do I never do. Mechanism is included only when it explains the nursing action.

What's inside

Before You Push

30 cards on administration hazards: rate-dependent reactions, wrong-route catastrophes, concentration errors, look-alike pairs. The set no other deck has.

422 cards, 15 systems

Cardiac through PK/PD. Every card tagged by type so you can drill only monitoring, only interactions, only nursing priority.

Unfolding cases

Multi-step patient cases with four equal-length choices and a written rationale for every option, including the wrong ones.

Know it / Needs review

Mark each card. Review-only mode feeds back just the ones you missed. Your weak spots become your study list.

Current to 2026

ICS-formoterol relievers, AUC-guided vancomycin, low-dose naloxone titration. Where the exam lags practice, the card says so.

Reviewed card by card

Every card read and approved by Greg Perry, PharmD, BCPS, BCIDP.

Systems covered

Before You Push: Administration HazardsCardiovascularAnticoagulants & HemeRespiratoryEndocrineNeuro & PsychPain & AnesthesiaAnti-infectivesGastrointestinalRenal, Fluids & ElectrolytesImmune, Onc & TransplantOB & Women's HealthPediatrics & Med SafetyEENT, Derm & MiscPK/PD Fundamentals

For nursing programs

Site licenses are available for RN and LVN programs at a per-student rate well below what you pay for predictor products, with free faculty access and a roster import that gets a whole cohort in the same day. Email greg@pharmacompasseducation.com with your program name and cohort size.

Questions

Is this an NCLEX prep course?No. It is the pharmacology piece, done properly. Use it alongside whatever predictor your program uses.

Does it work on my phone?Yes. It runs in any browser, no app to install. Progress saves on the device you use.

How long do I have access?One year from purchase, including every card and case added during that year.

Can I share my login?No. Sharing ends access. The price is set so you don't need to.

Who are you?Greg Perry, PharmD, BCPS, BCIDP. Assistant Professor of Pharmacology at Hardin-Simmons University, 30 years of clinical practice in critical care, emergency medicine, and infectious diseases, and the pharmacist who built a two-time IDSA Antimicrobial Stewardship Center of Excellence.

Learn it from a card, not an incident report.

Get Pharm Rounds, $39/year Gift a subscription

Already a member? Open your cards. Educational content. Does not replace institutional policy or the prescriber's order.

PharmaCompass InPHARMation is for educational purposes only and does not constitute medical advice. Always verify clinical information before applying to patient care. Full Disclaimer | © 2026 PharmaCompass Education, LLC