1st Test Flashcards

1
Q

What is the difference between self-care and self-medication?

A

Self-medication is just one component of self-care. Self-care involves many other factors such as lifestyle, nutrition, hygiene, and so on.

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2
Q

What is self-care?

A

What people do for themselves to establish and maintain health, prevent, and deal with illness.

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3
Q

What is self-medication?

A

Choosing a nonprescription medication, nutritional dietary supplement, and/or natural products and homeopathic remedies to treat self diagnosed illness or symptoms.

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4
Q

What are the components that must be in a nonprescription drug label and in what order?

A
  1. Active ingredients and the amount in each dosage unit
  2. Purpose of the medication
  3. Use (indications) for the drug
  4. Warnings - when to consult help, when not to use, side effects, substances to avoid. (pregnant or breastfeeding, keep out of reach of children)
  5. Directions- dosage instructions (for different age groups)
  6. Other information - storage requirements
  7. Inactive ingredients
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5
Q

What is QuEST?

A

QUickly and accurately access the patient - ask about current complaint, ask about other medications and products, ask about coexisting condition and allergies (SCHOLAR-MAC)
Establish that the patient is an appropriate self-care candidate - No sever symptoms, no symptoms that persist/return repeatedly without an identifiable cause, no self-treating to avoid medical care
Suggest appropriate self-care strategies
Talk with the patient about - Medication action, administration, and adverse effects and how to manage them.

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6
Q

What is SCHOLAR-MAC?

A
Symptoms
Characteristics
History
Onset
Location
Aggravating Factors
Remitting factors
Medications
Allergies
Conditions
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7
Q

What are the 6 components of self-care?

A

hygiene, socioeconomic factors, environmental factors, lifestyle, nutrition, and self-medication

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8
Q

Why is there an increasing reliance for self-medication?

A

aging population, restricted access to health care providers through health management organizations, increasing cost of health care, high percentage of underinsured or uninsured people, convenience/easy access, and cost effectiveness of self-medication products.

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9
Q

What are the requirements before a person can self-medicate?

A

Medications used are of proven safety, quality, and efficacy. Medications used for conditions that are self-recognizable and for some chronic or recurrent conditions (following initial medical diagnosis).

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10
Q

According to WHO what should a nonprescription drug label include?

A

How to take/use the medication, intended effects and possible side effects, how the effects should be monitored, possible interactions, precautions and warnings, duration of use, and when to seek professional advice.

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11
Q

What are the three options for patients who are seeking self-treatment?

A

No-treatment, treatment, and referral

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12
Q

What should follow-up monitoring include?

A

Specific goals that are measureable by the patient, a specific time frame for follow up with the pharmacist, how to address potential complications or adverse effects, signs and symptoms that indicate the need for medical attention from a primary care provider.

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13
Q

What are STEPS?

A

Critical thinking tool:
Summarize the problem and characterize severity
Take into consideration key pieces of information and data or tabulate information and data
Evaluate the options
Provide a recommendation
Suggest an appropriate monitoring and follow-up plan or Set it up

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14
Q

Pharmacists can have a major role in self-care. T/F

A

True

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15
Q

What is a dietary supplement?

A

A product intended to supplement the diet, contains one or more dietary ingredients or their constituents, is intended to be taken by mouth as a pill, capsule, tablet, or liquid, and is labeled on the front panel as being a dietary supplement.

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16
Q

What are labeling requirements for dietary supplements?

A
General:
Name of product (includes word "supplement" or a statement)
Net quantity of contents
Name and place of business of manufacturer, packer or distributor
Directions for use
Supplement Facts Panel:
Serving size
List of dietary ingredients
Amount per serving size
Percent of daily value
Proprietary blends - total weight of the blend and components
Botanical Ingredients
Other ingredients
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17
Q

What are counseling techniques that you would use to communicate clinical information regarding vitamins, minerals, and dietary supplements to patients?

A

Ask them how long do you plan to use this product, what kinds of benefits are you expecting, how much of a benefit are you expecting, are you willing to continue taking this product for over a month if you do not see any benefits at that time?

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18
Q

What is a CAM?

A

Complementary and alternative medicine that medical and health care practices outside the realm of conventional medicine, which are yet to be validated using scientific methods.

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19
Q

What is complementary medicine?

A

Use with Conventional medical practices

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20
Q

What is alternative medicine?

A

Use in place of conventional medical practices.

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21
Q

A dietary supplement must contain what information in a health claim, nutrient content claim, structure/function claim?

A

Health claim - relationship between a food and reducing a risk of a disease or health-related condition.
Nutrient claim - Relative amount of a nutrient or dietary substance within a product.
Structure/Function - How a product may affect the organs or systems of the body and cannot mention a specific disease.

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22
Q

What is a dietary supplement disclaimer?

A

This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Promotes urinary tract health - ok
helps prevent urinary tract infection - false

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23
Q

What law provides requirements related to good manufacturing practices of dietary supplements?

A

Dietary Supplement Current Good Manufacturing Practices (cGMP) 2007

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24
Q

How do you find information on current recommendations for daily intake of vitamins, minerals, and trace elements in the U.S?

A

Daily Recommended Intake chart

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25
Q

What drug will Vitamin K interact with?

A

Warfarin

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26
Q

What occurs when there is a deficiency in Thiamine(B1)?

A

Wernicke-Korsakoff syndrome

27
Q

What is the clinical assessment of excess of Vitamin E?

A

Vitamin E - Prolonged clotting time

28
Q

What is the vitamin and mineral needs in Chronic kidney disease?

A

pyridoxine, limit Vit C, no vit A, Vit K weekly, Vit D1,25

29
Q

What occurs when there is a deficiency in Cyanocobalamin (B12)?

A

pernicious anemia

30
Q

What occurs when there is a deficiency in Vitamin C?

A

scurvy

31
Q

What occurs when there is a deficiency in Vitamin A?

A

Night blindness

32
Q

What occurs when there is a deficiency in Vitamin D?

A

Rickets

33
Q

What occurs when there is a deficiency in Vitamin K?

A

Bleeding

34
Q

What occurs when there is a deficiency in sodium?

A

seizures

35
Q

What occurs when there is a deficiency in calcium?

A

bone loss

36
Q

What occurs when there is a deficiency in zinc?

A

impaired wound healing

37
Q

What drug will Calcium interact with?

A

fluorooquinolones and tetracyclines

38
Q

What drug will Iron interact with?

A

Antacids

39
Q

What drug will aluminum magnesium interact with?

A

Levothyroxine

40
Q

What vitamins will Orlistat interact with?

A

Fat soluble vitamins A, D, E, K (recommend supplementation of vitamins and calcium)

41
Q

What are the three regulatory classifications of test devices?

A

High complexity, moderate complexity, and CLIA waived tests (simple, easy to use, essentially error free if used correctly)

42
Q

Where should you go to find information on selecting the best blood glucose monitor for a patient?

A

American Diabetes Association (ADA) website

43
Q

The ADA endorses specific brands of devices. T/F

A

False

44
Q

Where should you go to find information on selecting the best blood pressure monitor for a patient?

A

American Heart Association - AHA

45
Q

AHA endorses specific type of BP meters because not all are accurate (wrist vs. upper arm cuffs) T/F

A

True

46
Q

How do you determine proper cuff size?

A

Cuff bladder width should be 40% of the arm circumferences measured midway between the olecranon and acromion. Cuff bladder length should cover 80 to 100 % of the circumference of the arm.

47
Q

When is the best time to test for pregnancy?

A

After the first-missed period; right after waking-up

48
Q

What test calculates blood cholesterol?

A

Cholestech

49
Q

Where should you go to find the best information on nebulizer use and care?

A

National Institute of Health

50
Q

How often should you clean a nebulizer?

A

once every week

51
Q

What reasons should we counsel a patient?

A

Patient Safety (Assess patient understanding, screen for prescribing errors, detect problems with medication therapy), Improve adherence, Build trusting relationship, Pharmacist code of ethics, its the law (OBRA ‘90).

52
Q

What are aspects of a good counseling environment?

A

Protect patient privacy, Attitude towards patient, Professional, Physical environment (well lit and confidential)

53
Q

What are the three prime questions?

A

What did your doctor tell you this medication was for?
How did your doctor tell you to take this medication?
What did your doctor tell you to expect?

54
Q

How do you check for patient understanding?

A

Ask, “Just to make sure I didn’t leave anything out, tell me how you will be using this medication?”

55
Q

What are the main counseling steps?

A
  1. Introduce yourself
  2. Verify patient information
  3. State the medication name and indication
  4. Ask “What did your doctor say this was for?”
  5. Ask “How did your doctor tell you to take this?”
  6. Review instructions on how to take medication.
  7. Ask “What did your doctor tell you to expect?”
  8. Review the common adverse effects
  9. Check for patient understanding
56
Q

What factors contribute to the presence of pharmaceuticals and personal care products in the environment?

A

Improper disposal of medications by consumer and manufacturer, lack of communication of the issue, lack of conclusive research, safe disposal, controlled substances, convenience, funding, privacy of medical information.

57
Q

How can we limit the impact of drug disposal on the environment?

A

Raise patient and provider awareness, reduce excess, and counsel on proper disposal practices

58
Q

What are appropriate disposal techniques?

A

Follow any specific disposal instruction on the prescription drug labeling or patient information, take advantage of community drug take-back programs, if you can’t do either of the previous things then throw drugs in household trash.

59
Q

What are the strengths and weaknesses of a medication take-back program?

A

Strengths - they give a patient options for medication disposal, avoid diversion
Weaknesses - costly, lack of consistent availability, takes time commitment

60
Q

What drugs can you flush?

A

High abuse potential or acute toxicity
Percocet, Percodan, Butrans, Buprenorphine Hydrochloride, Naloxone Hyrochloride, Suboxone, Zubsolv, Diastat, Abstral, Duragesic, Actiq, Fentora, Onsolis, Dilaudid, Exalgo, Demerol, Dolophine Hydrochloride, Methadone Hydrochloride, Methadose, Daytrana, Avinza, Kadian, Morphine Sulfate, MS Contin, Embeda, Oxecta, Oxycodone, Oxycontin, Opana, Opana ER, Xyrem, Nucynta ER.

61
Q

What is Interprofessional Collaborative Practice (IPCP)

A

When multiple health workers form different professional backgrounds work together with patients, families, careers, and communities to deliver the highest quality of care.

62
Q

What is Interprofessional education (IPE)

A

When students from two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes.

63
Q

IPE + IPCP =

A

Interprofessional education and collaborative practice (IPECP)

64
Q

What is SBAR?

A

Situation, Background, Assessment, Request/Recommendation

A structured communication tool