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A*P3 SPRING 25 > ADV Self Care Final > Flashcards

ADV Self Care Final Flashcards

1
Q

Pure Food and Drug Act

A

Strength and purity
Product labeling

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2
Q

Food, Drug, and Cosmetic Act

A

Safety, GRAS/E
Labeled with adequate directions for safe use

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3
Q

Durham Humphry

A

Prescription vs non-prescription drugs

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4
Q

Kefauver Harris

A

Efficacy
Retroactive - Rx and OTC since 1938

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5
Q

OTC FInal Monograph

A

Recipe book for manufacturers

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6
Q

Regulation of Rx advertising

A

FDA

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7
Q

Regulation of OTC drug advertising

A

FTC

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8
Q

DSHEA

A

Established official definition of a dietary supplement
Intended for ingestion

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9
Q

Disease/therapeutic claims on OTC

A

not allowed

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10
Q

Nutrient content claims on OTC

A

allowed

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11
Q

Health claims on OTC

A

allowed

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12
Q

Structure/Function claims on OTC

A

allowed with disclaimer

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13
Q

Dietary Supplement and Nonprescription Drug Consumer Act

A

Manufacturers of dietary supplements and OTC drugs required to report serious ADRs to MedWatch

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14
Q

FDA Clearance

A

product is similar to a predicate device on market, not FDA tested to have clinical value

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15
Q

MOA of Pregnancy Tests

A

Human Chronionic Gonadotropin (hCG)

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16
Q

hCG Detectability

A

1-2 weeks after fertilization

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17
Q

hCG still detectable for __ after a pregnancy

A

8 weeks

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18
Q

Infertility in Female <35

A

1 yr of trying to get pregnant

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19
Q

Infertility in female >35

A

6 months of trying to get pregnant

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20
Q

Ovulation surge occurs __ after LH surge

A

24-48 hours

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21
Q

SAliva Electrolyte microscopes

A

For ovulation testing
Fern-like pattern 3-5 days before ovulation, persists 2-3 days after

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22
Q

UTI testing MOA

A

nitrite and/or leukocyte esterase

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23
Q

HIV testing time period

A

> 3 months after a high risk event

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24
Q

Urine based drug testing is better for __ drug use

A

casual

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25
Hair-based drug testing is better for __ drug use
chronic
26
Toilet bowl FOB testing counseling
test at least 3 bowel movements Any color change is pos
27
Avoid recommending __ thermometers
color change indicators
28
Gold standard thermometer for children <6 months
Rectal
29
Most sedating antihistamine
doxylamine
30
Least sedating 1st gen antihistamine
chlorpheniramine
31
1st gen antihistamine age restriction
at least 6 years old
32
2nd gen antihistamine age restriction
2 years old liquids available in lower strengths, product specific
33
Antihistamines in pregnancy
1st gen: avoid use 2nd gen: some may be okay
34
Cromolyn sodium MOA and use
mast cell stabalizer Nasal symptoms of allergic rhinitis
35
Max daily adult dose of pseudoephedrine
240mg
36
Max daily adult dose of phenylephrine
60mg
37
Age restriction oral nasal decongestants
at least 4 years old
38
Oxymetazoline max doses
max 2 doses in 24 hours limit use to 3 days
39
Allergy symptom not relieved by oral antihistamines
nasal congestion
40
Preferred oral antihistamine for allergic rhinitis
2nd gen
41
Azelastine age restriction
at least 6 years old
42
Zinc gluconate, Zinc acetate
Common cold lozenges
43
Vitamin C
Common cold High doses to reduce symptoms slightly
44
Echinacea
Common cold: decrease severity and duration Boost immune system: ineffective Cross reactivity with asteracea family
45
Aspirin MOA/Properties
Inhibits prostaglandin synthesis Anti-inflammatory only at higher Rx doses
46
Salicylates in pregnancy/breastfeeding
Should not be used, especially in last trimester
47
Acetaminophen MOA/Properties
Inhibits prostaglandin synthesis No antiinflammatory activity at any dose
48
Acetaminophen in pregnancy
Drug of choice
49
Acetaminophen dosing
Max 4000mg in 24 hr OTC labeling at 2 years old 10-15 mg/kg
50
NSAID MOA/Properties
Inhibits prostaglandin synthesis Anti inflammatory only at higher Rx doses
51
NSAID DDI
Lithium
52
NSAIDs in pregnancy/lactation
Pregnancy: no, especially in last trimester Breastfeeding: iburpofen and naproxen ok
53
NSAID dosing
Naproxen max 660mg/day Ibuprofen max 1200 mg/day FDA dosing starts at 6 months 5-10 mg/kg
54
Dysmenorrhea drug of choice and counseling
NSAIDs Scheduled for 48-72 hours Up to max OTC dose
55
Self-care of fever
<2 yr: 24 hours >2 yr: 3 days Max temp reduction in 2-3 hr
56
Caffeine
synergistic analgesic effect in combination Increases risk of rebound headaches
57
Max days use of Bendaryl
14 days
58
Self-Care for migraine
Should have diagnosis NSAIDs first line
59
Menstrual Migraine
Only around time of menstruation Scheduled doses of NSAIDs
60
Feverfew
Prevention of migraines Possibly effective Unsafe in pregnancy Cross reactivity with asteracea family
61
Butterbur
Prevention of migraine Possibly effective PA-free likely safe (Petadolex) Cross reactivity with asteracea family
62
Riboflavin (vitamin B2)
Prevention of migraine Possible effective at high doses
63
Magnesium
Prevention of migraine Insufficient evidence DO not use with renal impairment
64
Eye drop preservative that causes problems in multiple uses/day
Benzalkonium chloride (BAK)
65
Omega-3 Fatty Acids
Dry eyes Insufficient evidence, high doses DDI: anticoagulants/antiplatelets
66
Most common vasoconstrictor in eye drops
Naphazoline
67
Limit for ophthalmic vasocontrictors
3 days Conjunctivitis medicamentosa
68
Brimonidine tartrate use and strength
Redness reliever 0.025% OTC
69
Drug therapy for allergic conjunctivitis
Ocular lubricants first line Ketotifen fumarate
70
Ophthalmic antihistamines
Chronic allergy symptoms Olopatadine, Alcaftadine Age 2-3 yrs and older
71
Ophthalmic antihistamine and decongestant combo
Age 6 years and older May 3 days
72
Viral conjunctivitis
Pink eye Very perfuse watery eye cool compress
73
Bacterial conjunctivitis
White, sticky pus Refer to physician
74
Stye treatment
Warm compress with gentle rolling pressure Self care up to 1 week
75
Corneal Edema hallmark symptom and treatment
Halo or starbursts of light Hypertonic/hyperosmotic NaCl
76
Bilberry
Retinopathy insufficient evidence, possibly safe
77
Age-related macular degeneration (AMD) treatment
Beta-carotene may delay progression
78
Counterirritant Ingredients
Methyl salicylate Menthol Camphor
79
CAmphor never used in children less than
2 years old
80
Trolamine salicylate age
12 years old Note: odor-free product
81
Capsaicin age
12-18 years old
82
Lidocaine 4% age
12 years old
83
Diclofenac Gel
Arthritis pain QID every day max 21 days
84
Osteoarthritis OTC therapy
APAP is drug of choice Topical PRN: counterirritants, capsaicin, diclofenac
85
Glucosamine
Osteoarthritis Sulfate likely effective for knee Cross-sensitivity with shellfish allergy
86
Chondroitin Sulfate
OSteoarthritis most abundant GAG Cross reactivity with shellfish allergy Possibly effective
87
Turmeric
Osteoarthritis Pepper increases bioavailability Possibly effective
88
Self care for cough lasting __ or less
3 weeks
89
Expectorants
Water Guafenesin
90
Guafenesin Dosing/age limit
Adults max 2400mg/day At least 4 years old
91
Dextromethorphan dosing, age limit, CI
Adults max 120mg/day At least 4 years old CI: within 14 days of MAOI
92
Antihistamine FDA approved for cough
diphenhydramine
93
Topical vapor/cough medications
Camphor/menthol
94
POst Nasal Drip treatment
1st gen antihistamine 1st line Nasal decongestants - only a few doses
95
Sore throat self treatment limit
2 days
96
Sore throat pharmacotherapy
NSAIDs local anesthetics
97
Nasal treatment for low humidity
Hypotonic saline Okay for all ages
98
Elderberry, Black Elderberry
Influenza Possibly effective Avoid in patients with autoimmune disease
99
OTC medications for asthma
Ephedrine oral tablets Epinephrine oral inhaler
100
Acute Otitis Externa symptoms
Swimmers ear Pain increases with movement
101
Otitis Media symptoms
No pain with movement
102
Carbamide Peroxide use/age limit
Only FDA approved softening agent At least 12 years old
103
Prevention of excessive ear wax
Light mineral oil sweet oil
104
Water Clogged Ear treatment
95% Isopropyl alcohol
105
5 As for nicotine dependence
Ask, Advise, Assess, Assist, Arrange
106
5 Rs for Nicotine dependence
Relevance, Risks, Rewards, Roadblocks, Repetition
107
Nicotine withdrawal symptoms that may never go away
Increased appetite Weight gain Cravings!
108
Max days of self treatment of constipation
7 days
109
Bulk forming laxatives MOA
Absorbs water Adds bulk to the stool Softens the stool
110
Bulk Forming Laxative Products
Psyllium Methylcellulose Calcium Polycarbophil
111
Bulk forming laxatives onset
Can take up to 72 hours
112
Emollient laxatives MOA
Anionic surfactants Helps water mix with fecal mass
113
Emollient laxative ingredients
(Stool SOfteners) Docusate sodium Docusate calcium
114
Emollient laxative onset and age limit
may take 3-5 days At least 2 years old
115
Docusate should not be taken with __
mineral oil
116
Lubricant Laxatives MOA, ingredient
Coats the feces Mineral oil (heavy)
117

A*P3 SPRING 25 (9 decks)

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