Chapter 2 Flashcards
What is the Pharmacist’s Patient Care Process?
- Collect
- Assess
- Plan
- Implement
- Follow-up: Monitor and Evaluate
What are some things to consider if a patient is eligible for self-care?
- Exclusions for drug categories
- Treatment needed outside scope of OTC’s
- Patient is too young/old for products available
- Product not inidcated
- Health status prevents the use of OTC’s w/o diagnosis
- Previous OTC treatment was ineffective
What is included in a comprehensive patient interview?
- Chief complaint
- History of illness
- Past medical history
- Health immunizations
- Family history
- Personal/social history
- Review of symptoms and physical exam
- Medication history
Link the care plan with the assessment through the consultation and patient engagement process
QuEST SCHOLAR-MAC?
What does QuEST stand for?
- Quickly/accurately assess the patient
- Establish that pt is an appropriate self-care candidate
- Suggest self-care strategies
- Talk w/ pt
What does SCHOLAR stand for?
- Symptoms
- Characterisitics of situation
- History (what have you tried?)
- Onset (when?)
- Location
- Aggravating factor
- Remitting factor (what makes it better?)
What does MAC stand for?
- Medications
- Allergies
- Conditions
What is the problem with infant/children dosing?
50% of the time the dose that requires calculation are given incorrectly
What dosage is preferred for children?
Liquids
How do children differ from adults w/ doses?
Physiologic + PK differences and dosing changes w/ age
What should not be given to kids <19yo w/ flu or chicken pox?
ASA
Whats wrong with giving kids anithistamines + CNS depressants?
Causes excitation, not sedation
Whats wrong with giving kids Pseudoephedrine?
Causes drowsiness, not stimulation
Whats wrong with giving kids APAP?
Hepatotoxicity when used for 2-4 days
What is Non-adherence?
When children refuse to take their medicine
