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
What are some Rx to avoid in the elderly?
Elixirs and sugary liquids
What drug should pregnant women avoid during their third trimester?
Ibuprofen
What drug should pregnant women avoid in general?
ASA
When recommending non-drug therapies, what should pregnant women avoid?
Homeopathic / herbal products
How much caffeine is okay for pregnant women?
Small amount is just fine
When is the greatest risk for defect in pregnant women?
1st trimester
What is the reason for non-adherence for pregnant women?
Nausea + Vomiting
What are some tips for pregnant women who have: nausea and vomiting
- Small meals, snacks, crackers
2. Ginger containing products may help
When should nursing mothers take meds?
Just after breast-feeding or just before infant’s longest sleep period
How much caffeine should nursing mothers take?
1g / day
