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Pharmaceutics I > Exam 4 - Yorra Material > Flashcards

Exam 4 - Yorra Material Flashcards

1
Q

Prescription

A

Order for specific medication and its dosage issued by a physician, dentist or other properly licensed medical practitioner

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2
Q

MGL 94C

A

Law pertaining to controlled substance

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3
Q

MA practitioners who can prescribe

A 
Physicians
NP, PA, Nurse Anesthetist
Nurse Mid-wives
Optometris
Dentist
Pharmacists w/ (CDTM)

DEA # needed
Mass Controlled Substance Registration number

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4
Q

High Alert Med from ISMP

A 
Warfarin
Enoxaparin
Fentanyl Patches
Methotrexate (oral)
Hydrocode w/ acetaminophen
Oxycodone w/ acetaminophen
Insulin analogs
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5
Q

CPOE

A

Computerized Physician Order Entry

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6
Q

EMR

A

Electronic Medical Records

Access to all data
Can be shared across platforms and locations
Allows for seamless patient care
Allows for telemedicine
Captures all services
Coordinate care
Better patient outcomes
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7
Q

Compounded Prescriptions

A

Has to say if its sterile or non-sterile

must have a phone number to pharmacist staffed at least 56 hrs/week

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8
Q

PCA pump

A

Secure delivery

Key driven locking system adds security on several levels
Pole clamp locks to IV pole, Medication door locked, programming lock-out

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9
Q

Mandatory e-prescribing

A

seen as tool in combating opioid abuse

some states mandated electronic prescribing and may implement in 2020

All medicare D prescriptions electronic by 1/1/2020

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10
Q

Roman numbers

A 
I - 1
V - 5
X - 10
L - 50
C - 100
D - 500
M - 1000
SS - 1/2
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11
Q

M. Ft. ung.

A

Mix and make an ointment

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12
Q

Ft. sup. no xii

A

Make 12 suppositories

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13
Q

M. ft. cap. d.t.d. no. xxiv

A

Mix and make capsules, give 24 such doses

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14
Q

caps.i.q.i.d.pc. et h.s

A

Take 1 capsule 4 times a day after each meal and at bedtime

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15
Q

gt. ii rt. eye every a.m

A

Instill 2 drops in the right eye every morning

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16
Q

tab ii stat tab. 1 q. 6h. x 7d.

A

Take 2 tablets immediately, then take 1 tablet every 6 hrs for 7 days

17
Q

q.s.ad

A

add sufficient quantity

18
Q

Patient compliance

A

patient understanding and adherence to the direction for use

19
Q

Patient non-compliance

A

The failure to comply with a practitioner’s or labeled direction in the self-admin of any medication

20
Q

Responsibility of pharmacist to ensure that each prescription and medication order is…

A

correct in its form and content

appropriate for the patient being treated

filled, labeled, dispensed, and admin correctly

21
Q

Review step by step order

A

prescriber info

date of the order and its currency

patient identification info

patients age, weight (if pertinent to dose determination)

22
Q

Use of abbreviations and symbols to reduce medical errors

A

whole number should be shown without a decimal point and without zero

quantity smaller than one should e shown with 0 before decimal point

leave space between a number and the unit

use whole numbers when possible and not equivalent decimal fraction

23
Q

Med error prevention

A

use full name of drugs not abbreviations

use USP designations for units of measure, spell “unit” out

spell out “every day”

don’t use D for “day” or “dose”

amplify prescribers directions on the prescription

24
Q

Tall man letters

A

tall and capital lettering in certain portions of drug names

25
Q

Info on Adherence

A

over 50% of patients don’t take med correctly

cost of failed outcomes in the billions of dollars

ACA focusing on outcomes rather than process so providers must show positive outcomes

providers who do not have enough positive outcomes will lose money and clients

26
Q

Cause of non-adherence - Patient related

A

Lack of understanding, involvement, medication literacy

costs, transportation, poor mental health, lack of family support

27
Q

Cause of non-adherence - Physician related

A

complex drug regimens

failing to explain benefits/side effects

failing to know costs

failure to look at herbal or alternative therapies

transition of info between practitioners is not coordinated

28
Q

Cause of non-adherence - Health System causes

A

fragmented care

lack of centralized EMR

Lack of time due to high volume of patients

costs

access to services - long wait times in the clinic and pharmacy

29
Q

Solutions for non-adherence

A

patient education, get them involved

minimize multidose therapy to 1 or 2 a day

set achievable goals

improve health/reading literacy

30
Q

Pharmacoeconomics

A

including med costs, cost-benefit analysis, cost-effectiveness analysis, alternative treatments and pricing

Pharmaceutics I (11 decks)

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