Final Exam Flashcards
A consistent care process is important for the pharmacist’s process of care and practice because
It promotes consistent outcomes for the care delivered
A question to assess effectiveness of someone who wants to establish would be: (Need to address outcome or therapy goals)
How well do you feel this medication. is working for your disease?
If a patient comes in with two medications with the same indication (e.g. naproxen and aspirin and ibuprofen, lisinopril, benazapril) What is this called
Duplicate therapy
IESA stand for what and is part of the Pharmacist Patient Care Process (PPCP) and is specifically part of (ASSESS)
IESA STAND FOR INDICATION, EFFECTIVENESS, SAFETY, AND ADHERENCE
What is the correct order to address medication-related issues?
- Indication 2. Effectiveness 3. Safety 4. Adherence
Q: What does it indicate if a patient reports receiving Td vaccine 10 or more years ago?
A: It is likely an indication issue and needs additional therapy.
Q: What safety question might you ask a patient taking ibuprofen and naproxen?
A: Have you ever had dark tarry stools?
Q: What is considered subjective information?
A: When a patient tells you what medications they are taking.
What is not part of the ideal pharmacist-patient relationship?
A: Knowledge of a pharmacist.
Q: Where should allergies be documented in a medical note?
A: Past medical history.
Q: What does a family history of an allergy imply?
A: The patient’s family members might also have asthma, eczema, fever, etc.
Q: What should be included in a patient’s family history in the chart?
A: Parents, three generations, deceased siblings.
Q: What is a common error in lab testing?
A: Faulty reagents.
Q: What factors do not affect lab test normal values?
A: Results reported in conventional units or SI units.
Q: What does hematocrit measure?
A: The percentage of red blood cells to blood volume.
Q: What test is used to monitor warfarin therapy?
INR
Q: How does a small volume of distribution affect drug elimination?
A: It makes a drug amenable to enhanced elimination.
Q: What is a characteristic of a narrow therapeutic index?
A: Adverse effects are expected at close to the therapeutic dose.
Q: What is involved in a majority of poison control exposures?
PHARMACEUTICALS
Q: When do idiosyncratic adverse reactions occur?
A: Regardless of the drug dose.
Q: What is an off-target effect?
A: A therapeutic dose can cause tiredness, but higher doses can cause life-threatening arrhythmias.
Q: What does activated charcoal not bind to?
A: Iron, polar molecules, alcohols, electrolytes, metals.
Q: What is the leading cause of preventable injury according to the poison control center?
Poisoning
Q: How many substances have antidotes compared to the number of drugs?
A: Only a small amount of substances have antidotes.
Q: What do enteral syringes measure?
A: Liquid enteral meds.
Q: What is the correct dose of Mycophenolate for an 11 kg, 82 cm patient?
A: 300 mg every 12 hours.
Q: What is the correct dose of prednisone for a 20 kg patient?
A 21mg BID
Q: When should pediatric-to-adult care transition readiness occur?
A: At 12 years old.
Q: How should liquid medication doses be written for clarity?
A: As 2.5 mL three times a day.
Q: What are appropriate vital signs for a new baby born 3 hours ago?
A: Blood pressure of 75/40, respiration of 50, heart rate of 190, weight of 3 kg.
Q: What is the best source to check if medications are suitable for children?
A: KIDS list
Q: What physiological factors affect drug absorption?
A: Increased gastric pH, decreased bile acid secretion, and intestinal transit time.
Q: What is the volume of distribution like for hydrophilic drugs in neonates?
A: Larger than in adults.
Q: How is glomerular filtration rate calculated?
A: (0.413 * height) / Scr.
Q: What is the Holiday-Segar formula for calculating maintenance fluid rate in a 40 kg patient?
A: 80 mL/hr.
