Final Exam Flashcards

1
Q

A consistent care process is important for the pharmacist’s process of care and practice because

A

It promotes consistent outcomes for the care delivered

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2
Q

A question to assess effectiveness of someone who wants to establish would be: (Need to address outcome or therapy goals)

A

How well do you feel this medication. is working for your disease?

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3
Q

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

A

Duplicate therapy

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4
Q

IESA stand for what and is part of the Pharmacist Patient Care Process (PPCP) and is specifically part of (ASSESS)

A

IESA STAND FOR INDICATION, EFFECTIVENESS, SAFETY, AND ADHERENCE

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5
Q

What is the correct order to address medication-related issues?

A
  1. Indication 2. Effectiveness 3. Safety 4. Adherence
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6
Q

Q: What does it indicate if a patient reports receiving Td vaccine 10 or more years ago?

A

A: It is likely an indication issue and needs additional therapy.

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7
Q

Q: What safety question might you ask a patient taking ibuprofen and naproxen?

A

A: Have you ever had dark tarry stools?

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8
Q

Q: What is considered subjective information?

A

A: When a patient tells you what medications they are taking.

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9
Q

What is not part of the ideal pharmacist-patient relationship?

A

A: Knowledge of a pharmacist.

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10
Q

Q: Where should allergies be documented in a medical note?

A

A: Past medical history.

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11
Q

Q: What does a family history of an allergy imply?

A

A: The patient’s family members might also have asthma, eczema, fever, etc.

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12
Q

Q: What should be included in a patient’s family history in the chart?

A

A: Parents, three generations, deceased siblings.

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13
Q

Q: What is a common error in lab testing?

A

A: Faulty reagents.

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14
Q

Q: What factors do not affect lab test normal values?

A

A: Results reported in conventional units or SI units.

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15
Q

Q: What does hematocrit measure?

A

A: The percentage of red blood cells to blood volume.

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16
Q

Q: What test is used to monitor warfarin therapy?

A

INR

17
Q

Q: How does a small volume of distribution affect drug elimination?

A

A: It makes a drug amenable to enhanced elimination.

18
Q

Q: What is a characteristic of a narrow therapeutic index?

A

A: Adverse effects are expected at close to the therapeutic dose.

19
Q

Q: What is involved in a majority of poison control exposures?

A

PHARMACEUTICALS

20
Q

Q: When do idiosyncratic adverse reactions occur?

A

A: Regardless of the drug dose.

21
Q

Q: What is an off-target effect?

A

A: A therapeutic dose can cause tiredness, but higher doses can cause life-threatening arrhythmias.

22
Q

Q: What does activated charcoal not bind to?

A

A: Iron, polar molecules, alcohols, electrolytes, metals.

23
Q

Q: What is the leading cause of preventable injury according to the poison control center?

A

Poisoning

24
Q

Q: How many substances have antidotes compared to the number of drugs?

A

A: Only a small amount of substances have antidotes.

25
Q

Q: What do enteral syringes measure?

A

A: Liquid enteral meds.

26
Q

Q: What is the correct dose of Mycophenolate for an 11 kg, 82 cm patient?

A

A: 300 mg every 12 hours.

27
Q

Q: What is the correct dose of prednisone for a 20 kg patient?

A

A 21mg BID

28
Q

Q: When should pediatric-to-adult care transition readiness occur?

A

A: At 12 years old.

29
Q

Q: How should liquid medication doses be written for clarity?

A

A: As 2.5 mL three times a day.

30
Q

Q: What are appropriate vital signs for a new baby born 3 hours ago?

A

A: Blood pressure of 75/40, respiration of 50, heart rate of 190, weight of 3 kg.

31
Q

Q: What is the best source to check if medications are suitable for children?

A

A: KIDS list

32
Q

Q: What physiological factors affect drug absorption?

A

A: Increased gastric pH, decreased bile acid secretion, and intestinal transit time.

33
Q

Q: What is the volume of distribution like for hydrophilic drugs in neonates?

A

A: Larger than in adults.

34
Q

Q: How is glomerular filtration rate calculated?

A

A: (0.413 * height) / Scr.

35
Q

Q: What is the Holiday-Segar formula for calculating maintenance fluid rate in a 40 kg patient?

A

A: 80 mL/hr.