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Fall 4 > Intro to Pharm Care > Flashcards

Intro to Pharm Care Flashcards

1
Q

Define Pharmaceutical Care

A

Responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient’s quality of life

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2
Q

Impact of Pharmacy on Patient Care : Pharmacy in a New Age Consultation 1995

A
  1. Management of prescribed medicines
  2. Management of chronic conditions
  3. Management of common ailments
  4. Promotion and support of healthy lifestyles
  5. Advice and support for other healthcare professionals
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3
Q

Responsible provision of pharmacists?

A

Share responsibility for the consequences to the patient.

  1. Incorrectly dispensed item
  2. Overdose
  3. Sub-optimal therapy

can all lead to HARM

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4
Q

How do we achieve definite outcomes?

A
  1. Dialogue with consumers/patient
  2. Teamwork among providers
  3. Implement and monitor processes
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5
Q

Dialogue with patient?

A
  1. Determine patient needs
  2. Identify potential and actual problems with medication
  3. Establish relationship so drug therapy can be monitored
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6
Q

Teamwork?

A
  1. Document drug treatment and related issues.

2. Share the info

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7
Q

Implement and monitor processes?

A
  1. Document processes and assign responsibilities

2. Outcomes recorded so improvements can be made

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8
Q

Roles of Clinical Pharmacist - Hospital

A 
Before, On, During admission and on discharge.
Drug history
Medicines Reconciliation
Screening Prescriptions
Monitoring
Counselling
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9
Q

Roles of Clinical Pharmacist - Community

A

Screening Prescriptions
Assessing patients during RTS consultation
MUR
NMS

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10
Q

What to look for during prescription screening? (12)

A
  1. Legible
  2. Correctly written
  3. No ambiguities
  4. Cautions
  5. Contraindications
  6. Appropriateness
  7. Dose & frequency
  8. Duration
  9. Route
  10. Interactions
  11. Side effects
  12. Therapeutic monitoring
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11
Q

Cautions with Metoclopramide (used for short term heartburn)

& Recommended alternative?

A

Caution with those with Parkinsons disease

Alternative: Cyclizine

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12
Q

Caution with Propranolol?

A

Caution in Diabetes

Monitor patient and change to cardio selective beta blocker if necessary

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13
Q

Propranolol Contraindication?

A

Contra-indicated in second and third AV block

Alternative- a drug group that is not negatively inotropic

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14
Q

Gentamicin contraindication?

A

Contraindicated in myasthenia (long term: causes muscle weakness)

Alternative- use another antibiotic

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15
Q

Things to do to ensure Medicine Optimisation?

A
  1. Check Appropriateness
  2. Interactions
  3. Therapeutic Drug monitoring - safety and therapeutic effect
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16
Q

Record Keeping (6)

A
  1. Green Pen
  2. Writing on Drug charts
  3. Writing in medical notes/ discharge letter
  4. Accountability - sign and date
  5. pc - prescriber contacted
  6. pnc - prescriber not contacted

Fall 4 (15 decks)

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