Lecture 1

Question 1

Pharmacist use pharmacist patient care process

Question 1

Creatinine clearance is to a decimal, one decimal so if they answer is 36.7 and you give 36.6 it will not count…the answer is 36.7 and if you give 36.77 its still wrong…its one decimal

Question 2

Develop confidence in physical exam
Vital signs
Blood pressure
Pulse
Respiratory rate
Lung exam
Auscultation

Recognize normal vs. wheezing, crackles
Heart exam

Question 3

Goal #2

Develop confidence in verbalizing
Discuss and defend your thought process

Counseling
Requires _________________
On rounds in hospital
Morning report in clinic
SOAP note or chart note
Therapeutic management
Monitoring plan

Answer 3

Communication

Question 4

_______________ are what we will send to our health care providers with our recommendations and we will be using the conditions you learned about healthcare to write those soap notes so that you have a plan and a recommendation for something that you already learned

Answer 4

SOAP notes

Question 5

If patient has asthma it would be nice to know if they are wheezing or not which can then change what the recommendation is

Question 6

If patient has heart failure it be nice to know if that’s a normal heart sound or is there a S3…need to just differentiate normal vs abnormal as opposed to diagnosing

Question 7

Why does a pharmacist need to perform physical exam? To detect ____________ in a patient…refer if we need to…we have the greatest access of pharmacists

Answer 7

abnormalities

Question 8

How do we know if a blood pressure medication is working? Take a _______________________

Answer 8

blood pressure

Question 9

How do we know if a beta blocker is working? Measure _____________

Answer 9

heart rate

Question 10

How do we know if inhalers are working? Measure ___________…take a listen to some lungs

Answer 10

respiratory rate

Question 11

Pharmacist is a drug expert and needs to monitor drug therapy and you need to do that through physical exam skills

Question 12

First step in physical exam is __________ so we are looking and observing and so if I have someone who is having trouble breathing and I’m looking at them what might I see that would indicate that they are having trouble breathing

Answer 12

inspection

Question 13

What would wheezing look like? Someone is __________ or leaning over you see some of those muscles retract

Answer 13

gasping

Question 14

What color does someone look like who is not oxygenating? ___________,grayish

Answer 14

blueish

Question 15

First part of physical exam is inspection what do I see?

Question 16

____________ is done only with lung exams…its done to know if there are anything in those lungs..are there fluids or infection

Answer 16

Percussion

Question 17

Palpation has to do with __________

Answer 17

pulses