Midterm Flashcards

1
Q

What does Rx mean?

A

Stands for prescription

to take/recipe

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2
Q

What is a prescription?

A

A written, verbal, or electronically transmitted order issued by a practitioner for a drug or device to be dispensed for a patient by a pharmacist

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3
Q

What are the requirements for a written prescription?

A

Must be in ink, indelible pencil or typed

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4
Q

What must be on the label of a prescription prior to being dispensed or delivered?

A

Rx only

Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian

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5
Q

What is a prescription drug?

A

A pharmaceutical drug that legally requires a medical prescription to be dispensed

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6
Q

TF: Over the counter drugs do not require Rx

A

True

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7
Q

What is the difference between the brand name drug and the generic name drug?

A

Brand name- trade name or proprietary - holds a patent

Generic drug - non-proprietary (drug marketed chemical name without advertising)

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8
Q

What is a new prescription?

A

Original Rx written for the 1st time (may contain refills)

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9
Q

What is a refill prescription?

A

Second or subsequent set of doses upon doctor’s orders

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10
Q

What are the different types of prescriptions?

A
Written
Verbal (except CII)
Transfer (not controlled)
Electronic (not CIIs)
Fax
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11
Q

TF: Clinical pharmacists under collaborative practice can prescribe prescriptions

A

True

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12
Q

How do you verify a DEA number?

A

Add the 1st, 3rd, 5th digit
Add the 2nd, 4th, 6th digit and double it
Add the two totals together
The second digit is the last digit in DEA

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13
Q

What is the first letter of the DEA?

A

The type of registrant

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14
Q

What is the second letter of the DEA?

A

First letter of the provider’s last name

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15
Q

What is required on a prescription from the prescriber?

A

Prescriber name, address, DEA or NPI, Signature, phone number

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16
Q

What is needed for patient information on the prescription?

A

Name
Address (for controls, fax and electronic)
Date of birth for fax or electronic

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17
Q

What other things are required on a prescription?

A

Issue date
Name, strength, dosage form, quantity of drug
Instructions for use
Refills if any

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18
Q

How long is a non-controlled prescription valid for?

A

1 year

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19
Q

How long is a controlled drug (CIII-CV) valid for refills?

A

6 months

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20
Q

How long are refills valid for CII drugs?

A

None/ cannot have refills

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21
Q

When can the generic drug be administered for a prescription?

A

When “generic substitution permitted” is checked off

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22
Q

What needs to be labeled for Federal law on prescriptions?

A
Name and address of dispenser
Serial or prescription number
Date of filling
Prescriber's name 
Patient's name
Directions for use 
Cautionary statement
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23
Q

What must be on the pharmacy label for MS?

A
Pharmacy name and address
Prescription number
Prescriber name
Directions
Refill/Fill date
Pharmacist identifier
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24
Q

What is not required for prescriptions?

A

Auxiliary labels

Physical description of drug

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25
Q

How is inspection done for physical exams?

A

By looking at the patient or the area of body that is being examined

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26
Q

How is palpation done?

A

By touching the part of the body that is being examined

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27
Q

How is percussion done?

A

By tapping your finger over a part of the body to determine if a compartment is filled with air, fluid, or solid material

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28
Q

How is auscultation done?

A

By listening to a part of the body through a stethoscope to determine if normal or abnormal sounds are present

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29
Q

How would you look at a patients appearance for a general assesment?

A

By looking at their hygiene, attire, skin color, presence of sores, signs of redness

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30
Q

What would you look for in a patient to observe their behavior?

A

Their facial expressions, level of consciousness, orientation, speech and demeanor

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31
Q

How would you observe a patients mobility?

A

Their posture, range of motion, gait and use of mobility aids

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32
Q

How would you measure a patient’s height?

A

Measure from heel to top of head in inches or cm

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33
Q

What is actual weight?

A

The measure of weight in kg or lb

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34
Q

How would you calculate ideal weight for males?

A

IBW=50+(2.3x (height in inches-60))

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35
Q

How would you measure ideal body weight for a female?

A

IBW=45.5 +(2.3 x(height in inches-60))

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36
Q

How would you measure adjusted body weight?

A

Ideal body weight in kg + (0.4 x (actual-ideal)

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37
Q

What is BMI?

A

Body mass index

Measure of how much fat in body

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38
Q

What is the units for BMI?

A

kg/m^2

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39
Q

How do you calculate BMI?

A

BMI=703 x (weight in pounds/ (height in inches)^2)

40
Q

If a person has a BMI of less than 18.5, what would they be classified as?

A

Underweight

41
Q

What is the normal BMI range?

A

18.5-24.9

42
Q

What class of obesity does a person who has a BMI of 36 fall into?

A

Class II Obesity

43
Q

What are vital signs?

A
Temperature
Respiratory rate
Pulse
Blood pressure
Blood oxygen saturation
44
Q

What can vital signs do?

A

Identify the existence of an acute medical problem

45
Q

What do vital signs measure?

A

The magnitude of an illness and how well the body is coping with the resultant physiologic stress

46
Q

Where can you take body temperature?

A
Rectal
Tympanic
Temporal
Oral
Axillary
47
Q

If a person has a temperature of 99.0 F in the armpit, do they have a fever?

A

No the normal range in the armpit is 94.9-99.6F

48
Q

What is pulse?

A

The heart rate

Beats per minute

49
Q

What is the range for a normal heart rate?

A

60-100 BPM

50
Q

What is respiratory rate?

A

12-20 BPM

Breaths per minute

51
Q

What does oxygen saturation signify?

A

The percent of blood oxygen content and oxygen delivery

52
Q

What is the normal range for oxygen saturation?

A

95-100%

53
Q

What is the normal blood pressure?

A

Less than 120/80 mmHg

54
Q

What vital sign usually offers no relevant information for the routine exam?

A

Respiratory rate

55
Q

Where can you take pulse?

A

Any place where there is a large artery

56
Q

What is the review of systems?

A

Inventory of body systems obtained by asking a series of questions to identify signs or symptoms the patient may be experiencing or has experienced

57
Q

What is required for payments?

A

Review of Systems

58
Q

What are the three types of ROS?

A

Problem pertinent
Extended
Complete

59
Q

What does problem perinent ros ask about?

A

Asks about the system directly related to the problem identified by the history of physical illness

60
Q

What does extended ros ask about?

A

About the system directly related to the problem identified in the HPI and a limited number of additional systems

61
Q

What does complete ROS ask about?

A

The systems directly related to the problems identified in the HPI plus all additional organ systems

62
Q

What is blood pressure?

A

The pressure exerted against the arterial wall

63
Q

What is blood pressure measured in?

A

mmHg

64
Q

What is the systolic?

A

Peak value

Pressure during cardiac contraction

65
Q

What is diastolic?

A

Nadir value

Pressure during filling of the chambers

66
Q

What is considered a high blood pressure stage 1?

A

130-139

67
Q

What is considered hypertensive crisis?

A

Higher than 180

68
Q

What is a normal blood pressure?

A

Less than 120 for systolic and less than 80 for diastolic

69
Q

What are the different types of arterial hypertension?

A
Essential hypertension 
Secondary hypertension
Resistant hypertension
Masked hypertension
White coat hypertension
70
Q

What do you need for manual blood pressure checking?

A

Stethoscope

Sphyngmomanometer

71
Q

When should a patient come back for a follow up if the blood pressure was normal?

A

2 years

72
Q

When should a patient come back if the blood pressure is elevated

A

1 year

73
Q

What should you tell the patient if they have stage 1 hypertension?

A

Confirm with a second reading within 2 months

74
Q

What should you tell the patient if they have stage 2 hypertension?

A

TO evaluate again within 1 month

If BP is above 160/110 to check back in a week

75
Q

What should you tell the patient if they have hypertensive crisis?

A

Seek medical attention immediately

76
Q

What does a polysaccharide vaccine do?

A

Stimulate T-cell independent immunity
Stimulate B cells without assistance of helper T cell
Short lived immunity
No booster effect
Not consistently immunogenic in children younger than 2

77
Q

Do polysaccharide vaccines have a booster effect?

A

No

78
Q

Do polysaccharide vaccines have short or long term immunity?

A

short term immunity

79
Q

Which vaccine stimulates T cell independent immunity?

A

Polysaccharide vaccine

80
Q

What vaccine stimulates T cell dependent immunity and involves helper T cells?

A

Conjugate polysaccharide vaccine

81
Q

What vaccine produces immunologic memory and results in a booster effect when exposed later?

A

Conjugate polysaccharide vaccin

82
Q

How many days early can a patient receive a live vaccine?

A

4 days early (need 30 days usually in between but can come from 26-30 days later)

83
Q

When should a patient get a Tdap vaccine when they are pregnant?

A

Until she is 20 weeks pregnant but usually 27-36 weeks pregnant

84
Q

If a patient has HIV, should they get a vaccine?

A

Yes

85
Q

A patient had a severe allergic reaction to the same vaccine before, should they be given the vaccine?

A

No

86
Q

How many varicella doses should a child get to go to school?

A

2 doses (do not need to start over dosing if they miss the second dose just continue and get the second one?

87
Q

What vaccines should an immunocompromised patient not recieve?

A

Live attenuated

88
Q

What opportunities are their for pharmacists to provide drug information?

A
Direct patient care
Managed care organizations
Insurance industry
Scientific writing and medical community
Pharmaceutical industry
89
Q

What 3 skills do you need to provide accurate drug information?

A

Investigation (ask questions)
Evaluation (think critically)
Communication (speak with confidence and compassion)

90
Q

What are the 3 C’s of successful communication?

A

Character (trust)
Chemistry (compassion/ communication)
Competence (respond with confidence )

91
Q

What are tertiary resources?

A

They are filtered and summarized by the author
Easy to use and access
Lexicomp, Medscape, Textbooks, Review articles

92
Q

What are secondary resources?

A

Indexes and abstracts
Databases
Pubmed, GoogleScholar, AccessPharmacy

93
Q

What resource literature is the most up to date and recent?

A

Primary resources

Medical journals

94
Q

What drug information resources requires skillful discernment and is accessed by professionals?

A

Primary (trials, study, cases)

95
Q

What drug information resource is a search engine and requires proper searching skills?

A

Secondary (pubmed)

96
Q

What drug information resource is the most commonly used and easily accessible?

A

Tertiary (textbooks, review articles, package inserts)