Midterm

Question 1

What goes on an IV bag lab

Answer 1

Institutions name, patient name, room number,patient medical record number, bag number out of how many, medications and quantity in bag, name and volume of solution, instructions with flow rate and route of administration, when prepared, expiration, prepared by, checked by, storage, warnings

Question 2

how do you determine the size of IV bad needed?

Answer 2

look in package insert for what the final concentration should be and set that equal to the amount of drug you want and solve for the missing ml’s

Question 3

what is A1C?

Answer 3

glucose in the blood can glycosolate onto hemoglobin

Question 4

calculate aeG

Answer 4

28.7xA1c-46.7

Question 5

How do you calculate LDL using the friedwald

Answer 5

tc-(HD+(tg/5) if TG is under 400

Question 6

what is included in a fasting lipid panel

Answer 6

TC,LDL,TG,HDL

Question 7

if a lipid panel is done on a non fasting patient what readings are still ok

Answer 7

TC and HDL

Question 8

how long do they need to fast

Answer 8

8-12 hours

Question 9

if a patient recently ate what levels will be inacurate

Answer 9

TG will be higher and ldl will look lower

Question 10

what other than food can affect a lipid panel

Answer 10

drinks other than water, medications, alcohol, smoking, exercsise, genetics, and illness

Question 11

at what age should cholesterol screening start

Answer 11

20

Question 12

how often should a healthy individual be screened

Answer 12

4-6 years

Question 13

what is a benefit of direct LDL assay

Answer 13

TG can be high

Question 14

what levels does a home lipid panel asses

Answer 14

TC and HDL

Question 15

based on TG levels of a non fasting person when should further action be taken

Answer 15

if TG is over 200 then a fasting panel should be done

Question 16

what are the high values for TC, TG, and LDL

Answer 16

TC=240, LDL 160, TG 200

Question 17

Name a consequence of diabetic neuropathy

Answer 17

foot ulcerations an amputation

Question 18

how often should a foot exam be done if there are no risks

Answer 18

yearly

Question 19

how often should foot exams be done if there is neuropathy

Answer 19

every visit

Question 20

how often should foot exams be done if there at one or more high risk factors

Answer 20

at least twice a year

Question 21

if a patient has LOPS and a deformity how often should they have their foot checked

Answer 21

every 3-6 months

Question 22

if a patient has LOPS how often should they have their foot checked

Answer 22

every 3-6 months

Question 23

if a patient has PAD how often should their foot be checked

Answer 23

every 2-3 months

Question 24

if a patients has PAD and LOPS how often should their foot be checked

Answer 24

every 2-3 months

Question 25

if a patient has a past history of foot ulceration how often should their foot be checked

Answer 25

every 1-2 months

Question 26

if a patient has a past history of amputation how often should their foot be checked

Answer 26

every 1-2 months

Question 27

during the 10-g monofilament test what sites should be tested

Answer 27

1, 3, and 5 metatarsal, big toe, and 4th toe (3rd on D2L)

Question 28

name all components of a comprehensive foot exam

Answer 28

PMH, general inspection, dermatologic assessment, musculoskeletal assessment, test for LOPS, and vascular assessment

Question 29

what does topical phenytion do in foot ulcerations

Answer 29

has antimicrobial affect and promotes granulation in a wound

Question 30

what does topical misoprostol do in foot ulcerations

Answer 30

synthetic prostoglandidn that accelerates wound healing

Question 31

what does metronidazole do in foot ulcerations

Answer 31

it is antimicrobial

Question 32

what does nifedipine do in foot care

Answer 32

increases blood flow

Question 33

when treating wounds in a diabetic foot what are the two most important things to do

Answer 33

cause rapid granulation and increase blood flow

Question 34

Why do we use PLO to deliver topical medication?

Answer 34

increases medication absorption into the skin because of its ampapathicness, gel structure, capacity to solubalize many drugs, partitions vehicle into skin vial interactions between lecthin and skin

Question 35

if you want to deliver PLO systemical what delivery method would you use

Answer 35

percutaneous or transdermal

Question 36

if you wanted to deliver PLO just to the site it is needed what delivery method would you use

Answer 36

cutaneous or dermal

Question 37

which ingredients in the PLO are what phase

Answer 37

poloxamer is the water soluble phase and organic solvents and lecithin are oil phase

Question 38

what needs to be on a nonsteril label

Answer 38

pharmacy name, rx number, patient name, doctor, fill date, directions, drug, drug quantity, refills, filled by, warnings/storage, discard by date

Question 39

what is the molecular weight of transdermal drugs

Answer 39

100-800

Question 40

what are the disadvantages of transdermal route as listed in the reading

Answer 40

drug must be potent and you can have contact dermatitis

Question 41

what is the average daily requirement for insulin in type 2 DM

Answer 41

.5-.6u/kg

Question 42

for type 1 DM what are is the ration of mealtime to maintenence

Answer 42

50/50

Question 43

what is the correction factor calculation for rapid acting insulin and regular rapid acting insulin

Answer 43

rapid: 1800/TDD regular: 1500/TDD

Question 44

what is the correction dose

Answer 44

(current BG- target BG)/correction factor

Question 45

what is the insulin/carbohydrate ratio

Answer 45

500/TDD

Question 46

how do you determine how many units of mealtime to give when you know how many carbs you will eat?

Answer 46

find correction factor, correction dose, and insulin/carb ration. Divide amount of carbs by insulin/carb ration and add correction dose to that

Question 47

what does PERRLA stand for?

Answer 47

pupils equal round and reactive to light and accomidation

Question 48

what does EOMI stand for

Answer 48

extra ocular movement intact

Question 49

what is the leading cause of blindness in people under 65

Answer 49

diabetic retinopathy

Question 50

the sympathetic NS causes the eyes to what

Answer 50

dilate, mydriasis

Question 51

the parasympathetic causes the eyes to what

Answer 51

constrict, miosis

Question 52

when changing focus from far to near the eyes should

Answer 52

constrict

Question 53

when changing focus from near to far the eyes should

Answer 53

dilate

Question 54

what does the confrontation test test?

Answer 54

peripheral vision

Question 55

what does the rosenbaum chart test

Answer 55

near site

Question 56

what does the cover-uncover test test

Answer 56

motility

Question 57

what does the H test test

Answer 57

EOMI

Question 58

what eye test do pharmacists do the most and why

Answer 58

EOMI because nystagmus are common side effects of medications

Question 59

what should the eardrum look like

Answer 59

shiny, transluscent pearly gray, intact