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ptce review > My research > Flashcards

My research Flashcards

0
Q

High alert medications

A 
Insulin.    Lidocaine. 
Heparin.     Oxycontin. 
Mag sulfate.  Promethazine. 
Methotrexate
Warfarin.    Vasopressin. 
Sodium chloride more than 0.9
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1
Q

What is ADE

A

Adverse drug event

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2
Q

High alert classes

A 
Adrenergic(epinephrine) Narcotics. 
Anesthetics
Chemo.   Neuromuscular block agents
Dialysis
Epidural.     Radiocontrast agents. 
IT.      TPNs.
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3
Q

What do PBMs do?

A

Create formularies, negotiate with drug manufacturer for discounts, rebates, determine coverage eligibility. Third party admin of Rx.

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4
Q

PBMs operate ?

A

Mail order pharmacies

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5
Q

largest PBMs?

A

Cvs Caremark
Express scripts - Medco
Prime therapeutics bcbs
OptumRx- UnitedHealth

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6
Q

Normal fasting glucose

A

100 mg/dl 80-120 but not below 60-70 mg/dl or hypoglycemia

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7
Q

Normal insulin level

A

Under 10 IU/ml

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8
Q

A dram equals

A

1/8 ounce
3.7 ml
Around a teaspoon

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9
Q

Over active thyroid autoimmune disease

A

Graves

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10
Q

One drug intensifies another. Total is greater when used together.

A

Potentiation

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16
Q

LR contain

A

Potassium

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17
Q

Pregnancy category highest risk

A

Cat X

A safe, b unknown, c adverse animal studies, d adverse human studies, x high risk of birth defects

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18
Q

Antidote for acetaminophen

A

N acetyl cystine

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19
Q

Usp 797 defines controlled cold temp as

And controlled room temp as

A

2-8 deg C or 36-46 deg F

20-25 deg C or 68-77 deg F

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20
Q

What else can corticosteroids be used for

A

Chemo and antiemetics

Prednisone. Methyl prednisone. Dexamethasone.

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21
Q

Most common side effects of chemo

A

Myelosuppression immunosuppression. Inflamed digestive tract (mucositis) and hair loss

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22
Q

Some examples of chemo

Chritines doxin rubys in a meth trex cycle for some time

A

Methotrexate. Doxorubicin. Cyclophosphamide Vincristine.

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23
Q

Naproxen Prescrip what dose

A

500 mg

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24
Q

Pregnancy cat risks

A 
A-no risk
B-some
C-caution
D- definite risk
X-do not use
25
Q

Two drugs enhance each other

A

Synergistic drugs

26
Q

Difference between Tdap andDTap

A

Tdap-tetanus dip pert (adults)

DTap (child) more pertussis

27
Q

Pregnant or immune compromised should not get ? vaccines

A

MMR, varicella, zoster

28
Q

What is myxedema

A

Hypothyroidism

29
Q

What is Addison’s

A

Adrenal disorder. Deficiency of steroids.

Treated with corticosteroids

30
Q

What is Cushing

A

Adrenal disorder. Over production of steroids

31
Q

Most common diabetes

A

Type II

Most over 40. Women.

32
Q

Insulin dependent

A

Type I diabetes

33
Q

Hypoglycemia level

A

Glucose below 70 mg/dl

34
Q

Who can change a formulary?

A

Pharmacy and therapeutics committee

35
Q

Most serious recall class

A

Class I

Class II and iii less

36
Q

What pain med can be taken with Coumadin

A

Tylenol

37
Q

Kcl sups used in combo with

A

Furosemide

38
Q

Only drug approved to treat hbp pregnancy

A

Methyldopa

39
Q

Hypertonic NaCl

A
  1. 0
  2. 9 is isotonic - similar to natural blood

Above this is hyper tonic. Below is hypo tonic.

40
Q

Recert requires ? CE

A

20 hrs/2 years 1 hr law

41
Q

Unit dose expiration date not over

A

6 months from being opened

42
Q

What is nitro for

A

Angina. Chest pain. Does not normalize heart rate!

43
Q

Can sch II CS be called in

A

Only in emergency (federal law, not state) and must provide written Rx w/in 7 days

44
Q

What does isotonic mean

A

Same ratio of solute to solvent. Same osmotic pressure as blood.

Ex: d5w. LR. NS.

45
Q

What does hypotonic mean

A

Lower salt conc than normal so water flows into cells. Lower osmotic pressure than blood.

Ex: 1/2 NS. 1/3 NS

46
Q

What does hypertonic mean

A

Soln with higher salt conc than normal so water is drawn out of cells. Higher osmotic pressure than blood.

Ex: D10W. 3-5% NS. D5NS. D5 1/2 NS. D5LR.

47
Q

What pain meds can be taken with peptic ulcer

A

Not NSAIDs. NSAIDs can cause peptic ulcers. Tylenol safest.

48
Q

Which bp med comes in patch

A

Clonidine (catapres)

49
Q

Agency regulates medical devices

A

FDA

50
Q

NSAID contraindications

NSAID

A 
Nursing and pregnancy
Serious bleeding
Asthma allergy
Impaired renal function
Drug anti coagulation (Coumadin)
51
Q

5 rights

Tramp

A 
Time
Route
Amount dose 
Med
Patient
52
Q

What does MAC mean

A

Maximum allowable cost set by PBMs

ptce review (2 decks)

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