OSCE Flashcards
When would you use motivational interviewing?
Smoking
Physical inactivity
Unhealthy eating habits
Alcohol misuse
Unsafe sex
Poor self care
What is the spirit of MI?
PACE
Partnership
Autonomy
Compassion
Evocation
How would you show partnership for motivational interviewing?
Use Cooperative conversation
How would you show autonomy for MI?
Acknowledge the freedom to choose
How would you show compassion during Mi?
Give priority to the patients needs
How would you show evocation during Mi?
Envoke their own motivations
What are the strategies of MI?
Open ended questions
Affirmation
Reflective listening
Summarizing
OARS
What are the principles of MI?
Express empathy
Devolop discrepancy
Avoid argumentation
Roll with resistance
Support self efficacy
How would you express empathy during MI?
Seek first to understand
How would you develop discrepancy during MI?
Active listening
How would you avoid argumentation during MI?
Remain calm and use reflective statements and know that it is a protective response
How would you roll with resistance during MI?
Know resistance is natural and affirm the patient’s autonomy
How would you support self efficacy during MI?
Build confidence, let the patient know you believe in them
What does SBAR stand for?
Situation
Background
Assessment
Reccomendation
What would you say in the S of an SBAR?
Your name, your title and work, doctors name, patients name and date of birth of whom you are calling about and what you are calling to do
Hi my name is Sarah Holmes. I am the Pharmacist here at WCU Pharmacy calling for Dr. X. I am calling in regards to patients name DOB.
What would you put in the B of SBAR?
The background information, the patients information, if she has any allergies, the background of the situation like what the problem is
I see here the patient is allergic to penicillin and Amoxil was prescribed for the patient.
What would you put in the A of SBAR?
What your thoughts of the situation are
Amoxil is a derivative of penicillin in which the patient would have a reaction to this medication.
What would you put in the R in SBAR?
What you think should be done to clear up the situation as well as your number
I reccomend prescribing Clindamycin in replacement for this therapy. Please give me a call back at 9999999999
What three questions must you ask during counseling?
What did the prescriber tell you this medication is for?
How did the prescriber tell you to take this medication?
What did the prescriber tell you to expect from this medication in terms of side effects and outcome?
What is the first thing you should do during counseling?
Greet the patient and introduce yourself as a student pharmacist
Confirm the patients name and date of birth and allergies
What must you obtain in order to counsel a patient?
Consent to counsel
What must you provide when closing the consultation?
Contact information for follow up questions and ask if they have any comments or concerns
What are some things that should be included about the patient medication history during an interview?
Allergies
Adverse reactions
Date of birth
Current medications
What is the brand name of Tramadol?
Ultram
What is tramadol used for?
Pain reliever
What is the normal dose for tramadol?
50-100mg by mouth every 4-6 hours as needed for pain (max dose of 400 mg a day)
Should tramadol be taken with food?
Does not matter
What should you tell the patient about a missed dose of Tramadol?
Skip the missed dose and return to regular scheduling. DO NOT DOUBLE DOSE
What are the side effects of Tramadol?
dizziness, headaches, drowsiness
Seretonin syndrome and seizures (altered mental status)
How should you store tramadol?
Store at room temperature
Dispense in a tight container
What is the brand name for Celecoxib?
Celebrex
What is celebrex used for?
What is the reccomended dosing for celebrex 100 or 200 mg twice daily with or without food
What to do if you miss a dose of celebrex?
Take the dose as soon as possible unless it is near your next dose. do not double dose
What are the adverse effects of celebrex?
Hypertension
Edema
stroke
How should you store celebrex?
Room temperature but cooler conditions are permitted
What is the brand name of HCTZ?
Microzide
What is hctz used for?
reduce blood pressure and relieve symptoms of fluid retention
What is the dose for HCTZ?
12.5-100 mg once daily
in the morning with or without food no later than 6pm
What should you do if you miss a dose of HCTZ?
Take as soon as possible if not near next dose do not double dose
What are the side effects of HCTZ?
Orthostatic hypotension
Nausea
Diarrhea
How should you store HCTZ?
room temp
tight light resistant container with child resistant closure
What is the brand name for risedronate?
Actonel
What is actonel used for?
Reduce bone resorption due to osteoporosis to improve bone health
What is the reccomended dose for actonel?
5-150 mg take with water at 30 min before the first food or drink of the day do not lie down for 30 min after
What are the side effects of actonel?
Back pain
Abdominal pain
difficulty breathing
How do you store actonel?
store at room temperature
What is the brand name for sertraline?
Zoloft
What is the use of zoloft?
mental conditions
What is the dose for zoloft?
25-100 mg once daily with or without food morning or evening
What to do if you miss a dose of sertraline?
Take as soon as possible unless near the next dose do not double dose
What are the adverse effects of zoloft?
Nausea, loss of appetite, anxiety, change in mood
How do you store zoloft?
at room temperature
