PBA: Spring 2016 Rx Flashcards
What are the nine (9) prescription drugs and their indication that are possible for the PBA? [Alphabetical order]
- Alendronate (Osteoporosis)
- Carvedilol (Hypertension)
- Clindamycin (Skin infection)
- Doxycycline (Skin infection)
- Finasteride (Benign prostatic hypertrophy)
- Metronidazole (Bacterial vaginosis)
- Montelukast (Asthma)
- Potassium Chloride (Hypokalemia)
- Terazosin (Benign prostatic hypertrophy)
How do you administer ALL forms of Alendronate? (5 components)
- Once a day or Once a week [same day each week]
- Take in morning,
- With Full glass of Water
4, 30 min Before meal, drink or other medication - Do not lie down for at least 30 min.
What additional administration points are required for tablet Alendronate?
Swallow whole, do not crush or chew
What additional administration points are required for oral solution Alendronate? (2 components)
- Administer oral solution,
2. Follow with at least 2 oz of plain water.
What additional information points are required for effervescent tablets Alendronate? (3 components)
- Dissolve 1 tablet in 4 oz ROOM TEMP, PLAIN WATER
- Once effervescence stops, wait at least 5 mins,
- Stir for 10 seconds then drink.
What additional information points are required for maximum benefits from Alendronate? (2 components)
- 1,000-1,200 mg of Calcium per day
2. 800-1,000 IU Vitamin D per day
What are expected benefits of Alendronate?
- Increase in bone density,
2. Typically monitored every 1-2 years.
What are three (3) expected side effects of Alendronate?
- Heartburn
- Pain on swallowing
- Retrosternal (behind breastbone) pain
How do you administer Carvedilol?
- Take with food to minimize risk of orthostatic hypotension
What additional administration points are required for extended-release Carvedilol? (2 components)
- Swallow whole, do not divide crush or chew
2. Capsule may be opened and sprinkled on applesauce for immediate use
What are expected benefits of Carvedilol? (3 components)
- Lower blood pressure,
- Effects seen 30 min-1 hr,
- With peak effects at 1-2 hours.
What are four (4) expected side effects of Carvedilol?
- Hypotension
- Dizziness
- Fatigue/sluggishness
- Weakness
How do you administer Clindamycin? (3 components)
- Take with full glass of water to prevent esophageal/GI irritation,
- May consider recommending probiotic to prevent severe diarrhea [separate dosing of antibiotic and probiotic]
- Take full course of antibiotic even if feeling better
What are expected benefits of Clindamycin? (2 components)
- May take two or three days to see improvement of symptoms,
- Always continue full course of therapy.
What are four (4) expected side effects of Clindamycin?
- Diarrhea
- Abdominal Pain
- Nausea
- Vomiting
How do you administer Doxycycline? (6 components)
- Take with full glass of water,
- and remain upright at least 30 mins to avoid irritation
- May take with food to avoid GI upset
- May cause sun sensitivity [wear sunscreen and avoid tanning beds]
- AVOID antacids, multivitamins and any product containing MAGNESIUM, CALCIUM or ALUMINUM
- Take full course of antibiotics even if feeling better.