PHAR 740 Exam 1

Question 1

JCPP Pharmacists Patient Care Process

Answer 1

Collect, Assess, Plan, Implement, Follow-up/monitor

Question 2

CDTM

Answer 2

Collaborative Drug Therapy Management

A written agreement between the pharmacist and a collaborating physician, allowing pharmacists to start, stop or adjust medication

Question 3

_______ is a good database to use for working up a chief complaint

Answer 3

UpToDate

Question 4

Vitals

Answer 4

HR, Respiratory Rate, Temp, Weight, Height, BP, Oxygen Saturation and Pain

Question 5

Common locations for HR

Answer 5

Radial Artery, Brachial Artery (have patient rested with elbow extended and palm up) and Carotid Artery

Question 6

Normal Heart rate. Infants? Elderly?

Answer 6

60-100 BPM

Newborns 70-190…gets slower through first years of life

Slows down in elderly

Question 7

Respiratory rate

Answer 7

Must observe for full 60 seconds

Do right after pulse with fingers still on the radial artery. Don’t tell patient you are observing their respirations.

Normal rate 12-20 breaks per minute

Question 8

Temperature Locations

Answer 8

Taken orally (anything hot or cold to drink/eat in past 15 minutes can alter; place under tongue until beep)

Tympanic Membrane (place in ear canal, point forward to eyes, reading will be slightly higher than oral)

Axillary (place under armpit, reading slightly lower compared with oral)

Rectal (reading slightly higher than oral)

Temporal (reading slightly higher than oral)

Question 9

Normal Temperature

Answer 9

98.6 F

~100 for babies
Lower in elderly

Question 10

Normal blood oxygen

Answer 10

95-100

Under 90 is low

Question 11

Normal blood pressure values?

Answer 11

120/80
Toddler can be as low as 80/40
Elderly anything under 120/80 normal

120-139/80-89 = pre-htn
140-159/90-99 = stage 1
160/100 = stage 2

Question 12

Auscultatory GAP

Answer 12

A silent interval that may be present in between systolic and diastolic pressures

Pumping up cuff to 30mmHg above usual helps identify the true systolic, then listen for another 10-30mmHg after the sound disappears to help identify try diastolic

Question 13

Hypertension guidelines

Answer 13

Over 60 - under 150/90
Under 60 - under 140/90
Diabetes - under 140/90
CKD - under 140/90

Question 14

Orthostatic Hypotension

Answer 14

Drop in SBP by at least 20mmHg or 10mmHg for diastolic within 3 minutes of standing

Allow patient to lay supine for 3-10 minutes. Take BP. Have patient stand up with cuff still on, retake BP within 3 minutes.

Symptoms: Lightheaded, visual blurring, unsteadiness, and syncope

Question 15

Hypertensive Crisis

Answer 15

BP over 180/120 with symptoms

Classified as hypertensive urgency or hypertensive emergency

Symptoms: Headache, epistaxis, faint/dizzy, agitated, chest pain, dyspnea, vertigo, paresthesia, arrhythmia, neurologic deficit, vomiting

Complications: Encephalopathy, intracerebral hemorrhage, MI, HF, pulmonary edema, unstable angina, dissecting aortic anyeurysm, preeclampsia/eclampsia, acute kidney injury

Question 16

Biomedical Model of Care

Answer 16

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