safe med Flashcards

1
Q

when a patient receives a prescription but never gets it filled

A

primary nonadherence

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2
Q

example of unintentional nonadherence

A

forgetting to take meds

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3
Q

example of intention nonadherence

A

not taking meds because you don’t like the side effects

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4
Q

therapy related factors that can influence adherence

A

regimen changes frequently
drug side effect
complex admin technique such as use of a spacer
med requires multiple daily dosing

(expensive is not a THERAPY related factor)

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5
Q

likely ways a pharmacist would assess med adherence of a patietn

A

ask patient to self report
assess patient’s refills
assess clinical response to med (BP Monitoring)
administer a questionnaire (SEAMS)

NOT electronic monitoring devices– those are mostly used in trials

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6
Q

concept of self efficacy means

A

assessing a person’s confidence that they can take their medications as prescribed

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7
Q

what adherence measure is endorsed by the pharmacy quality alliance (PQA)

A

proportion of days covered (PDC)

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8
Q

what is the PDC threshold above which patients are generally considered to be adherent

A

80%

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9
Q

Morisky-4 assesses for?

A

forgetfulness, abatement of disease symptoms, side effects

NOT affordability

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10
Q

what med adherence tool assesses self efficacy

A

SEAMS

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11
Q

Merck Adherence estimator assesses

A

affordability
harm/side effects
beliefs about meds

NOT forgetfulness

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12
Q

how can pharmacists improve med adherence

A

adherence packaging
med sync
simplifying the regimen

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13
Q

asthma control test

A

for patients 12 and older
(5 items, asks about the last 4 weeks)

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14
Q

depression screening with PHQ-2

A

is SCREENING only; not a diagnosis; have to get evaluated

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15
Q

GAD-7 is used for

A

screening for generalized anxiety disorder

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16
Q

what is DAST-10

A

questions on drug use, using yes/no questions

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17
Q

what is the opioid risk tool

A

self-administered tool assessing a patient’s history of substance abuse for alcohol and prescription/illicit drugs, includes personal and family history, male/female changes score, history of psych diseases is included in scoring

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18
Q

brief pain inventory short form

A

asks about how pain impacts patient’s daily living activities

19
Q

stanford pain scale

A

uses 0-10 pain scale with detailed descriptions for each number ranking

20
Q

what is STEADI

A

screens for fall risk

21
Q

REALM-SF

A

does not assess for numeracy
requires subjects to read 7 lay medical terms
takes less than a minute

22
Q

newest vital sign (NVS)

A

nutritional label to assess health literacy
assesses numeracy

23
Q

health risk assessments

A

some payors ask pharmacists to conduct
cover topics like diet, exercise, medical conditions, living situations
pharmacists can use to identify opportunities for patient services

24
Q

when to administer NAC for APAP overdose

A

4 hr levels > 150 mg/dl
can’t plot it prior to 4 hr

25
acute on chronic toxic ingestion
elderly patient home meds include digoxin, etc and took triple their normal dose of digoxin
26
naloxone effect in individuals without acute opioid toxicity or chronic opioid dependence
no effect
27
naloxone is a reasonable treatment option for overdose of which substances
opioids, loperamide, dextromethorphan
28
t/f: when treating a digoxin overdose, if total serum digoxin levels rise 2 hours after Digi-Bind administration, give another vial of digi-bind
false
29
treatment of local snakebite (crotaline) species
elevate the limb DO NOT TOURNIQUET OR ATTEMPT TO EXTRACT VENOM
30
poison help line number
1 800 222 1222
31
elimination techniques
gastric lavage activated charcoal whole bowel irrigation hemodialysis
32
sodium bicarbonate is used for what toxicity
aspirin/salicylate
33
what type of med error: electronic order received, 10 times the recommended dose
error of commission
34
which occurs most frequently and which occurs least frequently: ADE, DRHC, medication error
most frequent: med error least frequent: ADE
35
what type of incident is this: a patient developed AKI after receiving a combo of vancomycin and zosyn
ADE
36
patient's INR was not checked. in what process node did this error occur
monitoring
37
computer provider order entry was developed to prevent medication errors in what node
prescribing
38
smart pumps prevent errors in what node
administration
39
guidelines for prescribers to adhere to when ordering medications
use a leading zero do not use a trailing zero use the metric system
40
strategies for low health literacy
use everyday words use the teach back method "show me" encourage questions easy to read materials repeat key messages
41
ADL assessments
Katz- assesses basic ADLs Lawton IADL- assesses advanced activities like medication responsibility, shopping
42
cognitive impairment assessments
Mini-Mental State Exam (MMSE) Mini-Cog Abbreviated Mental Test (AMT) Montreal Cognitive Assessment (MoCA)
43
Wong-Baked FACES pain rating scale
asks the person to choose the face that best describes how much pain they have. can be used in ages 3 years and older. commonly used in hospitals
44
CAT
COPD assessment test- not diagnostic- uses to assess disease severity