Sim lab exercise 1

Question 1

1) A nurse asks you whether metoclopramide is available as a liquid formulation. Which is the best place to find this information?
a. CareNotes
b. RedBook Online
c. Drugdex
d. AHFS Drug Information

Answer 1

b. RedBook Online (Redbook online is an availability resource that provides information on packaging and pricing for prescription and OTC medications. Remember that Red Book online is accessible via Micromedex.)

Question 2

2) A patient presents with an empty medication model and wants to purchase more paracetamol for her headache. You are not familiar with this product and ask her where she purchased it originally. She tells you that she is visiting from England and brought her bottle with her. Which resource would you find information on what paracetamol is and an appropriate alternative therapy?
a. Index Nominum
b. Martindale
c. Trissel’s IV Check
d. LexiDrugs

Answer 2

a. Index Nominum- this provides information on international drug products and is particularly useful for chemical information for medications. This can be found under “Related Results” on the right side of the results page when you pull up a monograph in Micromedex.
b. Martindale- the Complete Drug Reference contains information on international drug products and contains information such as use, dose, and may also include information on similar therapeutic products available in the US. This can be found under “Related Results” on the right side of the page when you pull up monograph in Micromedex.
d. LexiDrugs- this database contains an International Drug Name Listing

Question 3

3) You are on rotation and your preceptor asks you what the current treatment is for a patient with diabetes mellitus. You haven’t learned much about diabetes mellitus at this point and you don’t know which medications are used in the treatment. Which resource would be helpful in this situation?
a. Lexicomp Online
b. Micromedex

Answer 3

b. Micromedex- includes a database called Diseasedex that contains diagnosis and treatment information about general and emergency medicine topics

Question 4

4) A nurse calls you in the hospital pharmacy to see if Zosyn and alemtuzumab are compatible for y-site administration. Which resource allows for searching IV compatibility?
a. Lexicomp online alone
b. Micromedex alone
c. Lexicomp online and Micromedex

Answer 4

c. Lexicomp online and Micromedex- both provide access to Trissel’s Handbook on Injectable Drugs, a reputable resource for questions about IV compatibility and stability

Question 5

5) A physician wants to know the dose of albuterol for the prevention of exercise-induced bronchospasm in a 3-year-old child. Where is the best place to look for this information?
a. Pediatric Drugs in Lexicomp Online
b. Lexidrugs in Lexicomp Online
c. Drugdex in Micromedex
d. These are all comparable

Answer 5

a. Pediatric Drugs in Lexicomp Online

Question 6

6) A physician asks you what the usual starting dose is for lisinopril for the treatment of hypertension. Which resource would be the best place to find this information?
a. Lexicomp Online alone
b. Micromedex alone
c. Both of the above

Answer 6

c. Both of the above- both are valuable resources for dosing information. There is not one preferred over the other, but you should use multiple tertiary resources to confirm the information you find in individual resources.

Question 7

Difference between lexicomp and micromedex

Answer 7

Lexixomp: has species population, infectious diseases and lab

Micromedex: has acute care, disease states and teratogenic