Tert Resources Part 1 Flashcards
Physician about to administer Depakene IV for an adult patient with epilecticus and requires the dosage appropriate for an adult. Where should he look?
Lexicomp type name, monograph, adult dosing for epilepticus
Why did the doctor need to call to ask about administering Depakene IV for an adult patient
off-label use
Physicians’ Desk Reference
compilation of prescription package inserts
- manuf must pay
- may not be comprehensive
- limited pill images and data from clinical trials
Micromedex
similar features to lexicomp
You’re performing MTM at your pharmacy. Your patient has heart failure and is taking cilostazol. Where would you look to find out if she can take this medication
lexicomp, drug name, monograph, contraindications
what does it usually mean when a doctor calls you to ask about dosing for a particular medication
intending to use it for off-label use in which the dosing not listed on the drug label the physician has access to
what does it mean when they tell you someone is taking a medication while having a particular disease
may be a contraindication, check lexicomp - monograph
Patient is taking Xanax 0.25 for anxiety, asks if she can just stop this medication, what do you use to find out
lexicomp, monograph, warnings/precautions - should decrease dose slowly
What do you use if you want to determine the interaction between two drugs
lexicomp, interactions tab
Given patient disease:
- renal function impairment
- creatinine clearance 47 ml/min (CKD stage)
what should his dose of Januvia be
lexicomp, monograph, dosing: renal impairment
Patient stops by pharmacy after his dialysis to purchase Magnesium Citrate because he hasn’t had a bowel movement for 2 days what should you do
Handbook of non-rx drugs,
on immediate page look for gastrointestinal disorders: constipation, exclusions for self-treatment.
He had dialysis, which is an indication of an inflammatory bowel disease so he should avoid this product and contact his physician?
handbook of Non-rx drugs focuses on
non-rx drugs, organized by body system/disorders
-includes self-treatment criteria, algorithms, and available products
Trissel’s
preparation of sterile and nonsterile dosage forms
- stability, beyond use dating
y site, solution, admixture, and syringe compatibility
How can you access trissel’s
micromedex, iv compatibility
y-site compatibility
single drug admin simult at a Y-site connection with another drug in soln
solution compatibility
single drug in a solution
admixture compatibility
two drugs in a solution
syringe compatibility
two drugs in a syringe
where would you look to find out what solution amphotericin B (cholesteryl sulfate complex) compatible with
iv compatibility
just type in the drug name and it will give you a list of solutions it’s compatible with
is amphotericin B (cholesteryl sulfate complex) with a conc of 0.83mg/ml compatible with cefoxitin, conc of 20mg/ml when using a y-site
lexicomp, iv compatibility - type in both drugs, yes
Brigg’s
pregnancy and lactation
-categories
Cat A
no risk
Cat B
no risk in animals, no studies in humans
Cat C
adverse effects in animals, no studies in humans
but potential benefit may outweigh risk
