Tert Resources Part 1

Question 1

Physician about to administer Depakene IV for an adult patient with epilecticus and requires the dosage appropriate for an adult. Where should he look?

Answer 1

Lexicomp type name, monograph, adult dosing for epilepticus

Question 2

Why did the doctor need to call to ask about administering Depakene IV for an adult patient

Answer 2

off-label use

Question 3

Physicians’ Desk Reference

Answer 3

compilation of prescription package inserts

• manuf must pay
• may not be comprehensive
• limited pill images and data from clinical trials

Question 4

Micromedex

Answer 4

similar features to lexicomp

Question 5

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

Answer 5

lexicomp, drug name, monograph, contraindications

Question 6

what does it usually mean when a doctor calls you to ask about dosing for a particular medication

Answer 6

intending to use it for off-label use in which the dosing not listed on the drug label the physician has access to

Question 7

what does it mean when they tell you someone is taking a medication while having a particular disease

Answer 7

may be a contraindication, check lexicomp - monograph

Question 8

Patient is taking Xanax 0.25 for anxiety, asks if she can just stop this medication, what do you use to find out

Answer 8

lexicomp, monograph, warnings/precautions - should decrease dose slowly

Question 9

What do you use if you want to determine the interaction between two drugs

Answer 9

lexicomp, interactions tab

Question 10

Given patient disease:
- renal function impairment
- creatinine clearance 47 ml/min (CKD stage)
what should his dose of Januvia be

Answer 10

lexicomp, monograph, dosing: renal impairment

Question 11

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

Answer 11

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?

Question 12

handbook of Non-rx drugs focuses on

Answer 12

non-rx drugs, organized by body system/disorders

-includes self-treatment criteria, algorithms, and available products

Question 13

Trissel’s

Answer 13

preparation of sterile and nonsterile dosage forms
- stability, beyond use dating
y site, solution, admixture, and syringe compatibility

Question 14

How can you access trissel’s

Answer 14

micromedex, iv compatibility

Question 15

y-site compatibility

Answer 15

single drug admin simult at a Y-site connection with another drug in soln

Question 16

solution compatibility

Answer 16

single drug in a solution

Question 17

admixture compatibility

Answer 17

two drugs in a solution

Question 18

syringe compatibility

Answer 18

two drugs in a syringe

Question 19

where would you look to find out what solution amphotericin B (cholesteryl sulfate complex) compatible with

Answer 19

iv compatibility

just type in the drug name and it will give you a list of solutions it’s compatible with

Question 20

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

Answer 20

lexicomp, iv compatibility - type in both drugs, yes

Question 21

Brigg’s

Answer 21

pregnancy and lactation

-categories

Question 22

Cat A

Answer 22

no risk

Question 23

Cat B

Answer 23

no risk in animals, no studies in humans

Question 24

Cat C

Answer 24

adverse effects in animals, no studies in humans

but potential benefit may outweigh risk

Question 25

Cat D

Answer 25

adverse effects in humans but potential benefit outweighs risk

Question 26

Cat X

Answer 26

adverse in humans and animals, risk outweighs benefit

Question 27

where would you look to find out if omeprazole is safe for the fetus during the 2nd trimester of pregnancy

Answer 27

Briggs

Question 28

Where would you look to find out if prescription is appropriate for a woman breastfeeding

Answer 28

Briggs

Question 29

Hansten and Horn’s

Answer 29

drug interactions

Question 30

can find Briggs and Hansten and Horn’s

Answer 30

in lexicomp

Question 31

where would you find the answer to is there a drug-drug interaction between omeprazole and harvoni

Answer 31

lexicomp

Question 32

natural medicine

Answer 32

herbal products

grades (A - F)

Question 33

Grades

Answer 33

A - strong sci evid
B - good sci evid
C - unclear or conflicting sci evid
D - far negative sci evid
F - strong neg sci evid

Question 34

what would you use to answer the question can Echinacea be used to treat the common cold

Answer 34

echinacea is an herb

natural medicine

Question 35

patient wants to know if she can drink green tea.
She uses velcade
how do you find pertinent information to check for her

Answer 35

natural medicine, type green tea, drug interactions tab

Question 36

red book

Answer 36

prescription and OTC products

• availability
• drug information
• pricing
• diff formulations
• NDC