Test 1 Drug Therapy Problems and Assessment

Question 1

Types of Drug Therapy Problems

Answer 1

• Unnecessary drug therapy
• Lack of drug therapy
• Ineffective drug/inappropriate drug
• Dosage too low
• Dosage too high
• Adverse drug reaction
• Nonadherence

Question 2

drug therapy problems: indication

Answer 2

• Unnecessary drug therapy

- Lack of drug therapy

Question 3

drug therapy problems: effectiveness

Answer 3

• Ineffective drug/inappropriate drug

- Dosage too low

Question 4

drug therapy problems: safety

Answer 4

• Dosage too high

- Adverse drug reaction

Question 5

drug therapy problems: adherence

Answer 5

• Nonadherence

Question 6

List and describe the 3 steps of drug therapy assessment

Answer 6

• Collection of patient-specific information
• Assessment of the patient’s drug-related needs
• Identification of drug therapy problems

Question 7

Collection of patient-specific information

Answer 7

The practitioner collects relevant patient-specific information to use in decision making concerning all drug therapies

Question 8

Assessment of the patient’s drug-related needs

Answer 8

The practitioner analyzes the data to determine if all the patient’s medications are appropriately indicated, the most effective, the safest possible, and the patient is able and willing to take the medication as intended.

Question 9

Identification of drug therapy problems

Answer 9

The practitioner analyzes the data to see if any drug therapy problems are present.

Question 10

Questions to ask to look for DTP regarding indications

Answer 10

• Are there any missing medications?

* Are there medications that are unnecessary? Missing an indication?

Question 11

Questions to ask to look for DTP regarding effectiveness

Answer 11

• Is each drug individually appropriate/effective for the problem?
• Are these drugs in combination appropriate for the problem?
• Are all surrogate markers at goal?
• Is the dosage form appropriate to treat the condition?
• Is the dose high enough?
• Is the dosing frequency too far apart?
• Is the medication being administered at the optimal time?
• Is the duration of therapy too short?

Question 12

Questions to ask to look for DTP regarding safety

Answer 12

• Are the doses appropriate based on renal or hepatic function and patient age?
• Is the dosing frequency too close together?
• Is the duration of therapy too long?
• Are there any serious drug interactions among all the drugs?

Question 13

Questions to ask to look for DTP regarding adherence

Answer 13

• Are the medications being filled at appropriate intervals based on refill history