The Pharmacist's role in wellness, self care Flashcards
three main categories
OTC – “nonprescription medications”
nutritional dietary supplements (vitamin)
natural products and homeopathic remedies
non prescription medications
OTC
OTC products are regulated by…..
CDER (centers for drug evaluation and research) of the FDA
What are the 4 standards for OTC products
safety vs risk
efficacy
purity
stability
give 4 examples of nutritional dietary supplements
vitamins, minerals, herbs, and amino acids
“natural products and homeopathic remedies”
CAM (complementary and alternative medicine)
what determines a medication’s prescription status?
sometimes its the medication, but sometimes its also related to the CONDITION
name 2 conditions that are not considered slef-care conditions and should not be treated without appropriate medical assessment
chronic conditions and severe or abrupt symptoms
name 5 reasons to consider a referral
fever that hasnt been seen by physician
sudden and severe onset of symptoms
long lasting
comorbidities like dementia, arrythmia
may be a sign of worsening of an existing condition
what does triage mean
assess the degree of urgency and potential harm
5 steps of patient care process
collect
assess
plan
implement
follow up and evaluate
what are ways to “assess”
QUEST
SCHOLAR
PQRST
3 potential plans
no recomendation – non pharmacological
recommend – product and non pharm
referral – needs to be seen
COLLECT using effective __________ and _________
questioning and listening
what type of info should you collect
about the pt – age, gender, life style,
medical history ** – allergies, medications, conditions, past treatments
nature of condition (WHATS CAUSING? DOES IT NEED REFERRAL)
social determinants of health
cultural and religious circumstances
define the QUEST method of planning
Q – quickly and accurately assess pt
E == establish if pt is self care candidate
S – suggest appropriate self care strategies
T – talk w patient
SCHOLAR tells you…?
WHAT TO COLLECT in Q portion of quest
S – symptoms
C – characteristics
H – history
O — onset
L – location
A — aggravating factors
R — remitting factors
what is another way of collecting besides SCHOALR
PQRSTA method
P – precipitating/palliating (make less severe_
Q – quality of the symptom
R – radiating/remitting (worse)
S – severity
T – time
A – associated symptoms
how do you assess if the pt is a candidate for self care treatment
the severity, affect on their medications, comorbidies, and daily activities
are labs needed?
overall risk vs benefit
drug facts label contains what 7 things
API
uses
warnings
inactive ingredients
purpose
directions
other info (storage, lot #, manufacturer/distributer, quantity of contents, expiration, what to do if OD, etc)
true or false
supplements, vitamins, herbals, and hemopathy are not regulated by the FDA and thus not required to have a drug facts label
true
7 resources for products without a drug facts label
“handbook of non prescription drugs”
natural medicine database
NIH
office of dietary supplements
herbs at a glance
medline plus
books
Daily med is a website operated by whom? what info does it contain?
US national library of medicine
up to date and accurate drug labels
provdied and updated DAILY by FDA
name the 3 types of home test kits
screening
home diagnostics
monitoring
define screening tests
are they specific or non-specific
non specific
used to identify possibility of disease before symptoms are present
give a specific example of a home screening test
fecal occult blood tests
are home diagnostics specific or non specific? give examples
specifc condition
UTI, pregancy, ovarian, cholesterol
define monitoring home test kits and give specific example
used to monitor a condition ONCE A PATIENT HAS BEEN DIAGNOSED
diabetes, hypertension
home test kits must be ___ to ___% accurate
95-99%
home test kits must be safe and effective with a _____ risk: benefit ratio
low risk
true or false
home test kits do not have to meet the same standards as professional kits
FALSE – they do
do home test kits have to include warnings and precautions and interfering substances?
yes
does NYS allow in pharmcy testing? what is the name for this?
NO
CLIA – clinical lab improvements amendments waiver
can pharmacists immunize with no prescription?
yes if there’s a standing order – prewrittenorder with specific instructions allowing another practitioner to adminsiter a medication/vaccine according to protocol
immunizer requirements
registered with state board of pharmacy
CPR certificate
when immunizing, each pt must receive what 2 things
immunization record
vaccine information sheet
pharmacists and interns are involved with ___ in regards to vaccines while CPHT are involved in _____
clinical decisions vs technical process
