The Pharmacist's role in wellness, self care Flashcards

1
Q

three main categories

A

OTC – “nonprescription medications”
nutritional dietary supplements (vitamin)
natural products and homeopathic remedies

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2
Q

non prescription medications

A

OTC

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3
Q

OTC products are regulated by…..

A

CDER (centers for drug evaluation and research) of the FDA

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4
Q

What are the 4 standards for OTC products

A

safety vs risk
efficacy
purity
stability

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5
Q

give 4 examples of nutritional dietary supplements

A

vitamins, minerals, herbs, and amino acids

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6
Q

“natural products and homeopathic remedies”

A

CAM (complementary and alternative medicine)

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7
Q

what determines a medication’s prescription status?

A

sometimes its the medication, but sometimes its also related to the CONDITION

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8
Q

name 2 conditions that are not considered slef-care conditions and should not be treated without appropriate medical assessment

A

chronic conditions and severe or abrupt symptoms

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9
Q

name 5 reasons to consider a referral

A

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

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10
Q

what does triage mean

A

assess the degree of urgency and potential harm

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11
Q

5 steps of patient care process

A

collect
assess
plan
implement
follow up and evaluate

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12
Q

what are ways to “assess”

A

QUEST
SCHOLAR
PQRST

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13
Q

3 potential plans

A

no recomendation – non pharmacological
recommend – product and non pharm
referral – needs to be seen

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14
Q

COLLECT using effective __________ and _________

A

questioning and listening

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15
Q

what type of info should you collect

A

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

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16
Q

define the QUEST method of planning

A

Q – quickly and accurately assess pt
E == establish if pt is self care candidate
S – suggest appropriate self care strategies
T – talk w patient

17
Q

SCHOLAR tells you…?

A

WHAT TO COLLECT in Q portion of quest

S – symptoms
C – characteristics
H – history
O — onset
L – location
A — aggravating factors
R — remitting factors

18
Q

what is another way of collecting besides SCHOALR

A

PQRSTA method

P – precipitating/palliating (make less severe_
Q – quality of the symptom
R – radiating/remitting (worse)
S – severity
T – time
A – associated symptoms

19
Q

how do you assess if the pt is a candidate for self care treatment

A

the severity, affect on their medications, comorbidies, and daily activities

are labs needed?
overall risk vs benefit

20
Q

drug facts label contains what 7 things

A

API
uses
warnings
inactive ingredients
purpose
directions
other info (storage, lot #, manufacturer/distributer, quantity of contents, expiration, what to do if OD, etc)

21
Q

true or false

supplements, vitamins, herbals, and hemopathy are not regulated by the FDA and thus not required to have a drug facts label

22
Q

7 resources for products without a drug facts label

A

“handbook of non prescription drugs”
natural medicine database
NIH
office of dietary supplements
herbs at a glance
medline plus
books

23
Q

Daily med is a website operated by whom? what info does it contain?

A

US national library of medicine

up to date and accurate drug labels
provdied and updated DAILY by FDA

24
Q

name the 3 types of home test kits

A

screening
home diagnostics
monitoring

25
define screening tests are they specific or non-specific
non specific used to identify possibility of disease before symptoms are present
26
give a specific example of a home screening test
fecal occult blood tests
27
are home diagnostics specific or non specific? give examples
specifc condition UTI, pregancy, ovarian, cholesterol
28
define monitoring home test kits and give specific example
used to monitor a condition ONCE A PATIENT HAS BEEN DIAGNOSED diabetes, hypertension
29
home test kits must be ___ to ___% accurate
95-99%
30
home test kits must be safe and effective with a _____ risk: benefit ratio
low risk
31
true or false home test kits do not have to meet the same standards as professional kits
FALSE -- they do
32
do home test kits have to include warnings and precautions and interfering substances?
yes
33
does NYS allow in pharmcy testing? what is the name for this?
NO CLIA -- clinical lab improvements amendments waiver
34
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
35
immunizer requirements
registered with state board of pharmacy CPR certificate
36
when immunizing, each pt must receive what 2 things
immunization record vaccine information sheet
37
pharmacists and interns are involved with ___ in regards to vaccines while CPHT are involved in _____
clinical decisions vs technical process
38