The Pharmacist's role in wellness, self care

Question 1

three main categories

Answer 1

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

Question 2

non prescription medications

Answer 2

OTC

Question 3

OTC products are regulated by…..

Answer 3

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

Question 4

What are the 4 standards for OTC products

Answer 4

safety vs risk
efficacy
purity
stability

Question 5

give 4 examples of nutritional dietary supplements

Answer 5

vitamins, minerals, herbs, and amino acids

Question 6

“natural products and homeopathic remedies”

Answer 6

CAM (complementary and alternative medicine)

Question 7

what determines a medication’s prescription status?

Answer 7

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

Question 8

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

Answer 8

chronic conditions and severe or abrupt symptoms

Question 9

name 5 reasons to consider a referral

Answer 9

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

Question 10

what does triage mean

Answer 10

assess the degree of urgency and potential harm

Question 11

5 steps of patient care process

Answer 11

collect
assess
plan
implement
follow up and evaluate

Question 12

what are ways to “assess”

Answer 12

QUEST
SCHOLAR
PQRST

Question 13

3 potential plans

Answer 13

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

Question 14

COLLECT using effective __________ and _________

Answer 14

questioning and listening

Question 15

what type of info should you collect

Answer 15

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

Question 16

define the QUEST method of planning

Answer 16

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

Question 17

SCHOLAR tells you…?

Answer 17

WHAT TO COLLECT in Q portion of quest

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

Question 18

what is another way of collecting besides SCHOALR

Answer 18

PQRSTA method

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

Question 19

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

Answer 19

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

are labs needed?
overall risk vs benefit

Question 20

drug facts label contains what 7 things

Answer 20

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

Question 21

true or false

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

Answer 21

true

Question 22

7 resources for products without a drug facts label

Answer 22

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

Question 23

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

Answer 23

US national library of medicine

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

Question 24

name the 3 types of home test kits

Answer 24

screening
home diagnostics
monitoring

Question 25

define screening tests
are they specific or non-specific

Answer 25

non specific
used to identify possibility of disease before symptoms are present

Question 26

give a specific example of a home screening test

Answer 26

fecal occult blood tests

Question 27

are home diagnostics specific or non specific? give examples

Answer 27

specifc condition
UTI, pregancy, ovarian, cholesterol

Question 28

define monitoring home test kits and give specific example

Answer 28

used to monitor a condition ONCE A PATIENT HAS BEEN DIAGNOSED

diabetes, hypertension

Question 29

home test kits must be ___ to ___% accurate

Answer 29

95-99%

Question 30

home test kits must be safe and effective with a _____ risk: benefit ratio

Answer 30

low risk

Question 31

true or false

home test kits do not have to meet the same standards as professional kits

Answer 31

FALSE – they do

Question 32

do home test kits have to include warnings and precautions and interfering substances?

Answer 32

yes

Question 33

does NYS allow in pharmcy testing? what is the name for this?

Answer 33

NO
CLIA – clinical lab improvements amendments waiver

Question 34

can pharmacists immunize with no prescription?

Answer 34

yes if there’s a standing order – prewrittenorder with specific instructions allowing another practitioner to adminsiter a medication/vaccine according to protocol

Question 35

immunizer requirements

Answer 35

registered with state board of pharmacy
CPR certificate

Question 36

when immunizing, each pt must receive what 2 things

Answer 36

immunization record
vaccine information sheet

Question 37

pharmacists and interns are involved with ___ in regards to vaccines while CPHT are involved in _____

Answer 37

clinical decisions vs technical process