Week 1 Flashcards
What should a Patient Med Record include
Full name Address/Telephone Pts age and dob Allergies, DR, chronic conditions Comments
Drug Utilization Review Defined
A review of pts med record and prescription drug order PRIOR to dispensing the medication
DUR includes
New and refill prescriptions
Only done by a pharmacists
OBRA 1990
Requires pharmacists to conduct: DURs, counseling for Medicaid patients, ALL patients
Three steps required of pharmacists
Make reasonable effort to obtain, record and maintain PMR
Conduct DUR when filling and refilling a prescription
Counsel
Annotation
If you don’t write it down, it never happened
Before mixing
Right Produce and right concentration
Check the MDC
Verify/check the entire prescription
What kind of water
Distilled water
How to reconstitute powders for suspension?
Tap and invert the bottle a few time to get the power flowing
Add 1/2-1/3 fo the total amount of water and shake
Invert to ensure that powder adhering is mixing well
Add the rest of the water and shake vigorously