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Pharm Practice II > Week 1: Headache/Fever > Flashcards

Week 1: Headache/Fever Flashcards

1
Q

define meaning of nonprescription status

A
  • may be used without medical supervision
  • self diagnose, self-treat, self-manage
  • low potential for abuse and misuse
  • benefits outweigh risks
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2
Q

whats required on OTC labels?

A
  • drug facts
  • expiration date
  • warnings
  • uses
  • ingredients
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3
Q

Make sure to ask pt appropriate questions to make proper recommendations. Ex. make sure they aren’t taking blood pressure medication when recommending an OTC which may raise BP

A

.

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4
Q

Use what patient-care process to determine appropriate OTC recommendation?

A

CAPIF

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5
Q

what do you collect?

A

S and O

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6
Q

what do you assess?

A

appropriateness of recommendation using pt health info

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7
Q

Steps to make a recommendation for a patient complaining about a headache:

A
  1. assess pt & pain, obtain medical & med history, ask about attempted treatments
  2. If pt falls under any of the exclusions for self-treatment give them a medical referral
    IF THEY DON’T ->
  3. if using pain meds for HAs more than 3x/wk decrease use over a few days. if HA persists see Dr
    IF THEY DON’T ->
  4. If pt has diagnosed migraines or symptoms typical of sinus or episodic tension-type HA recommend appropariate nonpharm/pharm therapy
    -> if not, refer to Dr.
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8
Q 
Tension-Type Headache
Location:
Feeling:
Intensity:
Onset:
Duration:
Aggrevators:
Non-headache symptoms:
A 
bilateral
tightening, pressing, constricting
mild-moderate
gradual onset
30 min to 7 days
stress, anxiety
scalp tenderness, neck pain and muscle tension
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9
Q 
Migraine Headache
Location:
Feeling:
Intensity:
Onset:
Duration:
Aggrevators:
Non-headache symptoms:
A 
usually unilateral
throbbing, pulsating
moderate-severe
sudden onset
4-72 hrs
physical activity, light, sound
nausea, vomiting, aura
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10
Q 
Sinus Headache
Location:
Feeling:
Intensity:
Onset:
Duration:
Aggrevators:
Non-headache symptoms:
A

face, forehead, or periorbital area (eyebrow level)
pressure behind eyes or face, dull and bilateral pain
mild-severe
simultaneous with sinus symptoms
days (resolves with sinus symptoms
nasal congestion
nasal congestion, nasal discharge

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11
Q

what are the exclusions for self-treatment for a headache (when you should give pt a medical referral)

A 
severe pain
continuous, worsening HAs
HA persists for 10 days w/ or w/o treatment
under 8 y/o
high fever/sign of infection
neck stiffness
last trimester of pregnancy
new headache during pregnancy
history of liver disease or has over 3 alcoholic drinks daily
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12
Q

clinical reasons to avoid recommending salicylates and NSAIDS:

A 
asthma
GI ulcers
gout
 using anti-coagulant therapy/coagulation disorder
HBP
congestive heart failure (CHF)
kidney disease
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13
Q

if pt under 12 y/o, what drug should you avoid?

A

naproxen

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14
Q

if pt under 18 y/o, what drug should you avoid?

A

salicylates

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15
Q

for children younger than 12:
what is the weight based dosing for ibuprofen?
dosing interval?
maximum daily dose?

A

5-10 mg/kg
q 6-8h
300mg per dose up to 4 doses, DNE 1200mg/day

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16
Q

max dose of ibuprofen for 6-11 months 12-17 lbs?

acetaminophen?

A

50mg

80mg

17
Q

max dose of ibuprofen for 12-23 months 18-23 lbs?

acetaminophen?

A

75mg

120mg

18
Q

max dose of ibuprofen for 2-3 years 24-35 lbs?

acetaminophen?

A

100mg

160mg

19
Q

max dose of ibuprofen for 4-5 years 36-47 lbs?

acetaminophen?

A

150mg

240mg

20
Q

max dose of ibuprofen for 6-8 years 48-59 lbs?

acetaminophen?

A

200mg

320mg

21
Q

max dose of ibuprofen for 9-10 years 60-71 lbs?

acetaminophen?

A

250mg

400mg

22
Q

max dose of ibuprofen for 11 years 72-95 lbs?

acetaminophen?

A

300mg

480mg

23
Q

for children younger than 12:
what is the weight based dosing for acetaminophen?
dosing?
maximum daily dose?

A

10-15 mg/kg
q 4-6h
480mg per dose up to 5 doses, DNE 2400mg/day

24
Q

adult maximum daily dose of acetaminophen IR?

A

325-1000mg q 4-6h, DNE 3000 mg

25
Q

adult maximum daily dose of acetaminophen XR?

A

650-1300mg q8h, DNE 3000mg

26
Q

adult maximum daily dose of ibuprofen?

A

200-400mg q 4-6h, DNE 1200mg

27
Q

adult maximum daily dose of naproxen?

A

initial dose: 2 tablets within first hour

220mg q 8-12h, DNE 660mg

28
Q

adult maximum daily dose of aspirin?

A

325-1000mg q 4-6h, DNE 4000mg

29
Q

adult maximum daily dose of magnesium salicylate?

A

1160mg q6h, DNE 4640mg

30
Q

why should you not mix acetaminophen with alcohol?

A

increased risk of hepatotoxicity

31
Q

why should you not mix acetaminophen with warfarin?

A

inc risk of bleeding

32
Q

why should you not mix aspirin and NSAIDs?

A

inc risk of bleeding

33
Q

why should you not mix ibuprofen with aspirin?

A

dec antiplatelet effect of aspirin

34
Q

Steps to make a recommendation for a patient complaining about a fever:

A
  1. ask if temp has been taken, take temp
  2. obtain symptom info, med history, allergy info
  3. If pt falls under any of the exclusions for self-treatment give them a medical referral
    IF THEY DON’T ->
  4. if temp over 100.1 recommend non-pharm/pharm therapies
    IF UNDER 100.1 ->
  5. is patient over the age of 2? if not and fever has been there over 24 hours contact De
  6. if patient over age of 2, if fever has not resolved after 3 days see Dr
35
Q

what are the exclusions for self-treatment for a fever (when you should give pt a medical referral)

A 
severe symptoms of infection
child with spots/rash
child refuses to drink fluids
child who is very sleepy
child with temp over 104
child with stiff neck
36
Q

why should you not give salicylates to children under 18?

A

increases risk of reye’s syndrome

37
Q 
cluster headache:
Location:
Feeling:
Intensity:
Onset:
Duration:
Aggrevators:
Non-headache symptoms:
A 
unilateral clustering around eye
burning, piercing, throbbing
very intense
5 to 10 minutes
usually 30-90 min
cigarette smoke, alcohol, strong smells
eye redness/watering, runny/congested nose, warm face, sweating, light sensitivity

Pharm Practice II (15 decks)

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