Medication Flashcards

1
Q

What are medications?

A

Medications are substances that when put into or onto the body will change one or more ways the body works. Medications are used to treat illness, disease, pain or behavior.

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2
Q

What is the goal for when a medication is prescribed?

A

That the person’s symptoms will lessen and their quality of life will improve.

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3
Q

What are important observations?

A

Desired effects and side effects

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4
Q

What are brand name medications?

A

A medication created and made by a specific pharmaceutical company. When a pharmaceutical company creates a medication they are allowed to name it. The only way to receive a brand name from the pharmacist is for the Health Care Provider (HCP) to include ‘no substitution’ at the bottom of the prescription form.

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5
Q

What are generic Medications?

A

Medications known by their chemical name and are manufactured by many different pharmaceutical companies. Generic medication is similar to its brand name medication but is less expensive; the name is different and may have a different color, marking, shape, and/or size

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6
Q

What does IC mean?

A

Abbreviation for ‘interchange’. This means the generic name medication was supplied by the pharmacy in place of the brand name medication.

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7
Q

What are all prescription medications known as?

A

Controlled substances. This means a prescription from a HCP is required to obtain the medication from a pharmacy.

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8
Q

What are Controlled substances are placed into?

A

Schedules. The schedules are numbered as Roman numerals; II, III, IV, V and VI. The schedule a substance is placed in is based on its abuse potential, and when abused, its chance of causing dependence.

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9
Q

What are the three categories of medications?

A

•Controlled (Schedule VI)

•Countable Controlled (Schedule II-V)

•Over-the-Counter (OTC)

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10
Q

What are Controlled medications (schedule VI)?

A

A medication that requires a prescription, submitted by the HCP, in order to obtain the medication from a pharmacy. The pharmacist uses the information on the prescription to prepare and label the medication.

Examples of controlled medications include antibiotics (Amoxicillin), antidepressants (Prozac) and antipsychotics (Haldol)

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11
Q

What are the requirements for Controlled Medications?

A

•A HCP order for administration

•Labeled and packaged by the pharmacy
In a bottle or
-May be in a tamper resistant package

•Secured in a key locked area

•Tracked using a
°Medication Ordering/Receiving log
°Medication sheet
-Where the medication is documented after administration
°Medication Release Document
°DPH Disposal Record

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12
Q

What are Countable controlled medication (schedule II-V)?

A

Medications sometimes called narcotics. Due to the high risk for these medications to be stolen and abused, countable controlled medications have additional security measures in place.

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13
Q

What are Countable controlled medication requirements?

A

•A prescription, written by the HCP, in order to obtain the medication from a pharmacy.
°The pharmacist uses the information on the prescription to prepare and label the medication.

•The only packaging option is tamper resistant packaging.

•The pharmacy must also add an ‘identifier’ on the package to alert you that it is a countable controlled medication °Identifier examples include a ‘C’ stamped on the package, an Rx (prescription) number that may start with a ‘C’ or an ‘N’ or the package itself may be color coded.
°In the event the pharmacy has no obvious identifier, the pharmacist must be contacted for assistance in determining which medications delivered are countable controlled.

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14
Q

How are Countable controlled medications stored?

A

•Secured in a double key locked area
°A key lock within a key lock
•The reason for a double key locked storage area is to maintain medication security

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15
Q

How are Countable controlled medications tracked?

A

-Medication Ordering/Receiving log
-Count Book
•Added into a Count Book as medications come into the program
•Subtracted from a Count Book as medications are removed from the package or transferred
-Medication sheet
•Where the medication is documented after administration
-Medication Release Document
-DPH Disposal Record

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16
Q

How are Countable controlled medications counted?

A

Counted every time the medication storage keys change hands

Counting this frequently ensures medications are secure and Protects you from being accused of mishandling or misusing medication
Assists you in adhering to laws, regulations, and policies

17
Q

What are over the counter medications(OTC)?

A

Nonprescription medication may be purchased from a pharmacy without a prescription from the HCP

18
Q

What are OTC medication requirements?

A

•An HCP order for administration

•Packaged
By the pharmacy in a tamper-resistant package or bottle or
In the manufacturer’s container

•Managed in one of two ways

°Labeled by the pharmacy
You must ask the HCP to submit a prescription for the OTC medication ordered so that the pharmacy will prepare and label the medication

°Verified by the Service Provider designee
The designee will ensure that the manufacturer’s label of the OTC medication purchased agrees with what the HCP ordered
After the OTC medication is verified, you will receive ‘OTC Medications and Dietary Supplements without a Pharmacy Label Training’ before administering the OTC medication.
You will know the verification procedure was completed when you see the person’s name, the verification date and the designee’s initials printed on the OTC medication container and the designee’s initials and verification date in the margin of the HCP order
‘OTC Medications and Dietary Supplements without a Pharmacy Label Training’ is person and product specific.

•Secured in a key-locked area

•Tracked using a
Medication Ordering/Receiving log
Medication sheet
Where the medication is documented after administration
Medication Release Document

19
Q

What are dietary supplements?

A

Products that contain dietary ingredients such as vitamins, minerals, herbs or other substances

20
Q

What are dietary supplement requirements?

A

•An HCP order for administration

•Packaged
By the pharmacy in a tamper-resistant package or bottle or
In the manufacturer’s container

•Managed in one of two ways

°Labeled by the pharmacy
You must ask the HCP to submit a prescription for the dietary supplement ordered so that the pharmacy will prepare and label the dietary supplement

°Verified by the Service Provider designee
The designee will ensure that the manufacturer’s label of the dietary supplement purchased agrees with what the HCP ordered
After the dietary supplement is verified, you will receive ‘OTC Medications and Dietary Supplements without a Pharmacy Label Training’ before administering the dietary supplement.
You will know the verification procedure was completed when you see the person’s name, the verification date and the designee’s initials printed on the dietary supplement container and the designee’s initials and verification date in the margin of the HCP order
‘OTC Medications and Dietary Supplements without a Pharmacy Label Training’ is person and product specific

•Secured in a key-locked area

•Tracked using a
Medication Ordering/Receiving log
Medication sheet
Where the dietary supplement is documented after administration
Medication Release Document

21
Q

What is a medication outcome?

A

What happens or does not happen after a medication is administered.

•Desired effect
•No effect noted
•side effects

22
Q

What are side effects?

A

Results from a medication that were not wanted or intended even if the desired effect is achieved

23
Q

What is an adverse response?

A

Severe side effects

24
Q

What is an allergic reaction?

A

The body’s immune system reacts to the medication as if it were a foreign substance

25
Q

What is an Anaphylactic reaction?

A

A severe, very dangerous, life threatening allergic reaction

26
Q

What is a Paradoxical reaction?

A

When the response the person experiences is opposite of what the medication was intended to produce

27
Q

What is toxicity?

A

When a medication builds up in the body to the point where the body cannot handle it anymore; this can be life threatening.

28
Q

What is a medication interaction?

A

A mixing of medications in the body which will either increase or decrease the effects and/or side effects of one or both of the medications; the more medications a person takes the greater the possibility of an interaction occurring

29
Q

What factors contribute to a person’s sensitivity to medication?

A

Age
Weight
Gender
General health
Medical history
Level of physical activity
Use of other medications or dietary supplements