Drug classes & functions Flashcards

Question

cystitis

Answer 1

Urinary system UTI- bladder or urethra Sx: Pain & discomfort when urinating, pelvic & back pain, fever, blood in the urine Tx; antibiotics

Answer 2

Severe pain in chest; radiates into shoulders, arms & neck Cause: inadequate blood supply to the heart Feels like pressure, squeezing, heaviness & tightness Risk factors: Smoking, caffeine, diabetes, HBP, high cholesterol, older age, obesity, stress

Answer 3

inflammation/wearing of tissue at the end of bones or cartilage gradually worsen over time- degenerative cannot be cured but helped through drug treatments and NSAIDs, steroids, PT, surgery joint pain in neck, back, knees, hip & hands 40 years old

Answer 4

1.5 million & 3rd

Answer 5

manage prescription drug benefits. Pt receives prescription drug benefits card Egs: express scripts, WellPoint pharmacy mgt etc

Answer 6

1. TP full payment groups: private insurance groups (managed care plans) 2. TP contractual payment groups: Medicare, Medicaid, Blue Cross Blue Shield 3. cash payments: self-pay

Answer 7

Private Insurance Companies In-network doctors & specialists for a fixed annual fee & or copayments for services rendered require a PA for services not rendered by PCP unless in an emergency situations Have set copayments based on formularies Tiers of Formularies 1. first-tier drug- generic drugs; lowest copay 2. second-tier drug: preferred brand name drugs 3. third-tier drug: non- preferred or non- formulary drugs; highest copay

Answer 8

Private insurance can see in-network physicians & specialist without a PA need to meet annual deductibles benefits reduced if pt sees an out of network provider Pt pay copays for drugs until deductibles are met

Answer 9

Private insurance PPO + HMO req in-network PCP pt can use out of network provider for a higher cost authorized out of network services by PCP= pt not charged Copay or % for drugs based on formulary

Answer 10

federal program- 1965 65 years or older younger citizens- blind, widowed, disabled, long-term illness 1. Medicare Part A: Hospital services- hospital stays, hospice care, long term care, some home healthcare 2. Part B: Dr's appt & services, outpatient care, medical service, preventive care 3. Part C: Medicare Advantage Plans- can be HMOs, PPOs, Private Fee-for-Service plans, special needs program or medicare medical savings account managed by private insurances 4. part D: Prescription

Answer 11

Armed forces- veterans, active duty men & women Types: 1. Standard: fee-for-service cost-sharing plan 2. Extra: PPO 3. Prime: PPO + HMO

Answer 12

State- 1965 low-income below poverty level insurance Blind, disabled or members of the family only supported by one parent Types of copay: 1. Share-of-cost: pt has to meet a required monthly payment before Medicaid covers drug cost 2. pt pay providers small copay

Answer 13

Online adjudication

Answer 14

1. BIN: directs claims to correct 3rd party provider 2. PCN: used by PBM for network benefit routing 3. Group: directs claims to specific insurance benefits for the group 4. dependent: cardholder-00; spouse- 01; oldest child- 02

Answer 15

1. DAW 0: no selection; can substitute generic version of a drug DAW 1: No substitutions by the prescriber; brand medically necessary DAW 2: Pt requesting brand name; prescriber does not deem the brand medically necessary DAW 3: Pharmacist select brand name; substitution is allowed DAW 4: Generic is out of stock; substitution allowed DAW 5: Brand name dispended at a genetic price; substitution allowed DAW 6: Override code DAW 7: Brand name mandated by law; substitution not allowed DAW 8: generic not available; subs allowed DAW 9: other

Answer 16

``` I- 1 V- 5 X- 10 L- 50 C- 100 D- 500 M- 1000 ``` *if a smaller value is placed in front of a larger number, subtract the smaller # from the larger one eg; IX= 10-1= 9

Answer 17

breast tissue

Answer 18

brand name: serevent prevent asthma & bronchospasms, COPD side effects: HA, muscle/bone pain, N,V, numbess or tingling in hands and feet, skin rash Others; Aformoterol (brovana), formoterol (Foradil, Performist)

Answer 19

1906 by Harvey Wiley, chief chemist for the Bureau of Chemistry Prevented adulteration & misbranding(label drugs with untruthful information) of food and drugs

Answer 20

1938 -due to sulfanilamide tragedy banned false claims; req packaging insert with directions Addictive substances req the labeling "Warning: May be habit-forming" Created the US Pharmacopeia & National Formulary

Answer 21

1970 secure all meds in containers with childproof caps/packaging 80% of caps should not be able to be opened by children 90% of adults should be able to open it in 5 minutes

Answer 22

1914 stop the recreational use of opium req prescription to purchase opium restrictions & taxes on substances used to prepare control substances- coca leaves, opium

Answer 23

abnormal condition

Answer 24

self- pay patients

Answer 25

how the action, effect, & breakdown of drugs

Answer 26

The difference in the quantity of meds between the effective dose and the amount that causes adverse side effetcts

Drug classes & functions Flashcards

(57 cards)