IPC Final Review (+ medicine) Flashcards

Question

Glucophage

Answer 1

Metformin Endocrine Type 2 diabetes

Answer 2

Levothyroxine Endocrine Hypothyroidism

Answer 3

Albuterol Lungs Bronchospasm, asthma

Answer 4

Fluticasone and salmeterol Asthma, COPD

Answer 5

Donepezil Psych Alz

Answer 6

Hydrocodone and acetaminophen Pain

Answer 7

ibuprofen pain, fever

Answer 8

``` edema dizziness epigastric pain heartburn nausea ```

Answer 9

may cause peptic ulcers and/or bleeding without symptoms | CNS adverse effects seen in overdose or high dose

Answer 10

tamsulosin benign prostatic hyperplasia urinary

Answer 11

alendronate osteoporosis bone

Answer 12

hypokalemia hypophosphatemia atypical femur fractures osteonecrosis of the jaw

Answer 13

take first thing in the morning with a full glass of water, don't eat or drink anything and remain upright for 30 minutes after

Answer 14

potassium chloride hypokalemia supplement

Answer 15

esomeprazole GERD, Heartburn digestive

Answer 16

``` diarrhea nausea headache prolonged use may increase risk of hypomagnesemia fractures pneumonia CDiff infections ```

Answer 17

best to take first thing in the morning capsules may be opened and contents sprinkles if swallowed immediately granules should not be chewed or crushed

Answer 18

PEG 3350 constipation digestive

Answer 19

initials race age sex

Answer 20

``` marital status number of children education previous occupation dietary habits tobacco/alcohol use social support hobbies ```

Answer 21

age and health of parents, sibling, children | ages and causes of death

Answer 22

allergies and rxn to medications, food, pets, environment

Answer 23

serious illnesses chronic diseases surgical procedures injuries

Answer 24

medications and supplements (dose, frequency, indication)

Answer 25

physical therapy | occupational therapy

Answer 26

the active voluntary and collaborative involvement of the patient in a mutually acceptable course of behavior to produce a therapeutic result

Answer 27

passively following the provider's orders, and the treatment plan is not based on a therapeutic alliance or contract established between the patient and the physician

Answer 28

increased ER visits and hospitalization rates

Answer 29

 Health-care System: access to care, continuity of care, patient education material is not written in plain language  Health-care Team: stress of health-care visits, discomfort in asking providers questions, patient’s belief or understanding, patient’s forgetfulness/carelessness, stressful life events, lack of immediate benefit of therapy

Answer 30

communication skills, knowledge of health literacy issues, lack of empathy, lack of positive reinforcement, number of comorbid conditions, number of medications needed per day, prescribed length of therapy

Answer 31

 Patient-related: physical, psychological  Condition-and Therapy-related: complexity of medication, frequent changes in regimen, treatment requiring mastery of certain techniques, unpleasant side effects, duration of therapy, lack of immediate benefit of therapy, medications with social stigma

Answer 32

 Economic: health insurance/medication cost  Social: limited English proficiency, inability to access or difficulty accessing pharmacy, lack of family/social support, unstable living conditions

Answer 33

``` S - simplify the regimen I - impart knowledge M - modify patient beliefs and behavior P - provide communication and trust L - leave the bias E - evaluate adherence ```

Answer 34

Comprehensive medication reviews, pharmacotherapy consults, targeted interventions, anticoagulation management, immunizations, health and wellness programs, etc.

Answer 35

Medication-related problems account for preventable adverse effects each year Multiple players in the healthcare system Patients see more than one physician Patients fill prescriptions at more than one pharmacy Complex medication regimens MTM is the one opportunity to bring together all of the patient’s medications into one document in order to assess the effectiveness and safety of their regimen

Answer 36

Age and sex: dosage adjustments Height and weight: BMI, lifestyle/diet issues Lab values: effectiveness of current therapy or need to initiate therapy Nicotine, alcohol, and caffeine use/lifestyle issues: drug or disease interactions, effects on meds/overall health Drug allergies/adverse rxn: avoid reactions Medical conditions: what conditions the patient thinks they have All RX/OTC/herbal medications and side effects: determine polypharmacy, drug interactions, possible causes of noncompliance Prior therapies: history of what has been tried and its successes Patient goals: determine what is important to the patient Immunizations: prevent disease

Answer 37

disruption of workflow how to obtain payment physician perception of pharmacist effectiveness

Answer 38

much like dangerous drinking; able to stop

Answer 39

much like compulsive drinking; a brain disease; not able to stop

Answer 40

a brain disease (formerly "alcohol dependence"); not able to stop

Answer 41

binge drinking, risky drinking, (formerly "alcohol abuse"); able to stop

Answer 42

medication experts (provide medications, tech patients and other health care team members about optimal use of medications, monitor patient health and response to meds, etc.)

Answer 43

direct patient care

Answer 44

diagnoses and prescribes

Answer 45

fills medication orders, enters orders, insurance

Answer 46

usually a social worker who takes care of a patient's hospice plan, ensures that all of the proper paperwork is filed and that they are getting the proper services

Answer 47

verifies that pre-op instructions were followed

Answer 48

develops a meal plan to meet adjusted nutritional requirements

Answer 49

draws blood from patients for testing, donations, etc

Answer 50

directly works with patients, diagnoses, and manages illnesses, authorized to perform physical examinations/order and interpret tests/provide counseling/write prescriptions

Answer 51

assists the physician, some have prescribing authority

Answer 52

provides professional evaluations on mental health, after Dx can recommend a doctor to Rx from evaluation

Answer 53

helps with patient hygiene and administers meals

Answer 54

provides services without monetary payment (filing, answering, phone, assisting patients, etc.)

Answer 55

if required a Rx with nuclear isotopes, the technician will come by the pharmacy to dropoff scans in order to make a Rx for the current line of therapy

Answer 56

is a person who helps care for the patient, ensures that they are getting the proper medication, are fed and cleaned

Answer 57

90-95% of cases | caused by age, race/genetics, diet, smoking, alcohol intake

Answer 58

5-10% of cases | caused by diseases, medications, "white coat hypertension"

Answer 59

cardiovascular disease (heart failure, MI, etc), stroke, renal disease

Answer 60

``` Lisinopril Furosemide Amlodipine Metaprolol Carvedilol ```

Answer 61

weight control reduced dietary sodium reduce excessive alcohol intake increase physical activity

Answer 62

Triglycerides are for energy and storage LDL transports triglycerides and cholesterol in the blood to tissues HDL is good cholesterol that transport cholesterol from arteries to liver for processing/elimination

Answer 63

Diets high in fat increase cholesterol and cardiovascular disease, but there is no consistent relationship with egg consumption and cardiovascular disease.

Answer 64

statins ie atorvastatin

Answer 65

reduce liver production of cholesterol by inhibiting HMG-CoA, compensatory increase in LDL receptors in the liver so that the LDL digested in the liver is from the blood stream.

Answer 66

muscle pain diabetes altered CNS

Answer 67

* be treated with respect * refuse medication or treatments * be given privacy during med pass * be free from physical and chemical restraints

Answer 68

1. follow facility policy 2. review reports related to medication and patient's clinical record 3. medication diverted then contact TSBP, DEA, DPS and notify the facility administrators and state board of nursing

Answer 69

check name, use 2 identifiers, ask patient to identify himself/herself, when available use technology

Answer 70

check the medication label, check the order

Answer 71

check the order, confirm appropriateness of the dose using a current drug reference, calculate dose if necessary

Answer 72

check order and appropriateness, confirm that the patient can take/receive medication by the ordered route

Answer 73

check the frequency of the ordered medication, confirm when last dose was given, double-check you are giving dose at the right time

Answer 74

document administration after giving the ordered medication, chart route and any other specific information before giving drug

Answer 75

confirm rationale, revisit the reasons for long-term medication use

Answer 76

make sure the drug led to the desired effect

IPC Final Review (+ medicine) Flashcards

(100 cards)