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ptce review > My research > Flashcards

My research Flashcards

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0
Q

High alert medications

A 
Insulin.    Lidocaine. 
Heparin.     Oxycontin. 
Mag sulfate.  Promethazine. 
Methotrexate
Warfarin.    Vasopressin. 
Sodium chloride more than 0.9
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1
Q

What is ADE

A

Adverse drug event

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2
Q

High alert classes

A 
Adrenergic(epinephrine) Narcotics. 
Anesthetics
Chemo.   Neuromuscular block agents
Dialysis
Epidural.     Radiocontrast agents. 
IT.      TPNs.
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3
Q

What do PBMs do?

A

Create formularies, negotiate with drug manufacturer for discounts, rebates, determine coverage eligibility. Third party admin of Rx.

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4
Q

PBMs operate ?

A

Mail order pharmacies

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5
Q

largest PBMs?

A

Cvs Caremark
Express scripts - Medco
Prime therapeutics bcbs
OptumRx- UnitedHealth

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6
Q

Normal fasting glucose

A

100 mg/dl 80-120 but not below 60-70 mg/dl or hypoglycemia

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7
Q

Normal insulin level

A

Under 10 IU/ml

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8
Q

A dram equals

A

1/8 ounce
3.7 ml
Around a teaspoon

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9
Q

Over active thyroid autoimmune disease

A

Graves

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10
Q

One drug intensifies another. Total is greater when used together.

A

Potentiation

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16
Q

LR contain

A

Potassium

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17
Q

Pregnancy category highest risk

A

Cat X

A safe, b unknown, c adverse animal studies, d adverse human studies, x high risk of birth defects

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18
Q

Antidote for acetaminophen

A

N acetyl cystine

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19
Q

Usp 797 defines controlled cold temp as

And controlled room temp as

A

2-8 deg C or 36-46 deg F

20-25 deg C or 68-77 deg F

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20
Q

What else can corticosteroids be used for

A

Chemo and antiemetics

Prednisone. Methyl prednisone. Dexamethasone.

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21
Q

Most common side effects of chemo

A

Myelosuppression immunosuppression. Inflamed digestive tract (mucositis) and hair loss

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22
Q

Some examples of chemo

Chritines doxin rubys in a meth trex cycle for some time

A

Methotrexate. Doxorubicin. Cyclophosphamide Vincristine.

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23
Q

Naproxen Prescrip what dose

A

500 mg

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24
Q

Pregnancy cat risks

Study These Flashcards
A 
A-no risk
B-some
C-caution
D- definite risk
X-do not use
25
Q

Two drugs enhance each other

Study These Flashcards
A

Synergistic drugs

26
Q

Difference between Tdap andDTap

Study These Flashcards
A

Tdap-tetanus dip pert (adults)

DTap (child) more pertussis

27
Q

Pregnant or immune compromised should not get ? vaccines

Study These Flashcards
A

MMR, varicella, zoster

28
Q

What is myxedema

Study These Flashcards
A

Hypothyroidism

29
What is Addison's
Adrenal disorder. Deficiency of steroids. Treated with corticosteroids
30
What is Cushing
Adrenal disorder. Over production of steroids
31
Most common diabetes
Type II Most over 40. Women.
32
Insulin dependent
Type I diabetes
33
Hypoglycemia level
Glucose below 70 mg/dl
34
Who can change a formulary?
Pharmacy and therapeutics committee
35
Most serious recall class
Class I Class II and iii less
36
What pain med can be taken with Coumadin
Tylenol
37
Kcl sups used in combo with
Furosemide
38
Only drug approved to treat hbp pregnancy
Methyldopa
39
Hypertonic NaCl
9. 0 0. 9 is isotonic - similar to natural blood Above this is hyper tonic. Below is hypo tonic.
40
Recert requires ? CE
20 hrs/2 years 1 hr law
41
Unit dose expiration date not over
6 months from being opened
42
What is nitro for
Angina. Chest pain. Does not normalize heart rate!
43
Can sch II CS be called in
Only in emergency (federal law, not state) and must provide written Rx w/in 7 days
44
What does isotonic mean
Same ratio of solute to solvent. Same osmotic pressure as blood. Ex: d5w. LR. NS.
45
What does hypotonic mean
Lower salt conc than normal so water flows into cells. Lower osmotic pressure than blood. Ex: 1/2 NS. 1/3 NS
46
What does hypertonic mean
Soln with higher salt conc than normal so water is drawn out of cells. Higher osmotic pressure than blood. Ex: D10W. 3-5% NS. D5NS. D5 1/2 NS. D5LR.
47
What pain meds can be taken with peptic ulcer
Not NSAIDs. NSAIDs can cause peptic ulcers. Tylenol safest.
48
Which bp med comes in patch
Clonidine (catapres)
49
Agency regulates medical devices
FDA
50
NSAID contraindications NSAID
``` Nursing and pregnancy Serious bleeding Asthma allergy Impaired renal function Drug anti coagulation (Coumadin) ```
51
5 rights Tramp
``` Time Route Amount dose Med Patient ```
52
What does MAC mean
Maximum allowable cost set by PBMs

ptce review (2 decks)

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