Rx issues

Question 1

Black box

Answer 1

Flag for serious warnings. Serious side effects, top of label, intended to take special care for monitoring problems associated with use

Question 2

OMB- Rx privledges

Answer 2

PAs Schedule II-V with federal DEA, must be NCCPA certified. Schedule II include pseudophedrine, ephedrine and drugs with their salts as active ingredients

Question 3

Off label-

Answer 3

Manner not authorized by FDA. Indications and dosages not on labels. No illegal- can Rx if appropriate standard of care. Can be sued if errors occur with off label use

Question 4

Physicians desk reference

Answer 4

Tertiary- collection of label inserts

Question 5

Facts & comparisons

Answer 5

Tertiary- Unbiased drug inform from lexicomp and F&C

Question 6

AHFS

Answer 6

Tertiary- FDA aproved and non label uses, not referenced

Question 7

Drug topics red book

Answer 7

Tertiary- dosage forms, package sizes, whole sale infer, sugar and alcohol free meds

Question 8

AMA Drug evaluations

Answer 8

Tertiary- alternatives that can be used in the absence of drug guidelines that are FDA approved

Question 9

Medical letter

Answer 9

Secondary- abstracting and evaluating service- reviews recent meds- non biased

Question 10

Index Medicus

Answer 10

Secondary- Index of medical journal articles

Question 11

Medline

Answer 11

Secondary- database with references to articles

Question 12

Iowa drug info system

Answer 12

Secondary- Articles in english relative to drugs and treatment of disease

Question 13

Micromedex

Answer 13

Tertiary- search a variety of databases- summarized drug info, alternatives, toxicology

Question 14

Common causes of med errors

Answer 14

Sound alike drug names, lack of knowledge, dose calculations, decimal placement, wrong dosage, frequency, overlooked interactions, failure to adjust in renal disfunction, incomplete pt hx.