PharmCare Review
What are the names of the 2 patients that came to class earlier this semester?
Ed and Susan
Frank and Alice
Don and Brenda
Ed and Sharon
Which of the following is NOT one of the pillars of pharmaceutical care?
Practice management systems
Philosophy of practice
Patient care process
Medication therapy management
How many effectiveness goals of therapy should an acute condition have?
0
1
2
3
JC was recently diagnosed with type 2 diabetes and started on metformin 500 mg by mouth twice daily. His effectiveness goal of therapy is to reduce his A1C to less than 7% in three months. When would be the best time to follow-up with this patient to ensure that this goal has been reached?
48-72 hours
1 week
4 weeks
3 months
A child is diagnosed with an ear infection after being assessed at a CVS Minute Clinic. Which of the following would NOT be a reasonable therapeutic alternative?
Oral amoxicillin solution
Oral cephalexin solution
IV ampicillin
Oral augmentin solution
KK has been taking atorvastatin 10 mg by mouth once daily for her high cholesterol for 6 months, but her cholesterol levels are still not at goal. The pharmacist has determine that her dose of atorvastatin is too low. Which of the following would be an appropriate therapeutic alternative?
Switch to simvastatin 20 mg once daily
Encourage the patient to exercise and eat a low-fat diet
Increase the atorvastatin to 20 mg once daily
Add Zetia 10 mg once daily
What is the correct order of assessing drug-related needs?
Effectiveness, Indication, Safety, Complicance
Indication, Compliance, Safety, Effectiveness
Compliance, Effectiveness, Indication, Safety
Indication, Effectiveness, Safety, Compliance
Which of the following drug therapy problem categories are inappropriately matched?
Safety - Unnecessary drug therapy
Effectiveness - needs different drug product
Safety - Dosage too high
Indication - needs additional drug therapy
Read the goal of therapy stated below and determine which of the components of a goal of therapy is missing. The patients serum potassium will raise from 3 mEq/L to 4 mEq/L
Clinical parameter and/or laboratory values
A desired value or observable change in the parameter
A specific time frame in which the goal is to be met
All three components are present in this goal of therapy
What is the name of this course?
Introduction to Pharmaceutical Care
Foundations of Pharmaceutical Care
Integrated Pharmaceutical Care
Becoming a Pharmaceutical Care Practitioner
Which of the following is NOT a component of a drug therapy problem
The drug therapy
The problem
The time frame
All three components are part of a drug therapy problem
Which of the following is an appropriate goal of therapy?
Reduce DW's knee pain cause by osteoarthritis from a score of 5 to a 1 or a 2 so that she can work in her garden for at least 3 hours indefinitely
To reduce her pain score from 5 to under 1 or 2
Needs additional drug therapy for her untreated pain
To alleviate the patient's pain using an OTC pain reliever such as Ibuprofen or Tylenol
Is the following an example of a short-term or long-term goal of therapy? Reduce DW's knee pain cause by osteoarthritis from a score of 5 to a 1 or a 2 so that she can work in her garden for at least 3 hours indefinitely.
Short-term
Long-term
KS is a 22 year-old female with asthma who is experiencing increased wheezing despite adherence to her low-dose inhaled corticosteroid. What is the drug related need?
Indication
Effectiveness
Asthma
Compliance/Adherence
What is missing from this DTP statement? The patient's Prilosec 20 mg dose is too low.
The problem
Dosing instructions
The relationship
The indication
What mnemonic is used to remember drug-related needs?
Elephants sit in the corner
Scary cats invade everywhere
Iguanas share carrots equally
Iguanas eat snow cones
SM is a 30 year-old male getting his PhD in education at the University of Minnesota. He has a history of depression for which he has been taking fluoxetine 20 mg once daily for the pas eight years. He is allergic to amoxicillin; review of systems was unremarkable except for occasional headaches. He was recently diagnosed with a sinus infection. Which of the following would NOT be a therapeutic option for SM?
Azithromycin
Amoxicillin
Bactrim
Who are the authors of your text book?
Olson, Hillman, and Cernasev
Goodman & Gilman
Cipolle, Stratus, Martin
Cipolle, Strand, Morley
CR is a 22 year-old female who was recently started on oral birth control pills, but is no longer adherent to them because she felt that they were causing weight gain. What is her drug related need?
Indication
Effectiveness
Safety
Compliance/adherence
RM is a 62 year-old male with type 2 Diabetes. He takes subcutaneous Lantus insulin 40 units twice daily. H has recently been ill with diarrhea and eating less food. He presents to the ER for hypoglycemia (low blood sugars). Which of the following is the best-stated drug therapy problem?
RM is having an adverse reaction to the insulin he takes for his diabetes
RM’s dose of Lantus is too high and needs to be lowered
RM’s dose of Lantus 40 units twice daily for type 2 diabetes is too high
RM’s dose of Lantus 40 units twice daily for type 2 diabetes is not indicated
JJ is a 73 year-old female admitted to the hospital with a MRSA infection being treated by IV vancomycin. The pharmacist is consulted to dose the vancomycin. The level of vancomycin returns at 3 mcg/ml (goal 15-20 mcg/ml). Which of the following is the best-stated drug therapy problem?
JJ’s level is too low to treat her MRSA infection
JJ’s IV vancomycin is not indicated to treat her MRSA infection
JJ’s dose of IV vancomycin is too low to treat her MRSA infection
JJ’s IV vancomycin is an ineffective drug for treating her MRSA infection
A philosophy of practice is specific to the practitioner, not the practice
True
False
Documentation is key for accountability and payment of services
True
False
A
B
C
D
What does AIDET stand for?
Acquire, Identify, Docment, Evaluate, Thank you
Acknowledge, Introduce, Duration, Explanation, Thank you
Acknowledge, Introduce, Document, Explanation, Thank you
Acknowledge, Incorporate, Document, Engage, Thank you
When developing a plan for follow-up, which of the following should be considered?
Evaluation of safety
Evaluation of effectiveness
Both evaluation of effectiveness and safety
What is missing from the following plan for follow-up? Follow up in four weeks via face-to-face visit. Advise patient to call sooner with questions or concerns. Evaluate for reduction of heartburn symptoms from nightly two times per week. Evaluate for possible side effects.
The timeframe
Mode of contact
Safety parameters
Effectiveness parameters
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