Chapter 2

Question 1

What is the Pharmacist’s Patient Care Process?

Answer 1

1. Collect
2. Assess
3. Plan
4. Implement
5. Follow-up: Monitor and Evaluate

Question 2

What are some things to consider if a patient is eligible for self-care?

Answer 2

1. Exclusions for drug categories
2. Treatment needed outside scope of OTC’s
3. Patient is too young/old for products available
4. Product not inidcated
5. Health status prevents the use of OTC’s w/o diagnosis
6. Previous OTC treatment was ineffective

Question 3

What is included in a comprehensive patient interview?

Answer 3

1. Chief complaint
2. History of illness
3. Past medical history
4. Health immunizations
5. Family history
6. Personal/social history
7. Review of symptoms and physical exam
8. Medication history

Question 4

Link the care plan with the assessment through the consultation and patient engagement process

Answer 4

QuEST SCHOLAR-MAC?

Question 5

What does QuEST stand for?

Answer 5

1. Quickly/accurately assess the patient
2. Establish that pt is an appropriate self-care candidate
3. Suggest self-care strategies
4. Talk w/ pt

Question 6

What does SCHOLAR stand for?

Answer 6

1. Symptoms
2. Characterisitics of situation
3. History (what have you tried?)
4. Onset (when?)
5. Location
6. Aggravating factor
7. Remitting factor (what makes it better?)

Question 7

What does MAC stand for?

Answer 7

1. Medications
2. Allergies
3. Conditions

Question 8

What is the problem with infant/children dosing?

Answer 8

50% of the time the dose that requires calculation are given incorrectly

Question 9

What dosage is preferred for children?

Answer 9

Liquids

Question 10

How do children differ from adults w/ doses?

Answer 10

Physiologic + PK differences and dosing changes w/ age

Question 11

What should not be given to kids <19yo w/ flu or chicken pox?

Answer 11

ASA

Question 12

Whats wrong with giving kids anithistamines + CNS depressants?

Answer 12

Causes excitation, not sedation

Question 13

Whats wrong with giving kids Pseudoephedrine?

Answer 13

Causes drowsiness, not stimulation

Question 14

Whats wrong with giving kids APAP?

Answer 14

Hepatotoxicity when used for 2-4 days

Question 15

What is Non-adherence?

Answer 15

When children refuse to take their medicine

Question 16

What are some Rx to avoid in the elderly?

Answer 16

Elixirs and sugary liquids

Question 17

What drug should pregnant women avoid during their third trimester?

Answer 17

Ibuprofen

Question 18

What drug should pregnant women avoid in general?

Answer 18

ASA

Question 19

When recommending non-drug therapies, what should pregnant women avoid?

Answer 19

Homeopathic / herbal products

Question 20

How much caffeine is okay for pregnant women?

Answer 20

Small amount is just fine

Question 21

When is the greatest risk for defect in pregnant women?

Answer 21

1st trimester

Question 22

What is the reason for non-adherence for pregnant women?

Answer 22

Nausea + Vomiting

Question 23

What are some tips for pregnant women who have: nausea and vomiting

Answer 23

1. Small meals, snacks, crackers

2. Ginger containing products may help

Question 24

When should nursing mothers take meds?

Answer 24

Just after breast-feeding or just before infant’s longest sleep period

Question 25

How much caffeine should nursing mothers take?

Answer 25

1g / day