Drug Info - Exam 1

Front 1

What is the difference between a medical librarian and a drug information specialist?
(what does a DI specialist do differently?)

Back 1

DI specialist finds information and interprets it and applies the findings to an individual patient's needs

Front 2

Original research reports are what type of sources?
(primary, secondary, tertiary)

Back 2

Primary

Front 3

Which is more current - primary, secondary, or tertiary sources?

Back 3

Primary

Front 4

The American Journal of Health-System Pharmacy, the American Journal of Pharmaceutical Education, and the Archives of Internal medicine are examples of what type of literature?
(primary, secondary, tertiary)

Back 4

Primary

Front 5

What are some things to consider regarding primary sources? (7)

Back 5

Scope
Editorial board
Peer-review policy
How often it's published
Cost
Online availability
Advertisements

Front 6

True or False - It is okay to skip over the ads in a primary source?

Back 6

False - do not skip over the ads

Front 7

What are the two major types of secondary sources?

Back 7

Indexing
Abstracting

Front 8

What type of secondary source deals with bibliographic data only?

Back 8

Indexing

Front 9

What type of secondary source contains a brief description of the information found in the article?

Back 9

Abstracting

Front 10

What are some things to consider regarding secondary sources? (4)

Back 10

Comprehensiveness
Timeliness
Organization
Scope of information (abstract vs. indexing)

Front 11

True or False - Never use an abstract as a sole resource

Back 11

True - review the original article

Front 12

What are some examples of tertiary resources? (4)

Back 12

Textbooks
Compendia
Computer databases
"Review" articles in journals

Front 13

The majority of information needed by a practitioner can be found in what type of source?
(primary, secondary, tertiary)

Back 13

Tertiary

Front 14

What source is the best for answering a question such as, "What is the drug of choice for _____?"
(primary, secondary, tertiary)

Back 14

Tertiary
(disease-oriented reference)

Front 15

Tertiary sources can be categorized into essentially 4 classes - what are they?
(hint: "_____-oriented")

Back 15

Product-oriented
Drug-oriented
Disease-oriented
Specific topic

Front 16

What are the 4 parts of the checklist for browsing drug information websites?

Back 16

Provider
Funding
Quality
Privacy

Front 17

What are the six steps for the systematic approach to drug information?

Back 17

1) Secure demographics of requestor
2) Obtain background information
3) Determine and categorize ultimate question
Develop an efficient search strategy
5) Perform evaluation, analysis, and synthesis
6) Formulate a response at the appropriate level for the requestor

Front 18

The flow of information proceeds in which direction?
(primary > secondary > tertiary)
(tertiary > secondary > primary)

Back 18

Primary > secondary > tertiary

Front 19

The order of use when answering questions proceeds in which direction?
(primary > secondary > tertiary)
(tertiary > secondary > primary)

Back 19

Tertiary > secondary > primary

Front 20

What are some classifications of drug information questions? (14 total)

Back 20

1) Availability/drug identificaion/investigational drugs
2) Drug dosing/pharmacokinetics
3) Drug-drug/drug-lab/drug-food interactions
4) Drug therapy (drug of choice)/therapeutics
5) Adverse drug reactions
6) Poisonings
7) Stability/compatibility
8) Pharmacognosy/natural products
9) Pharmacology
10) Pharmaceutics/compounding
11) Pregnancy and lactation
12) Immunizations
13) Cost
14) Patient counseling

Front 21

What is the Naranjo algorithm?

Back 21

Algorithm used for ADR Causality assessment

Front 22

What pediatric reference is the most comprehensive pocket reference for pediatric drug therapy?

Back 22

Pediatric and Neonatal Dosage Handbook

Front 23

What drug is the manual for pediatric physicians?

Back 23

Harriet Lane Handbook

Front 24

What are the three sections of the Harriet Lane Handbook?

Back 24

Pediatric acute care management
Diagnostic/therapeutic information
Drug formulary

Front 25

What pediatric reference is the handbook for neonatal DOSING?

Back 25

Neofax

Front 26

What pediatric reference is geared towards INFECTIOUS DISEASE?

Back 26

Red Book

Front 27

What pediatric reference contains information on pediatric INJECTABLE drugs?

Back 27

Teddy Bear Book

Front 28

What pediatric reference provides the principles of therapy and pharmacotherapy management for every disease?

Back 28

Nelson Textbook of Pediatrics

Front 29

What are the three primary questions to ask when confronted with an IV admixture question?

Back 29

1) What kind of IV access?
2) What kind of IV line?
3) What other drugs are running or will run through the line(s)?

Front 30

Where is a PICC inserted?
Where does it end?

Back 30

Median cubital vein
Superior vena cava

Front 31

Which type of catheter is a quadruple lumen catheter?

Back 31

Swan-Ganz catheter

Front 32

Which type of catheter must be inserted by a surgeon and confirmed by X-ray?

Back 32

Swan-Ganz catheter

Front 33

What can a Swan-Ganz catheter diagnose?

Back 33

Pulmonary hypertension (using pulmonary capillary wedge pressure)

Front 34

Which type of catheter is inserted into the chest wall and is used for long-term medications (months)?

Back 34

Hickman catheter

Front 35

Which type of catheter has a three-way valve?

Back 35

Groshong catheter

Front 36

Name two types of patients that would benefit from central venous access

Back 36

IV drug users
Home health infusions

Front 37

Which type of IV line is volume controlled, used mostly in the pediatric population, and isn't commonly used anymore?

Back 37

Buretrol

Front 38

What is the term for infiltration of a vesicant drug that produces blistering drug and necrosis?

Back 38

Extravasation

Front 39

What is the term for inadvertent administration of a solution into surrounding tissue?

Back 39

Infiltration

Front 40

True or False - A triple lumen catheter allows drug to mix within the line before entering circulation

Back 40

False

Front 41

True or False - It is acceptable to dispense sterile water for injection without the addition of a solute

Back 41

False - NEVER dispense sterile water for injection without the addition of a solute

(potential test question)

Front 42

Give one example of a product-oriented tertiary reference

Back 42

Facts & Comparisons

Front 43

Give one example of a drug-oriented tertiary reference

Back 43

AHFS
Facts & Comparisons
Goodman and Gilman
Lexi-comp
Martindale

Front 44

Give one example of a disease-oriented reference

Back 44

Pharmacotherapy
Applied therapeutics

Front 45

Give one example of a specific topic tertiary reference

Back 45

Drug interaction facts
Herbal drug interactions
Handbook of injectable drugs
Drug prescribing in renal failure
Harriet lane handbook
Drugs in pregnancy and lactation
Basic skills in laboratory interpretation

Front 46

What four subjects does the Pediatric & Neonatal Dosage Handbook contain?

Back 46

1) Extemporaneous preparations
2) Drug interactions
3) Dosage breakdown by age
4) Kinetics

Front 47

What three subjects does the Harriet Lane Handbook contain?

Back 47

1) Pediatric acute care management
2) Diagnostic/therapeutic information
3) Drug formulary

Front 48

How often is the Harriet Lane Handbook published?

Back 48

Every 3 years

Front 49

What pediatric book is published annually?

Back 49

Neofax

Front 50

List three reasons why it is important to document your activities and your responses to drug information questions

Back 50

1) Liability
2) Future use
3) Reimbursement