Module Test 2 Set 2

Front 1

ADL's (5)

Back 1

1)bathing
2)dressing
3)eating
4)toileting
5)ambulation

Front 2

Instrumental ADL (6)

Back 2

1)chores
2)money management
3)shopping
4)cooking
5)phone calls
6)medications

Front 3

Old changes in Distribution for drugs (3)

Back 3

1)decr Vd so incr [] of water soluble drugs
2)incr Vd and incr half-life for fat soluble drugs
3)incr/decr of highly plasma protein bound drugs

Front 4

Old changes in Metabolism for drugs (4)

Back 4

1)decr CL and incr half-life for oxidatively metabolized drugs
2)decr CL and incr half-life of drugs w/ high hepatic extraction
3)decr in phaseI metabolism
4)phase II metabolism is same as young person's

Front 5

% using a Rx drug per week
% using a OTC per week

Back 5

50%
30%

Front 6

1 in ___ will use an herbal

Back 6

1 in 6

Front 7

WHO def of SELF CARE

Back 7

Activities ppl undertake w/ intent to enhance health and prevent/get rid of disease

NOT a filaure to pursue professional medical services

Front 8

Components of self-care (5)

Back 8

1)NonRx meds
2)complementary therapies
3)nondrug measures
4)diagnostic tests
5)medical devices

Front 9

Top 4 OTC sellers (categories)

Back 9

1)cough and cold
2)analgesics
3)antacids
4)laxatives

Front 10

____% of men/women have used an OTC over the last 6months (women more than men, but just one % # for your own sake ross)

Back 10

75%

Front 11

____% of men/women recognize the pharmacist as a good source of info about minor health problems (just one % w/ the women being more than men but just one # for you own sake ross)

Back 11

50%

Front 12

Highest used OTC's in old (4)

Back 12

1)ASA
2)APAP
3)vitamins
4)Mg/Al antacids

Front 13

More stuff to OTC b/c... (2)

Back 13

1)revitalize dead products
2)time Rx to OTC w/ expiration of patent

Front 14

Elderly account for what % of OTC market

Back 14

33%

Front 15

Pharmacists can play role in OTC selection b/c...(3)

Back 15

1)education
2)access to public
3)strategic location @ source of products

Front 16

3 parts to Self-Care

Back 16

1)self diagnosis
2)self medication
3)self monitor

Front 17

When self-care therapy is available and warranted you should? (6)

Back 17

1)assist in product selection
2)assess pt factors
3)assess potential of therapy to mask more serious condition
4)counsel about proper use
5)maintain info about use
6)prevent delays in seeking appropriate medical attn

Front 18

Federal Food, Drug and Cosmetic Act of 1938 put OTC drugs in 3 categories

Back 18

1)RASE
2)GRASE
3)NRASE

Front 19

RASE

Back 19

recognized as safe

Front 20

GRASE (3)

Back 20

1)generally recognized as safe
2)products b4 1938 exempted from NDA's
3)is GRASE when a drug has been used by many pts for many years

Front 21

NRASE (3)

Back 21

1)Not recognized as safe and effective
2)drug was this until pre-cleared and approved by FDA
3)requires NDA

Front 22

____ were created in response to thalidomide

Back 22

DESI's- Drug Efficacy Study Implementation

Front 23

What did DESI's do? (2)

Back 23

1)OTC drug review process
2)All OTC's reviewed for safety and efficacy

Front 24

Changes to OTC drug label (2)

Back 24

1)standardized content and format for labeling
2)use lay language

Front 25

Adverse consequences of inappropriate OTC use
a)direct effect
b)indirect

Back 25

a)ADR, interaxns
b)delay seeing Dr.

Front 26

Increasing dependence on complementary therapies (like acupuncture, herbals, homeopathy)

Back 26

50% incr to complementary practitioners in US

Front 27

DSHEA def of herbal supplements (3)

Back 27

1)supplement diet and contain vitamin, mineral, AA, herb, botanical
2)supplement diet by incr total dietary intake
3)concentrate, metabolite, constituent, extract

Front 28

DSHEA herbal labeling requirements (5)

Back 28

1)states its a supplement
2)provide name and address of manufacturer
3)list all ingredients
4)must state part of plant used
5)claims are accurate and truthful but not FDA approved

Front 29

3 levels of claims by DSHEA

Back 29

1)Good source
2)health claims
3)structure/function claim

Front 30

Health claims? (1 and ex)

Back 30

1)describe relationship b/w disease and supplement

fiber maintains bowel regularity

Front 31

Structure rxn claims (2 and ex)

Back 31

1)expressed or implied disease claims
2)says "product not intended to diagnose, treat, etc..."
calcium builds strong bones NOT calcium treats osteoporosis

Front 32

Supplements certification programs (3)

Back 32

1)US Pharmacopeia Dietary Verification Program******
2)Consumerlab.com's Seal of Approval
3)NSF Int'l

Front 33

Patient Care questioning format

Back 33

SCHOLAR
S- symptoms
C- characteristics
H- history
O- onset
L- location
A- aggrevating factors
R- remitting factors

Front 34

St. John's Wort
a)use
b)benefit/risk

Back 34

a)mild/moderate depression
b)general improvement of symptoms (but JAMA says no)

Front 35

Feverfew
a)use
b)benefit/risk

Back 35

a)migraine
b)reduces severity and frequency

Front 36

Niacin
a)use (2)
b)benefit/risk (5)

Back 36

a)nutritional support, lipid lowering
b)stomach pain, vomiting, bloading, nausea, muscle/liver disease

Front 37

Regurgitation

Back 37

stomach contents into the pharynx and stops short of expulsion

Front 38

Retching

Back 38

unsuccessulf effort to vomit

Front 39

Motion sickness is most common where? (2)

Back 39

1)from age 2-12
2)in women

Front 40

NVP? (3)

Back 40

a)n/v of pregnancy
b)morning sickness
c)can result in Hyperemesis gravidarum

Front 41

Most common n/v cause

Back 41

viral gastroenteritis

Front 42

Viral gastroenteritis (2)

Back 42

a)1-2 episodes per year in kids under 5
b)300 deaths per year

Front 43

Postop n/v stats (4)

Back 43

1)higher w/ ENT, eye, abs
2)higher in women
3)higher in kids
4)motion sickness, obesity, incr age incr risk

Front 44

Top 3 causes of n/v

Back 44

1)primary causes gastric obstruction, motility disorders, intra-abdominal emergencies

Front 45

NTs of major importance in vomiting (5)

Back 45

1)dopamine
2)histamine
3)muscarinic
4)adrenergic 2
5)serotonin

Front 46

Vomiting process...

Back 46

CNS and GI coordinate by vomiting coordinating circuitry in the medulla oblongata called the VOMITING CENTER

Front 47

Accompying autonomic symptoms of vomiting (3)

Back 47

1)pallor
2)tachycardia
3)diaphoresis

Front 48

Simple Presentation of n/v*** (4)

Back 48

1)occasional and self-limiting episodes
2)relieved by miminal use of medications
3)little pt deterioration
4)not associated w/ noxious agents

Front 49

Complex Presentation of n/v*** (5)

Back 49

1)not relieved by admin of a single antiemetic
2)progressive pt deterioration to fluid-electrolyte imbalance
3)caused by noxious agents or psychogenic events
4)discomfort/noncompliant to other treatments
5)acute followed by delayed emesis episodes

Front 50

History of symptoms you should take if person says they are n/v (5)

Back 50

1)episodic
2)situational
3)acute/chronic
4)what makes it worse/better
5)exclusions to self-treat

Front 51

When does NVP occur? (2)

Back 51

early in day
in first trimester

Front 52

Anticipatory n/v

Back 52

n/v elicited by specific stimuli