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17 Cards in this Set
- Front
- Back
When was the Poison Prevention Packaging Act enacted? |
1970 |
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What does the PPPA require? |
that a number of household substances be packaged in child-resistant packaging |
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How should packaging be designed or constructed according to PPPA? |
it has to be significantly difficult for children under 5 years of age to open within a reasonable time and not difficult for normal adults to use properly |
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What did the PPPA regulate about prescription drug packaging? |
that they may be dispensed in non-child resistant packaging upon specific requires of the prescribing doctor or the patient |
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Before PPPA how many deaths per year were being reported f or children under 5 due to accessibility of poisonous substances? |
about 500 |
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What was the purpose of PPPA? |
to protect children from ingesting harmful chemicals and prescription meds by accident |
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Name the substances that require special packaging through PPPA. (13) |
aspirin furniture polish methyl salicylate controlled drugs sodium and/or potassium hydroxide turpentine kindling and/or illuminating preparations methyl alcohol (methanol) prescription drugs ethylene glycol acetaminophen ibuprofen sulfuric acid |
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What is OBRA? |
Omnibus Budget Reconciliation Act of 1990 |
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What 4 provisions that affect pharmacy did OBRA mandate? |
1st manufacturers are required to provide their best (lowest) prices which they offer to any customer to medicaid patients 2nd drug use reviews 3rd patient counseling is now mandated 4th keeping of patient records |
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What is a Drug Utilization (use) Review (DUR)? |
when the pharmacist reviews a patient's drug profile before dispensing or delivering a prescription to the patient or caregiver |
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What is included in the DUR screening? (5) |
therapeutic duplication drug-drug interactions, including serious interactions with OTC drugs incorrect drug dosage or duration of treatment drug-allergy interactions clinical abuse or misuse |
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What is included during patient counseling? (11) |
name/description of drug dosage form dosage route of administration duration of therapy special directions and precautions for preparation common severe side effects or adverse effects or avoidance techniques for self-monitoring proper storage refill info action to be taken in the case of a missed dosed |
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What are the objectives of patient counseling? (3) |
to improve patient medication compliance to avoid medication errors to improve drug therapy outcome |
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Who does patient counseling? |
Pharmacist only |
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How is counseling done for mail order pharmacies? |
by phone usually initiated by the patient |
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Who normally does patient profiles? |
Pharmacy techs |
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What should patient profiles contain? (4) |
patient name, address, phone, gender, dob known allergies and drug reactions chronic diseases a comprehensive list of medications and medical devices |