Practice Case 4

Front 1

Seventh Report of the Joint National Committee on Prevention of Detection, Evaluation and Treatment of High Blood Pressure

Back 1

JNC VII

Front 2

Besifloxacin

Back 2

Besivance

Front 3

Ciprofloxacin

Back 3

Cipro

Front 4

Gatifloxacin

Back 4

Zymar

Front 5

Gemifloxacin

Back 5

Factive

Front 6

Levofloxacin

Back 6

Levaquin

Front 7

Moxifloxacin

Back 7

Vigamox, Avelox

Front 8

Norfloxacin

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Noroxin

Front 9

Ofloxacin

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Floxin, Ocuflox

Front 10

Biological safety cabinet class that protects person and environment

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class I

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biological safety cabinet designed with filter to protect person, environment, and medication

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class II

Front 12

Biological safety cabinet for max protection. Chemo drugs

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Class III

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unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase, "or the risk thereof" includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome

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sentinel event

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testing of local bacteria to determine susceptibility to antibiotics; this is useful b/c in hospitals, the bacteria responsible are generally more resistant to antibiotics and it is important to know which treatment will work

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antibiogram

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involves growing bacteria on an augar plate and then introducing antibiotic coated disks to various areas of the plate. The disks with no bacteria growing around them represent viable treatment options for that particular bacteria

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diffusion

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used after susceptibility to a certain drug has been determined. It involves bacterial exposure to antibiotics in varying concentrations. The lowest concentration in which the bacteria will grow is the MIC of that antibiotic for that bacteria

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dilution

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• How are ADR’s in hospitals reported

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Medwatch 3500

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entity responsible for accrediting hospitals and also give them power to bill medicare/medicaid

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joint commission

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hospitals have a relatively unrestricted choice of drugs available to use under an HMO’s drug plan

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open formulary

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there are specific drugs that the hospital can use and specific drugs that it can’t use

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closed formulary

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any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer.

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medication error

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common medication errors include

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1. incomplete pt info
2. incomplete drug info
3. miscommunication of orders
4. lack of appropriate labeling
5. environmental factors such as light, heat, and noise

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the requirement and standards for proper compounding of sterile products. Some examples of sterile products include baths and soaks for live organs and tissues, implants, inhalations, injections, powder for injection irrigations, metered sprays, and ophthalmic and otic preparations

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USP 797