Professional Skills Exam Ii

Front 1

What are indications for rectal deliver systems

Back 1

1. constipation, N/V, Fever, pain, hemorrhoids

Front 2

Types of delivery systems of Rectal

Back 2

suppositorries, foams, creams, ointments, suspension,soultions, enemas

Front 3

Explain administration of supportitories

Back 3

1. Wash hands
2. Run suppository under cool water until harderns
3. Unwrap the supportsory, then lie down on side, with your head to kness, and insert the suppositories till 1st knunckle
3. Try and retail suppository
4.

Front 4

Explain the administration of Enemas

Back 4

1. This should be performed in the bathroom
2. Shake the container well, adn then remove the cap
3. Lie down pulling your kness to your chest, and slowly insert tip of rectum
4. Squeeze the bottle slowly

Front 5

What are 2 advantages of rectal

Back 5

1. Quick onset
2. Minimal side effects

Front 6

What are 2 disadvantages of rectal

Back 6

rectal irriation, patietn comofort, and rectal leakage

Front 7

Advantages fo Rectal GEL

Back 7

fast ccooling relief, non-greasy

Front 8

Diadvantages of Gel

Back 8

short acting

Front 9

What are advantages of Rectal cream

Back 9

prompt relief,

Front 10

What are disadvantages of rectal cream

Back 10

shot acting stains clothes

Front 11

Advantages of rectal ointment

Back 11

prompt relief

Front 12

What are disadvantges of rectal ointment

Back 12

short acting, stain clothers

Front 13

What are advantages of rectal suppository

Back 13

longer, continual therapy

Front 14

What are disadvantages fo suppositorries

Back 14

slow acting

Front 15

What are advantages of rectal form

Back 15

rapid release of medications

Front 16

What are disadvantages of rectal foam

Back 16

may not remina in affected area

Front 17

What are indications for vaginal delivery systems

Back 17

yeast and bacterial infections

Front 18

What are some vaginal delivery systems

Back 18

tablets, creams, suppositryoes , ointments, ovules, rings, films

Front 19

Explain adminsistration of vaginal creams

Back 19

1. Start at night before going to bed. 2. Wash the vaginal area, and dry. For creams attach applicator to barrel, and squeeze from bottle of tube into aplicator until full. Remove applicator, lie down and insert applicator as far as it will go, and push the plunger, then remove and wash

Front 20

Explain adminstration of VAGINAL suppositores and ovuels

Back 20

Take at night,wash and entire vaginal area, and dry. Place suppository into end of application barrel, lie down and insert the applicator as far as possible, and push the plunger. Remove the applicator and clean

Front 21

What are 2 conseling points for use of Vaginal creams, suppostiroes, and oveuls

Back 21

1 . DO NOT USE TAMPONS
2. Better absoprtion at night
3. May wear a sanitary pad to absorb leakage

Front 22

What are advantages of vaginal route

Back 22

quick onset, local site of action

Front 23

What are disadvantages of vaginal products

Back 23

stains undergarments, leakage, patient comfort

Front 24

What are indications for topicals

Back 24

1. Dry skin, acnes, funal skin infections, lice, burns, diaper demating, and wound

Front 25

What are dilvery systesm of topicals

Back 25

ointments, creams, lotions, shampoos, sprays, gels, and lotions, solutions

Front 26

What is thickest to thinner formulation

Back 26

1. Oinment (thickest)
2. Creams
3. Lotions

Front 27

What are advantages of ointments

Back 27

1. creates a protective barrier
2. thin layer application
3. treats small area

Front 28

What are disadvantages of oinments

Back 28

greasy, can stain clothers

Front 29

What are advantages of creams

Back 29

1. less greasy
2. good delivery of active ingredient to epidermis
3. hydrating

Front 30

What are disadvantages of creams

Back 30

still messy

Front 31

What are advantages of lotions

Back 31

good for large surface areas
good for hairy areas, and hydrating

Front 32

What are diadvantages of lotions

Back 32

have to apply more often

Front 33

What are advantages of solutions

Back 33

only use enough to be aborbed, and good deliery of active ingredient to epidermins

Front 34

What are disadvantages of solutions

Back 34

can be drying (ALCOHOL BASED)

Front 35

What are advantages of powders

Back 35

1. Absorb moisture
2. include talc or constarch

Front 36

Disadvantages of powders

Back 36

1.Less effective (cannot be rubbed into skin)

Front 37

What are advantages of sparys

Back 37

colorless nongreasy, no physical toching of wonds

Front 38

What are disadvantages of sprays

Back 38

less effective (not rubbed into skin)

Front 39

What are advantages of gels

Back 39

absroption similar to soultions,

Front 40

What are disadvantages of gels

Back 40

similar to soltions (can be drying)

Front 41

Conseling Points of WET dematitis

Back 41

IF is wet, dry it, use a solution or gel

Front 42

Conseling Points of if slight lubrication is needed for dermatitis

Back 42

use a cream or lotion

Front 43

Counseling points of DRY dermatitis

Back 43

Ointments are the vechile of choice

Front 44

Should you avoid intertiginous area due to maceration

Back 44

cause further irriation b/c of occulsive effect

Front 45

WHen would you use an ointment for a burn, and why

Back 45

ONLY when skin is intact, traps moisture

Front 46

When would you use a cream for a burn

Back 46

best for broken skin always some mositure to evaporate

Front 47

When you you use a lotion of a burn

Back 47

for large burns spread easily

Front 48

Spary are not protective, and generally more expensive, how should you apply

Back 48

hold container 6 inches from wound for 1-3 sec

Front 49

What is the most effective treatment for acne

Back 49

GELS--drying (astringents) and remain on skin longest

Front 50

What is recommened for dry senstive skin

Back 50

lotions or creams

Front 51

What are best treatments for fungal skin infections

Back 51

creams of solutions, b/c allows for effective delivery of active ingreadients to skin

Front 52

Be aware that some products have the same brand name, but not same active ingreatients example

Back 52

Lotrinin AF cream and spray have different active ingredients

Front 53

What are advantages of opthalmic products

Back 53

produces a local effect,a nd minial systemic absorption

Front 54

What are disadvantages of opthalmic products

Back 54

requires hand-eye coordination

Front 55

What are advantages of eye solutions

Back 55

easy to use

Front 56

What are disadvantages of eye solutions

Back 56

rush off eye to quickly to be fully absorbed

Front 57

What are advantages to suspension

Back 57

easy to use

Front 58

What are disadvantages to eye supsension

Back 58

must shake prior to use, cannot refrigerate

Front 59

What are advantages to eye mists

Back 59

easy to use

Front 60

What are disadvantages to mists

Back 60

drug loss

Front 61

What are are advantage of eye oinmtnets

Back 61

keeps drug on eye longer

Front 62

What are disadvantage of eye ointments

Back 62

temprarily blurs vision r

Front 63

What are advantages of eye gels

Back 63

keeps drun on eye longs, better tolerated than ointments

Front 64

Whatare disadvantages of eye gels

Back 64

also temporarily blur eye vision, but not as long as ointments

Front 65

What are advantages and disadvantage of eye insert

Back 65

release drug continually, and in slow amoints --disavantage hard to insert

Front 66

What are advantages of eye emulsion, disadvantages

Back 66

more speedily and effectively absrobed than others---not many products available

Front 67

Conseling points if using both ointments and drops

Back 67

Instill drops 10 minutes before the ointment, so ointment does not become a barrier to drops

Front 68

How long should you wait before inserting multiple drops

Back 68

5 mintues

Front 69

How long should you close you eye with an ointmet

Back 69

1-2 mintues

Front 70

For eye minst compatible with all products, and contacts, how far should you hold away from eye

Back 70

12-15 inches

Front 71

What are 2 key conseling points for eye

Back 71

1. Empahise sterility (washing hands, and never touch prodcut to eye
2. refer on if pain, inflammation or discharge

Front 72

When should you discard eye bottle are opening

Back 72

30 days

Front 73

What are indciation for ear ointments

Back 73

1. ear war
2. clogged ears
3. Swimmers Ear (external ear)

Front 74

What are ear delivery systems

Back 74

1. solutions
2. suspensions

Front 75

How do you insert ear drops

Back 75

1. Clean and dry prior
2. Warm ear drops in hands to body temp for 1-2 mintues to avoid dizziness
3. Tilt head sideways (pull the earlobe up and back, and insert drops

Front 76

What do you do after you insert the drops

Back 76

1. Gently press of skin flap over ear canal force drops in and get rid of bubble

Front 77

If pateitns are using a bulb syringe for ear irrigation where should they direct the solution

Back 77

up against the upper portion of ear, not against ear drum

Front 78

How many drop can ear canal hold

Back 78

17 drops

Front 79

When is a suspension the preferred dilvery formation for ear for AOE

Back 79

when the patietns have a perforated tympanic membrane

Front 80

What are indication for oral inhaler delivery

Back 80

asthma, COPD, allergies,

Front 81

What are types of oral inhalers

Back 81

MDI
DPI

Front 82

What are 2 types of DPI inhalers

Back 82

Blister strip
Capsule dosage form

Front 83

What is a spacer and advantages

Back 83

NO mediation, attaches to MDI, gets rids of need for hand-eye coodination

Front 84

What are advantages of ORal inhalers

Back 84

minimal side effets, and quick local site of action

Front 85

What are disadvantages of MDI

Back 85

requires hand eye coodinatoin,

Front 86

What are disadvantages of DPI

Back 86

must have high inspiratory flow, cannot store in humid areas causes aggregation of particles, and tilting inhaler after actuation can spill powder,

Front 87

Disadvantages of both MDI and DPI when using steriods is

Back 87

MUST rinse mouth, or increased risk of oral yeast infection

Front 88

How do you use a MDI

Back 88

Take off cap, breathe out all the way put in mouth between teeth, tongue under mouthpice, and with lips sealed, the BREATHE IN DEEPLY AND SLOWLY THROUGH YOUR MOUTH, press down on MDI, keep breathing in until lungs fulls,

Front 89

How long do you hold your breath with a MDI

Back 89

10 sec,

Front 90

If you need to take another puff how long should you wait with MDI

Back 90

1 minutes

Front 91

How do you use a DPI

Back 91

Hold the inhaler facing your mouth, activate, turn head away breathe out normally, then then put mouthpiece between lips making seal, and breath in FAST and DEEP

Front 92

How long should you hold medication for DPI

Back 92

10 seconds

Front 93

What are indications for nasal products

Back 93

allergic rhinitis, nasal dryness, congestion, migranes

Front 94

What are advantages of nasal deliversy

Back 94

quick onset, minial side effects, local effect, large surface area

Front 95

Disadvantages of nasal passages

Back 95

unpleasnt taste, loss of smell, irriations, high risk of contaminiantion

Front 96

How do you use a nasal spray

Back 96

clear nasal passages by blowing nose, gently insert bottle tip, and depress ofther nostil, keep head upright, and sniffy deeply while squeezing bottle

Front 97

What is different on how you use a nasal spray pump?

Back 97

tilt head forward

Front 98

How do you use Nasal drops

Back 98

Clear nasal passages, squeeze bulb to withdrawl medication, lie on bed with head tilted back over side of bed, then insert drops, and gently tilt head side to sid

Front 99

Should you rise the dropper with nasal drops

Back 99

NO

Front 100

What are advatages/disadvantages of SL tablet or spray

Back 100

QUICK onset, disadvantage need to have medication on them at all times

Front 101

What are advantages/disadvantages of GUM (nicotine)

Back 101

Helps with oral fixation, disadvantages--chew mutiple pieces may stick to dental work, need to wait 15 mintues after eating or drinking

Front 102

How do chew nicotine gum

Back 102

Must wait 15 mintues after eating/drinking since alter mouth pH can affect drug
1. Chew gum slowly until you notice a tingle, the park in cheek unitl tingle is gone then repeat

Front 103

What are advantages of Transdermal drug adminstiration

Back 103

Longer duration of action, easy to use and convient dosing

Front 104

Are there reduced side effects, and more uniform plasma lelvels

Back 104

YES

Front 105

What are disadvantages to transdermal administration

Back 105

local irriatoin, and altered kinetics (differnt skin thickness)

Front 106

How do you apply a transdermal patch

Back 106

1. Apply the patch to a clean dry, hairless area, and apply firm pressure with palm of hand for 10 sec, wash hands after touching patch

Front 107

The patches should be applyed to a different area each time, allow how much time

Back 107

at least one week, prevents irration and drug buildup

Front 108

3 Counseling points of transdermal patches

Back 108

1. DO NOT CUT PATCHES
2. DO NOT occlude patches with tape
3. You may shower swim and bathe with patch