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17 Cards in this Set

  • Front
  • Back
What are some concerns with Prescription drug shortages?
Affects both community and institutional pharmacies
Public health crisis for many patients
Raises serious safety concerns for patients
Delays treatment
Physicians prescribe less effective or higher cost drugs
Which drugs are affected/shorted?
Antineoplastic
Biologics
Antibiotics
Cardiac
CNS

2005 there were 61 drugs
2012 there are 200 drugs
What are possible causes of drug shortages?
Manufacturing and shipping problems

Increased demand
What are some manufacturing and shipping problems?
Delays, shortage in ingredients
Several manufacturers no longer manufacture certain drugs in previous quantity or at all
Equipment issues
Requalification of many equipment
Business decisions to make more profit
No legal consequences for mfr who do not alert FDA 6 months in advance if there will be shortage
How do we resolve drug shortage issues?
Delay treatment
Use alternative drug or alternative strength
What do pharmacists need to know?
Alternative treatments
Implications on patient care
Resupply dates
What are some issues concerning illicit drug use?
Use of newer illicit drugs in upswing
Public officials continue to focus on abuse of prescription drugs
Adolescent substance abuse is a major public health concern
Disagreement remains on what should be done to curb this public health crisis
Who is looking into the problem of illicit drug abuse?
CDC
Prescription drug abuse is fastest growing drug problem in US
What are some issues Pharmacists face with illicit drug use?
How to detect new abuses
Increased prescription drug use
Combo use (bath salts + stimulants)
Medical marijuana abuse vs therapeutic use
Cutting off supply
Unhealthy eating:
Who gets weight reduction counseling?
Dependent on ethnic and clinician differences
What should Americans consider with unhealthy eating?
Too much sodium intake (processed foods, bread rolls, cold cuts, deli meats, pizza)
Should sugar be controlled like tobacco and alcohol?
What is the pharmacists role in unhealthy eating?
Add weight reduction counseling when necessary
Keep informed on new drugs & strategies for weight reduction
Familiarize with dietary supplements and food products that help in weight reduction
What are some solutions to Infectious disease issues?
Advance epidemiological methods to track infections
Better methods to determine & monitor outbreaks
Assessing performance improvements & methods
Construct new hospitals with infection control in mind
Prevent central line associated bloodstream infections (CLABSI) and surgical site infections (SSI)
Issues regarding resurgence of measles
Returning as a public health threat
8/11 15 outbreaks were reported, largest number of US cases seen since 1996
What are reasons for measles outbreak?
Measles virus is easily transmitted from patient to patient
Increasing rates of vaccine refusal
Globalization
Why can't we eradicate malaria worldwide?
Resistant malaria causing mosquitoes to insecticides and current drug therapy
What is pharmacists role in eradicating malaria?
Keep informed of changing trends in infectious diseases
Be aware of current immunization schedules
Add immunization information to patients medication counseling when necessary
Become immunization certified and become active in community