Exam (elaborations)
PHM 552 EXAM II questions with correct answers
- Course
- Psychopharmacology 552
- Institution
- Wilkes University
PHM 552 EXAM II questions with correct answers
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PHM 552 EXAM II questions with correctanswers
medication management
-key to medication management in a hospital is the *formulary system* - ** VERIFIED
ANSWERS **✔✔Describes the process used to assure *safe and effective* use of drugs in a
cost conscious manner
drug formulary - ** VERIFIED ANSWERS **✔✔• A *continually updated list of
medications* established by the Pharmacy and Therapeutics (P&T) Committee
• Supported by *current evidence-based medicine*, judgment of physicians, pharmacists
and other experts in the diagnosis and treatment of disease and preservation of health
• The primary purpose is to encourage the use of *safe, effective, and most affordable
medications*
closed formulary - ** VERIFIED ANSWERS **✔✔• List of medications which limits access
of a prescriber to certain medications
• Limited selection --> ↓ cost
• A common practice in the hospital setting
open formulary - ** VERIFIED ANSWERS **✔✔A list of medications in which prescribers
have no restrictions on ordering/prescribing medications
,• Broader selection -->↑ costs
RESTRICTED formulary medications
-usually to minimize side effects and costs - ** VERIFIED ANSWERS **✔✔Certain
medications on the formulary are limited or restricted to specific physicians, patient care
areas, or disease states via formulary restrictions
• Example: Certain antibiotics can only be ordered by Infectious Disease (ID) physicians
-A non-formulary medication will go through an *approval process* if it is
needed
-Many CPOE systems give an alert to the prescriber that the medication is non-formulary
-The physician will *need to present evidence* that the medication is appropriate for the
patient
----Typically, the patient has tried other medications, or the alternative is not appropriate
(Analogous to filling out a prior authorization in the out-patient setting) - ** VERIFIED
ANSWERS **✔✔WHAT HAPPENS WHEN A NON-FORMULARY MEDICATION IS
ORDERED IN A CLOSED FORMULARY HOSPITAL?
"is there a therapeutic interchange?"
"are there any contraindications?
ETC. - ** VERIFIED ANSWERS **✔✔What questions would you ask the prescriber if
he/she orders a non-formulary antibiotic?
, Pharmacy and Therapeutics (P&T) - ** VERIFIED ANSWERS **✔✔-Composed of
representatives from *medical staff, administration, pharmacy, and nursing*
-A committee with oversight for medication management including the drug formulary
-*Reviews the medication list* and guidelines on a regular basis to assure that it is current
and meets the needs of the medical staff and patients
P&T Committee - ** VERIFIED ANSWERS **✔✔• Establishes and *maintains the
formulary*
• Prevents and monitors *adverse drug reactions* and medication
errors
• *Educates* health professionals to the optimal use of medications
• Develops of *protocols and procedures* for medications on the formulary
-DUR (drug utilization review)
-MUE (medication use evaluation) - ** VERIFIED ANSWERS **✔✔How are formulary
drugs evaluated?
Drug Utilization Review (DUR) aka DUE (evaluation) - ** VERIFIED ANSWERS **✔✔A
system of ongoing, systematic, criteria-based evaluation of drug use that will *help ensure
that medicines are used APPROPRIATELY* generally in terms of prescribing
• If therapy is deemed to be inappropriate, interventions with providers or patients will be
necessary to optimize drug therapy
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