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Phcy 441: PPCP Exam 1 Questions with Correct Answers

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Phcy 441: PPCP Exam 1 Questions with Correct
Answers
Pharmacist's Patient Care Process Correct Answer-Collect
Assess
Plan
Implement
Follow-up: Monitor and Evaluate


generic name Correct Answer-chemical entity (indicate using lowercase)


brand name Correct Answer-manufacturer-derived (indicate by
capitalizing), sometimes multiple brands for same generic entity; e.g.,
Prinvil, Zestril (lisinopril)


chemical/pharmacologic/medication class Correct Answer-meds that
work the same way, have a similar structure and/or treat the same
condition(s); e.g., amoxicillina -beta-lactam antibiotic; lisinoprila -
angiotensin converting enzyme inhibitor


mechanism of action Correct Answer-physiologic effect that a
medication produces to result in the intended therapeutic response; how
a medication works; e.g., warfarin is an anticoagulant that works by
inhibiting vitamin K- dependent coagulation factors


primary indication Correct Answer-what the medication is indicated for
and typically prescribed to treat (eg metformin for type 2 diabetes)

,dosing and administration Correct Answer-standard medication dosing,
initial and/or max dosages, adjustments for special circumstances and
patient populations (geriatrics, renal or hepatic impairment); dosage
forms; special preparation or administration instructions


adverse effects (side effects, adverse drug reactions) Correct Answer-
unintended reaction to a medication at a normal dosage; focus on
common and/or serious; e.g., azithromycin commonly results in GI upset
such as abdominal discomfort, nausea/vomiting, diarrhea


contraindications Correct Answer-specific condition or situation in
which a medication should not be used because it may harm the patient;
e.g., clopidogrel is contraindicated in patients with an active bleeding
disorder such as peptic ulcer disease


warnings and precautions Correct Answer-generally serious or severe
unintended negative outcomes that could result from taking the
medication (in general or in patient specific cases); includes Boxed
Warnings; e.g., sertraline should not be given within 14 days of MAOIs
due to increased risk of toxicity (serotonin syndrome); Boxed warning -
Antidepressants increased the risk of suicidal thoughts and behavior in
pediatric and young adult patients in short-term studies. Closely monitor
all antidepressant-treated patients for clinical worsening, and for
emergence of suicidal thoughts and behaviors.


interactions Correct Answer-diseases, foods, medications that, when
given at the same time as the target medication, result in alteration of

,effect/potential toxicity; e.g., sertraline should not be given within 14
days of MAOIs due to increased risk of toxicity (serotonin syndrome)


monitoring parameters Correct Answer-What should be monitored to
know the medication is working (efficacy monitoring)? What should be
monitored to make sure the medication is not causing harm/AEs? (safety
monitoring)


patient counseling Correct Answer-advice, instructions which should be
provided to the patient to ensure that he/she gets the most benefit from
therapy and uses appropriately; e.g., proper metered-dose inhaler
instructions/steps for albuterol; take in the morning 30 minutes before
any food or drink; take with food


"Recognizing the need for a consistent process in the delivery of patient
care across the profession, the Joint Commission of Pharmacy
Practitioners (JCPP) released the Pharmacists' Patient Care Process. The
process is applicable to any practice setting where pharmacists provide
patient care and for any patient care service provided by pharmacists."
Correct Answer-What is the PPCP?


patient-centered approach Correct Answer-"Pharmacists use a
_________________ in collaboration with other providers on the health
care team to optimize patient health and medication outcomes"


consensus-based approach Correct Answer-National pharmacy
associations under the Joint Commission of Pharmacy Practitioners used

, a ______________ to articulate the patient care process for pharmacists
to use as a framework for delivering patient care in any practice setting


Pharmacists' Patient Care Process Correct Answer--intended to be used
for a wide range of patient care services within a pharmacists' scope of
practice
-intended to be delivered in collaboration with other members of the
health care team


-Wide variation in patient care processes
-Use of inconsistent terminology within the profession
-Confusion from others regarding the patient care services that can be
consistently expected from clinical pharmacists
-Focus on identifying, resolving, and preventing medication-related
problems (MRP)
-Improve medication use
-Optimize patients' pharmacotherapeutic outcomes Correct Answer-Why
do we need a patient care process?


primary goals of the PPCP Correct Answer--Promote consistency across
the profession
-Provide a framework for delivering patient care in any practice setting
-Be a contemporary and comprehensive approach to patient-centered
care delivered in collaboration with other members of the health care
team

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