Stewardship MCPC 2
50 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of antimicrobial stewardship interventions is patient specific?

  • Formulary management
  • Review of diagnostic results (blood cultures) (correct)
  • Institutional guidelines
  • Restriction/prior approval

    • Where does the ASP program at UMMC NOT evaluate patients?

  • Adult medical wards
  • Pediatric ICU
  • Neonatal Intensive Care Unit (NICU) (correct)
  • Adult ICU

    • Which of these is NOT a current ASP initiative at UMMC?

  • Pediatric ICU vancomycin use
  • Implementation of azithromycin duration protocol
  • Implementing adult sepsis guidelines (correct)
  • Pediatric UTI quality improvement

    • Which intervention is NOT considered a Pre-emptive Antimicrobial stewardship program intervention?

    <p>Audit with feedback</p> Signup and view all the answers

    Which of these describes the Leadership core element of the CDC Core Elements of ASP for Hospitals?

    <p>Dedicating necessary human, financial and information technology resources to stewardship</p> Signup and view all the answers

    Which is not a CDC core component of ASP?

    <p>Patient Involement</p> Signup and view all the answers

    Which of these describes the Accountability core element of the CDC Core Elements of ASP for Hospitals?

    <p>Appointing a single physician leader responsible for program outcomes</p> Signup and view all the answers

    What is the primary purpose of the Tracking core element in antibiotic stewardship programs?

    <p>To monitor antibiotic prescribing and resistance patterns</p> Signup and view all the answers

    What is not a key requirements of the CMS ASP Regulations for Hospitals?

    <p>Perform monthly audits of all antibioitc use</p> Signup and view all the answers

    What are the minimum requirements for the §483.80(a) CMS ASP regulations for nursing homes?

    <p>antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use.</p> Signup and view all the answers

    What are the key barriers to implementing antibiotic stewardship programs in nursing homes according

    <p>Lack of staffing and financial resources</p> Signup and view all the answers

    What is the primary purpose of the Reporting core element in antibiotic stewardship programs?

    <p>To report information on antibiotic use and resistance to doctors, nurses and relevant staff</p> Signup and view all the answers

    What is the TYPICAL duration of subacute pain?

    <p>1-3 months</p> Signup and view all the answers

    Which lab test is not needed to rule out when assessing a patient's pain?

    <p>mGFR</p> Signup and view all the answers

    What is the treatment recommended in the second step of the WHO's analgesic ladder?

    <p>Weak opioids with or without non-opioid analgesics, and with or without adjuvants</p> Signup and view all the answers

    Which drug can reduce pain and fever, but does not provide anti-inflammatory effects?

    <p>Acetaminophen</p> Signup and view all the answers

    Which is not a medication used in neuropathic pain?

    <p>Hydromorphone</p> Signup and view all the answers

    Which pain assessment scale is used in cognitive impairment?

    <p>Wong-Baker FACES pain rating scale</p> Signup and view all the answers

    What action should be taken before doing a Rapid Urease Test on a patient for PUD

    <p>Discontinue PPIs</p> Signup and view all the answers

    Which pharmacological agent has the most data supporting its use for prophylaxis of stress ulcers in high-risk patients?

    <p>H2RA</p> Signup and view all the answers

    Which factor is NOT listed as a risk factor for stress ulcers?

    <p>Antibiotic use</p> Signup and view all the answers

    In patient education regarding peptic ulcers treatment, what should patients be educated about?

    <p>Smoking cessation</p> Signup and view all the answers

    Which is a not a correct TRIPLE therapy regimen for Pud?

    <p>Tetracycline + PPI + clarithroymycin</p> Signup and view all the answers

    What agent isn't used in PUD quadruple therapy?

    <p>Doxycycline</p> Signup and view all the answers

    What is the most common complication from PUD?

    <p>Hemorrhage (bleeding)</p> Signup and view all the answers

    Which statement about proton pump inhibitors (PPIs) is correct?

    <p>PPIs are equally potent in inhibiting acid secretion.</p> Signup and view all the answers

    Which of the following is a potential risk associated with long-term PPI use?

    <p>Hip fractures and osteoporosis</p> Signup and view all the answers

    Which of the following is NOT a common side effect associated with PPI use?

    <p>Constipation</p> Signup and view all the answers

    What is the recommended duration for treating a duodenal ulcer with PPI BID?

    <p>4-8 weeks</p> Signup and view all the answers

    What is the primary goal of fluid stewardship programs?

    <p>To prevent fluid overload and electrolyte imbalances</p> Signup and view all the answers

    Which of the following is NOT a key metric used to track antimicrobial stewardship efforts?

    <p>Patient satisfaction scores</p> Signup and view all the answers

    Select the correct 4 Rights of Fluid Stewardship

    <p>patient, drug, route, dose</p> Signup and view all the answers

    Opioid stewardship recommends using high doses and extended-release formulations of opioids.

    <p>False</p> Signup and view all the answers

    What is the primary purpose of medication-related stewardship?

    <p>All of the above</p> Signup and view all the answers

    What is the primary goal of fluid stewardship programs according to the text?

    <p>To prevent fluid overload and electrolyte imbalances</p> Signup and view all the answers

    Which of the following is a recommended action for antimicrobial stewardship according to the text?

    <p>Implement prospective audit and feedback by a multidisciplinary team</p> Signup and view all the answers

    Which of the following is NOT a key element of medication-related stewardship?

    <p>Determining the most cost-effective medication options</p> Signup and view all the answers

    The CMP ASP regulations for nursing home says pharmacists must perform a medication regimen review (MRR) at least ____

    <p>monthly</p> Signup and view all the answers

    ___ is The responsibility of overseeing and protecting something considered worth caring for and preserving

    <p>Stewardship</p> Signup and view all the answers

    Which is NOT a Purpose of Medication-Related Stewardship

    <p>Increases the job opportunities available for pharmacists</p> Signup and view all the answers

    According to CMS ASP Regulations for Nursing Homes ,The assessment, monitoring and communication of antibiotic use shall occur by a licensed _____

    <p>pharmacist</p> Signup and view all the answers

    Which antacid is associated with constipation

    <p>Aluminum</p> Signup and view all the answers

    Antacids should be taken __ hours after meals/drugs to avoid DDIs

    <p>1-3</p> Signup and view all the answers

    Which H2RA is inhibits CYP450 and can cause issues with drugs like propranolol which are metabolized by them?

    <p>Cimetidine</p> Signup and view all the answers

    Which pro motility agent is NOT an anticholinergic?

    <p>Metoclopramide</p> Signup and view all the answers

    In which situation should PPIs avoided in?

    <p>Elderly patients</p> Signup and view all the answers

    Which of these is a long acting insulin?

    <p>Tresiba</p> Signup and view all the answers

    T/F: Insulin should always be started before considering adding a GLP-1 in a T2D patient

    <p>False</p> Signup and view all the answers

    T/F: Bolus/prandial insulin is taken before meals

    <p>True</p> Signup and view all the answers

    Basal insulin should be adjusted by ___% at a time

    <p>10-15</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser