Podcast
Questions and Answers
What is one of the primary clinical responsibilities of a community pharmacist?
What is one of the primary clinical responsibilities of a community pharmacist?
- Scheduling pharmacy personnel
- Providing immunizations (correct)
- Balancing profit and loss sheets
- Compounding sterile drug products
Which of the following is NOT typically a responsibility of community pharmacists?
Which of the following is NOT typically a responsibility of community pharmacists?
- Monitoring patients' health
- Performing major surgeries (correct)
- Evaluating patients for self-care
- Dispensing medication
During which step of the prescription process is patient information verified?
During which step of the prescription process is patient information verified?
- Prescription Entry
- Patient Consultation
- Final Dispensing
- Drop-off Window (correct)
What business-related responsibility involves interacting with insurance companies?
What business-related responsibility involves interacting with insurance companies?
Which of the following is an essential aspect of medication therapy management services?
Which of the following is an essential aspect of medication therapy management services?
What is the role of community pharmacists in health and wellness promotion?
What is the role of community pharmacists in health and wellness promotion?
Which task is typically performed by community pharmacists to ensure operational efficiency?
Which task is typically performed by community pharmacists to ensure operational efficiency?
What is one of the ways community pharmacists serve as drug information resources?
What is one of the ways community pharmacists serve as drug information resources?
What is the primary role of the pharmacist during the verification process?
What is the primary role of the pharmacist during the verification process?
Which of the following is NOT typically included when receiving a new prescription?
Which of the following is NOT typically included when receiving a new prescription?
What does the SIG code in a prescription help pharmacists interpret?
What does the SIG code in a prescription help pharmacists interpret?
Which of the following personnel is NOT typically found in a community pharmacy?
Which of the following personnel is NOT typically found in a community pharmacy?
What additional information is required for controlled substance prescriptions?
What additional information is required for controlled substance prescriptions?
How do pharmacies typically verify a patient's identity at the pickup window?
How do pharmacies typically verify a patient's identity at the pickup window?
What role do health educators play in community pharmacies?
What role do health educators play in community pharmacies?
What step is crucial when inputting a prescription to ensure patient safety?
What step is crucial when inputting a prescription to ensure patient safety?
What type of information is considered subjective during a patient interview?
What type of information is considered subjective during a patient interview?
Which of the following is NOT a method of submission for prescriptions at community pharmacies?
Which of the following is NOT a method of submission for prescriptions at community pharmacies?
What is the primary purpose of the consultation window in a pharmacy?
What is the primary purpose of the consultation window in a pharmacy?
What is one main benefit of utilizing technology such as barcoding in the filling process?
What is one main benefit of utilizing technology such as barcoding in the filling process?
In what order should the three steps of a patient interview be conducted?
In what order should the three steps of a patient interview be conducted?
What should be collected as part of a patient's medication history?
What should be collected as part of a patient's medication history?
Which of the following is NOT included in the sections of an interview collection form?
Which of the following is NOT included in the sections of an interview collection form?
How should empathy be demonstrated during patient interactions?
How should empathy be demonstrated during patient interactions?
What is a common consequence of low health literacy?
What is a common consequence of low health literacy?
What method should be employed to verify the accuracy of collected patient information?
What method should be employed to verify the accuracy of collected patient information?
Which level on the National Assessment of Adult Literacy (NAAL) indicates an ability to summarize text and perform calculations?
Which level on the National Assessment of Adult Literacy (NAAL) indicates an ability to summarize text and perform calculations?
What should be the main focus when asking open-ended questions to patients?
What should be the main focus when asking open-ended questions to patients?
What does the cultural domain of health literacy acknowledge?
What does the cultural domain of health literacy acknowledge?
Which of the following is NOT a risk factor for inadequate health literacy?
Which of the following is NOT a risk factor for inadequate health literacy?
What is the primary purpose of collecting a patient's social history?
What is the primary purpose of collecting a patient's social history?
What type of questions should be used strategically to collect specific data from patients?
What type of questions should be used strategically to collect specific data from patients?
What is the primary goal of the teach-back method?
What is the primary goal of the teach-back method?
Which of the following options best represents the chief complaint?
Which of the following options best represents the chief complaint?
Which of the following is NOT a component of the Health Belief Model?
Which of the following is NOT a component of the Health Belief Model?
Which medication history component is NOT typically assessed?
Which medication history component is NOT typically assessed?
Culturally appropriate health education materials should aim for which reading level?
Culturally appropriate health education materials should aim for which reading level?
Which of the following best describes health disparities?
Which of the following best describes health disparities?
What role do pharmacists play in addressing health disparities?
What role do pharmacists play in addressing health disparities?
Which strategy is effective for ensuring patient understanding?
Which strategy is effective for ensuring patient understanding?
Social determinants of health include which of the following factors?
Social determinants of health include which of the following factors?
Health equity implies that individuals should have what kind of opportunity?
Health equity implies that individuals should have what kind of opportunity?
Which population is likely to experience higher prevalence of uncontrolled hypertension?
Which population is likely to experience higher prevalence of uncontrolled hypertension?
What is essential for fostering trust in patient-provider communication?
What is essential for fostering trust in patient-provider communication?
What factors can influence healthcare access and quality?
What factors can influence healthcare access and quality?
Which of the following is a strategy for effective cross-cultural communication?
Which of the following is a strategy for effective cross-cultural communication?
How should written educational materials be designed for a diverse audience?
How should written educational materials be designed for a diverse audience?
What is the primary function of auto-adjudication in claims processing?
What is the primary function of auto-adjudication in claims processing?
Which element on the prescription insurance card helps route a claim to the correct insurance?
Which element on the prescription insurance card helps route a claim to the correct insurance?
Which of the following is NOT a possible outcome of claims adjudication?
Which of the following is NOT a possible outcome of claims adjudication?
What type of items does Medicare Part B cover?
What type of items does Medicare Part B cover?
Which of the following NCPDP reject codes indicates that a medication is not covered due to a plan exclusion?
Which of the following NCPDP reject codes indicates that a medication is not covered due to a plan exclusion?
What does a 'Prior Authorization Required' rejection indicate?
What does a 'Prior Authorization Required' rejection indicate?
What does reject code 79 signify?
What does reject code 79 signify?
How can pharmacist override a DUR rejection?
How can pharmacist override a DUR rejection?
Which of the following is a reason for issuing a clinical alert in pharmacy management systems?
Which of the following is a reason for issuing a clinical alert in pharmacy management systems?
What does a 'Plan Limitations Exceeded' rejection code indicate?
What does a 'Plan Limitations Exceeded' rejection code indicate?
What should patients ensure to present when filling a prescription?
What should patients ensure to present when filling a prescription?
Which of the following could signal a possible duplicate therapy alert?
Which of the following could signal a possible duplicate therapy alert?
Which of the following steps comes first in the prescription pathway process?
Which of the following steps comes first in the prescription pathway process?
What is indicated by reject code 88?
What is indicated by reject code 88?
What is the normal pulse rate range for adults?
What is the normal pulse rate range for adults?
Which term describes abnormally slow breathing?
Which term describes abnormally slow breathing?
What is the primary method for calculating Body Mass Index (BMI)?
What is the primary method for calculating Body Mass Index (BMI)?
Which of the following sites is considered the least reliable for measuring temperature?
Which of the following sites is considered the least reliable for measuring temperature?
What classification of hypertension includes systolic blood pressure of 130-139 or diastolic of 80-89?
What classification of hypertension includes systolic blood pressure of 130-139 or diastolic of 80-89?
Which complication is NOT associated with uncontrolled hypertension?
Which complication is NOT associated with uncontrolled hypertension?
Which medication classes are considered first-line treatments for hypertension according to AHA/ACC 2017 guidelines?
Which medication classes are considered first-line treatments for hypertension according to AHA/ACC 2017 guidelines?
What is the maximum recommended blood pressure target for most patients with diabetes according to ADA guidelines?
What is the maximum recommended blood pressure target for most patients with diabetes according to ADA guidelines?
How should pulse and respiratory rates be ideally obtained?
How should pulse and respiratory rates be ideally obtained?
What is a common strategy pharmacists can use to improve medication adherence?
What is a common strategy pharmacists can use to improve medication adherence?
Which of the following is an effect of uncontrolled hypertension?
Which of the following is an effect of uncontrolled hypertension?
What is tachycardia defined as?
What is tachycardia defined as?
Which statement about temperature measurement is accurate?
Which statement about temperature measurement is accurate?
What is dyslipidemia characterized by?
What is dyslipidemia characterized by?
How is total cholesterol classified as high?
How is total cholesterol classified as high?
What is the desirable level for LDL cholesterol according to lipid level classification?
What is the desirable level for LDL cholesterol according to lipid level classification?
Which population would benefit the most from statin therapy?
Which population would benefit the most from statin therapy?
What is the maximum triglyceride level for the Friedewald equation to be accurate?
What is the maximum triglyceride level for the Friedewald equation to be accurate?
What is the primary aim of secondary prevention in cardiovascular health?
What is the primary aim of secondary prevention in cardiovascular health?
How is ASCVD risk categorized when assessing a patient's 10-year risk?
How is ASCVD risk categorized when assessing a patient's 10-year risk?
What is the desired HDL cholesterol level for men?
What is the desired HDL cholesterol level for men?
What does a BNP level greater than 400 indicate?
What does a BNP level greater than 400 indicate?
Which biomarker is released by cardiac cells in response to increased heart volume or pressure?
Which biomarker is released by cardiac cells in response to increased heart volume or pressure?
What role does pitting edema play in heart failure diagnosis?
What role does pitting edema play in heart failure diagnosis?
Which class of the NYHA classification denotes no symptoms even with physical exertion?
Which class of the NYHA classification denotes no symptoms even with physical exertion?
What is the main focus of the ACC/AHA classification system for heart failure?
What is the main focus of the ACC/AHA classification system for heart failure?
What is the purpose of measuring Forced Expiratory Volume in One Second (FEV1) during spirometry?
What is the purpose of measuring Forced Expiratory Volume in One Second (FEV1) during spirometry?
Which of the following findings during auscultation is associated with fluid in the lungs?
Which of the following findings during auscultation is associated with fluid in the lungs?
What does a dull sound during percussion of the chest likely indicate?
What does a dull sound during percussion of the chest likely indicate?
Which respiratory condition is most commonly associated with wheezing during expiration?
Which respiratory condition is most commonly associated with wheezing during expiration?
What does the Tiffeneau-Pinelli Index (FEV1/FVC) help determine?
What does the Tiffeneau-Pinelli Index (FEV1/FVC) help determine?
What condition is characterized by the use of accessory muscles for breathing?
What condition is characterized by the use of accessory muscles for breathing?
What is a common purpose of a peak flow meter?
What is a common purpose of a peak flow meter?
What might the presence of jugular venous distension (JVD) suggest?
What might the presence of jugular venous distension (JVD) suggest?
Which of the following represents an indication of normal oxygen saturation levels?
Which of the following represents an indication of normal oxygen saturation levels?
What technique is important for ensuring proper inhaler use among patients?
What technique is important for ensuring proper inhaler use among patients?
Which type of breath sound is often described as snoring or gurgling?
Which type of breath sound is often described as snoring or gurgling?
What is the primary benefit of peak flow monitoring in asthma management?
What is the primary benefit of peak flow monitoring in asthma management?
What is the significance of a normal auscultation finding recorded as CTAB?
What is the significance of a normal auscultation finding recorded as CTAB?
What does Beers criteria specifically focus on?
What does Beers criteria specifically focus on?
Which vital sign is associated with systolic and diastolic pressure?
Which vital sign is associated with systolic and diastolic pressure?
What information should be assessed before measuring a patient's blood pressure?
What information should be assessed before measuring a patient's blood pressure?
When taking blood pressure, which position should the patient's arm be in?
When taking blood pressure, which position should the patient's arm be in?
What does a prescription alert coded 'Clinical Alert Allergy (Codeine)' indicate?
What does a prescription alert coded 'Clinical Alert Allergy (Codeine)' indicate?
What steps should be taken if abnormal vital signs are noted?
What steps should be taken if abnormal vital signs are noted?
What is a significant aspect of patient communication regarding clinical alerts?
What is a significant aspect of patient communication regarding clinical alerts?
What is the recommended bladder length for a blood pressure cuff?
What is the recommended bladder length for a blood pressure cuff?
What type of blood pressure cuff rises as pressure increases?
What type of blood pressure cuff rises as pressure increases?
Which of the following is an important factor before measuring blood pressure?
Which of the following is an important factor before measuring blood pressure?
What equipment should be checked for accuracy before measuring blood pressure?
What equipment should be checked for accuracy before measuring blood pressure?
What is the correct response when systolic pressure is first heard during blood pressure measurement?
What is the correct response when systolic pressure is first heard during blood pressure measurement?
What is the main purpose of manual blood pressure assessment?
What is the main purpose of manual blood pressure assessment?
In blood pressure measurement, what is 'white coat syndrome'?
In blood pressure measurement, what is 'white coat syndrome'?
What is a notable advantage of using a Diskus inhaler?
What is a notable advantage of using a Diskus inhaler?
What is a common characteristic of Soft Mist Inhalers (SMIs)?
What is a common characteristic of Soft Mist Inhalers (SMIs)?
Which inhaler requires coordination between actuation and inhalation?
Which inhaler requires coordination between actuation and inhalation?
Which of the following steps is included in using the HandiHaler?
Which of the following steps is included in using the HandiHaler?
What is a potential disadvantage of the RespiClick inhaler?
What is a potential disadvantage of the RespiClick inhaler?
What is a unique feature of the Ellipta inhaler?
What is a unique feature of the Ellipta inhaler?
Which inhaler does not require washing or rinsing after use?
Which inhaler does not require washing or rinsing after use?
What is a primary advantage of nebulizers?
What is a primary advantage of nebulizers?
What is one important step in the use of the Twisthaler inhaler?
What is one important step in the use of the Twisthaler inhaler?
What occurs immediately after inserting the cartridge into a Respimat inhaler?
What occurs immediately after inserting the cartridge into a Respimat inhaler?
What must a patient do after using their Diskus inhaler?
What must a patient do after using their Diskus inhaler?
Which inhaler utilizes capsules containing medication?
Which inhaler utilizes capsules containing medication?
What can happen if humidity affects the use of powdered inhalers?
What can happen if humidity affects the use of powdered inhalers?
What happens after inhalation of medication from the Respimat inhaler?
What happens after inhalation of medication from the Respimat inhaler?
What is a common risk factor associated with atrial fibrillation (AFib)?
What is a common risk factor associated with atrial fibrillation (AFib)?
Which diagnostic test is specifically used to monitor intermittent AFib over an extended period?
Which diagnostic test is specifically used to monitor intermittent AFib over an extended period?
What does a higher CHADS2-VASc score indicate for patients with AFib?
What does a higher CHADS2-VASc score indicate for patients with AFib?
What is the typical INR goal for patients with AFib receiving warfarin therapy?
What is the typical INR goal for patients with AFib receiving warfarin therapy?
Which factor does NOT commonly influence INR levels in patients taking warfarin?
Which factor does NOT commonly influence INR levels in patients taking warfarin?
What characterizes asthma compared to other respiratory conditions?
What characterizes asthma compared to other respiratory conditions?
What percentage of patients with asthma usually report nocturnal symptoms?
What percentage of patients with asthma usually report nocturnal symptoms?
Which age group is most commonly affected by asthma?
Which age group is most commonly affected by asthma?
What is a major contributing factor to the development of COPD?
What is a major contributing factor to the development of COPD?
How is the severity of an asthma attack typically characterized?
How is the severity of an asthma attack typically characterized?
Which of the following does NOT represent a symptom of COPD?
Which of the following does NOT represent a symptom of COPD?
What role do pharmacists play in managing patients on anticoagulation therapy?
What role do pharmacists play in managing patients on anticoagulation therapy?
What is the primary purpose of a respiratory examination?
What is the primary purpose of a respiratory examination?
What is a significant complication of atrial fibrillation?
What is a significant complication of atrial fibrillation?
What is a common consequence of improper inhaler technique in patients?
What is a common consequence of improper inhaler technique in patients?
What is an example of a medication-related factor that contributes to poor medication adherence?
What is an example of a medication-related factor that contributes to poor medication adherence?
Which drug is NOT typically used as a pharmacotherapy option for smoking cessation?
Which drug is NOT typically used as a pharmacotherapy option for smoking cessation?
What organization recommends annual influenza vaccinations for adults with COPD or asthma?
What organization recommends annual influenza vaccinations for adults with COPD or asthma?
Which of the following inhalers requires coordination of actuation and inhalation?
Which of the following inhalers requires coordination of actuation and inhalation?
What is the primary purpose of using spacers with metered dose inhalers?
What is the primary purpose of using spacers with metered dose inhalers?
How is the days' supply calculated for an inhaler with 200 puffs if the prescription is for two puffs twice daily as needed?
How is the days' supply calculated for an inhaler with 200 puffs if the prescription is for two puffs twice daily as needed?
Which of the following is a recommended step in cleaning a metered dose inhaler (MDI)?
Which of the following is a recommended step in cleaning a metered dose inhaler (MDI)?
Which term best describes medications that can exacerbate respiratory distress, like opioids?
Which term best describes medications that can exacerbate respiratory distress, like opioids?
During which step of using a metered dose inhaler should the patient hold their breath?
During which step of using a metered dose inhaler should the patient hold their breath?
What is a key advantage of metered dose inhalers (MDIs)?
What is a key advantage of metered dose inhalers (MDIs)?
Which of the following is a recommended vaccination for adults aged 65 years and older?
Which of the following is a recommended vaccination for adults aged 65 years and older?
What is the role of pharmacists in the management of smoking cessation?
What is the role of pharmacists in the management of smoking cessation?
Flashcards
Community Pharmacist Role
Community Pharmacist Role
A community pharmacist acts as a vital healthcare professional, processing prescriptions, providing patients with medication knowledge, and promoting health.
Clinical Responsibilities (pharmacist)
Clinical Responsibilities (pharmacist)
The clinical duties of a pharmacist include medication therapy management, drug compounding, symptom relief advice, and patient health monitoring.
Business Responsibilities (pharmacist)
Business Responsibilities (pharmacist)
Pharmacists manage pharmacy operations, finances, inventory, insurance claims, and administrative tasks.
Prescription Drop-off
Prescription Drop-off
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Prescription Entry
Prescription Entry
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Medication Therapy Management
Medication Therapy Management
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Drug Compounding
Drug Compounding
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Prescription Adjudication
Prescription Adjudication
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Filling Station
Filling Station
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NDC number
NDC number
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Verification
Verification
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Pickup Window
Pickup Window
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Consultation Window
Consultation Window
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Subjective Information
Subjective Information
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Objective Information
Objective Information
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Patient Interview
Patient Interview
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Prescription Information
Prescription Information
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Controlled Substances
Controlled Substances
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E-prescriptions
E-prescriptions
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Review Prescription
Review Prescription
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SIG Codes
SIG Codes
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Prescription Review
Prescription Review
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Chief Complaint (CC)
Chief Complaint (CC)
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History of Present Illness (HPI)
History of Present Illness (HPI)
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Past Medical History (PMH)
Past Medical History (PMH)
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Social History
Social History
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Family History (FH)
Family History (FH)
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Medication History
Medication History
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Medication Indication
Medication Indication
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Medication Dose & Timing
Medication Dose & Timing
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Teach-Back
Teach-Back
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Open-Ended Question Example
Open-Ended Question Example
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Closed-Ended Question Example
Closed-Ended Question Example
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Health Literacy
Health Literacy
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Consequences of Low Health Literacy
Consequences of Low Health Literacy
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NAAL Levels
NAAL Levels
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Four Domains of Health Literacy
Four Domains of Health Literacy
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Teach-back Method
Teach-back Method
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Health Belief Model
Health Belief Model
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Health Disparities
Health Disparities
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Social Determinants of Health
Social Determinants of Health
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Economic Stability
Economic Stability
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Education Access and Quality
Education Access and Quality
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Healthcare Access and Quality
Healthcare Access and Quality
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Neighborhood and Built Environment
Neighborhood and Built Environment
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Social and Community Context
Social and Community Context
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Cultural Competency
Cultural Competency
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Knowledge (Cultural Competency)
Knowledge (Cultural Competency)
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Education and Training (Cultural Competency)
Education and Training (Cultural Competency)
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Critical Reflection (Cultural Competency)
Critical Reflection (Cultural Competency)
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Cross-Cultural Communication
Cross-Cultural Communication
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Patient Advocacy and Empowerment
Patient Advocacy and Empowerment
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Auto-adjudication
Auto-adjudication
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Claim Outcomes
Claim Outcomes
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Member ID
Member ID
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Rx BIN
Rx BIN
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Rx PCN
Rx PCN
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Rx Group
Rx Group
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Medicare Part B
Medicare Part B
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Insurance Formulary
Insurance Formulary
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Prior Authorization (PA)
Prior Authorization (PA)
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Plan Limit
Plan Limit
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NCPDP Reject Codes
NCPDP Reject Codes
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Non-Matched Pharmacy Number (Code 50)
Non-Matched Pharmacy Number (Code 50)
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Plan Exclusion (Code 70)
Plan Exclusion (Code 70)
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Prior Authorization Required (Code 75)
Prior Authorization Required (Code 75)
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Plan Limitations Exceeded (Code 76)
Plan Limitations Exceeded (Code 76)
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High-Risk Medications
High-Risk Medications
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Pediatric Dosing
Pediatric Dosing
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Beers Criteria
Beers Criteria
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Clinical Alert
Clinical Alert
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Prior Authorization
Prior Authorization
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Drug Utilization Review (DUR)
Drug Utilization Review (DUR)
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Vital Signs
Vital Signs
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Population Normal
Population Normal
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Personal Normal
Personal Normal
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White Coat Syndrome
White Coat Syndrome
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Open-Ended Questions
Open-Ended Questions
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Blood Pressure Cuff
Blood Pressure Cuff
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Stethoscope
Stethoscope
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Systolic Pressure
Systolic Pressure
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Diastolic Pressure
Diastolic Pressure
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Pulse Rate
Pulse Rate
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Normal Pulse Rate
Normal Pulse Rate
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Tachycardia
Tachycardia
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Bradycardia
Bradycardia
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Respiratory Rate
Respiratory Rate
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Normal Respiratory Rate
Normal Respiratory Rate
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Tachypnea
Tachypnea
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Bradypnea
Bradypnea
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Body Mass Index (BMI)
Body Mass Index (BMI)
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Hypertension (HTN)
Hypertension (HTN)
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Complications of Uncontrolled HTN
Complications of Uncontrolled HTN
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Normal Blood Pressure
Normal Blood Pressure
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Stage 1 Hypertension
Stage 1 Hypertension
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Stage 2 Hypertension
Stage 2 Hypertension
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First-Line Treatment for HTN
First-Line Treatment for HTN
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Dyslipidemia
Dyslipidemia
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Hyperlipidemia
Hyperlipidemia
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Atherosclerosis
Atherosclerosis
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Lipid Panel
Lipid Panel
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LDL
LDL
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HDL
HDL
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Triglycerides
Triglycerides
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Non-HDL Cholesterol
Non-HDL Cholesterol
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Friedewald Equation
Friedewald Equation
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What are the desirable levels for total cholesterol?
What are the desirable levels for total cholesterol?
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What are the desirable levels for LDL?
What are the desirable levels for LDL?
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What are the desirable levels for fasting triglycerides?
What are the desirable levels for fasting triglycerides?
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What are the desirable levels for HDL?
What are the desirable levels for HDL?
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Primary Prevention
Primary Prevention
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Secondary Prevention
Secondary Prevention
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AFib
AFib
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Stroke Risk
Stroke Risk
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CHADS2-VASc Score
CHADS2-VASc Score
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Anticoagulation
Anticoagulation
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INR Goal for AFib
INR Goal for AFib
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Pharmacist's Role in INR Monitoring
Pharmacist's Role in INR Monitoring
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Asthma Prevalence
Asthma Prevalence
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Asthma Triggers
Asthma Triggers
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Asthma Symptoms
Asthma Symptoms
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Asthma Attacks
Asthma Attacks
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COPD
COPD
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COPD Prevalence
COPD Prevalence
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COPD Symptoms
COPD Symptoms
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Respiratory Examination
Respiratory Examination
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Pursed Lips
Pursed Lips
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Accessory Muscle Use
Accessory Muscle Use
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Nasal Flaring
Nasal Flaring
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Jugular Venous Distension
Jugular Venous Distension
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Palpation in Respiratory Assessment
Palpation in Respiratory Assessment
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Percussion in Respiratory Assessment
Percussion in Respiratory Assessment
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Auscultation in Respiratory Assessment
Auscultation in Respiratory Assessment
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Crackles (Rales)
Crackles (Rales)
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Wheezes
Wheezes
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Rhonchi
Rhonchi
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Pleural Rubs
Pleural Rubs
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Spirometry
Spirometry
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Forced Expiratory Volume in One Second (FEV1)
Forced Expiratory Volume in One Second (FEV1)
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Peak Flow Meter
Peak Flow Meter
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Oximetry
Oximetry
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Medication Counseling
Medication Counseling
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Drug Interaction Screening
Drug Interaction Screening
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Disease-Drug Interaction Awareness
Disease-Drug Interaction Awareness
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Vaccination Advocacy
Vaccination Advocacy
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Smoking Cessation Support
Smoking Cessation Support
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Difficulty using inhalers
Difficulty using inhalers
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Multiple inhaler types
Multiple inhaler types
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Unintentional non-adherence
Unintentional non-adherence
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Importance of Vaccinations
Importance of Vaccinations
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Influenza Vaccination
Influenza Vaccination
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Pneumococcal Vaccination
Pneumococcal Vaccination
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Pharmacist's Role in Smoking Cessation
Pharmacist's Role in Smoking Cessation
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Bupropion
Bupropion
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Importance of Proper Inhaler Technique
Importance of Proper Inhaler Technique
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MDIs: Advantages
MDIs: Advantages
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Dry Powder Inhaler (DPI)
Dry Powder Inhaler (DPI)
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Diskus Inhaler
Diskus Inhaler
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HandiHaler
HandiHaler
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Twisthaler
Twisthaler
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RespiClick
RespiClick
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Ellipta
Ellipta
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Soft Mist Inhaler (SMI)
Soft Mist Inhaler (SMI)
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Respimat
Respimat
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Nebulizer
Nebulizer
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Spacers
Spacers
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Fine Particle Fraction (FPF)
Fine Particle Fraction (FPF)
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Oral Side Effects
Oral Side Effects
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Coordination of Inhalation
Coordination of Inhalation
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Medication Clumping
Medication Clumping
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Dose Counter
Dose Counter
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Study Notes
Community Pharmacy
- Historical Role: Community pharmacists initially served as healthcare's first point of contact, acting as chemists, doctors, and counselors.
- Modern Role: Today, community pharmacists safely, legally, and ethically process prescriptions, educating patients on medications to improve their health.
Pharmacist Responsibilities
- Clinical:
- Evaluate prescription drug orders and provide medication therapy management.
- Compound non-sterile drugs on a small scale.
- Assess patients for self-care needs and recommend appropriate solutions or referrals.
- Provide drug information to health professionals and the public.
- Promote health through education, immunizations, and screenings.
- Dispense medications.
- Monitor patient health through medication use.
- Educate patients on medications, both prescription and over-the-counter.
- Monitor medication usage for adverse reactions.
- Advise physicians, nurses, and other healthcare professionals.
- Offer drug information and immunizations.
- Business:
- Manage pharmacy personnel and workflow.
- Manage finances, including profit and loss.
- Handle order procurement and inventory.
- Collaborate with insurance companies for prescription processes and billing.
- Ensure the availability of necessary supplies (paper, labels, bottles).
- Participate in continuing education for licensure.
- Engage in quality reporting and continuous improvement programs.
Prescription Path
- Drop-off: Patients present prescriptions; pharmacy staff review for accuracy, availability, and wait times.
- Entry: Prescription details are entered into the system (may be at the drop-off window or separate).
- Filling: Staff fill prescriptions, verifying NDC numbers, double-counting controlled substances, documenting counts.
- Verification: Pharmacist verifies prescription against original, recalculates dosages, visually inspects medications, and checks NDC.
- Pickup: Cashier verifies patient identity; counseling provided for new prescriptions.
- Consultation: Private area for counseling on new prescriptions and over-the-counter medication.
- Telephone: Staff professionally handle inquiries, transfers of prescription requests, and patient/provider questions.
Pharmacy Personnel
- Variety: Pharmacists, technicians, interns, staff pharmacists, and pharmacy managers work together.
Receiving a New Prescription
- Verification: Patient information, allergies, insurance, and medication stock are verified.
- Questions: Patients are asked if they have questions.
- Time Estimate: Patients receive an estimated time for prescription completion.
Prescription Types
- Types: Written, faxed, e-prescriptions, phoned-in, and transfers from other pharmacies.
Inputting a Prescription
- Technician/Intern: Technicians or interns typically input prescriptions, ensuring accuracy.
- Critical Step: Crucial for patient safety.
Prescription Information
- Requirements: Patient and insurance details, medication details (name, strength, directions, quantity, refills), prescriber information (name, address, NPI, DEA number for controlled substances).
Controlled Substances
- Extra Information: Requires prescriber DEA number, quantity written alphabetically and numerically, detailed directions, tamper-resistant prescription pads.
Reviewing Prescriptions
- Critical Aspects: Checking patient details, date, medication details, directions, quantity, refills, prescriber signature, name, address, phone number, DAW.
SIG Codes
- Use: Pharmacists utilize SIG codes for interpreting prescription directions.
Health Educators
- Role: Pharmacists instruct patients on medications and health conditions, providing accessible, knowledgeable, and trusted care.
Communication
- Importance: Essential for effective patient care and counseling.
Patient Interviewing
- Goal: Gather subjective and objective data on patient's medical and medication history to develop care plans.
- Subjective: Patient-reported information (e.g., side effects, medication adherence barriers).
- Objective: Verifiable data (e.g., medical records, lab results, vital signs).
- Three Steps:
- Setting the Stage: Introduce yourself, define purpose, verify patient identity.
- Collecting Background: Chief Complaint, HPI, PMH, social history, family history, physical assessment, comprehensive medication history (including current, past, and supplements).
- Closing Out: Summarize, verify accuracy, answer questions, set up follow-up.
- Documentation: Use interview forms to organize information for other providers.
- Communication Strategies: Use transitional phrases, open-ended questions (Who, What, Where, How), closed-ended questions, empathy (reflecting feelings, acknowledging achievements, disarming anger).
Health Literacy
- Definition: Individuals' ability to obtain, process, and understand health information to make appropriate decisions.
- Pharmacist's Role: Enhancing patient health literacy.
- Consequences of Low Health Literacy: Inappropriate use of emergency services, extended hospital stays, misinterpretation of treatment, and poor health outcomes.
- National Assessment of Adult Literacy (NAAL): Measures literacy levels (Below Basic, Basic, Intermediate, Proficient).
- Four Domains: Fundamental, scientific, cultural, and civic.
- Risk Factors: Older age, low education, low income, non-English speakers.
- Topic-Specific Literacy: Patients may struggle with complex conditions, and tailoring communication accordingly is crucial.
- Assessing Understanding: Open-ended questions, teach-back method.
- Health Beliefs: Respect patient's religious, moral, and cultural beliefs.
- Health Belief Model: Perceived susceptibility, severity, benefits of action, barriers to action.
- Written Materials: Use visual aids, simple language, and clear sentence structure. Cultural sensitivity in images.
- Health Disparities: Differences in health outcomes between socially disadvantaged groups due to inequities in social determinants of health.
- Pharmacy-Specific Disparities: Examine disparities in medication adherence, disease management, and access to healthcare services.
- Cultural Competency: Knowledge, training, reflection, communication, advocacy.
Insurance Claims
- Adjudication: Insurance evaluating prescription claims.
- Electronic Submission: Primarily handled through computer systems.
- Potential Outcomes: Accepted, denied/declined.
- Insurance Card Information: Member ID, Rx BIN, Rx PCN, Rx group.
- Prescription Pathway: Drop-off, input, verification, claims submission, filling, final verification.
- NCPDP Reject Codes: Standardized codes for claim rejections (e.g., non-matched pharmacy number, plan exclusion, prior authorization required, cost exceeds maximum).
- Clinical Alerts: Automated system warnings for potential safety issues (e.g., allergies, interactions).
- Case Examples: illustrate application of claims concepts.
- Pharmacist Tasks: Respond to alerts systematically, communicate clearly with patients and prescribers.
Vital Signs
- Definition: Measurements of basic body functions (temperature, pulse rate, respiratory rate, blood pressure, height, weight).
- Blood Pressure: Measured effectively with patient preparation (rest, posture).
- Blood Pressure Measurement: Using manual equipment (cuff and stethoscope), following proper techniques.
- Korotkoff Sounds: First and last sounds heard that determine systolic and diastolic pressures.
- Pulse Rate: Measured at radial artery, counting beats per minute.
- Respiratory Rate: Observed for breaths per minute.
- Temperature Measurement: Oral, tympanic, axillary, rectal, or infrared.
- Height, Weight, and BMI: Measured and used to evaluate weight status.
- Cardiovascular Diseases: Overview of key diseases. Prevalence and statistics (hypertension, dyslipidemia, heart failure).
Cardiovascular Diseases
- Hypertension (HTN): Elevated blood pressure; prevalence, complications, classifications, and treatment.
- Dyslipidemia/Hyperlipidemia: Abnormal lipid levels, prevalence, and risk assessment. Treatment options include statin therapy.
- Heart Failure: Classification systems, diagnosis using biomarkers (BNP, NT-proBNP), and factors affecting treatment.
Respiratory Conditions
- Asthma: Common respiratory disease, symptoms, variability, triggers, exacerbations. Impact & disparities on various demographics.
- COPD: Chronic Obstructive Pulmonary Disease, symptoms, causes, and relationship with asthma.
- Respiratory Examination: Inspection, palpation, percussion, and auscultation methods, and identifying abnormal breath sounds.
- Spirometry: Measurement of lung function, utilizing FEV1, FVC, and FEV1/FVC ratios.
- Peak Flow Meter: Measures peak expiratory flow.
- Oximetry: Measures blood oxygen saturation.
- Role of the Pharmacist: Medication adherence, inhaler technique education, disease management counseling, smoking cessation support, and vaccination advocacy.
- Respiratory Devices: MDIs, DPIs, SMIs, nebulizers.
- Steps for Device Use: Detailed instructions for using various inhaler devices.
- Risk Factors: Smoking, environmental factors; differences in risk factors for different demographics.
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