32 Questions
What is the primary goal of drug monitoring?
To optimise treatment and reduce harm
Which of the following laboratory tests is used to monitor a patient's response to Ramipril?
Renal function (Cr, eGFR)
What is the purpose of therapeutic drug monitoring?
All of the above
What is the role of the pharmacist in identifying and supporting non-adherence?
To identify and support non-adherent patients
What is the difference between adherence, compliance, and concordance?
Adherence and compliance are interchangeable terms, and concordance is an agreement between patient and provider
What is the purpose of conducting laboratory tests in drug monitoring?
To measure therapeutic effectiveness and screen for adverse drug reactions
What is the volume of distribution of digoxin?
Large
What is the half-life of digoxin in patients with normal renal function?
30-40 hours
What is the therapeutic level of digoxin according to Clinical Pharmacy and Therapeutics?
0.8-2 micrograms/L
What is the definition of adherence?
The extent to which the patient’s behaviour matches the prescriber’s recommendations
What percentage of patients take their medicines as prescribed, experience no problems, and receive as much information as they need?
16%
What is the difference between intentional and unintentional non-adherence?
Intentional non-adherence is when the patient decides not to take their medication, while unintentional non-adherence is when the patient forgets to take their medication
What is the term for the process whereby the clinician and patient collaboratively design a treatment regimen?
Concordance
What is the term for the extent to which the patient takes their medicines as prescribed?
Adherence
What is the term for the extent to which the patient’s behaviour matches the prescriber’s recommendations?
Adherence
How can you identify whether adherence is an issue?
By exploring the reason for non-adherence
What is the primary goal of the Transfer of Care Around Medicines (TCAM) national initiative?
To connect hospitals with community pharmacies and reduce unintentional medication changes
What is the primary purpose of the Discharge Medication Service (DMS)?
To reduce medication errors and avoidable harm at discharge
Which platform is used to achieve the Transfer of Care Around Medicines (TCAM) initiative?
PharmOutcomes
What is the recommended approach to recording patient discussions and advice given during a medication review?
Record in relevant places, including Patient Medication Records, hospital medical notes, and care plans
What is the primary focus of the Specialist Pharmacy Service (SPS)?
Medication monitoring and advice
What is the recommended approach to defining new medication in a medication review?
Define as 'acute' Rx
What is the primary goal of a medication review?
To optimize the impact of treatment for an individual patient
What type of medication review involves a holistic review of a patient's medicines?
Type 3 - Clinical medication review
What is the purpose of a medication review in secondary care?
All of the above
What should be assessed during a medication review?
All of the above
What is the purpose of medication reconciliation during admission in secondary care?
To identify potential medication-related problems
What is a common problem in clinical medication reviews?
All of the above
What is the purpose of a medication review in primary care?
To optimize the impact of treatment for an individual patient
What is the role of a GP/Pharmacist/Advanced nurse practitioner in a medication review?
To undertake a structured, critical examination of a patient's medicines
What is the definition of a medication review according to NICE (NG5), 2015?
A critical examination of a patient's medicines with the objective of reaching an agreement with the patient about treatment
What is the purpose of a medication review tool?
To provide a structured approach to medication review
Test your knowledge of drug monitoring, adherence, and follow-up methods in primary and secondary care, including the role of pharmacists in identifying and supporting non-adherence. Explore different transfer of care methods and understand the importance of structured medication reviews.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
