Podcast
Questions and Answers
Mrs. Garcia is taking omeprazole daily and wants a recommendation for occasional heartburn. Which PPCP step is most relevant to determine if she is a candidate for self-care?
Mrs. Garcia is taking omeprazole daily and wants a recommendation for occasional heartburn. Which PPCP step is most relevant to determine if she is a candidate for self-care?
- Follow-Up
- Implement
- Plan
- Assess (correct)
Jason, a 20-year-old with seasonal allergies, buys diphenhydramine. Which counseling point is most important?
Jason, a 20-year-old with seasonal allergies, buys diphenhydramine. Which counseling point is most important?
- Use this medication only in the morning.
- Be cautious driving or operating machinery. (correct)
- This medication does not cause drowsiness.
- Take this medication with a high-fat meal.
Lilly, a 2-year-old weighing 28 pounds, has a fever. What is the appropriate acetaminophen dose (10–15 mg/kg) per dose?
Lilly, a 2-year-old weighing 28 pounds, has a fever. What is the appropriate acetaminophen dose (10–15 mg/kg) per dose?
- 70–105 mg (correct)
- 150–200 mg
- 320–480 mg
- 280–300 mg
Mr. Lyle has had a persistent cough for 3 weeks and OTC options haven't helped. What action should the pharmacist take?
Mr. Lyle has had a persistent cough for 3 weeks and OTC options haven't helped. What action should the pharmacist take?
Sarah is 24 weeks pregnant and needs a recommendation for back pain. Which OTC analgesic is most appropriate?
Sarah is 24 weeks pregnant and needs a recommendation for back pain. Which OTC analgesic is most appropriate?
Rebecca's 6-year-old son has itching and hives, and the pediatrician suggested diphenhydramine. Which SMART goal aligns with PPCP planning?
Rebecca's 6-year-old son has itching and hives, and the pediatrician suggested diphenhydramine. Which SMART goal aligns with PPCP planning?
Mrs. Nguyen, age 78, wants a sleep aid recommendation. Which OTC product should be avoided?
Mrs. Nguyen, age 78, wants a sleep aid recommendation. Which OTC product should be avoided?
Alex seems confused while you explain the dosing instructions for a new OTC product. What strategy best confirms his understanding?
Alex seems confused while you explain the dosing instructions for a new OTC product. What strategy best confirms his understanding?
Maria is confused between Maalox Advanced and Maalox Advanced Maximum Strength. What should she focus on when choosing an OTC product?
Maria is confused between Maalox Advanced and Maalox Advanced Maximum Strength. What should she focus on when choosing an OTC product?
Mr. Patel agrees to try omeprazole OTC for heartburn and you recommend a 14-day course. What is essential to communicate during implementation?
Mr. Patel agrees to try omeprazole OTC for heartburn and you recommend a 14-day course. What is essential to communicate during implementation?
Which of the following is the initial step in the Pharmacists’ Patient Care Process (PPCP)?
Which of the following is the initial step in the Pharmacists’ Patient Care Process (PPCP)?
A patient is looking for a cough suppressant. Which active ingredient is commonly found in OTC cough suppressants?
A patient is looking for a cough suppressant. Which active ingredient is commonly found in OTC cough suppressants?
What is a common side effect of first-generation antihistamines like diphenhydramine?
What is a common side effect of first-generation antihistamines like diphenhydramine?
Which of the following is an example of a non-pharmacological recommendation for treating mild constipation?
Which of the following is an example of a non-pharmacological recommendation for treating mild constipation?
What is the maximum daily dose of acetaminophen for adults to avoid liver toxicity?
What is the maximum daily dose of acetaminophen for adults to avoid liver toxicity?
Which of these describes 'exclusions for self-treatment'?
Which of these describes 'exclusions for self-treatment'?
What does 'OTC' stand for?
What does 'OTC' stand for?
When counseling a patient on using a medicated nasal spray, what should you advise them to do?
When counseling a patient on using a medicated nasal spray, what should you advise them to do?
A patient wants to know if their multivitamin is safe to take with their prescription medication. What is the best course of action?
A patient wants to know if their multivitamin is safe to take with their prescription medication. What is the best course of action?
Which of the following best describes the 'Implement' step in the PPCP?
Which of the following best describes the 'Implement' step in the PPCP?
Flashcards
Assess (PPCP)
Assess (PPCP)
A step in the PPCP where you determine if the patient's problem is appropriate for self-care.
Diphenhydramine Counseling
Diphenhydramine Counseling
Be cautious when driving or operating machinery due to its sedating anticholinergic effects.
Lilly's Acetaminophen Dose
Lilly's Acetaminophen Dose
The appropriate acetaminophen dose is 70–105 mg per dose.
Persistent Cough
Persistent Cough
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Safe Analgesic During Pregnancy
Safe Analgesic During Pregnancy
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SMART Goal
SMART Goal
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Medication to Avoid in Elderly
Medication to Avoid in Elderly
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Confirmation Strategy
Confirmation Strategy
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OTC Product Confusion
OTC Product Confusion
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Heartburn Course
Heartburn Course
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Study Notes
- Ten multiple-choice, clinical case-based questions focus on PPCP, self-care, exclusions, special populations, OTC concerns, and communication as they relate to Unit 1.4.
PPCP Process
- Assessment is the most relevant PPCP step to determine if a patient is a candidate for self-care.
- Assessment includes identifying exclusions.
- Using PPIs for >8 weeks in older adults is an exclusion for self-care.
- Mrs. Garcia is a 67-year-old woman taking omeprazole 20mg daily for GERD for over two months, and requests a product for occasional heartburn.
OTC Medication Concerns
- Diphenhydramine has sedating anticholinergic effects, which can impair alertness.
- Patients taking diphenhydramine should be cautious when driving or operating machinery.
- Jason is a 20-year-old purchasing diphenhydramine for seasonal allergy symptom relief.
Pediatric Dosing
- The appropriate acetaminophen dose for a child is 10–15 mg/kg per dose.
- For Lilly, a 2-year-old who weighs 28 pounds, the appropriate acetaminophen dose is 70–105 mg per dose.
- 28 lb ≈ 12.7 kg; 12.7 × 10–15 mg = 127–190.5 mg per dose.
Self-Care Exclusions
- A persistent cough lasting more than two weeks is an exclusion for self-care.
- Mr. Lyle presents with a persistent cough for 3 weeks and has tried OTC options without relief, therefore, he should be referred to a physician.
Pregnancy OTC Recommendation
- NSAIDs are generally not recommended in pregnancy after 20 weeks.
- Acetaminophen is the preferred OTC analgesic for back pain during pregnancy.
- Sarah is 24 weeks pregnant and requests a recommendation for back pain.
Self-Care Plan
- SMART goals should be specific, measurable, achievable, relevant, and time-bound.
- Eliminating hives and itching within 24 hours is an example of a SMART goal.
- Rebecca’s 6-year-old son has itching and hives, a pediatrician recommended diphenhydramine.
Geriatric Pharmacodynamics
- Diphenhydramine should be avoided in elderly patients due to anticholinergic side effects (Beers Criteria).
- Mrs. Nguyen, age 78, asks for a sleep aid recommendation.
Communication Strategy
- The teach-back method is the best strategy to confirm a patient’s understanding of dosing instructions effectively.
- Alex seems confused when the dosing instructions for a new OTC product are explained to him.
OTC Safety Labeling
- Brand extensions of OTC products can have different active ingredients.
- Patients must read labels to understand the ingredients and strength of the medication.
- Maria is confused between Maalox Advanced and Maalox Advanced Maximum Strength.
Implementing the Plan
- PPIs may take a few days to reach their full effect, setting proper expectations is essential when communicating with a patient.
- When implementing a self-care plan for Mr. Patel, it is essential to communicate that it may take 1–4 days to feel symptom relief, when using omeprazole OTC for heartburn.
- Mr. Patel agrees to try omeprazole OTC for heartburn, and has been recommended a 14-day course.
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