PHRM 3030 Practicum Study Guide PDF

Prescription Processing & Patient Counseling: you should know how to interpret and process a written prescription using PioneerRx. Medical Shorthand Meaning q every qod every other day qh...

Prescription Processing & Patient Counseling: you should know how to interpret and process a written prescription using PioneerRx. Medical Shorthand Meaning q every qod every other day qh every hour s without ss one-half c with ac before meals pc after meals po by mouth sos If needed prn as needed bid Two times daily tid Three times daily qid Four times daily Please refer to the didactic Prescriptions 101 lecture for particulars for legal requirements on a label. - PRESCRIPTION (BEFORE TYPED) REQUIREMENTS - Date of issuance - Full name - Patients address - Prescriber name - Prescribers address - Prescribers license number (DEA / NPI) - Directions for use (sig) - Refills authorized - Prescribers signature - Serial number assigned by pharmacist (Rx number)  - LABEL REQUIREMENTS - Patient name - Name of dispensing pharmacy - Address of dispensing pharmacy - Phone number of dispensing pharmacy - Serial number (Rx) Number - Name of prescriber - Directions for use - Expiration date of the drug - Initials of the dispensing pharmacist - NOT REQUIRED: - Name of the drug - Quantity filled - Refills - Indication username: bayleigh_millerulrich password: Shootingstars123! pin: 6970 Generic Brand Dosage Indication Digoxin Digitek; Lanoxin 0.0625 mg - Ventricular fibrillation 0.25 mg daily (increased HR) OR hypersensitivity to digoxin Hydrocodone Norco; Lortab; 5 mg - 10 mg Relief of moderate to Bitartrate with Vicodin every 4-6 hours moderately severe Acetaminophen as needed pain Nitroglycerin Nitrostat; Nitroquick No more than 3 Angina pectoris (chest tablets in 15 pain or discomfort) minutes Tramadol Ultram; Ultram ER 50 mg - 100 mg Relief of moderate to every 4-6 hours moderately severe (should no pain exceed 400 mg / day) Lisinopril Prinivil; Zestril 20 mg - 40 mg / Hypertension; after  Generic Brand Dosage Indication Digoxin Digitek; Lanoxin 0.0625 mg - Ventricular fibrillation 0.25 mg daily (increased HR) OR hypersensitivity to digoxin day myocardial infarction, CHF Ibuprofen Motrin 1200 mg - 3200 Mild to moderate pain; mg per day in primary 3-4 doses dysmenorrhea; rheumatoid arthritis; osteoarthritis; juvenile arthritis Patient Counseling: A complete counseling session should include: self-introduction, maintain eye contact, and use of the three prime questions. You must cover all relevant information including; but not limited to; the reason for counseling, indication, directions of use, adverse reactions, storage, refills, etc. MINI CHAT EXAMPLE: - “Hi, my name is Bayleigh, and I am the pharmacist here today. I see that you are picking up a prescription today. What did the doctor tell you this was for?” - If the patient does know: “That’s great. This medication is used to treat _______. How did the doctor tell you to take this medication?” - If the patient does not know: “That’s okay. It was prescribed to treat __________. Have you been experiencing _________?” - “How did the doctor tell you to take this medication?” - If the patient does know: “thats correct! You are going to be taking _____ tablet/capsule ___________.” - If the patient does not know: “that’s okay we can go over that here. They wrote for you to take this tablet/capsule ____________________.” - “What side effects did the doctor discuss that you might experience from this medication?” - If the patient does know: “yes, that is correct. While you may experience _________ you can best avoid them by ______________. If the side effects are persistent and severe, please contact your doctor to discuss some alternative options.”  - If the patient does not know: “Thats is perfectly fine, lets go over some while you are here. You may experience ____________, but those can be controlled by _____________. If the side effects are persistent and severe, please contact your doctor to discuss some alternatives.” - “We covered a lot of information, do you mind if we review this again just to ensure that we are both on the same page?” → “What was this medication prescribed to treat and how will you be taking this medication?” → “That is perfect, what side effects might you experience from this medication?” → That is wonderful. I do want to remind you that if you miss a dose, you should take it ASAP, but if you are closer to your normal dosing regime you may skip it and continue like normal. I also wanted to remind you that it is important to keep this medication in a dry and cool place away from sunlight, maybe on your nightstand? - “I hope you have a wonderful rest of your day.” Generic Brand Dosage Indication Alendronate Fosamax 10 mg daily or Osteoporosis 70 mg weekly Nitroglycerin Nitrostat; Nitroquick No more than 3 Angina pectoris (chest tablets in 15 pain or discomfort) minutes Metformin Glucophage; 500 mg BID w/ Lower blood glucose in Glumetza; Riomet food OR 850 mg pt with non-insulin qam w/ food dependent diabetes mellitus Omeprazole Prilosec 20 mg once Treatment of duodenal daily ulcers; erosive esophagitis; GERD; gastric ulcers; gastroesophageal reflux disease Testosterone Gel Androgel 50 mg applied Replacement therapy once daily for males for conditions associated with deficiency or absence of endogenous testosterone including primary hypogonadism and hypogonadotropic hypogonadism Cephalexin Keflex 250 mg - 1 g Bacterial infections every 6 hours (strep, e. Coli, etc) Diclofenac Sodium Voltaren Gel Gel Donepezil Aricept Ramipril Altace Clopidogrel Plavix Gabapentin Neurontin; Gralise Latanoprost Xalatan Glipizide Glucotrol Finasteride Proscar Lisinopril with Zestoretic HCTZ Glyburide Micronase; Diabeta Isosorbide Imdur Mononitrate Meloxicam Mobic, Anjeso, 7.5 mg once Relief of signs and Vivlodex daily symptoms of osteoarthritis; rheumatoid arthritis; juvenile rheumatoid arthritis Levofloxacin Levaquin Dependent on Infections caused by infection; microorganisms, typically once a community-acquired day for 7 days pneumonia; exacerbation of chronic bronchitis; acute sinusitis; complicated UTIs; pyelonephritis (inflammation of kidneys) Progesterone Prometrium Give 200 mg Use in the prevention qhs for 12 days of endometrial per 28 day cycle hyperplasia in non hysterectomized postmenopausal women who are receiving conjugated estrogen tablets Rivaroxaban Xarelto Metronidazole Flagyl Amiodarone Cordarone; Pacerone; Nexterone Levothyroxine Synthroid; Levoxyl; 25 mcg - 300 Replacement therapy Levothroid mcg once per for reduced or absent day thyroid function Dispensing 101:This skills lab was a combination of prescription processing, dispensing a prescription, and counseling at the pharmacy counter. Be sure you are able to properly counsel your patient on the prescription medications presented during the skills lab.  Generic Brand Dosage Indication Escitalopram Lexapro Furosemide Lasix 20 mg - 80 mg Edema associated in one or two CHD; cirrhosis of the doses per day liver; renal disease; hypertension; pulmonary edema Celecoxib Celebrex Dicyclomine Bentyl 10 mg - 20 mg Functional and irritable three to four bowel syndrome times per day Memantine Namenda Nitrofurantoin Macrobid Sotalol Betapace Hydrochloride Dutasteride Avodart Zolpidem Ambien Sildenafil Citrate Viagra Valacyclovir Valtrex Lisinopril Prinivil; Zestril Dextroamphetamin Adderall XR e-Amphetamine Modafinil Provigil Atorvastatin Lipitor 10 mg - 80 mg Adjunct to diet to daily reduce elevated total cholesterol, reduce risk of myocardial infarction; reduce LDL; increase HDL https://quizlet.com/972689657/lab-practical-1-drugs-for-counseling-flash-cards/?i=12s5or&x=1jqt Drug Information: For the drug information station, you will have a document which asks specific questions requiring you to provide the correct drug information. Lexicomp or Drug Facts and Comparison. Point of Care: Describe the specimen collection process for cholesterol, glucose, A1cNow, OraQuick HCV point-of-care tests. Be able to describe and show patients how to use a lancing device, test strips, glucometer and automatic blood pressure machine. Be able to appropriately interpret and explain test results to your patients. https://quizlet.com/972817852/poc-skills-station-flash-cards/?i=cnpx9&x=1jqY Blood Pressure: You should have the ability to take a blood pressure measurement in this station using a stethoscope and a sphygmomanometer. Notes: - Clean ear pieces, put on facing away from you, clean after - Deflate with same hand don't cross over - DO NOT FORGET TO CHECK THE STETHOSCOPE TO MAKE SURE ITS NOT TURNED! MINI CHAT EXAMPLE:  “Hello, my name is Bayleigh and I will be taking your blood pressure today. Before we get started, have you had any caffeine or nicotine products, or exercised in the past 30 minutes? Also what does your blood pressure run at normally?” Questions: 1) What medications are you currently taking? 2) Have you had nicotine products, caffeine, or have you exercised in the last 30 minutes? 3) What is your typical range? a) Pump up until you do not feel a radial pulse and note that and pump it up 30 above that. Medication Adherence: You should know how to ask patients about their adherence in different settings such as community, hospital, and ambulatory care settings, what to do if a patient reports adverse events, and be able to suggest strategies to improve a patient’s medication adherence. Generic Brand Indications Adverse How to take it If I miss a Special counseling reactions dose points alendronate fosamax osteoporosis Rare- stomach Swallow with a glass of Skip it and Do not lie down for 30 issues like pain, water in the morning 30 return to minutes after taking diarrhea, gas, minutes before normal constipation consuming anything schedule else nitroglyceri Nitrostat For HA, N/V, Sit down when taking, n/a Avoid alcohol, keep it in ne Nitroquick treatment of dizziness, take SL at first sign of an original container Angina tachycardia attack and can take and close it tightly pectoris another every 5 min up attacks to 3 tabs, tab should (chest pain) taste bitter metformin Glumetza, Lower N/V, diarrhea, Take with meals, avoid If missed If you have unexplained riomet, glucose in gas, bloating alcohol, keep hydrated by more hyperventilation, glucophag T2D (these should than a muscle pain, malaise e subside within 2 couple call doctor (lactic weeks), metallic hours skip acidosis) taste it omeprazole prilosec Duodenal Rare- but back Take 30 mins before Take it Can empty capsule in ulcer, erosive pain, cough, meal asap, if applesauce esophagitis, constipation, closer to acid reflux dizziness next dose then skip it Testosterone Androgel, Replacement Can increase Apply to clean dry skin Skip it wash hands after gel testim, therapy PSA, mood once daily, apply to application fortesta swings, upper body where it is aggression, cover by a shirt avoid shower & swim 2 hypertension hrs after avoid contact w/ unwashed clothes & applied area to women and children cephalexin keflex Cephalospori N/V, diarrhea, Take on empty stomach Take asap Complete full course n antibiotic hives, itching, 1-2 hr before meals with rash a glass of water (can take with food if GI upset) Diclofenac Voltaren Osteoarthriti Itching, rash, site Use dosing card to skip Open tube with cap. sodium gel s pain in pain, HA apply gel Do not use heating pad joints or other topical things on area. Wash hands after use. Don't shower for 1 hr after avoid sunlight exposure to area donepezil aricept Alzheimers N/V, diarrhea, Take w/ or w/o food Skip insomnia, muscle Take at bedtime cramps, fatigue, anorexia ramipril altace hypertension Cough, HA, Can be swallowed Take asap Avoid OTC cough, cold dizziness, fatigue, whole or sprinkled over unless & allergy meds, salt angioedema food and swallowed closer to subs containing (dangerous!!) (not chew) next dose potassium (same as report any signs of lisinopril w/ hctz) swelling to doctor clopidogrel plavix Reduction of URI, chest pain, Can be taken w/ or w/o Take asap Contact doctor if signs MI, stroke, HA, flu-like food unless of infection are vascular symptoms, join Do not take OTC closer to present, or fatigue, death in pt pain/stiffness, omeprezole next dose anorexia, nausea, or w/ dizziness diarrhea. Bleeding time atherosclero is increased while sis taking. Tell doctors you are taking this before elective surgery. gabapentin Neurontin, Partial Drowsiness, w/ or w/o food Take Avoid alcohol gralise seizures, dizziness, clumsy asap, May cause postherpetic movements, Do not abruptly don’t drowsiness neuralgia ( fatigue, rapid eye discontinue double pain after movements dose shingles) latanoprost xalatan Reduce IOP Blurred vision, Lie down or tilt head skip Contact physician if eye in glaucoma burning, foreign back while looking up pigmentation changes. body sensation, and drop solution in If eye trauma or itching, increased lower lid. Keep eye infection occurs contact pigmentation of open for 30 secs and doctor. the iris. hold pressure in inner corner for at least 1 minute. Wait 5 mins before putting anything else in eye. glipizide Glucotrol & Control of Nausea, diarrhea, Take 30 minutes before Take asap Follow diet closely XL diabetes heartburn, itching, meals unless Avoid excessive hives closer to alcohol use Compliance is essential next dose (same as for optimum effect Treat hypoglycemic glyburide but reactions with oral also diarrhea) glucose finasteride proscar BPH Depression, ED, No special instructions Take asap Do not allow women decreased libido, for administration unless who are or plan to and male infertility closer to become pregnant next dose handle crushed tablets or semen from patient Lisinopril w/ Zestoretic Hypertension Dizziness, HA, Take in early morning! Take asap Avoid OTC cough, cold Hydrochlorot Prinizide (when one cough (bc diuresis) unless & allergy meds, salt hiazide med alone angioedema Taken w/o regard for closer to subs containing hasn’t (dangerous!) meals next dose potassium worked) report any signs of (same as swelling to doctor ramipril) levothyroxi Synthroid, Thyroid Only overdosage- Take on empty stomach Take asap Call doctor if ne levoxyl, hormone Fever, one hour before or two unless hyperthyroidism levothyroid replacement hypoglycemia, hours after a meal closer to symptoms occur heart failure, fluid next dose loss, tachycardia, insomnia, anxiety glyburide Micronase Control Nausea, Take with your first meal Take asap Treat hypoglycemic Diabeta glucose in heartburn, itching, of the day unless reactions (sweating, T2D hives Compliance is essential closer to weakness, blurred (same as for results next dose vision, confusion) with glipizide but no oral glucose diarrhea) Follow diet closely Avoid excessive alcohol use (all same for glipizide) Isosorbide Imdur Prevention of HA, dizziness, Swallow whole or Take asap The side effects are a mononitrate angina flushing halved, dont crush or unless sign of effectiveness- pectoris chew closer to you can take aspirin or (chest pain) next dose acetaminophen for headaches. Avoid alcohol. meloxicam Mobic, Osteoarthriti GI problems-pain, May take w food or milk Take asap Avoid aspirin or aspirin anjeso, s, indigestion, gas, if GI upset occurs unless containing products vivlodex Rheumatoid anusea closer to Avoid alcohol Arthritis next dose concurrently Watch for tarry stools= GI bleed levofloxacin levaquin Fluoroquinol Nausea & -take without regards to Take asap discontinue if rash one antibiotic diahrrea meals unless develops, if pain and closer to inflammation or tendon Concerning: pain, -complete full course next dose rupture occurs inflammation, -drink full glass of water -do not take with tendon rupture, antacids, sucralfate, tendonitis, rash iron, or multivitamins containing zinc within 2 hrs of dose -avoid prolonged sunlight exposure prometrium Progestero Prevention of Dizziness, HA, Can be taken with food Take asap Do not take if allergic to ne endometrial abdominal pain, or milk if GI upset unless peanuts hyperplasia irritability, breast occurs closer to May cause dizziness or pain, nausea, next dose drowsiness Secondary fatigue, viral amenorrhea infection (stopped having your period after having one before) rivaroxaban xarelto DVT & PE Bleeding events Take 15 to 20 mg doses Take asap Do not take with OTC (blood clots with food on the aspirin or NSAIDs in legs and Do not stop without same day lungs) approval and then Report any sign of continue bleeding to physician to regular dosing schedule metronidaz flagyl antibacterial/ N/V, diarhhea, May take with food or Take asap Avoid alcohol until one ole antiprotozoal seizures, milk if GI upset occurs unless day after treatment neuropathy, HA, Complete full course closer to ends metallic taste in next dose Use condoms if mouth treatment for trichomoniasis Contact doctor if you have numbness or pins and needles of an extremity. amiodarone Cordarone Ventricular Hypotension, Doses should be taken skip Avoid overexposure to Pacerone fibrillation cardiogenic consistently with meals sunlight, do not nexterone shock, cardiac become pregnant, arrest, CHF, avoid grapefruit bradycardia, Don’t take otc meds pulmonary w/o asking provider fibrosis, ventricular tachycardia escitalopra lexapro Depression Nausea,tired, Do not abruptly Skip it May impair cognitive m & anxiety insomnia,diarrhe discontinue and motor function Avoid alcohol a, ED May take 2 weeks to May increase suicidal see improvements thoughts furosemide lasix Remove Dizziness, May take with food or Take asap Do not take any otc excess fluid orthostatic milk if GI upset occurs. unless cough/cold, antacids, to lower BP hypotension, dry Give in early morning closer to laxatives, or mouth, N/V, next dose antidiarrheals without muscle cramps asking doctor. celecoxib celebrex Osteoarthriti Diarrhea, - May be take Avoid aspirin or aspirin s, RA, acute dyspepsia, without regard containing products pain abdominal pain, to meals gas, edema, Watch for tarry stools= sinusitis GI bleed dicyclomine bentyl GI spasms, Dizziness, HA, 30 minutes before Skip it Avoid alcohol IBS N/V, dry mouth, eating drowsiness, constipation, and difficulty urinating memantine namenda alzheimers Dizziness, HA, With or without meals Skip it confusion, hypertension, pain, fatigue, vomiting, coughing, hallucinations, and tired nitrofuranto Macrobid Urinary tract N/V, HA, gas, Take with food Skip it May cause in Macrodanti infection diarrhea, fever, Complete full course discoloration of the n cough, chills Take at evenly spaced urine furadantin intervals Sotalol hcl betapace Heart Fatigue, Don’t discontinue w/o Take asap Can mask arrythmias bradycardia, SOB, consulting doctor unless hypoglycemia drowsiness closer to symptoms next dose Avoid OTC cough, cold, and allergy meds dutasteride avodart BPH Impotence, W or w/o food skip Pregnant people should decreased libido, not handle capsules ED Do not donate blood for 6 months after stopping Contact doctor if side effects persist beyond 6 months zolpidem Ambien insomnia HA, nausea, CR tablets should be Do not operate motor intermezzo drowsiness swallowed whole vehicles. Avoid alcohol May be habit forming Sildenafil Viagra Erectile HA, indigestion, Take 1 hr before sexual Does not protect citrate revatio dysfunction nasal congestion, activity against STDs & PAH UTI, abnormal Report any side effects vision, diarrhea, related to hearing or dizziness, rash vision to doctor valacyclovir valtrex Herpes, N/V, HA, Drink plenty of fluids Take asap Avoid sexual shingles, abdominal pain unless intercourse if herpes is cold sores closer to active next dose lisinopril Prinivil hypertension Dizziness, HA, May be taken w or w/o Take asap Avoid OTC cough, cold zestril fatigue, cough, food unless & allergy meds, salt diarrhea closer to subs containing next dose potassium report any signs of swelling to doctor Amp w/ Adderall ADHD, Restlessness, XR capsules can be skip Cannot be refilled dexamp salts XR narcolepsy dizziness, sprinkles on May be habit forming insomnia, applesauce. euphoria, tremor, HA, palpitations, tachycardia Modafinil provigil Improve HA, anxiey, With or without food skip Habit forming wakefulness nausea, diarrhea, Take in morning or 1 Stop if you develop a in patients dizziness, hour before work shift rash with insomnia for SWSD Avoid driving until excessive doctor tells you it is sleepiness okay Avoid alcohol Atorvastatin lipitor Reduce Constipation, Take asap Avoid overexposure to cholesterol diarrhea, unless it the sun, do not become indigestion, and has been pregnant, limit alcohol, gas more than contact doctor is 8 hrs muscle pain, since tenderness, or fever missed occurs dose