Which of the following situations requires a pharmacist consultation?
Which of the following situations requires a pharmacist consultation?
According to federal law, pharmacists must be alerted for consultations in all of the following situations except: new refills. A patient requests a refill for Lyrica that was originally filled at an independent pharmacy 2 months ago. Last month it was filled while the patient was in another state.
Which of the following does the ISMP consider to be a high-alert medication?
*All forms of insulin, subcutaneous and IV, are considered a class of high-alert medications. Insulin U-500 has been singled out for special emphasis to bring attention to the need for distinct strategies to prevent the types of errors that occur with this concentrated form of insulin.
What are the high risk medications?
High risk medications
- A – Antimicrobials.
- P – Potassium and other electrolytes, psychotropic medications.
- I – Insulin.
- N – Narcotics, opioids and sedatives.
- C – Chemotherapeutic agents.
- H – Heparin and other anticoagulants.
- S – Safer systems (e.g. safe administration of liquid medications using oral syringes)
What are nursing considerations?
Nursing consideration and implications are generally summed up as being what a nurse needs to know and do in a particular situation.
Under what circumstances does the pharmacist consult the patient?
Patient consultation must be initiated by a pharmacist whenever a patient or patient’s agent is present in a pharmacy to have a new or changed prescription filled. It is a violation for other pharmacy personnel to ask if a patient has questions or wants to talk to the pharmacist.
What security measures must be in place to secure an outpatient pharmacy?
Basic security systems in pharmacies that guard against physical loss of controlled substances and prevent theft by employees include safes and locked cabinets, camera systems, and alarms. Alarm systems with multiple panic buttons and remote triggers for staff to keep on their person should be considered.
Is IV Lasix high risk medication?
Lasix can be a high risk drug…even thought the risk isn’t necessarily associated with toxicity. Don’t loose sight of the real issue: the work and risk associated with providing a service.
Which medication should be labeled with a high alert sticker?
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- High-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error.
- Epinephrine, IM, SC.
- Adrenergic agonists, IV (eg, epinephrine, phenylephrine, norepinephrine)
- • Anticoagulants (eg, warfarin, low-molecular-weight heparin, IV unfractionated heparin)
What are the five essential emergency drugs?
Loss of consciousness always accompanies cardiac arrest. Unconscious patients are unable to protect their own airway. Look in the mouth for a foreign body or vomitus.
What are nurse considerations?
What are the nursing considerations of furosemide ( Lasix )?
What are the Nursing Considerations of Furosemide (Lasix) Nursing Pharmacology Considerations? use caution with liver disease may cause hypotension, dry mouth, excessive urination, dehydration, electrolyte abnormalities,
How to deal with postural hypotension from Lasix?
Patients receiving LASIX should be advised that they may experience symptoms from excessive fluid and/or electrolyte losses. The postural hypotension that sometimes occurs can usually be managed by getting up slowly. Potassium supplements and/or dietary measures may be needed to control or avoid hypokalemia.
How often should I take Lasix for nephrotic syndrome?
Alternatively, for the management of nephrotic syndrome, some experts recommend 1 to 2 mg/kg/day PO given as a single daily dose or divided into 2 daily doses. Initially, 1 to 2 mg/kg/dose PO, given 1 to 2 times daily. Bioavailability is variable.
How often should I take Lasix for pulmonary edema?
For the management of pulmonary edema or prevention of adverse hemodynamic effects associated with blood product transfusions†. For the adjunctive treatment of acute pulmonary edema. Initially, 40 mg IV injected slowly; then 80 mg IV injected slowly in 2 hours if needed. 1 to 2 mg/kg/dose IV or IM every 6 to 12 hours.
