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Chapter 3

QuestionAnswer
The patient profile serves to: 1) identify the patient 2) Maintain a legal record of medications dispensed to the patient 3)Protect the patient against drugs or procedures that could potentially be harmful
List information contained in the outpatient profile. 1) identifying info 2)Record of medications dispensed to the patient 3) drug allergies and adverse reactions 4)medical history 5) history of drug abuse 5)mental conditions or physical handicaps 6) insurance info 7)current prescription and refill info
Most important purpose of the patient profile? Protect the patient against drugs or procedures that could potentially be harmful
Give examples of "identifying information". name, DOB, contact information
Purpose of keeping a record of medications dispensed to the patient? helps to identify potential drug interactions as new prescriptions are added
What are contraindicated drugs? drugs that are advised to not be taken together
Purpose of keeping a record of drug allergies and adverse reactions? Helps protect the patient against misprescribed drugs
Purpose of including concurrent meds in the outpatient profile? prevent drug interactions and therapeutic duplications
What qualifies as a concurrent medication and must be recorded in the outpatient profile? all medications taken, including herbal preparations and OTC meds
If two prescriptions contain the same drugs, what must take place? An evaluation of the prescription by the pharmacist to ensure safety
Purpose of including medical history in the outpatient profile? helps to prevent a potentially lethal aggravation of existing conditions by prescribed drugs
What constitutes as medical history? Any medical conditions that the patient may have and medical conditions of the patient's immediate family
What does insurance information in the outpatient profile include? determination of insurance eligibility, the type of third-party payment (co-pay or self-pay, etc) and the coverage of the prescribed drugs
Many insurance plans will no longer pay for certain drugs. Why? Price
Many insurances will only authorize payment for (). generic
Current Prescription and refill info: this info needs to be () with each prescription refill. updated
Information contained in the institutional patient profile? 1) height and weight 2)diagnosis, therapies, lab tests/results, diet plans and blood tests
What constitutes as height and weight in the institutional patient profile? body surface area
Purpose of including height and weight in the institutional patient profile? May be required to calculate accurate drug dosage and to monitor weight loss or gain
Purpose of including diagnostics, therapies, lab tests/results, diet plans and blood tests in the institutional patient profile? Helps the pharmacist check for accurate therapeutic prescribing
List the types of drug interactions. Synergism, antagonism
Define drug duplication. If drugs prescribed are the same
Give an example of a drug duplication. Therapeutic duplication
Discuss the effects of a synergistic drug interaction. May produce toxic or amplified effects
Discuss the effects of an antagonistic drug interaction. reduces the effectiveness of each drug it taken together
Define therapeutic duplication. drugs prescribed that have the same therapeutic function
What is required of patients who are new to the pharmacy? Must be interviewed to obtain information and create the patient profile.
Why must the patient profile be kept current? To ensure that the pharmacist has the most current information to consider when counseling the patient
Is information contained in the patient profile allowed to be released? No.
What is the exception to the rule for the information that can be released? Non-identifiable information and information communicated within the various departments of an institution or appropriate business affiliates
What does HIPAA stand for? Health Insurance Portability and Accountability Act
Similarities of the patient profile between an institutional and retail pharmacy? Identifying info, insurance info, DOB, medications prescribed
Differences of the patient profile between an institutional and retail pharmacy? -Institutional profile may include diagnosis (Dx), goals, special diet, medical tests -Retail profile contains a list of concurrent meds and refill info; the institutional profile does not
Created by: yquyenvu