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| Greater than or equal to 160/100 mmHg |
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| sphygmomanometer: width of bladder |
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| sphygmomanometer: length of bladder |
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| The cuff should be deflated at a constant, steady rate of __________mmHG |
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| Guideline that provides evidence based approach to the prevention and diagnosis of Hypertension |
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| JNC-7 (Joint National Committee Seventh Report) |
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| In management of hypertension: the first step in therapy |
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| for uncomplicated hypertension, _________ diuretic should be used in drug treatment for most, either alone or combined with drugs from other classes |
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| supine to standing BP decrease > 20mmHg systolic or >10mmHg diastolic |
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| failure to achieve goal BP in pts who are adhering to full doses of an appropriate three-drug regimen that includes a diuretic |
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| Interfere with the transport of Na Ions across renal tubules |
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| inhibit Na and Cl reabsorption across ascending loop of henle |
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| Diuretic that acts on distal renal tubule |
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| Potassium Sparing Diuretic |
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| Blocks beta adrenergic receptors in cardiac tissue |
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| Prevents conversion of Angiotensin I to Angiotensin II (most potent vasoconstrictor in Body) |
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| reduces intracellular Ca concentration in cardiac and vascular smooth muscle |
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| competitively inhibit HMG-CoA reductase, the enzyme that catalyzes the conversion of HMG-CoA to mevalonic acid, an early precursor of cholesterol |
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| 3 types of ethical interactions |
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| Patient and Pharmacist, Pharmacist and Pharmacist, Physician and Pharmacist |
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| What peeople believe to be right |
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| The study of how we make judgements in regard to right or wrong |
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| Ability to decide and to act upon the decisions, with respect for the autonomy of others |
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| The belief that one should, on the basis of doing good for the patient, limit the patients autonomy |
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| to help in benefit of the patient |
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| Patient has a right to every consideration of his or her privacy |
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| consideration of the distribution of limited resources |
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| being faithful to the patient and also the profession |
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| a record of all medications a patient is currently taking including Rx,OTC,Herbals |
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| 5 Reasons its important to conduct a medication history |
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Definition
1. establishes a more comprehensive database than what is in the computer 2. Establishes a positive patient pharmacist relationship
3. Identifies potential or actual drug related problems
4. Allows observation of patients behavior for trends that may affect outcomes.
5. Provides necessary background information for patient consultation
DPDBC- "Does Polly Design Bad Clothes" |
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| 6 guidelines for conducting a medication review |
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Definition
1. Use primarily open ended questions funneled down to close ended questions
2. Give patient time to think
3. Allow patient to talk without interrupting
4. Encourage elaboration
5. Listen
6. Elicit and understand patient's perspective (UGAELE: "U Gave An Excellent Literary Evaluation") |
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| 7 Areas of Prospective Drug Review |
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Definition
1. Overutilization/Underutilization
2. Therapeutic Duplication
3. Drug-Disease Contraindication
4. Drug-Drug Contraindication
5. Incorrect Drug Dosage or Duration of treatment
6. Drug allergy interactions
7. Clinical Abuse/Misuse
(OTIC-DDD)) |
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1. Introduction
2. Questioning
3. Provide Information
4. Assessment of pt understanding
5. End Consultation
(IQPAE- I Quit Polishing Ashley's Earrings) |
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| 6 Problem Solving Guideline |
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1. Identify the Problem
2. Get the Facts
3. Possible Solutions
4. The Solution
5. Action
6. Assess |
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| 6 points of Pharmaceutical Care |
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Definition
1. Pharmacist takes an active role on behalf of the patient
2. In concert with other health professionals
3. Effect distribution of medication to patients
4. Appropriate drug choices
5. Direct responsibility to empower the patient
6. Achieve desired outcomes of drug related therapy |
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