what's my Dose Equis?
Do not pass Go, do not receive Self-Care.
Pooping, Puking, and the complete package
Seeing through the smokescreen
Principal Skinner
Get blindsided
100
The max amount of APAP permitted for OTC APAP.
3000-3250mg
There was a point in lecture that I believe they discussed a RX maximum of 4000mg.
100
True or False: An 18 month old is excluded from self care for their fever of 100.4 degrees that has persisted for three days.
TRUE.
100.4 <3 months> 104
24Hrs <2 yoa> 72Hrs
100
My doctor recently started me on a cephalosporin antibiotic for my Pneumonia. What drug class (Relevant to this category) may influence the absorption of this new prescription?
Antacids.
These require an acidic gut:
100
I have a Pack-year history of 12 and I smoked one and a half packs per day. How many years did I smoke?
1.5 packs/day * [X] = 12 Pack-year
X = 8
100
The weather is getting colder, and I have noticed my skin is starting to dry out and itch more frequently. What am I experiencing?
Xerosis "The Winter Itch"
100
The "rare but serious" side effect of H2RA medications, like Famotidine.
What is Thrombocytopenia?
200
A patient starts dual NRT when they decide to quit smoking, specifically patches and gum. They smoked 2 packs a day and did not have a cigarette within 30 minutes of waking. What is the dose of each NRT method?
Patch: 21mg
Gum: 2mg
200
The number of drinks per day that indicates an exclusion of self-care for headache.
What is 3 drinks per day?
200
Name an 'Alarm symptom' for Heartburn.
200
These five actions are performed as motivational interviewing guidelines for patients not ready to quit.
The 5 R's.
Relevance, Risks, Rewards, Roadblocks, & Repetition
200
This class of topical agents were discussed in class, but only have prescription products available and are used to treat Atopic Dermatitis.
What are Topical Calcineurin Inhibitors?
Tacrolimus and Pimecrolimus
200
The Concentration of Liquid Infant Ibuprofen.
50mg/1.25ml = Infant
100mg/5mg = Children
300
Give the upper and lower range of Tylenol that is appropriate for a 9-month old baby with a weight of 26lbs. Bonus points for the frequency of dosing Q_-_H
26lbs = 11.818kg
11.818*10mg/kg = 118.18mg APAP
11.818*15mg/kg = 177.27mg APAP
Q4-6H
300
A large factor of exclusion to self care of diarrhea is dehydration. Dehydration is measured based on this measurement.
What is the percent loss of body weight?
300
This is a condition of the throat that will immediately disqualify a patient for self care.
What is Odynophagia (Painful swallowing) or Dysphagia (Inability to swallow)?
300
These form(s) of tobacco cessation have different start and quit dates. (They do not stop smoking the same day as starting these quit methods)
Varenicline (various methods, but at least 1 week)
Bupropion SR (1-2 weeks after starting med)
300
The four ways of transferring Fungal skin infections to Humans.
____ to Human
Soil, Animal, Human, and Inanimate object (Fomite surface).
300
CYP2D6 inhibitors will have what effects on Codeine and Dextromethorphan?
Blunt Codeine effects.
Enhance hallucinations of dextromethorphan.
400
The patient weights 176 lbs and has severe recalcitrant nodular acne. If they are to be started on the highest dose of Isotretinoin for treatment, what is their Twice Daily dose?
80mg (Two 40mg caps)
The numbers are a bit high. But get used to the math of [KG]*0.5/1.0/2.0mg/kg = [Daily Dose]
400
The age exclusion for self-care of allergies.
What is Under 12 yoa?
400
The medication commonly prescribed to combat opioid-related constipation.
What is a stimulant laxative.
Examples: Dulcolax, or Senokot.
400
This common solar object is an acronym used in aiding in smoking cessation.
what is STAR?
Set a quit date
Tell family and friends
Anticipate challenges
Remove Tobacco products
400
List the 7 topical corticosteroids discussed in class in order of their strength.
Hydrocortisone <Desonide <Fluticasone < Triamicolone <Mometasone <Betamethasone <Clobetasol
Slide 36
400
Fill in the following:
Rectal Temp: ____
Oral Temp: ____
Axillary Temp: 98.4 F
Tympanic Temp: ____
Temporal Temp: ____
Rectal Temp: 100.4 F
Oral Temp: 99.4 F
Axillary Temp: 98.4 F
Tympanic Temp: 100.4 F
Temporal Temp: 100.4F
500
I have a 5-month old infant that weighs 15.4 lbs with a Temporal Temperature of 100.3. How much Ibuprofen should I give them and how frequently?
Not a candidate for this medication. IBU >6-months.
But if we did treat a 6-month old with these same symptoms:
5-10 mg/kg * [7kg] = 35-70mg po Q68H
500
The percentage off BSA coverage that would eliminate a patient as a candidate for self-care. It is different for ACD and ICD.
>20% for ACD
>10% for ICD
500
This class of cough medications are used to suppress a non-productive cough via increasing the cough threshold of the medulla. Give an example of one such medication.
Bonus points if you can identify the one with the Shortest DoA.
Oral Anti-tussives:
Codeine, Dextromethorphan, Diphenhydramine.
500
This is the only NRT method that uses the # of cigarettes per day as a guideline for dosing.
What is transdermal patch?
>10cigs/day = 21mg patch
<= 10cigs/day = 14mg patch
Lozenge & Gum: TT1C
500
These three products are available in combination with BP for the treatment of acne.
Adapalene, Clindamycin, and Erythromycin.
500
A 66yo Female comes in asking for episodic heartburn recommendations. Patient states that it occurs at the start of the week, from what she describes as overindulging on the weekend. She takes: D3, Calcium, Jardiance (T2 DM), and alendronate (osteoporosis). What would you advise the patient to do?
Provide proper counseling on Alendronate, as heartburn and esophageal damage is a known adverse effect from improper use.