2026 | Pharmacy Practice
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, You have a study with the mean age of 75 (SD +/- 10). if it forms a "gaussian" or "normal" curve
What percentage describes the proportion of study 68% of values fall within 1 SD (65 to 85)
subjects between 65 to 85 years of age in this study?
95% of values fall within 2 SD (55 to 95)
You have a patient on the below orders: 138 mg of morphine
Morphine 10mg IV/Hr 10mg x 12 = 120mg
Morphine 0.5mg IV Q 20 min prn via PCA
12hr x (60min/hr) x (0.5mg/20 min) = 18mg
if they get the max amount of doses of PCA, how many
mg of morphine will they receive over 12 hours? 120 + 18 = 138mg
How would you educate Mr. Blaine on using his peak the measurement takes into account the patient's height, gender, & age
flow meter? Patients should measure their personal best by taking peak flow readings BID
(AM + PM) for 2-3 weeks. The highest reading that occurs most frequently is
their personal best
TECHNIQUE:
use QAM upon awakening before the use of asthma meds
Stand up straight, exhale comfortably
Blow out as hard and as fast as possible. Write down PB
ZONES:
green zone: (> 80-100% of personal best) - CLEAR!
yellow zone:(50-80% of personal best) - "caution" pt intervention required
based on "action plan"
RED ZONE (<50% personal best): "MEDICAL ALERT" --> ED.
What vaccines are recommended in patients with Sickle Routine childhood series:
Cell Disease? 1. Haemophilus Influenzae type B (Hib)
2. Pneumococcal conjugate (PCV13, Prevnar)
Additional vaccines due to functional asplenia:
1. Meningococcal conjugate series plus routine boosters
2. Meningococcal serogroup B (Bexsero, Trumeba)"
3. Pnuemococcal polysaccharide (PPSV23, Pneumovax 23)""
4. Pnuemococcal conjugate (PCV13, Prevnar) x 1 in ANY patient > 6 y.o. of age if
never recd as part of routine childhood
": at age > 10 y.o.
"": at age > 2 y.o, booster 5 years later and at age > 65.
remember you don't want to give pnuemovax before 2 y.o. due to antibodies -
they will not produce a good response.
Describe Sickle Cell Anemia Group of inherited RBC disorders resulting from a genetic mutation in the
genes that encode hemoglobin
RBCs contain abnormal hemoglobin or HgbS (sickle hemoglobin)
What are dietary/natural supplements that help with Valerian
insomnia? Melatonin
Drinking chamomile tea in the evening to feel calmer can help some patients
with insomnia