• No results found

Excellence in Care: Over-the-Counter Drugs Update

N/A
N/A
Protected

Academic year: 2021

Share "Excellence in Care: Over-the-Counter Drugs Update"

Copied!
12
0
0

Loading.... (view fulltext now)

Full text

(1)

Excellence in Care:

Over-the-Counter Drugs Update

Renee Acosta, RPh

INDEPENDENT STUDY

Health Professions Institute for Continuing Education

Austin Community College

(2)

The Austin Community College

Health Professions Institute, Continuing Education 5930 Middle Fiskville Road, Austin, TX 78752 INDEPENDENT STUDY: Excellence in Care: Over-the-Counter Drugs Update

Description and Purpose: Renee Acosta, RPh, appears with Elizabeth Huss RN, BSN, coordinator with the Health Professions Institute of Austin Community College, to discuss how non-prescriptive drugs (over-the-counter) are regulated and marketed to the general public. The presentation will also provide up to date information pertaining to common over-the-counter remedies (cold/allergy medications, drugs for constipation/diarrhea, some homeopathic and herbal remedies) and precautions to be aware of when counseling health consumers. Ms. Acosta is an instructor for the School of Pharmacy at the University of Texas at Austin and developer of the Pharmacy Technician Program at Austin Community College as well as a published author.

The purpose of this activity is to enrich the participant’s contribution to quality healthcare and the pursuit of professional career goals by providing updated information on the use, interaction concerns, and precautions needed in the use of over-the-counter drugs.

This offering is a self-paced learning activity developed to meet the individual needs of nurses, social workers, and emergency medical services personnel requiring continuing education for relicensure.

Goals and Objectives: Upon completion of this activity, the student will be able to:

1. Define over-the-counter (OTC) drugs.

2. Describe the monograph process and its significance to OTC drugs.

3. Identify six (6) categories of OTC drugs.

4. Compare homeopathic and herbal products.

5. Contrast homeopathic and herbal products.

6. Describe the American College of Chest Physicians (ACCP) guidelines for the diagnosis and management of a cough.

7. Identify two (2) products available for constipation including dosage and mechanism of function.

8. Identify two (2) products used for dyspepsia and considerations for usage.

Requirements for Successful Completion:

To successfully complete this activity and earn continuing education hours the participant must:

1. Complete the pre-test 2. View the video

3. Complete the post-test (score an 80 or more)

4. And, complete the evaluation

(3)

NOTE: Following the viewing of the video and completing the accompanying documents, questions may be addressed by contacting Elizabeth Huss @ 512-223-7271 or eahuss@austincc.edu

s

ubmit all of the documents (pre/post-test, evaluation) along with your completed Registration Form (check or credit card), and payment to:

Austin Community College Health Professions Institute Attn: Online Nursing Videos 5930 Middle Fiskville Rd.

Austin, TX 78752 Fax: 512-223-7030

Within two business weeks from receipt of your material at ACC, your certificate of completion will be available (to be mailed, fax, or picked up at the above address … your choice).

Upon successful completion participants will be awarded a certificate of successful completion worth 2.0 contact hours.

Austin Community College is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Contact hours for programs applicable to social work are approved for CEU’s by the Texas State Board of Social Worker Examiners. This program is worth 2.0 contact hours or 0.2 continuing education units (CEU’s).

Continuing education for Emergency Medical Personnel is approved by the Texas Department of State Health Services. This program is worth 2.0 TDH (P) contact hours.

Disclosure to Attendees: The presenters and planning committee members for this offering have completed Conflict of Interest forms and it has been determined that no conflict of interest exists or has been indentified in relation to this offering.

Commercial Support: This offering has not received any commercial support.

Non-endorsement of products: The discussion of generic or brand name items or medications does not constitute endorsement by the American Nurses Credential Center’s Commission on

Accreditation (ANCC), the Texas Nurses Association (TNA) or Austin Community College.

Off-Label Use: Off-label use of medications refers to the prescribing of medications to treat a condition for which the medication has not been approved by the Food and Drug Administration.

Medications presented in this activity will only be discussed in the context of their Federal Drug Administration (FDA) approval.

This program will expire April 2, 2014

(4)

Printed Name:______________________________

Date:_______________

Address:__________________________________

Instructions: After watching the video, complete this post-test. Choose the best answer by circling the letter corresponding to your choice. Submit this post-test only with your pre-test, completed evaluation, registration, and payment to:

Austin Community College Health Professions Institute Attn: Online Nursing Videos 5930 Middle Fiskville Rd.

Austin, TX 78752 Fax: 512-223-7030

Pre-Test: Over-the-Counter Drugs Update

1. “Appropriate for the prevention, treatment, symptomatic relief, or cure of diseases, injuries, and other conditions that consumers can self-diagnose and treat with or without the assistance of pharmacists or other healthcare professionals” is the definition of:

a. Homeopathic medications b. Generic medication c. Over –the-Counter drugs

d. Herbal Remedies and Dietary Supplements e. None of the above

f. All of the above

2. The Monograph Process:

a. Considers the therapeutic classes of drugs

b. Is used to simplify identifying the choices for OTC drugs

c. Considers the safety and effectiveness of the active ingredients of drugs for the choices of OTC drugs.

d. All of the above e. None of the above

3. Which of the following instituted the drug approval process?

a. Patriot Act

b. Prescription Drug Amendment (1951)

c. Food, Drug, Cosmetic Act of 1938

d. None of the above

(5)

4. Which of the following defined drugs as either over-the-counter or prescription?

a. Patriot Act

b. Prescription Drug Amendment (1951) c. Food, Drug, Cosmetic Act of 1938 d. None of the above

5. What category of OTC medication is diluted by definition?

a. Dietary supplement b. Herbal remedies c. Homeopathic d. Bulk laxative

6. All of the following are true about product line extensions EXCEPT:

a. Product line extensions are a variation of an existing product.

b. Healthcare professionals must be familiar with product line extensions so they can appropriately advise a client on what to buy.

c. Healthcare professionals must ask clients the specific products they are taking when conducting a medication history.

d. None of the above

7. The American College of Chest Physicians (ACCP) recommends the following for the diagnosis and management of an acute cough associated with allergies or cold:

a. Use of 1

st

generation antihistamine b. Use of dextromethorphan

c. both a and b d. neither a nor b

8. Trends discussed in the video regarding Over-the-Counter (OTC) medications are:

a. OTC medications are a money maker for the companies that make and produce them.

b. The OTC medication market is expected to grow.

c. Increasingly more individuals are self medicating.

d. All of the above

9. In an effort to reduce illegal methamphetamine labs, part of the Patriot Act:

a. Required phenylephrine to be substituted in place of pseudoephedrine.

b. Required pseudoephedrine containing products to be shelved behind the counter of pharmacies.

c. a and b

d. None of the above

(6)

10. Important information for the healthcare professional to be aware of regarding Echinacea is:

a. use is common, individuals can have allergic reactions, effectiveness in prevention of the cold is not proven.

b. use is common, there is consistent data supporting effectiveness in the prevention of the cold.

c. use is uncommon, individuals cannot have allergic reactions, effectiveness in prevention of the cold is not proven.

d. use is common and it is completely safe to use.

11. Important information for the healthcare professional to be aware of regarding Zinc is:

a. Recommended for prophylaxis, can begin use after 48 hours of onset of cold symptoms b. Not recommended for prophylaxis, can begin use after 48 hours of onset of cold symptoms c. Not recommended for prophylaxis, begin use within 24-48 hours of onset of cold symptoms d. Recommended for prophylaxis, has been shown to have a moderate effect in decreasing the duration of the cold.

12. Considerations for stool softeners include the following:

a. They take effect usually within 12-72 hours

b. Individuals should be advised to take plenty of fluids c. Surfak is now called Kaopectate

d. All of the above

13. Cautions for the use of zinc include:

a. Anosmia with intranasal administration, metallic taste, can cause diarrhea b. Metallic taste, nausea, anosmia with intranasal administration

c. Anosmia with intranasal administration, metallic taste d. Metallic taste, headache, nausea, diarrhea

14. What is the appropriate dosing schedule (per the FDA) for individuals taking both ibuprofen and low dose aspirin?

a. Ibuprofen 30 minutes or longer after taking aspirin.

b. Ibuprofen 8 hours before taking aspirin.

c. both a and b d. a only

15. When recommending a bulk-forming laxative, the healthcare professional should:

a. Consider the variety of doses available.

b. Consider the variety of dosage forms.

c. Neither a nor b

d. Both a and b

(7)

Excellence in Care: Over-the-Counter Drugs Update Program Outline

Written:

I. Pre-Test

DVD Presentation:

II. Introduction to Over-the-Counter Drugs A. Availability

B. Definition

C. History of Over-the-Counter Drugs D. Categories of Over-the-Counter Drugs E. The Monograph Process

III. Labeling A. Old labeling B. New labeling

IV. Dietary Supplements, Homeopathic Medications, Herbal Remedies A. Introduction

B. Definitions C. Labeling

D. Government Regulation

V. Trends in Over-the-Counter Drugs A. Economic/market growth up B. Emphasis/desire on self-medicating C. Current statistics

D. Healthcare professional implications VI. Cough, Cold, Allergy

A. Pseudoephedrine behind the counter- Patriot Act B. Pseudoephedrine replaced by phenylephrine C. Dosing differences

D. Symptom guidelines for diagnosis and management E. Specific Over-the-Counter drugs for cold, cough, allergy VII. Constipation

A. Considerations for choosing the right product B. Stool Softeners

C. Bulk-forming laxatives

VIII. Diarrhea & Over-the-Counter products A. Over-the-Counter vs. prescription B. Considerations/cautions

IX. Antacids

A. Dosage forms, dosing, active ingredients B. Considerations/Cautions

X. H2 Antagonists & Proton Pump Inhibitors A. Dosage

B. Cautions

Written:

VI. Post-Test

VII. Evaluation

(8)

Evaluation

Title of Education Activity: Excellence in Care: Over-the-Counter Drugs Update

Location: DVD Video Format Date: Participants check out and complete on own time Purpose of this activity: The purpose of this activity is to enrich the participant’s contribution to quality healthcare and the pursuit of professional career goals by providing updated information on the use, interaction concerns, and precautions needed in the use of over-the-counter drugs.

Directions/Instructions: Please complete this evaluation questionnaire. Your anonymous responses will be used to revise this activity and to plan future educational activities. Circle the number that best fits your evaluation of this activity.

1 = Not at all 2 = Somewhat 3 = Almost completely 4 = Completely

1. Rate your achievement of these objectives:

a. Define Over-the-Counter drugs (OTC). 1 2 3 4

b. Describe the monograph process and its significance. 1 2 3 4

c. Identify six (6) categories of Over-the-Counter drugs. 1 2 3 4

d. Compare homeopathic and herbal products. 1 2 3 4

e. Contrast homeopathic and herbal products. 1 2 3 4

f. Describe the guidelines for the diagnosis and management 1 2 3 4 of a cough according to the American College of Chest Physicians.

g. Discuss two (2) types of products available OTC for 1 2 3 4 constipation, including dosage and mechanical function.

h. List two (2) types of products (OTC) used for dyspepsia 1 2 3 4 and considerations for usage.

2. Rate the effectiveness of the teaching/learning resources? 1 2 3 4 3. Please evaluate the guest speaker- Renee Acosta, RPh

a. Knowledge and currency of topic 1 2 3 4

b. Ability to make points clear 1 2 3 4

c. Ability to apply content to practice 1 2 3 4

(9)

Evaluation (OTC Drugs Update) Con’t- page 2 of 2

4. Please evaluate the moderator- Elizabeth Huss RN, BSN

a. Guides the discussion 1 2 3 4

b. Asks pertinent questions 1 2 3 4

c. Fosters clarification of presented information 1 2 3 4 5. Were the objectives relevant to the overall purpose? 1 2 3 4 (see above)

5. How long (in minutes) did it take you to complete the entire activity (including taking the pre- test, watching the video, taking the post-test, and completing this evaluation tool)? ________

Minutes

6. List two (2) ways you will integrate what you learned in this activity into your practice and/or employment environment.

8. The following were disclosed prior to the beginning of this activity either in writing or verbally?

a. Requirements for successful completion Yes No

b. Conflicts of Interest Yes No

c. Commercial Support Yes No

d. Non-endorsement of Products Yes No

e. Off-label Use Yes No

9. Did you, as a participant, notice any bias that was not previously disclosed in this

presentation? Yes No

If “Yes”, please describe who was biased and how.

10. Comments: If you answered (1) to any of the above, please comment.

11. Please list any suggestions or topics for future programming.

(10)

Printed Name:

Date:

Instructions: After watching the video, complete this post-test. Choose the best answer by circling the letter corresponding to your choice. Submit this post-test only with your pre-test, completed evaluation, registration, and payment to:

Austin Community College Health Professions Institute Attn: Online Nursing Videos 5930 Middle Fiskville Rd.

Austin, TX 78752 Fax: 512-223-7030

Post-Test: Over-the-Counter Drugs Update

1. “Appropriate for the prevention, treatment, symptomatic relief, or cure of diseases, injuries, and other conditions that consumers can self-diagnose and treat with or without the assistance of pharmacists or other healthcare professionals” is the definition of:

a. Homeopathic medications b. Generic medication c. Over –the-Counter drugs

d. Herbal Remedies and Dietary Supplements e. None of the above

f. All of the above

2. The Monograph Process:

a. Considers the therapeutic classes of drugs

b. Is used to simplify identifying the choices for OTC drugs

c. Considers the safety and effectiveness of the active ingredients of drugs for the choices of OTC drugs.

d. All of the above e. None of the above

3. Which of the following instituted the drug approval process?

a. Patriot Act

b. Prescription Drug Amendment (1951)

c. Food, Drug, Cosmetic Act of 1938

d. None of the above

(11)

4. Which of the following defined drugs as either over-the-counter or prescription?

a. Patriot Act

b. Prescription Drug Amendment (1951) c. Food, Drug, Cosmetic Act of 1938 d. None of the above

5. What category of OTC medication is diluted by definition?

a. Dietary supplement b. Herbal remedies c. Homeopathic d. Bulk laxative

6. All of the following are true about product line extensions EXCEPT:

a. Product line extensions are a variation of an existing product.

b. Healthcare professionals must be familiar with product line extensions so they can appropriately advise a client on what to buy.

c. Healthcare professionals must ask clients the specific products they are taking when conducting a medication history.

d. None of the above

7. The American College of Chest Physicians (ACCP) recommends the following for the diagnosis and management of an acute cough associated with allergies or cold:

a. Use of 1

st

generation antihistamine b. Use of dextromethorphan

c. both a and b d. neither a nor b

8. Trends discussed in the video regarding Over-the-Counter (OTC) medications are:

a. OTC medications are a money maker for the companies that make and produce them.

b. The OTC medication market is expected to grow.

c. Increasingly more individuals are self medicating.

d. All of the above

9. In an effort to reduce illegal methamphetamine labs, part of the Patriot Act:

a. Required phenylephrine to be substituted in place of pseudoephedrine.

b. Required pseudoephedrine containing products to be shelved behind the counter of pharmacies.

c. a and b

d. None of the above

(12)

10. Important information for the healthcare professional to be aware of regarding Echinacea is:

a. use is common, individuals can have allergic reactions, effectiveness in prevention of the cold is not proven.

b. use is common, there is consistent data supporting effectiveness in the prevention of the cold.

c. use is uncommon, individuals cannot have allergic reactions, effectiveness in prevention of the cold is not proven.

d. use is common and it is completely safe to use.

11. Important information for the healthcare professional to be aware of regarding Zinc is:

a. Recommended for prophylaxis, can begin use after 48 hours of onset of cold symptoms b. Not recommended for prophylaxis, can begin use after 48 hours of onset of cold symptoms c. Not recommended for prophylaxis, begin use within 24-48 hours of onset of cold symptoms d. Recommended for prophylaxis, has been shown to have a moderate effect in decreasing the duration of the cold.

12. Considerations for stool softeners include the following:

a. They take effect usually within 12-72 hours

b. Individuals should be advised to take plenty of fluids c. Surfak is now called Kaopectate

d. All of the above

13. Cautions for the use of zinc include:

a. Anosmia with intranasal administration, metallic taste, can cause diarrhea b. Metallic taste, nausea, anosmia with intranasal administration

c. Anosmia with intranasal administration, metallic taste d. Metallic taste, headache, nausea, diarrhea

14. What is the appropriate dosing schedule (per the FDA) for individuals taking both ibuprofen and low dose aspirin?

a. Ibuprofen 30 minutes or longer after taking aspirin.

b. Ibuprofen 8 hours before taking aspirin.

c. both a and b d. a only

15. When recommending a bulk-forming laxative, the healthcare professional should:

a. Consider the variety of doses available.

b. Consider the variety of dosage forms.

c. Neither a nor b

d. Both a and b

References

Related documents

Since 1997, I have been the pro se representative for Friends of the Coast in interventions before the NRC on License Termination, the Federal Energy Regulatory Commission

[r]

A paper presented at the African Language Teachers Association/National Council of Less Commonly Taught Languages ( ALTA-NCOLCTL) , University of Wisconsin-Madison, April 25-29..

Første steget i verdsettelsen innebærer å identifisere sammenlignbare selskap, en faktor som er svært viktig for et godt estimat. Neste steg innebærer innhenting av

Interestingly, stage III MMel patients with resected high risk disease who did not relapse after combination therapy expressed much higher levels of CD137 on their circulating CD8 +

In this paper we present a general approach to string match- ing based on multiple sliding text-windows, and show how it can be applied to some among the most efficient algorithms

[r]

Hasil penelitian ini menemukan bahwa performa komite audit yang dinilai dari sisi independensi memiliki hubungan negatif signifikan dengan terjadinya earnings restatement atau