Regulation

Question 1

Where natl hospital quality measures for anesthesia are

Answer 1

Specifications manual for natl hospital in pt quality measures

Question 2

Website for quality measures

Answer 2

Www.qualitynet.org

Question 3

Where to compare clinical sites

Answer 3

Www.medicare.gov

Question 4

Website for med safety

Answer 4

Institute for safe med practices. Www.ismp.org

Question 5

Safe syringe technique: never do which 6 things

Answer 5

Same syringe to mult pts even if needle changed, reuse a needle (even if same pt), regular syringe once used (even if same pt), use iv admin sets mult pts, reuse syringe/needle for multi dose vial, reenter single use vial

Question 6

IRB board must be composed of who

Answer 6

5 or more experts with varying backgrounds

Question 7

Phases of IRB

Answer 7

1- 20-100 subjects, months, safety. 2- several hundred, months-2 yrs, effectiveness/safety. 3- hundreds-thousands, 1-4 yrs, safety/dose/effectiveness

Question 8

Program where HCPs can report serious med events after drug approval

Answer 8

MEDwatch program

Question 9

Phase I trials are often what

Answer 9

Non blinded

Question 10

Phase 2 trials are often what

Answer 10

Often w pts w medical condition of interest. Dosing ranges, toxicity info. Single or double blind. Drug vs placebo or existing therapy

Question 11

Phase 3 trials are often what

Answer 11

Randomized, controlled, double blind, w multiple arms.

Question 12

Rx writing: inpatient requirements

Answer 12

Pt ID, date and time written, allergy status

Question 13

Rx writing: what goes on all

Answer 13

Full name of med (generic preferable), dose units, frequency of admin, duration of therapy when indication, reason for admin on PRN orders

Question 14

Outpt rx writing includes what

Answer 14

Name/office address/phone number, pts name/address/date, directions for pt/pharmacist, name of drug and quantity, refills

Question 15

Out pt controlled substances also require what

Answer 15

DEA number and C3-5 5 refills or valid 6 months, C2 no refills/hard copy required, signature required

Question 16

Class 1 drugs

Answer 16

High abuse potential, not in US, lack of safety. Heroin, marijuana

Question 17

Class 2 drugs

Answer 17

High abuse potential. In US w restrictions. Psych/phys dependence. Morphine, fentanyl, methadone

Question 18

Class 3 drugs

Answer 18

Less abuse then 1+2. In US. Moderate/low phys dep, high psych dep. buprenorphine, hydrocodone/APAP (lortab), tyelenol 3, Marinol, testosterone

Question 19

Class 4 drugs

Answer 19

Less abuse than 3, in us. Ltd phys and psych dep. benzos, ambien, phenobarb, darvocet

Question 20

Class 5 drugs

Answer 20

Ltd phys and psych dep. cough syrup w codein, promethazine, lyrica

Question 21

Pregnancy categories

Answer 21

Based on animal or human studies. Many up to discretion of practitioner/pt in terms of risk/benefit. 1st tri vs 3rd tri risks. A-D, X. A- 100% safe. X never ok. B-D up to doctor

Question 22

Category A drugs

Answer 22

Well controlled, not shown inc risk fetal abn in any trimester. Folic acid, B6, levothyroxine

Question 23

Category B

Answer 23

Animal studies no harm to fetus. But not enough studies in preg women OR animal studies have adverse effect but no risk in human studies to fetus. Tyelenol, prednisone, insulin, ibuprofen before 3rd tri, amoxicillin

Question 24

Category C drugs

Answer 24

Animal studies adverse fx and none in humans. OR no animal studies done/not enough studies in preg women. Anti depressant, carbamazepine, Cipro, fluconazole

Question 25

Category d drugs

Answer 25

Risk to fetus in trials. Benefits of therapy may outweigh risk, life threat situation. Alcohol, lithium, phenytoin, valproic acid, tetracyclines, ACEI, cancer chemo

Question 26

Category X

Answer 26

Fetal abnormalities or risks. Contraindicated in women who are/may become pregnant. Accurate, thaliomide, misoprostil