Pharmacology & Medication Management Flashcards

Which hospital committee is typically responsible for maintaining the drug formulary?

Answer: Pharmacy and Therapeutics (P&T) Committee

The P&T Committee evaluates drugs for safety, efficacy, and cost, and maintains the organization's formulary.

Which medication is commonly classified as a high-alert medication by ISMP?

Answer: Insulin

Insulin is a high-alert medication because dosing errors can cause significant patient harm.

Which FDA program can require prescribers to be certified or enrolled before prescribing certain high-risk drugs, such as isotretinoin through iPLEDGE?

Answer: REMS (Risk Evaluation and Mitigation Strategy)

REMS programs can require prescriber certification, patient enrollment, and other safety steps for drugs with serious risks.

Which Joint Commission National Patient Safety Goal addresses maintaining and communicating accurate patient medication information?

Answer: Medication reconciliation (NPSG.03.06.01)

NPSG.03.06.01 requires organizations to maintain and communicate accurate medication information, known as medication reconciliation.

What is a "boxed" (black box) warning?

Answer: The FDA's strongest labeling warning for serious or life-threatening risks

A boxed warning is the FDA's most serious label warning, used for drugs with significant risks of serious adverse effects.

Hydroxyzine vs. hydralazine is an example of which medication safety concern?

Answer: Look-alike/sound-alike (LASA) drug names

Names that look or sound similar are tracked on ISMP LASA lists to prevent mix-ups.

In addition to DEA registration, some states require practitioners to hold which separate credential to prescribe controlled substances?

Answer: A state controlled substance registration (CSR/CDS)

Many states issue their own controlled substance registrations, which credentialing staff must verify separately from the DEA.