Clinical Procedures and Protocols Flashcards
7 cards from real KAPS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Procedures and Protocols flashcards as text
A pharmacist is counseling a patient starting albuterol metered-dose inhaler (MDI) therapy. How many actuations should be discarded before the first use of a new inhaler?
Answer: 4
New albuterol MDIs should be primed by releasing 4 actuations into the air before first use to ensure consistent dose delivery.
When calculating an aminoglycoside dosing interval using the Hartford nomogram, which measured parameter is used?
Answer: Serum concentration drawn 6–14 hours after the start of infusion
The Hartford nomogram uses a single serum concentration drawn 6–14 hours after the start of infusion to determine the appropriate dosing interval.
A pharmacist receives a prescription for nitroglycerin 0.4 mg sublingual tablets. Which counseling point about storage is MOST critical?
Answer: Store in original amber glass container, tightly closed, away from heat and light
Nitroglycerin is volatile and degrades when exposed to light, heat, or moisture; it must be stored in the original amber glass bottle tightly capped.
Under USP hazardous drug handling standards, what is the minimum required air exchange rate for a containment secondary engineering control (C-SEC)?
Answer: 12 ACPH
USP requires a minimum of 12 ACPH for a C-SEC to ensure adequate dilution and removal of hazardous drug contaminants.
A clinical pharmacist is monitoring a patient on heparin infusion for DVT. The patient's aPTT is 180 seconds (therapeutic range 60–100 s). Which action is most appropriate?
Answer: Decrease the infusion rate by 25% and hold for 30 minutes
An aPTT above the therapeutic range by this margin typically warrants a temporary hold and dose reduction per weight-based heparin nomogram protocols.
A pharmacist is assessing a patient's swallowing difficulty and must recommend an appropriate dosage form for a BID medication. The best recommendation is:
Answer: Oral liquid formulation
An oral liquid is the most appropriate alternative for patients with dysphagia, as it does not require swallowing a solid dosage form.
During a pharmacist-led anticoagulation clinic visit, a patient on warfarin has an INR of 5.2 with no active bleeding. According to CHEST guidelines, the recommended management is:
Answer: Hold warfarin, administer oral vitamin K 1–2.5 mg, and recheck INR in 1–2 days
For INR 4.5–10 with no bleeding, CHEST guidelines recommend holding warfarin and giving low-dose oral vitamin K (1–2.5 mg) with close INR follow-up.