Excellence in Care: Over-the-Counter Drugs Update Emphasis on Pediatrics 2012

Transcription

1 Excellence in Care: Over-the-Counter Drugs Update Emphasis on Pediatrics 2012 Renee Acosta, RPh INDEPENDENT STUDY Health Professions Institute Continuing Education Austin Community College

2 The Austin Community College Health Professions Institute, Continuing Education 5930 Middle Fiskville Road, Austin, TX INDEPENDENT STUDY: Excellence in Care: Over-the-Counter Drugs Update- Emphasis on Pediatrics Description and Purpose: Renee Acosta, RPh, appears with Elizabeth Huss RN, BSN, and coordinator with the Health Professions Institute of Austin Community College, to discuss appropriate choice dosage of common non-prescriptive or over-the-counter medications. Recent changes in some common remedies used by parents to treat common children s illness are reviewed. The presentation will also provide up-to-date information pertaining to common overthe-counter remedies and precautions to be aware of when counseling health consumers, especially the parents of children. 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. Describe the dosage changes recommended by the Food and Drug Administration that are specific to the pediatric population. 2. Identify the dosage formulation changes which have occurred in the concentration of liquid acetaminophen (Tylenol). 3. Select the appropriate dose of acetaminophen or ibuprofen for children, dependent upon the age/weight of the child. 4. Describe the meltaway tablet available for children. 5. Contrast the parameters used to assist parents in choosing between acetaminophen and ibuprofen in dosing children. 6. List age appropriate dosage for decongestants. 7. Recall the differences between first generation and second generation antihistamines. 8. Identify non-pharmacologic therapy for a patient suffering from allergies or a cold. 9. Describe the two types of cough. 10. Identify antitussive and expectorant active ingredients. 11. Identify non-pharmacologic therapy for a patient suffering from a cough. Requirements for Successful Completion: The packet you have received contains a pre-test, DVD, post-test and a program evaluation. To successfully complete this activity and earn continuing education the participant must: 1. Complete the pre-test 2. View the DVD 3. Complete the post-test (score an 80 or more)

3 4. And, complete the evaluation Questions may be addressed by contacting Elizabeth , or to eahuss@austincc.edu NOTE: Following the viewing of the DVD and completion of the accompanying documents, submit all of the documents (pre/post-test, evaluation) along with your completed Registration Form and payment (check or credit card) to: Austin Community College Health Professions Institute Attn: Online Nursing Videos 5930 Middle Fiskville Rd. Austin, TX Fax: Within two business weeks from receipt of your material at ACC, your certificate of completion will be available (to be mailed, faxed, or picked up at the above address your choice). Upon successful completion participants will be awarded a certificate for 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. Expiration date: This activity expires on April 1, 2014.

4 Pre-Test: Over-the-Counter Drugs Update- Emphasis on Pediatrics Printed Name: Date: 1. Dosage changes in pediatric acetaminophen include the following: a. a concentration strength of 160mg/5ml b. the use of a syringe for administration c. a calibrated dropper for administration d. both a and b 2. The current directions for use of pediatric acetaminophen include: a. the dose is 10 to 15 mg per kg of weight b. the dose may be repeated every 4 hours c. there is a maximum of 5 doses in 24 hours d. all of the above 3. An important change in the new formulations of acetaminophen is: a. the infant s and the children s oral suspension are the same concentration b. the infant s concentration is half the children s concentration c. they both come in a cherry and bubblegum flavor 4. How much acetaminophen would you give to a child weighing 44 pounds? a. 200mg b. 250mg c. 275mg d. 300mg 5. A child weighing 32 lbs (14.5Kg) should receive how much liquid Tylenol: a. 6ml b. 4.5ml c. 5.5ml c. 6.5ml 6. Which is the most reliable indicator of dosage in children? a. age b. weight 7. Characteristics of Meltaways Chewable Tablets designed by Tylenol include: a. they come in two strengths Children s (80mg) and Jr. Tylenol (160mg) b. they come in only one flavor c. both a and b d. none of the above 8. How many Tylenol Meltaways should be given a 10 year old who weighs 70 lbs? a. one Children s Meltaway b. two Jr. Meltaways c. two Children s Meltaways d. one Jr. Meltaway

5 Pre-test page 2 of 3 9. What is the concentration of pediatric ibuprofen for infants that comes in a concentrated drop? a. 80 mg/0.8 ml b. 160 mg/5 ml c. 50 mg/1.25 ml d. 100 mg/5 ml 10. A child weighing 44 pounds should receive how much ibuprofen per the manufacturers label? a. 1 tsp (100 mg) b. 1 ½ tsp (150 mg) c. 2 tsp (200 mg) d. None of the above 11. Based on the mg/kg dosage range discussed, how much ibuprofen should a child weighing 44 pound receive? a. 50 mg 150 mg b. 100 mg 200 mg c. 150 mg 250 mg d. None of the above 12. Current labeling for cough and cold products reflects a do not use in children less than what age for most cough and cold products? a. 2 years old b. 4 years old c. 6 years old 13. Which of the following is a nasal decongestant available over-the-counter? a. Pseudoephedrine b. Pyrailamine c. Phenylephrine d. both a and c 14. Which of the following would you recommend for a patient suffering from allergies who needs to be alert to study for a final exam? a. Diphenhydramine b. Loratadine c. Cetirizine d. Chlorpheniramine 15. Which of the following antihistamines is labeled for children as young as 2? a. Cetirizine b. Chlorpheniramine C. Diphenhydramine d. None of the above

6 Pre-test page 3 of Which of the following would be appropriate for an infant suffering from cold symptoms? a. Saline drops b. Sleeping in an upright position c. Humidifier 17. Which of the following would you recommend for an adult with a productive cough? a. Dextromethorphan b. Diphenhydramine 18. A 5 year old patient has a chesty cough without mucus that wakes her up at night. Which of the following would you recommend? a. Dextromethorphan b. Diphenhydramine 19. Which of the following would you recommend for a 25 year old adult with a productive cough that started 3 days ago? a. Humidifier or vaporizer b. Hydration 20. Which of the following would you recommend for a patient with a cough associated with post-nasal drip who is also suffering from a runny nose? a. Dextromethorphan b. Diphenhydramine

7 Excellence in Care: Over-the-Counter Drugs Update- Emphasis on Pediatrics Program Outline Written: I. Pre-Test II. DVD Presentation: A. Pediatric Acetaminophen B. Tylenol Products C. Tylenol Case Studies D. Pediatric Ibuprofen E. Advil Products F. Ibuprofen case studies G. Cold and Cough H. Antihistamines I. Cold and Allergy Case Studies J. Non-pharmacologic Therapy III. Post-Test IV. Evaluation Instructions: After watching the video, complete the post-test. Choose the best answer by circling the letter corresponding to your choice. Submit the completed post-test along with your completed pre-test, completed evaluation, registration form, and payment to: Austin Community College Health Professions Institute Attn: Online Nursing Videos 5930 Middle Fiskville Rd. Austin, TX Fax: Questions may be addressed by contacting Elizabeth , or to eahuss@austincc.edu

8 Evaluation: Over-the-Counter Drugs Update- Emphasis on Pediatrics 2012 Page 1 of 2 Title of Educational Activity: Excellence in Care: Over-the-Counter Drugs Update- Emphasis on Pediatrics 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 especially among the pediatric population. 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. Describe the dosage changes recommended by the Food and Drug Administration that are specific to the pediatric population. B. Identify the dosage formulation changes which have occurred in the concentration of liquid acetaminophen (Tylenol). C. Select the appropriate dose of acetaminophen or ibuprofen for children, dependent upon the age/weight. D. Describe the meltaway tablet available for children E. Contrast the parameters used to assist parents in choosing between acetaminophen and ibuprofen in dosing children. F. List age appropriate dosage for decongestants G. Recall the differences between first generation and second generation antihistamines. H. Identify non-pharmacologic therapy for a patient suffering from allergies or a cold. I. Describe the two types of cough J. Identify antitussive and expectorant active ingredients K. Identify non-pharmacologic therapy for a patient with a cough

9 Evaluation Over-the-Counter Drugs Update- Emphasis on Pediatrics 2012 Page 2 of 2 2. Rate the effectiveness of the teaching/learning resources Please evaluate the guest speaker- Renee Acosta, RPh a. Knowledge and currency of topic b. Ability to make points clear c. Ability to apply content to practice Please evaluate the moderator- Elizabeth Huss RN, BSN a. Guides the discussion b. Asks pertinent questions c. Fosters clarification of presented information Were the objectives relevant to the overall purpose? (see above) 6. 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 7. 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 Post-Test: Over-the-Counter Drugs Update- Emphasis on Pediatrics 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 Fax: Printed Name: Date: Address: 1. Dosage changes in pediatric acetaminophen include the following: a. a concentration strength of 160mg/5ml b. the use of a syringe for administration c. a calibrated dropper for administration d. both a and b 2. The current directions for use of pediatric acetaminophen include: a. the dose is 10 to 15 mg per kg of weight b. the dose may be repeated every 4 hours c. there is a maximum of 5 doses in 24 hours d. all of the above 3. An important change in the new formulations of acetaminophen is: a. the infant s and the children s oral suspension are the same concentration b. the infant s concentration is half the children s concentration c. they both come in a cherry and bubblegum flavor 4. How much acetaminophen would you give to a child weighing 44 pounds? a. 200mg b. 250mg c. 275mg d. 300mg 5. A child weighing 32 lbs (14.5Kg) should receive how much liquid Tylenol: a. 6ml b. 4.5ml c. 5.5ml c. 6.5ml Page 1 of 3

11 Post-test page 2 of 3 6. Which is the most reliable indicator of dosage in children? a. age b. weight 7. Characteristics of Meltaways Chewable Tablets designed by Tylenol include: a. they come in two strengths Children s (80mg) and Jr. Tylenol (160mg) b. they come in only one flavor c. both a and b d. none of the above 8. How many Tylenol Meltaways should be given a 10 year old who weighs 70 lbs? a. one Children s Meltaway b. two Jr. Meltaways c. two Children s Meltaways d. one Jr. Meltaway 9. What is the concentration of pediatric ibuprofen for infants that comes in a concentrated drop? a. 80 mg/0.8 ml b. 160 mg/5 ml c. 50 mg/1.25 ml d. 100 mg/5 ml 10. A child weighing 44 pounds should receive how much ibuprofen per the manufacturers label? a. 1 tsp (100 mg) b. 1 ½ tsp (150 mg) c. 2 tsp (200 mg) d. None of the above 11. Based on the mg/kg dosage range discussed, how much ibuprofen should a child weighing 44 pound receive? a. 50 mg 150 mg b. 100 mg 200 mg c. 150 mg 250 mg d. None of the above 12. Current labeling for cough and cold products reflects a do not use in children less than what age for most cough and cold products? a. 2 years old b. 4 years old c. 6 years old 13. Which of the following is a nasal decongestant available over-the-counter? a. Pseudoephedrine b. Pyrailamine c. Phenylephrine d. both a and c

12 Post-test page 3 of Which of the following would you recommend for a patient suffering from allergies who needs to be alert to study for a final exam? a. Diphenhydramine b. Loratadine c. Cetirizine d. Chlorpheniramine 15. Which of the following antihistamines is labeled for children as young as 2? a. Cetirizine b. Chlorpheniramine C. Diphenhydramine d. None of the above 16. Which of the following would be appropriate for an infant suffering from cold symptoms? a. Saline drops b. Sleeping in an upright position c. Humidifier 17. Which of the following would you recommend for an adult with a productive cough? a. Dextromethorphan b. Diphenhydramine 18. A 5 year old patient has a chesty cough without mucus that wakes her up at night. Which of the following would you recommend? a. Dextromethorphan b. Diphenhydramine 19. Which of the following would you recommend for a 25 year old adult with a productive cough that started 3 days ago? a. Humidifier or vaporizer b. Hydration 20. Which of the following would you recommend for a patient with a cough associated with post-nasal drip who is also suffering from a runny nose? a. Dextromethorphan b. Diphenhydramine