A client who received a refill for a medication returns to the ...

[mpobi80]

A client who received a refill for a medication returns to the pharmacy and says, This medication is wrong It doesnt look anything like my usual prescription. Which response by the pharmacist would be most appropriate?
 
  1. Your usual prescription drug is too expensive, so I substituted it with a generic one.
  2. There is no difference between this drug and the one you usually get.
  3. Our state allows me to substitute a generic drug when the prescription calls for a brand-name drug.
  4. Don't worry. Can you see that the generic ingredients are exactly the same?
  5. This medication is a generic form of your other medication. That is why it looks different. But it has the same ingredients and should work the same way.

Question 2

A client who is admitted to the intensive care unit for monitoring notices the arthritis medication does not look like the one used at home and asks the nurse why. What is the nurses best response?
 
  1. This is a different brand from the one you use at home, but it will give you the same pain relief.
  2. Your health care provider feels we can safely substitute this drug for the drug you use at home.
  3. This generic drug is the one we have on formulary in the pharmacy. It has the same ingredients as the one you use at home.
  4. This is what we have in the pharmacy. Go ahead and take it for now and let me know if it doesn't relieve the pain.
  5. The medications in the hospital often do not look like the ones you get from the pharmacy.

[bblaney]

Answer to Question 1

Correct Answer: 3,5
Rationale 1: It may be true that the client's prescription is a brand name and more expensive, but this is not an appropriate explanation for the substitution.
Rationale 2: While this may be true, it does not give the client an appropriate explanation for the substitution.
Rationale 3: Some states allow the pharmacist to routinely substitute a generic drug for a brand-name drug. Other states prohibit this substitution and the pharmacist or client must request the substitution from the health care provider.
Rationale 4: The ingredients may be exactly the same, but this is not an appropriate explanation for the substitution.
Rationale 5: There may be several forms of a generic medication. Although they may look different, the ingredients and mechanism of action are the same.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Most brand-name drugs can be safely substituted with generic drugs. The exceptions to this rule are critical care drugs and drugs with a narrow margin of safety.
Rationale 2: Most brand-name drugs can be safely substituted with generic drugs. The exceptions to this rule are critical care drugs and drugs with a narrow margin of safety.
Rationale 3: Most brand-name drugs can be safely substituted with generic drugs. The exceptions to this rule are critical care drugs and drugs with a narrow margin of safety.
Rationale 4: This response does not let the client know that it is very common to substitute noncritical care medications with various generic or brand-name versions.
Rationale 5: This response does not let the client know that it is very common to substitute noncritical care medications with various generic or brand-name versions.

[mpobi80]

Thank you!

[bblaney]

Always glad to help...