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7295 Week 13 POC

Terms in this set (15)

Describe POCT and the purpose of providing POCT services.
- tests designed to use at or near the site where the patient is located, that do not require permanent dedicated space, and performed outside the physical facilities of the clinical laboratories
- administration of a test at the point in time at which the result will be used to make a decision and take appropriate action which will result in an improved health outcome
- performing a CLIA-waived diagnostic test (POCT) to provide rapid and reliable information that helps guide patient care and education
Identify opportunities for pharmacists to expand the scope of their practice through the utilization of POC tests.
- patients seek OTC treatment at the pharmacy, so there is potential for complete management of care
Identify the need and role of point of care tests for acute and chronic conditions.
Acute:
- influenza
- group A streptococcus
- allergic rhinitis
- bacterial throat infection
- colds
- COVID-19
- HIV
- HepC

Chronic:
- diabetes
- dyslipidemia (fasting period)
- anticoagulation
- thyroid management
Identify patients that may qualify for pharmacy-based point-of-care testing services and those who require referral to a physician.
Refer:
- temperature >103.0°F
- SBP <100 mmHg
- HR >100 bpm
- RR >25 bpm
- pulse ox <90% on room air
- signs of dehydration (dry mucous membranes, skin turgor, decreased urine output, etc.)
importance of influenza POCT
- early diagnosis and initiation of treatment reduces complications and transmission
What type of POCT is available for group A streptococcus?
-rapid strep test (antigen detection test)
s/sx of allergic rhinitis
- itchy nose
- eye irritation
- nasal congestion
- sneezing
- watery eyes
s/sx of bacterial throat infection
- fever
- sore throat
- tender anterior cervical adenopathy
s/sx of colds
- headache
- low-grade fever
- malaise
- myalgia
- nasal congestion
- possible sore throat
- sneezing
s/sx of influenza
- fatigue
- fever with oral temp >100.4°F
- non-productive cough
- sore throat
s/sx of COVID-19
- body/muscle aches
- chills
- congestion
- cough
- diarrhea
- difficulty breathing
- fatigue
- fever
- headache
- nausea/vomiting
- new loss of smell/taste
- runny nose
- SOB
CDC recommendation for HCV POCT
- one-time HepC testing of all adults (18+) and all pregnant women with every pregnancy
What warfarin and thyroid management POCTs are available?
- Warfarin: INR
- Thyroid: TSH levels
What affects INR?
- leafy greens (decreases INR)
- smoking (decreases INR)
- levothyroxine (decreases INR)
- cold medications (increase INR)
Hepatitis A, B, and C transmission
- A: food
- B: blood/bodily fluids
- C: blood/bodily fluids
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