Blog

Which scenario illustrates effective linkage of STG-based EML selection and procurement?

If quantification blends consumption data with anticipated STG changes and disease prevalence shifts, the outcome is:

ScenarioIn a large public hospital network in Gauteng, the Provincial Pharmacy & Therapeutics Committee (PTC) faces complex challenges. First, clinicians request inclusion of a new oncology biologic “Oncimab” for metastatic cancer cases—not on the national EML/STG. They provide observational data suggesting modest survival gain and cite a single phase III trial with SORT grade B evidence. The provincial procurement office advises that adding Oncimab could raise the Medicine drug budget by 12 %, risking stockouts of essential antiretrovirals due to limited tenders. Simultaneously, routine Medication Use Evaluation (MUE) audits show that third generation cephalosporins are being over prescribed in surgical prophylaxis, deviating from STGs and generating resistance concerns. Inventory data from the supply depot reveal inconsistent stock reporting and frequent depletion of first line ARVs, despite quantification based on historical consumption. The procurement committee must consider preferential procurement rules favouring local generic suppliers when quality/effectiveness is comparable. External intelligence indicates that manufacturer supplied pharmacoeconomic models for Oncimab may be biased. The PTC must weigh clinician motivation, evidence quality, budget impact, rational use audits, STG adherence, and compliant quantification and procurement practices—including preferential policy—for rational and equitable access decisions.

Which two elements must PTC integrate when considering Oncimab inclusion?

Show the front and back of your whiteboard. No writing is permitted on either surface. Failure to do this step will result in a 10% reduction of your final exam score. 

A patient with a musculoskeletal disorder is prescribed allopurinol (Zyloprim) 100 mg PO daily. What condition is this medication most likely being prescribed for?

A patient with third-degree burns on the right arm is scheduled for passive range of motion to the extremity every 2 hours. What should the nurse do prior to this exercise session?

Increased osteoclast activity is associated with bone density.

Carboxyhemoglobin (COHb) levels are drawn to determine which condition?

Using the Consensus/Parkland formula, calculate the amount of intravenous solution that will be administered in the first 8 hours for a burn patient with 50% TBSA, weight of 70 kg, and prescribed 2 mL of lactated ringers (LR) as the volume variable. Record your answer in milliliters and round to the nearest whole number. Numeric answers only. _________________ mL