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
The Austin Community College
Health Professions Institute, Continuing Education
5930 Middle Fiskville Road, Austin, TX 78752
INDEPENDENT STUDY: Excellence in Care: Over-the-Counter Drugs UpdateEmphasis on Pediatrics - 2012
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)
4. And, complete the evaluation
Questions may be addressed by contacting Elizabeth Huss @ 512-223-7271, or to
[email protected]
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 78752
Fax: 512-223-7030
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.
Pre-Test: Over-the-Counter Drugs UpdateEmphasis on Pediatrics - 2012
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
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
Pre-test
page 3 of 3
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
d. All of the above
17. Which of the following would you recommend for an adult with a productive cough?
a. Dextromethorphan
b. Diphenhydramine
c. Guaifenesin
d. All of the above
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
c. Guaifenesin
d. All of the above
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
c. Guaifenesin
d. All of the above
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
c. Guaifenesin
Excellence in Care: Over-the-Counter Drugs UpdateEmphasis on Pediatrics - 2012
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 78752
Fax: 512-223-7030
Questions may be addressed by contacting Elizabeth Huss @ 512-223-7271, or to
[email protected]
Evaluation: Over-the-Counter Drugs UpdateEmphasis on Pediatrics – 2012
Page 1 of 2
Title of Educational Activity: Excellence in Care: Over-the-Counter Drugs UpdateEmphasis on Pediatrics - 2012
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.
1
2
3
4
B. Identify the dosage formulation changes which have
occurred in the concentration of liquid
acetaminophen (Tylenol).
1
2
3
4
C. Select the appropriate dose of acetaminophen or
ibuprofen for children, dependent upon the age/weight.
1
2
3
4
D. Describe the “meltaway” tablet available for children.
1
2
3
4
E. Contrast the parameters used to assist parents in
choosing between acetaminophen and ibuprofen in
dosing children.
1
2
3
4
F. List age appropriate dosage for decongestants.
1
2
3
4
G. Recall the differences between first generation and
second generation antihistamines.
1
2
3
4
H. Identify non-pharmacologic therapy for a patient
suffering from allergies or a cold.
1
2
3
4
I. Describe the two types of cough.
1
2
3
4
J. Identify antitussive and expectorant active ingredients.
1
2
3
4
K. Identify non-pharmacologic therapy for a patient with a cough.
1
2
3
4
Evaluation Over-the-Counter Drugs UpdateEmphasis on Pediatrics – 2012
2. Rate the effectiveness of the teaching/learning resources
Page 2 of 2
1
2
3
4
1
1
1
2
2
2
3
3
3
4
4
4
1
1
1
2
2
2
3
3
3
4
4
4
1
2
3
4
3. 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
4. Please evaluate the moderator- Elizabeth Huss RN, BSN
a. Guides the discussion
b. Asks pertinent questions
c. Fosters clarification of presented information
5. 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.
Post-Test: Over-the-Counter Drugs UpdateEmphasis on Pediatrics - 2012
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 78752
Fax: 512-223-7030
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
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
Post-test
page 3 of 3
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
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
d. All of the above
17. Which of the following would you recommend for an adult with a productive cough?
a. Dextromethorphan
b. Diphenhydramine
c. Guaifenesin
d. All of the above
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
c. Guaifenesin
d. All of the above
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
c. Guaifenesin
d. All of the above
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
c. Guaifenesin