NZQA Expiring unit standard 23672 version 4 Page 1 of 5 Title Demonstrate knowledge, as a pharmacy technician, of drug dosing, action, adverse effects, and misuse and dependence Level 4 Credits Purpose 5 This unit standard is intended for pharmacy technicians or people working towards a pharmacy technician qualification. People credited with this unit standard are able to demonstrate knowledge of: how the body handles drugs; how drugs act on the body; drug use and action in different patient groups; adverse drug effects; and drugs of misuse and dependence. Classification Pharmacy > Pharmacy Services Available grade Achieved Entry information Critical health and safety prerequisites Open. Explanatory notes This unit standard is expiring 1 The following requirements are relevant to this unit standard: World Anti-doping Agency Prohibited List, available from Drug Free Sport NZ or World Anti-doping Agency, http://www.wada-ama.org/en/; World Anti-doping Agency International Standard for Therapeutic Use Exemption, available from World Anti-doping Agency, http://www.wada-ama.org/en/; Any requirement superseding any of the above will apply, pending review of this unit standard. 2 Access to appropriate reference resources in accordance with Medsafe audit requirements is required for completion of assessment against this unit standard. Evidence presented by the candidate must be in accordance with reference resources. Outcomes and evidence requirements Outcome 1 Demonstrate knowledge of how the body handles drugs. Evidence requirements Pharmacy Industry Training Organisation SSB Code102150 New Zealand Qualifications Authority 2016 NZQA Expiring unit standard 23672 version 4 Page 2 of 5 1.1 How the body handles drugs is described according to sites and mechanisms of absorption, distribution, metabolism, and excretion. 1.2 The time course of drugs in the body after single and multiple doses is described according to plasma concentration-time profile for first order kinetics, single compartment model. Range includes but is not limited to – dosing interval, peak concentration, trough (minimum) concentration, steady-state. 1.3 Clearance, volume of distribution, and half-life are described according to drug plasma concentrations and significance in selecting drug dose and/or frequency of administration. 1.4 Factors affecting absorption from the gastrointestinal tract are identified and described Range 1.5 includes but is not limited to – characteristics of the drug, formulation, and patient; presence of other substances in the gastrointestinal tract. Factors affecting metabolism and excretion of drugs are identified and described. Range may include but is not limited to – age, diet and alcohol, disease, genetics, gender, smoking, time of day. Outcome 2 Demonstrate knowledge of how drugs act on the body. This unit standard is Drug action is described according to physicochemical interaction between the drug and functionally important molecules in the body, and the dose-response expiring relationship. Evidence requirements 2.1 Range 2.2 Drug-receptor interactions are described according to mechanism. Range 2.3 includes but is not limited to – non-specific drug action, combination with ions or molecules, drug-receptor interaction. includes but is not limited to – receptor, agonist, partial agonist, antagonist (competitive, non-competitive), specificity, selectivity. Factors affecting individual drug response are identified and described. Range includes but is not limited to – age, organ function; may include but is not limited to – weight, gender nutritional status, pregnancy, lactation, genetics, tolerance. Pharmacy Industry Training Organisation SSB Code102150 New Zealand Qualifications Authority 2016 NZQA Expiring unit standard 23672 version 4 Page 3 of 5 Outcome 3 Demonstrate knowledge of drug use and action in different client groups. Evidence requirements 3.1 Drug use and action in pregnancy and lactation are described according to diffusion of drugs across the placenta and into milk, and associated risks and benefits. 3.2 Drug use and action in elderly clients are described according to changes in physiology, use of multiple drugs, and client adherence issues. 3.3 Factors affecting drug use and action in paediatric clients are identified and described. 3.4 Drug use and action in clients with renal and hepatic disease are described according to need for dosage adjustment. Outcome 4 Demonstrate knowledge of adverse drug effects. Evidence requirements 4.1 Dose-related adverse effects are described according to therapeutic range. Range 4.2 evidence is required of a minimum of three examples of narrow therapeutic range drugs. Non dose-related adverse effects are described according to idiosyncratic reaction. This unit is of drugs evidence is requiredstandard of a minimum of three examples associated with these reactions. Adverse drug effects areexpiring described according to contributory factors. Range 4.3 Range 4.4 may include but is not limited to – anomalies in patient response (allergy, genetic factors, physiological factors, age, pregnancy); acquired patient abnormalities (associated or concurrent disease); anomalies of drug and administration (overdosage, changed formulation, substitution of new product, inappropriate route, method or dose, medication errors); interaction of drugs; indirect action causing an effect on foetus, breast-fed baby, or bacterial flora. Adverse effects on the foetus are described according to effects on growth and development. Range evidence is required of a minimum of three examples of drugs associated with adverse foetal effects. Pharmacy Industry Training Organisation SSB Code102150 New Zealand Qualifications Authority 2016 NZQA Expiring unit standard 4.5 Drug withdrawal reactions are described according to adaptive changes. Range 4.6 evidence is required of a minimum of three examples of drugs associated with withdrawal reactions. Drug interactions are described according to type of clinical effect and mechanism. Range 4.7 23672 version 4 Page 4 of 5 clinical effect includes but is not limited to – potentiation, antagonism; mechanism includes but is not limited to – pharmaceutical incompatibility, pharmacodynamic (additive, antagonistic), pharmacokinetic (absorption, distribution, metabolism, elimination). Foods that may be associated with clinically significant food-drug interactions are described according to interactions involved. Range includes but is not limited to – alcohol, caffeine-containing beverages, grapefruit, vitamin K, tyrosine-containing foods. Outcome 5 Demonstrate knowledge of drugs of misuse and dependence. Evidence requirements 5.1 Drugs of misuse and dependence are described according to physiological effects and risk of dependency. 5.2 Drug therapy used in drug dependency is described in terms of its action and effect. This standard isreplacement, includesunit but is not limited to – methadone, nicotine drugs used in alcohol dependency. expiring Classes of drugs that are prohibited in sports are identified according to the Range 5.3 World Anti-doping Agency prohibited list. 5.4 The World Anti-doping Agency International Standard for Therapeutic Use Exemption is described according to its purpose. This unit standard is expiring. Assessment against the standard must take place by the last date for assessment set out below. Pharmacy Industry Training Organisation SSB Code102150 New Zealand Qualifications Authority 2016 NZQA Expiring unit standard 23672 version 4 Page 5 of 5 Status information and last date for assessment for superseded versions Process Version Date Last Date for Assessment Registration 1 23 April 2007 31 December 2017 Revision 2 24 August 2007 31 December 2017 Review 3 21 November 2008 31 December 2017 Review 4 16 April 2015 31 December 2017 Consent and Moderation Requirements (CMR) reference 0128 This CMR can be accessed at http://www.nzqa.govt.nz/framework/search/index.do. Please note Providers must be granted consent to assess against standards (accredited) by NZQA, before they can report credits from assessment against unit standards or deliver courses of study leading to that assessment. Industry Training Organisations must be granted consent to assess against standards by NZQA before they can register credits from assessment against unit standards. Providers and Industry Training Organisations, which have been granted consent and which are assessing against unit standards must engage with the moderation system that applies to those standards. Requirements for consent to assess and an outline of the moderation system that applies to this standard are outlined in the Consent and Moderation Requirements (CMR). The CMR also includes useful information about special requirements for organisations wishing to develop education and training programmes, such as minimum qualifications for tutors and assessors, and special resource requirements. This unit standard is expiring Pharmacy Industry Training Organisation SSB Code102150 New Zealand Qualifications Authority 2016