Flashcards in hazards of drug use and prescribing Deck (12)
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1
what can go wrong with drug administration?
allergy
-mild
allergy
-severe-anaphylaxis
drug-drug interactions
acute toxic reactions
2
what are the 4 stages of anaphylaxis?
swelling of tissues
airway narrows
reduction in circulatory blood vol.
circulatory failure if not addressed
3
what drugs interact due to protein binding?
warfarin & aspiring/NSAIDS
4
what drugs interact due to metabolism?
warfarin, simvastatin
erythromycin
fluconazole
carbamazepine
5
what happens in acute toxic reactions?
unexpected and potentially life threatening
bone marrow suppression
hepatotoxicity & biliary stasis
acute nephrotoxicity
6
what are the 3 main prescribing errors?
the decision to prescribe
-would dif tx be better
prescribing the wrong drug
-adverse drug reaction
-ineffective/less effective
incorrectly completing the rx
7
what should be on a rx?
px name, address, age (<18)
DOB, CHI number
number days tx
drug to be prescribed
drug formulation & dosage
instruction of quality to be dispensed
instructions to give tp px
signed by presciber
8
how long is a rx valid for?
6 months
9
what are the requirements when writing a rx?
key px info must be legible
avoid abbreviations
full instructions in ink
legally dentist must sign
10
what is usually added to a private rx?
GDC number
11
what are the advantages of written instructions when instructing a px?
stressed px may not remember
language issues may prevent proper understanding
-multilingual, large print
contact number for px issues with medicine
12
