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CHAPTER 4 SG
DRUG INTERACTIONS AND MEDICATION ERRORS
| Question | Answer |
|---|---|
| ADDITIVE EFFECT | INCREASED DRUG EFFECT THAT IS PRODUCED WHEN A SECOND SIMILAR DRUG IS ADDED TO THERAPY THAT IS GREATER THAN THE EFFECTS PRODUCED BY EITHER DRUG ALONE |
| ANTAGONISM | DRUG-DRUG INTERACTION OR DRUG-FOOD INTERACTION THAT CAUSES DECREASED EFFECTS |
| DRUG CONTRAINDICATION | CONDITIONS UNDER WHICH A DRUG IS NOT INDICATED AND SHOULD NOT BE ADMINISTERED. |
| DRUG-DISEASE CONTRAINDICATION | ADMINISTRATION OF THE DRUG SHOULD BE AVOIDED B/C IT MAY WORSEN THE PATIENT'S MEDICAL CONDITION |
| DRUG-DRUG INTERACTION | REACTION THAT OCCURS WHEN TWO OR MORE DRUGS ARE ADMINISTERED AT THE SAME TIME. |
| DRUG-FOOD INTERACTION | ALTERED DRUG RESPONSE THAT OCCURS WHEN A DRUG IS ADMINISTERED WITH CERTAIN FOODS. |
| MEDICATION ERROR | ERROR MADE IN THE PROCESS OF PRESCRIBING, PREPARING, DISPENSING, OR ADMINISTERING DRUG THERAPY |
| POTENTIATION | PROCESS WHERE ONE DRUG, ACTING AT A SEPARATE SITE OR VIA A DIFFERENT MECHANISM OF ACTION, INCREASES THE EFFECT OF ANOTHER DRUG, YET PRODUCES NO EFFECT WHEN ADMINISTERED ALONE. FOOD CAN ALSO POTENTIATE THE EFFECTS OF A DRUG. |
| SYNERGISTIC EFFECTS | DRUG-DRUG FOOD INTERACTION BETWEEN TWO DRUGS THAT PRODUCES AN EFFECT THAT IS GREATER THAN WOULD BE PRODUCED IF EITHER DRUG WERE ADMINNISTERED ALONE. |
| THERAPEUTIC DUPLICATION | ADMINISTRATIONOF TWO DRUGS THAT PRODUC3E SIMILAR EFFECTS AND SIDE EFFECTS. THESE DRUGS MAY BELONG TO THE SAME THERAPEUTIC CLASS |
| THE STUDY OF ____________IS IMPORTANT B/C IT ENABLES THE PREDICTION OF THE LIKELIHOOD A DRUG INTERACTION MAY OCCUR | PHARMACOLOGY |
| AN INTERACTION THAT OCCURS BETWEEN TWO OR MORE DRUGS ADMINISTERED AT THE SAME TIME | DRUG-DRUG INTERACTION |
| (MECHANISMS OF DRUG INTERACTION)COADMINISTRATION OF DRUGS AND FOODS CAN INCREASE | ABSORPTION, DISTRIBUTION, METABOLISM, OR ELIMINATION AND RESULTS IN INCREASED OR DECREASED DRUG ACTION OR SIDE EFFECTS. |
| STUDIES INDICATE THAT BETWEEN ___ AND ___ OF ADVERSE DRUG REACTIONS(ADRS) ARE CAUSED BY DRUG-DRUG INTERACTIONS | 7%, 22% |
| ___________ _______ PLAY A KEY ROLE IN ENTERING PATIENT DATA INTO THE PHARMACY'S PRESCRIPTION FILLING SOFTWARE | PHARMACY TECHNICIANS |
| WHEN TAKING A PATIENT'S MEDICATION HISTORY, ASK THE FOLLOWING | ARE YOU TAKING ANY OTC MEDICATION? ARE YOU TAKING ANY HERBAL SUPPLEMENTS OR VITAMINS? WHAT OTHER PRESCRIPTION DRUGS ARE YOU TAKING? |
| MEDICATION ERRORS MAY BE MADE BY | PHYSICIANS, PHARMACISTS, NURSES, AND PHARMACY TECHNICIANS IN THE HEALTH CARE SETTING. |
| MEDICATION ERRORS TYPICALLY OCCUR IN TEH PROCESS OF | ORDERING, TRANSCRIBING, DISPENSING, AND ADMINISTERING MEDICATIONS |
| ADVERSE DRUG EVENTS RESULT FROME | PRESCRIBING INAPPROPRIATE MEDICINES FOR PATIENTS, TRANSLATING PRESCRIPTION ORDERS, IMPROPER PREPARATION AND SELECTION OF DRUG TO DISPENSE, AND IMPROPER DRUG ADMINISTRATION |
| ERRORS MADE IN ORDERING MEDICATIONS ARE MADE BY | PHYSICIANS, NURSE PRACTITIONERS, PHARMACISTS, DENTISTS, AND OTHER HEALTH PROFESSIONALS LEGALLY ABLE TO PRESCRIBE MEDICINES |
| MISCOMMUNICATION OF DRUG ORDERED MAY INVOLVE | POOR HANDWRITING, CONFUSION BETWEEN DRUGS WITH SIMILAR NAMES, MISUSE OF ZEROES AND DECIMAL POINTS, CONFUSION OF METRIC AND OTEHR DOSING UNITS, OR INAPPROPRIATE ABBREVIATIONS |
| POOR HANDWRITING | OFTEN CALLED'CHICKEN SCRATCH" |
| CDER | CENTER FOR DISEASE EVALUATION AND RESERARCH |
| MISINFORMATION | ERRORS OF OMISSION AND ERRORS OF COMMISION |
| MEDICATION ERRORS MADE BY HEALTH CARE PROBIDERS WHO DISPENSE MEDICATION | INACCURATE TRANSCRIBING, INSUFFICIENT MONITORING OF DRUG THERAPY, IMPROPER MEDICATION PREPARATION, IMPROPER LABELING, PRODUCT SELECTION ERRORS, BAGGING ERRORS, MISCELLANEOUS DISPENSING ERRORS |
| 5 WAYS OF AVOIDING MEDICATION ERRORS | NEVER GUESS, CHECK ALL LABELS FOR ACCURACY, VERIFY ALL CALCULATIONS, AFFIX WARNING LABELS TO PRSCRIPTION VIALS AS REQUIRED, DEVELOP A ROUTINE TO AVOID ERRORS ASSOCIATED WITH DISTRACTIONS |
| IMMUNOCOMPROSMISED | A CONDITION IN WHICH THE IMMUNE SYSTEM IS NOT FUNCTIONING NORMALLY |
| CLEAN ROOM | NO JEWELRY, NO FINGERNAIL POLISH OR ARTIFICIAL NAILS, AND NO HEAVY MAKEUP, NO CELL PHONE, AND PLEASE WEAR SOCKS |
| MANIPULATION | AVOID DIREXT CONTACT WITH ANY PREVIOUSLY SWABBED AREA (VIAL TOP, BAG PORT, NECK OF AMPULE), UNCAPPED NEEDLES, THE HUB OF THE NEEDLE, THE SYRINGE TIP, THE SYRINGE PLUNGER, THE OPEN TIP OF A FILTER A DISPENSING PIN, AND THE UNCAPPED TIP OF ANY TUBING |
| (SWABBING WITH ALCOHOL) AREAS THAT MUST BE SWABBED INCLUDE THE FOLLOWING | VIAL TOPS, AMPULE NECKS, TOPS OF BOTTLES, PROTS OF ANY IV OR IVPB BAGS |
| RECONSTITUTING A POWDERED VIAL(MATERIALS) | POWDERED VIAL, DILUENT VIAL(USUALLY STERILE WATER FOR INJECTION)ALCOHOL SWABS, APPROPRIATE SIZE SYRINGES, VENTED NEEDLE, TWO REGULAR NEEDLES, IV BAG |
| REMOVING FLUID FROM AND AMPULE(MATERIALS) | ALCOHOL SWABS, AMPULE(S), FILTER NEEDLE, REGULAR NEEDLE, APPROPRIATE SIZE SYRINGE, IV BAG OR SYRINGE CAP |
| PRODUCT DESCRIPTION AND HANDLING INFORMATION | ALBUMIN IS A STERILE SOLUTION FOR A SINGLE-DOSE ADMINISTRATION, CONTAINING 25% HUMAN ALBUMIN. ALBUMIN IS USED TO TREAT HYPOVOLEMIC SHOCK, IN CONJUNCTION WITH EXCHANGE TRANSFUSION, IN THE TREATMENT OF NEONATAL HYPERBILIRUBINEMIA AND FOR OTHER CONDITIONS. |
Created by:
breeyann.perkins
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