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Chapter 3 -Adverse R
Adverse Reactions
| Term | Definition |
|---|---|
| Therapeutic Effect | Clinically desirable actions |
| Adverse Effects | Undesirable reactions |
| Toxic Reactions | The desired effect is excessive |
| Side Effect | Dose-related reaction that is not part of the desired therapeutic outcome |
| Contraindiction | An aspect of the patient's condition that makes the use of a certain drug or therapy an unwise or dangerous decision |
| Idiosyncratic Reaction | Genetically related abnormal drug response |
| Drug Allergy | Immunologic response to a drug resulting in a reaction such as a rash or anaphylaxis |
| Interference with natural defense mechanisms | When a drug reduces the body's ability to fight of infections |
| Teratogenic Effect | Abnormality in fetal development caused by exposure to certain substances, such as drugs, chemicals or infections during pregnancy. |
| Type 1 Hypersensitivity | Immediate hypersensitivity reactions. IgE antibodies. Produces edema, and the inflammatory response. Bronchioles, resulting in anaphylactic shock. Respiratory, results in rhinitis and asthma. Skin results in urticaria. |
| Type 2 Hypersensitivity | IgG or IgM antibodies. Antibody complex is fixed to a circulating blood cell causing lysis. Results in anemia. |
| Type 3 Hypersensitivity | Aggregations of antigens and antibodies, where antibodies out number antigens forming clumps. Manifesting as serum sickness, urticarial, arthritis, lymphadenopathy, and fever. |
| Type 4 Hypersensitivity | Delayed hypersensitivity. Sensitized T-lymphocytes and macrophages. Manifests as allergic contact dermatitis, poison oak, poison ivy, reaction to jewelry, topical benzocaine, etc. |
| Dyspepsia | General discomfort or pain in the upper abdomen. Symptoms include: bloating, nausea and indigestion. |
| Stomatitis | Broad term that refers to any inflammation of the mouth and lips, including the cheeks, gums, lips, tongue and roof or floor of the mouth. |
| Oral Mucositis | A specific type of stomatitis involving painful inflammation and ulcerations of the mucous membranes in the mouth, most commonly as a side effect of cancer treatments like chemotherapy and radiation therapy. |
| Stevens-Johnson Syndrome | A rare but serious disorder of the skin and mucous membranes. Typically triggered by a severe reaction to medications or less commonly, infections. |
| Erythema Multiforme | Is an acute, immune-mediated skin condition characterized by the sudden appearance of distinctive target-like bullseye lesions, often triggered by infections or medications. |
| Necrosis | Premature death of cells or tissues in the body due to factors like injury, infection, or lack of blood flow. |
| Urticaria | Commonly known as hives, is a skin condition that is characterized by raised, itchy welts or bumps. |