Adverse Drug Reactions and Medication Errors Flashcards
1
Q
Adverse Drug Reactions
A
An noxious, unintended and undesired effect that occurs at normal drug doses
Terms related to Adverse (side) effect Toxicity Allergic reaction Idiosyncratic effect Paradoxical effect Iatrogenic disease Physical dependence Carcinogenic effect Teratogenic effect
2
Q
Medications Errors
A
Preventable and a common cause of adverse health care outcomes
3
Q
Types of Med Errors
A
Direct - dose is too high
Indirect - dose is too low
4
Q
Causes of Med Errors
A
90% of all errors are due to human factors, communication mistakes, drug name confusion
Human factors in order
- performance deficits eg wrong route
- knowledge deficits
- miscalculation of dosage
5
Q
High Alert Meds in Serious Error
A
IV adrenergic agonists and antagonists IV calcium Chemotherapeutic drugs IV digoxin IV heparin and oral warfarin Insulin Lidocaine and local anesthetics in large vials IV magnesium sulphate Neuromuscular blocking agents
6
Q
10 Rights of Med use
A
5 rights
- Right patient
- Right drug
- Right time
- Right route
- Right dose
10 Rights
- Right documentation
- Right reason
- Right patient education
- Right to refuse
- Right evaluation
