Calculation Of Doses: General Consideration Flashcards
Dose
It is the quantitative amount administered or taken by a patient for the intended medicinal effect.
Single Dose
The amount taken at one time
Daily Dose/ Total Dose
The amount taken during the course of therapy
Dosage Regimen
The schedule of dosing
(Ex. QID for 10 days)
Usual Adult Dose
The amount that ordinaripy produces the medicinal effect intended in the adult patient
Usual Pediatric Dose
Is similarly defined for the infant or child patient
Usual Dosage Range
The quantitative amounts of the drug that may be prescribed within the guidelines of usual medical practice
Median Effective Dose
The amount that produces the desired intensity of effect in 50% of the individuals tested
Median Toxic Dose
The amoumt that produces toxic effects in 50% of the individuals tested
Loading Dose
Or Priming Dose, a larger-than-usual initial dose may be required to achieve the desired blood drug level
Median Effective Concentration
The minimum concentration to produce the drug’s desired effects in a patient
Minimum Toxic Concentration (MTC)
The concentration that produces dose-related toxic effects
Monotherapy
Primary Drug Treatment
Adjunctive Therapy
Additional to or supportive of a different primary treatment
Prophylactic Doses
Administered to protect the patient from contradicting a specific disease
(Ex. Vaccines)
Dosage Forms
Contains pharmaceutical ingredients , which provides physical features, stability requirments, and aesthetic characteristics desired for optimal therapeutic effects
Pharmaceutical Ingredients
Solvents
Vehicles
Preservatives
Stabilizers
Solubilizers
Binders
Fillers
Disintegrants
Flavorants
Colorants
1 teaspoonful (tsp)
5ml
1 tablespoonful (tbsp)
15ml
20 drops (gtt)
1ml
Number of doses
Number of doses= Total quantity
——————
Size of dose
Size of Dose
Size of Dose= Total Quantity
——————–
Number of doses
Total Quantity
Total Quantity= # of Doses× Size of Doses
Low-Dose Therapy
The administration of doses that are much smaller than the usual dose of a drug
Ex.
Use of aspirin in 81 mg amounts ( rather than the usual dose of 325mg) to lower the risk of heart attack and clot-related stroke
Low-dose oral contraceptive use
Low-dose postmenopausal hormone therapy
High Dose Theraphy
The administration of doses that are much larger than the usual dose of a drug
Ex.
Commonly associated with the chemotherapeutic treatment of cancer. Through increased dose intensity, to kill tumor cells.
High-dose use of progestin in the treatment of endometriosis
High-dose influenza vaccinatiom of the elderly.
Fixed-Dose Combination Products
Products containing two or more therapeutic agents in fixed-dose combinations.
Tablet Splitting and Crushing
A number of tablets are scored, or grooved, to allow breaking into approximately equal pieces ( usually halves)
This allows dosage flexibility, particularly when a patient is started at a half dose and then is titrated up to a full dosage level
It also enables a patient to take product at a strength that is not otherwise available