Drug Therapy Problems Flashcards
10 DTPs
unnecessary drug therapy, needs additional drug therapy, ineffective dose, dose too low, needs additional monitoring-effectiveness, dose too high, adverse drug reaction, needs additional monitoring-adherence, non-adherence, cost
what 4 questions need to be asked to identify DTPs
is the medication indicated, is the medication effective, is the medication safe, can the patient adhere
common causes of unnecessary drug therapy
duplicate therapy, no medical indication, non-drug therapy more appropriate, addiction/recreational drug use, treating avoidable adverse reaction
common causes of needs additional drug therapy
preventive therapy, untreated condition, synergistic therapy
common causes- ieffective drug
more effective drug available, condition refractory to drug, dosage form inappropriate, contraindication present, drug not indicated for condition
common causes- dosage too low
ineffective dose, needs additional monitoring, frequency inappropriate, incorrect administration, drug interaction, incorrect storage, duration inappropriate
common causes- effectiveness
medication requires monitoring pertaining to its effectiveness
common causes- adverse drug reaction
undesirable effect, unsafe drug for patient, drug interaction, incorrect administration, allergic reaction, dose increase/decrease too fast
common causes-dose too high
dose too high, needs additional monitoring, frequency too short, duration too long, drug interaction
common causes-safety
medication requires monitoring pertaining to its safety
common causes- non adherence
does not understand instructions, patient prefers not to take, patient forgets to take, drug product not available, cannot swallow/administer drug
common causes-cost
drug product too expensive, more cost-effective medication available
3 statements for DTP that describes a problem
a description of the patient’s medical condition or clinical state, the drug therapy involved, the specific association between the drug therapy and the patients condition
how to prioritize DTPs
urgency/severity of problem, patient wishes
MMS- medical management services- service that pharmacists use
MTM-medication therapy menagment
