hazards of drug use and prescribing

Question 1

what can go wrong with drug administration?

Answer 1

allergy
-mild
allergy
-severe-anaphylaxis
drug-drug interactions
acute toxic reactions

Question 2

what are the 4 stages of anaphylaxis?

Answer 2

swelling of tissues
airway narrows
reduction in circulatory blood vol.
circulatory failure if not addressed

Question 3

what drugs interact due to protein binding?

Answer 3

warfarin & aspiring/NSAIDS

Question 4

what drugs interact due to metabolism?

Answer 4

warfarin, simvastatin
erythromycin
fluconazole
carbamazepine

Question 5

what happens in acute toxic reactions?

Answer 5

unexpected and potentially life threatening
bone marrow suppression
hepatotoxicity & biliary stasis
acute nephrotoxicity

Question 6

what are the 3 main prescribing errors?

Answer 6

the decision to prescribe
-would dif tx be better
prescribing the wrong drug
-adverse drug reaction
-ineffective/less effective
incorrectly completing the rx

Question 7

what should be on a rx?

Answer 7

px name, address, age (<18)
DOB, CHI number
number days tx
drug to be prescribed
drug formulation &amp; dosage
instruction of quality to be dispensed
instructions to give tp px
signed by presciber

Question 8

how long is a rx valid for?

Answer 8

6 months

Question 9

what are the requirements when writing a rx?

Answer 9

key px info must be legible
avoid abbreviations
full instructions in ink
legally dentist must sign

Question 10

what is usually added to a private rx?

Answer 10

GDC number

Question 11

what are the advantages of written instructions when instructing a px?

Answer 11

stressed px may not remember
language issues may prevent proper understanding
-multilingual, large print
contact number for px issues with medicine

Question 12

what standard advice should be given to px?

Answer 12

take drugs at correct time and finish course
unexpected reactions: stop and contact prescriber
known side effects
keep medicines safe