Briefly discuss why pharmacists must accurately calculate correct medication dosages. What are potential outcomes for patients of incorrect dosage and formula calculation.
If dosages are wrong, the consequences are devastating. For that reason, it is of paramount importance to get the right combination of immunosuppressive drugs and to calibrate the dosage exactly in order for the “poison” to stay within its narrow therapeutic window.
Importantly, it is becoming increasingly clear that no part of this delicate balance of IST can be struck using a “one size fits all” approach. Rather, each individual patient needs to be carefully and holistically assessed based on race, age, medical history etc and continually monitored in order for the physician to have a clear picture of how the patient is responding to the therapy and to be able to make adjustments. This process is referred to as Therapeutic Drug Monitoring (TDM).
Given the delicate individual balance that must be struck and
the devastating consequences if immunosuppressant levels are wrong,
it is shocking that the biggest problem with IST isn’t actually the
calibration of medication by the practitioner, but rather the
non-adherence of patients to their post-op regimens.
A shocking number of patients miss their doses, making it all the
more difficult for doctors to remain informed about their patients’
status and to make changes accordingly.
As such, there has of late been a call for a new solution: the
use of blood microsampling as the method of choice for testing IST.
Blood microsampling methods allow a small volume of blood to be
taken via a finger prick by patients themselves from the comfort of
home, and then sent by post for analysis.
This cuts out time spent traveling to and from the clinic and
eliminates the need for painful blood draws where large volume
samples are taken, but it still gets the doctors the results they
need in order to calibrate the patient’s IST regimen.
In a world of increasingly holistic and personalized medicine, we need to begin to consider individualized options like blood microsampling that allow for better and more frequent means of getting vital information into doctors’ hands, while allowing transplant patients the freedom to do so comfortably and on their own schedule.
Briefly discuss why pharmacists must accurately calculate correct medication dosages. What are potential outcomes for patients...
Why do Aboriginal and Torres Strait Islander people have poor health outcomes? What strategies can pharmacists employ to provide effective support for Indigenous patients?
Discuss the pharmacokinetics of children 1 year old or older. Discuss reasons pediatric patients are subject to adverse drug reactions when drug levels rise too high. Discuss dosage determination, noting that pediatric doses have been established for some drugs but not for others and, therefore, for drugs that do not have established pediatric doses, the doses can be extrapolated from adult doses. Discuss the appropriate steps in determining exposure to teratogens. Discuss drug therapy during breast-feeding and the potential risks...
34. What is correct regarding the Mantoux tuberculin skin test (TST)? a. The wheal must be 4 to 6 cm or the test must be repeated. b. Massage the area after giving the TST. c. The patient must return between 48 to 72 hours for a reading. d. The induration size is measured in centimeters. e. All of the above 35. You are giving an IM injection to a patient and hit the bone. What do you do? a. Pull...
34. What is correct regarding the Mantoux tuberculin skin test (TST? a. The wheal must be 4 to 6 cm or the test must be repeated b. Massage the area after giving the TST c. The patient must return between 48 to 72 hours for a reading d. The induration size is measured in centimeters. c. All of the above 35. You are giving an IM injection to a patient and hit the bone. What do you do? a. Pull...
what discuss can you make about medicalization and chronic disease and illness? Adult Lealth Nursing Ethics mie B. Butts OBJECTIVES After reading this chapter, the reader should be able to do the following: 1. Explore the concept of medicalization as it relates to the societal shift away from physician predominance of the 1970s. 2. Differentiate among the following terms: compliance, noncompliance, adherence, nonadherence, and concordance. 3. Examine cultural views with regard to self-determination, decision making, and American healthcare professionals' values...
ARE MY ANSWERS CORRECT? 25 questions 1. what an A/R aging analysis is, its purpose, and how it is created. Used to estimate amount needed in Allowance for Bad Debts Account (a contra account) A/R Days Outstanding 0-30 31-60 61-90 Over 90 Under each term list all A/Rs that are not paid by date Use historical experience to estimate the percentage of A/R for each date period to determine allowance for Bad Debts What the three major cost components are...
please complete the entire case study pertaining to cirrhosis and nursing, thank you. 3 Cirrhosis John Richards, 45 years old Primary Concept Nutrition Interrelated Concepts (In order of emphasis) I. Fluid and Electrolyte Balance 2. Perfusion 3. Cognition 4. Addiction 5. Clinical Judgment 6. Patient Education 7. Communication 8.Collaboration O 2016 Keith Rischer/www.KeithRN.com UNFOLDING Reasoning Case Study: STUDENT History of Present Problem: John Richards is a 4S year-old male who Cirrhosis presents to the emergency department (ED) with abdominal pain...