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1.47: Therapeutic Drug Monitoring - Medicine LibreTexts
Nov 22, 2020 · increasing drug concentrations are more effective; the blood levels are inversely related to the clinical effects; drug receptors have a variable response to drug and the ratio of drug/ receptor must be measured; there is a relationship between clinical effects and drug concentration in plasma; The therapeutic index is defined as:
8.10: Anticonvulsants - Medicine LibreTexts
Therapeutic Effects Adverse/Side Effects; Anticonvulsant: phenytoin: Careful cardiac monitoring is needed during and after administering intravenous phenytoin For IV infusions, an in-line filter (0.22 to 0.55 microns) should be used. Cannot be given with D5W due to preciptiation and no faster than 50 mg/minute in adults. Monitor serum drug levels
1.10: Medication Safety - Medicine LibreTexts
Now let’s apply the idea of therapeutic window to the administration of medications requiring the monitoring of peak and trough levels, which is required in the administration of some IV antibiotics. It is important for the dosage of these medications to be titrated to achieve a desired therapeutic effect for the patient. Titration is often ...
11.4: Drugs Used in the Treatment of Multiple Sclerosis
Dec 29, 2024 · Drug Dosage The dosage has a 5-day titration schedule: First 2 days: 0.25 mg orally daily. Day 3: 0.5 mg orally daily. Day 4: 0.75 mg orally daily. Day 5 and maintenance dose: 1.25 mg orally daily. Indications Reduces relapse in RRMS and SPMS Reduces symptoms in CIS Therapeutic Effects
40.3: Psoriatic Drugs - Medicine LibreTexts
Dec 29, 2024 · Table 40.8 is a drug prototype table for systemic psoriatic drugs featuring coal tar. It lists drug class, mechanism of action, adult dosage, indications, therapeutic effects, drug and food interactions, adverse effects, and contraindications.
13.1: Principles of Intravenous Therapy - Medicine LibreTexts
For example, the difference between a therapeutic dose of heparin and a dose that can lead to serious bleeding is relatively small. Therefore, IV heparin is administered via continuous IV infusion to allow for close monitoring and careful dosage adjustment to ensure that the patient receives the appropriate level of anticoagulation while ...
8.3: Treatments for Bipolar Disorders - Medicine LibreTexts
Improved tolerance with food and better drug absorption. Recommended water intake is 1.5 – 3 liters/day. Given in divided doses if gastrointestinal distress occurs. NSAIDs are not recommended because they increase lithium levels. Therapeutic blood levels are required. Blood levels are drawn 10-12 hours after the last dose taken.
6.12: Blood Coagulation Modifiers - Medicine LibreTexts
Close monitoring of prothrombin time (PT) or international normalized ratio (INR) is required. Therapeutic INR ranges from 2.0 to 3.5, depending on the indication. In hospitalized patients receiving heparin therapy, there is often a period of overlap where the patient is prescribed both IV heparin and warfarin until the INR reaches therapeutic ...
7.5: Intravenous Medications by Direct IV Route
May 19, 2024 · Document time, reason, drug, dose, therapeutic effect, and any adverse reactions. 17. Evaluate the patient for therapeutic effect and adverse reactions according to appropriate time frame (onset and peak of medication). Observations provide additional safety measures, especially for high-alert medications. IV medications act rapidly.
22.3: Cultural Assessment - Medicine LibreTexts
Jan 20, 2025 · As discussed in Cultural Influences on Health Beliefs and Practices, diversity refers to the differences among clients in terms of their culture, race, ethnicity, religion, language, customs, beliefs, and other factors that shape their health care needs and preferences.