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Broad term encompassing variety of incidents that occur within the context of drug therapy that result in problematic outcomes |
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An injury resulting from the use of a drug (includes overdoses and ADRS) and withdrawl |
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Response to a drug which is noxious and unintended; occurs at doses typically used for therapy; causal link exists Type A = predictable Type B = non predictable |
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Side effect - expected or known outcome |
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Mishaps that occur during prescribing, transcribing, dispensing, administering, using (adhering to) and monitoring a drug May be errors comission or omission
May result in harm, or may be “near misses |
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Gastric pH absorbtion interaction |
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Definition
ppI and ketoconazole (alters degree ionization) |
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antacid + floroquinolone form insoluble complexes |
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Cholestrymine and digoxin or thyroid hormone |
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Majority drug interactions phase 1 or phase 2 metabolism? |
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urinary pH: acid increases phenobarbital competition: penicillin + probenicid quinidine + digoxin Na + Li |
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