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11 Cards in this Set
- Front
- Back
Chapter 6
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Drug Therapy in the 21st Century
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21st Century health care is affected by
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Information overload
Demands for sapecific treatments Increased access to self-care systems Financial pressures to provide cost-effective care Mass media reviews, research updates adn advertising for Rx durgs |
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If the use of a drug is stated then:
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The adverse effects and cautions must also be stated
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In evaluating internet sites for reliability you must consider
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Navigation
Contributor that provided information Date if information and site Accuracy and reliability |
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In considering Rx drugs to be moved to OTC avialability, the FDA must consider
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Can taking the drug mask the signs and symptoms of greater disease
Can it interact with perscription drugs Can it be taken in greater than recommended doses, leading to toxicity |
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Rx drugs that were 'grandfathered' in before FDA rules are being reviewed
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To determine if they should remain on OTC status-if they are safe
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Making Rx drugs OTC gives the patient freedom for
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Self-care, but may produce some risk
Patient Rx education should include risks associated with OTC drugs |
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Alternative (Herbal) therapy drawbacks
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Active ingredients have not been tested by FDA
Incidental ingredients are unknown atients may not mention herbal therapies to HC providers Drug-Alternative therapy interactions may occur |
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Lack of Controls for Alternative Therapies
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Herbal meds and alternative therapies are not controlled or tested by FDA
Therapy advertisements are not restricted-dietary supliments Industry is not regulated |
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Drug Off-Label Use
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Use of a drug for indications that are not approved
-Often in pediatric and geriatric groups not initially tested -Often for psychiatric problems -Increased liability issues |
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The Health Care Crisis (Skyrocketing cost of medical care and drugs) Factors:
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Public demands for high quality care and therapies
Expensive research and equipment Rising cost of health insurance Early discharges to cut costs Less monitoring of patients Increased responsibility falling on the patient's family Increased responsibility of the nurse to provide teaching |