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Drug Dosage Regimen: Overview01:15

Drug Dosage Regimen: Overview

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A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
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Dosage Regimen: Fixed Dose01:01

Dosage Regimen: Fixed Dose

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Fixed-dose regimens are a common approach to administer drugs to achieve and maintain desired levels of the drug in the body. In this dosing strategy, a specific amount of medication is given at regular intervals, often multiple times a day, to ensure a consistent drug concentration in the bloodstream.
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
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Dosage Regimens: Designs and Approaches01:28

Dosage Regimens: Designs and Approaches

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Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
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Determination of Multiple Dosing Parameters: Loading and Maintenance Doses01:25

Determination of Multiple Dosing Parameters: Loading and Maintenance Doses

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A loading dose is an essential pharmacological strategy to rapidly achieve the target plasma drug concentration necessary for an immediate therapeutic effect. This approach is especially critical for drugs characterized by slow absorption or extended half-lives, where delaying therapeutic plasma levels could compromise treatment outcomes. By administering a loading dose, clinicians ensure a prompt onset of drug action, even for agents with complex pharmacokinetic profiles.Achieving steady-state...
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Dose Size and Dosing Frequency: Determination Methods01:21

Dose Size and Dosing Frequency: Determination Methods

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Determining the optimal dose size and dosing frequency in pharmacotherapy is crucial for achieving therapeutic effectiveness while minimizing adverse effects. This article explores the methodologies employed in determining these parameters, focusing on their significance and interplay to tailor dosing regimens.Dose Size: Dose size refers to the amount of a drug administered in a single dose. It is determined based on the drug's pharmacodynamics and pharmacokinetics properties and...
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Dose-Response Relationship: Overview01:03

Dose-Response Relationship: Overview

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Agonists can bind with and activate receptors, resulting in the formation of drug-receptor complexes. Once formed, these complexes catalyze many biochemical processes at the cellular level and subsequently induce a pharmacologic response. The degree of response is directly proportional to the fraction of activated receptors, which in turn, depends on the concentration of the drug at the receptor site as well as the sensitivity of the receptor. An increase in the administered dose contributes to...
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Author Spotlight: Developing a Disposable Dosator for Preclinical Testing of Dry Powder Inhalers in Small Animal Models
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Analysis of dosing-button compliance.

Mary Frances Picone1, James P New2, Matthew Hunter Johnson3

  • 1Center for Medication Utilization, Froedtert & the Medical College of Wisconsin, Milwaukee, WI.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|October 16, 2019
PubMed
Summary

Computerized provider order entry (CPOE) dosing button compliance is high, with 99.92% adherence. Opportunities for optimizing medication builds were identified, establishing a quality assurance method for future auditing.

Keywords:
clinical pharmacy information systemscomputer-assisteddecision support systems, clinicaldecision support techniquesdrug therapymedical order entry systems

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Area of Science:

  • Health Informatics
  • Clinical Pharmacy
  • Medical Informatics

Background:

  • Computerized provider order entry (CPOE) systems are crucial for medication management.
  • Dosing buttons within CPOE streamline medication ordering but require ongoing optimization.
  • Assessing the utilization of these buttons is essential for improving medication safety and efficiency.

Purpose of the Study:

  • To evaluate the use of available dosing buttons in a CPOE system at an academic medical center.
  • To identify specific areas for enhancing medication builds and improving CPOE functionality.
  • To establish a quality assurance process for auditing medication builds.

Main Methods:

  • A retrospective observational study analyzed medication records and orders within a CPOE system over six months.
  • Inclusion and exclusion criteria were used to identify relevant medication records.
  • The primary endpoint was percent dosing-button compliance; secondary objectives included comparing high- and low-performing records and identifying reasons for non-compliance.

Main Results:

  • Analysis included 2,506 CPOE medication records and 694,877 medication orders.
  • Median dosing-button compliance was 99.92%.
  • High compliance was associated with anti-infective and non-formulary medications. Poor compliance was linked to IV route medications, with 45 instances attributed to a lack of clinically reasonable options.

Conclusions:

  • High dosing-button compliance was observed in the CPOE system, even without routine revalidation.
  • Opportunities for optimizing medication builds were identified.
  • A quality assurance method was established for future auditing of medication builds.