- 1 Which labs should be monitored before and during the antibiotic therapy?
- 2 How do you monitor therapeutic drug levels?
- 3 What are therapeutic tests?
- 4 Which antibiotics require therapeutic monitoring?
- 5 What drugs require therapeutic monitoring?
- 6 When do you use therapeutic drug monitoring?
- 7 What are the factors controlling therapeutic drug monitoring?
- 8 What does therapeutic mean?
- 9 What method is most often used to perform therapeutic drug monitoring?
- 10 What is considered a high therapeutic index?
- 11 What is therapeutic level?
- 12 What is therapeutic procedure?
- 13 Is strict monitoring required for penicillin?
- 14 How would you monitor a patient with a narrow therapeutic index?
Which labs should be monitored before and during the antibiotic therapy?
Laboratory tests that can be helpful in guiding antimicrobial therapy include antimicrobial susceptibility testing, determination of bacterial beta-lactamase production, assay of serum inhibitory and bactericidal activity, and assay of specific antibiotic levels in serum.
How do you monitor therapeutic drug levels?
Clinicians routinely monitor drug pharmacodynamics by directly measuring the physiological indices of therapeutic responses, such as lipid concentrations, blood glucose, blood pressure, and clotting. For many drugs, either no measure of effect is readily available, or the method is insufficiently sensitive .
What are therapeutic tests?
: a test to aid in diagnosis of an undiagnosed disease by giving the specific remedy for the disease suspected use of liver extract as a therapeutic test for suspected pernicious anemia.
Which antibiotics require therapeutic monitoring?
Gentamicin, tobramycin and amikacin are the three antibiotics mostly subjected to TDM.
What drugs require therapeutic monitoring?
Therapeutic Drug Monitoring
|Immunosuppressants||Cyclosporine, tacrolimus, sirolimus, mycophenolate mofetil, azathioprine|
|Anti-cancer drugs||Methotrexate, all cytotoxic agents|
|Psychiatric drugs||Lithium, valproic acid, some antidepressants (imipramine, amitriptyline, nortriptyline, doxepin, desipramine)|
When do you use therapeutic drug monitoring?
Monitoring drug concentration is more useful when drugs are used to prevent an adverse outcome, for example, graft rejection or to avoid toxicity, as with aminoglycosides. A drug should satisfy certain criteria to be suitable for therapeutic drug monitoring. Examples include: narrow target range.
What are the factors controlling therapeutic drug monitoring?
There are numerous variables that influence the interpretation of drug concentration data: time, route and dose of drug given, time of blood sampling, handling and storage conditions, precision and accuracy of the analytical method, validity of pharmacokinetic models and assumptions, co-medications and, last but not
What does therapeutic mean?
1: of or relating to the treatment of disease or disorders by remedial agents or methods: curative, medicinal therapeutic diets They confirmed the therapeutic effect of supplemental light in treating winter depression with phototherapy.—
What method is most often used to perform therapeutic drug monitoring?
TDM is most commonly performed on blood, serum, or plasma. TDM can also be used to ensure that the patient is compliant with taking the medication or to determine if there are any drug – drug interactions affecting the serum or plasma concentration when new medications are given to a patient [70,71].
What is considered a high therapeutic index?
A higher therapeutic index is preferable to a lower one: a patient would have to take a much higher dose of such a drug to reach the toxic threshold than the dose taken to elicit the therapeutic effect. Therapeutic index.
What is therapeutic level?
The therapeutic level of a drug in the bloodstream is the range within which that drug is expected to be effective. Your doctor can request a test to measure the amount of a specific drug in the serum portion of your blood.
What is therapeutic procedure?
According to its broadest definition, a therapeutic procedure is any medical or surgical procedure that is performed in order to repair, remove or otherwise heal any previously determined health concern.
Is strict monitoring required for penicillin?
Generally, the monitoring of patients on penicillin is not required.
How would you monitor a patient with a narrow therapeutic index?
Here are three of the most effective ways to monitor patients who are taking these drugs.
- Assays. Assays are one of the most basic methods of therapeutic drug testing.
- Automation. There are now technologies available that automate many aspects of the therapeutic drug monitoring process.