Title: Explain the importance of blood testing to monitor the therapeutic level of medication.
Course: Medication Aide (14051-36) > Section: Examining Special Issues in Medication Administration

Explanation should include the

- reasons for monitoring
- definitions of
  - therapeutic level
  - toxic level
- factors that determine dosage (e.g., age, weight, activity level)
- most frequently monitored medications
  - blood thinners
  - anti-seizure medications
  - asthma medications
  - barbiturates
  - psychotropic medications
  - administration of high doses
- factors that can interfere with testing
  - time between first dose and blood test
  - consuming medications other than the ones being monitored
  - prescription medications
  - OTC medications
  - alcohol
  - marijuana
  - street drugs or any illegal substances
- responsibilities of facility staff
  - monitoring HCP orders for blood level requests
  - ensuring test is done, when ordered routinely
  - ensuring results are reported to the HCP
  - reporting unusual signs/symptoms related to medication levels.

Process/Skill Questions:

- What types of medications require therapeutic levels or blood monitoring?
- What is the difference between a therapeutic level and a toxic level?