39. Upon entering the interview room, which of the following

Marcus is a 23-year-old patient who was hospitalized with a deep vein thrombosis (DVT). He was prescribed Lovenox (enoxaparin) for 14 days to treat this condition. Lovenox is typically dosed 1mg/kg every 12 hours. Marcus weighs 76kg; however, the pharmacy dispensed Lovenox 100mg every 12 hours. Based on the patient’s weight, the dose dispensed was too high. Consider the following: What type of medication error has occurred? What is the correct dose based on the patient’s weight? How could the dosing error have been avoided? What measures should pharmacists and pharmacy technicians use to avoid dosing errors, such as what occurred with Marcus’s medication? What patient “rights” could have been used to avoid this error? Write a 1-2-page essay explaining the dosing error that occurred in the scenario above. Be sure to address the following in your essay: Calculation of the correct dose in this scenario Analysis of how the error may have occurred Methods that could be used to avoid dosing errors in pharmacy calculations by both pharmacy technicians and the pharmacist Analysis of potential risks to patients when dosing errors occur Recommendations for how dosing errors should be reported Considerations for how pharmacy staff can be educated/re-trained

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