When allergies are really not

September 12, 2007

Long lists of “allergies” can sometimes interfere with treatment:

The problem with “allergies that aren’t allergies” is that sometimes the “allergies” can prevent you from giving a medication that the patient really needs. What do you do with a patient who has allergies to multiple antibiotics and who comes in with septic shock? If you give the patient something they are “allergic to” and there is a bad outcome, you get sued. If you don’t give them an indicated antibiotic for the type of infection because of an “allergy” and there is a bad outcome, you can get sued, also.



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{ 3 comments }

1 Throckmorton September 12, 2007 at 10:29 am

I agree. Trying to decipher all the allergies can almost be impossible. Even when you do find that it is not a true allergy (motrin makes me reflux) you cant start them on the medication for fear of litigation.

I still hate the “I cant take any NSAIS or toradol, or Ultram or Darvocet” as Im allergic. “Oh, there is something that I can take, lets see its something spelled like “D-I-L-A-U-D-I-D. Oh, by the way, can you sign this that says I’m Disabled.”

2 RJS September 12, 2007 at 11:21 am

Whenever we have a new person come to the pharmacy, we ask what the allergies are. Unfortunately, I’m the only one who asks what happens when you take X med. Most often it’s “I get an upset stomach.”

Ugh.

3 Anonymous September 12, 2007 at 7:22 pm

RJS:

does the “reaction” still find its way in your store’s documentation???

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