Question

1. A patient with a tooth abscess had a root canal performed and was prescribed clindamycin to treat the infection. On day seven, she developed an itchy rash and hives due to the clindamycin. She was prescribed prednisone to treat the rash and hives. The itchy rash and hives would be considered: A. Underdosing of a drug B. Poisoning due to a drug C. Adverse effect of a drug D. Late effect of a drug

2. List four examples of a poisoning:

3. Two codes are needed to fully describe transplant complications. What are they?

Answer 1

1.

• Underdosing of a drug - underdosing is taking less medications than prescribed. the underdosing of clindamycin will not cause rashes or hives
• Poisoning due to a drug - the drug poisoning cause gastrointestinal problems and it may lead to fatal conditions. rashes and hives are not dure to poisoning of drug
• Adverse effect of a drug - hives and rashes are the adverse effects or side effects of clidamycin
• Late effects of a drug - late effects are defined as he effects of drug that is caused due to a long term use of drug. in this case it is not late effects because the patient has only used the drug for 7 days

2. Poison is any substance that is harmful to the body. there are many types of poisoning,

• food poisoning - food poisoning caused by bacterial contaminated food items
• drug poisoning - drug poisoning is caused by certain types of drugs like warfarin, betablockers, vitamins etc
• carbon monoxide poisoning - it is caused when the individual in inhaling the carbon monoxyde and it may lead to a fatal condition
• herbicides - poisonig due to the substances used for the plants

3. Coading of transplant coplications

two codes are needed to completely classify the transplant complications. one code identifies the transplanted organ while other identifies the complication. for the first one a fifth digit subclassification [996.8x] is needed to identify the specific organ affected. ICD-10 CM codes are used to classify or identify the transplant complications

Eg; acute renal failure in patient with history of renal transplant. the code is  996.81 (complications of transplanted kidney, that is it identifies the organ) and 584.9 (acute kidney failure, it identifies the complication)