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4.27 Prescription Writing
by Dr. Mc Dermott
46
Pharmacology
Professional
04/27/2012

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Cards

Term
What are the components of rational prescribing?
Definition
make a dx, consider pathophys implications of dx, select therapeutic objective, select a drug of choice, determine the appropriate dosing regimen, plan to monitor the drug's action and determine end point for therapy, plan a program of patient education
Term
What is the impact of irrational prescribing?
Definition
reduction in the quality of drug therapy, waste of resources, increased risk of unwated effects, psychosocial impact ("a pill for every ill")
Term
What are the components of superscription?
Definition
date and name, address, and age of the patient
Term
What included in the inscription?
Definition
name/form of drug and strength
Term
What must be taken into account when prescribing a drug like topical triamcinolone?
Definition
it comes in a cream, ointment and as a lotion. It also comes in many different strengths
Term
What information is included in the subscription?
Definition
directions to the pharmacist
Term
"Disp: 10 tabs" is in which part of the prescription?
Definition
subscription
Term
What is included in the "signatura" or "sig" part of the prescription?
Definition
directions to the patient; frequency and route
Term
T/F The signatura should always be written in English although latin abbreviations are frequently used.
Definition
true
Term
What is included below the signatura?
Definition
number of refills
Term
What kind of medications should you give no refills on?
Definition
antibiotics, some controlled substances, short term use
Term
What types of medications should you give one refill for?
Definition
new medication or non-compliant patient
Term
What is included under the number of refills?
Definition
physicians signature, identification info for presribing provider, and contact information
Term
What are the identification infos for a prescribing provider?
Definition
MCLNO number, DEA number, LA licence number, NPI number
Term
"gtt"
Definition
"guttae"= drops
Term
"qs"
Definition
"quantum sufficiat"= quantity sufficient
Term
"os"
Definition
oculus sinister= left eye
Term
"od"
Definition
oculus dexter= right eye
Term
"prn"
Definition
pro re nata= as needed
Term
QD
Definition
daily
Term
QHS
Definition
every evening
Term
QOD
Definition
every other day
Term
PO
Definition
per oral
Term
SQ
Definition
subcutaneous
Term
What abbreviations are on the official "do not use" list?
Definition
U, IU, QD, qd, QOD, trailing zero, lack of leading zero, MS
Term
QID=
Definition
4 times daily
Term
What is the most frequently used electronic drug database?
Definition
epocrates (1/3 doctors)
Term
NPP
Definition
non-proprietary or generic subsitution OK
Term
Name some medications that may be more efficacious as brand names.
Definition
Wafarin vs coumadin; synthroid vs levothyroxine
Term
TID
Definition
three times daily
Term
List the components of a perscription?
Definition
superscription, inscription, subscription (disp), sig, refills, signature
Term
What's the difference between TID and q8 hours?
Definition
TID= 7am, 2pm, 9pm
Q8= 7am, 3pm, 11pm
Term
What are legend drugs?
Definition
drugs that may not be dispensed by a pharmacist without a prescription from a physician, osteopath, dentist, etc.
Term
What are scheduled drugs?
Definition
in addition to requiring a prescription, these drugs require additional safeguards for storage; refills are also limited
Term
Everyone who administers, prescribes, or dispenses any of the drugs listed in the five schedules must be registered with the...
Definition
state of louisiana ($45/year) and federal drug enforcement administration ($600-1000/3yr) OR prescribe under auspices of a training program OR prescribe under a supervising physician
Term
What is a schedule I drug?
Definition
high abuse potential; no accepted medical use, may lead to severe dependence
Term
What is a schedule II drug?
Definition
high abuse potential, accepted medical use; no telephone rx, no refill
Term
What is a schedule three drug?
Definition
abuse potential less, accepted medial use, low physical dependence liability, possibly high psychologic dependence; 5 refills, 6 month rx expiration
Term
What is a schedule IV drug?
Definition
accepted medical use, low dependence liability; 5 refills, 6 month expiration, less legal rammifications
Term
What is a schedule V drug?
Definition
accepted medical use, limited depdence liability; state dependent disp rules
Term
What schedule is pregabalin?
Definition
schedule V
Term
What is the required information on a controlled substances prescription?
Definition
dated and signed on teh day it is issued, full name and address of the patient, name, address, and DEA registration number of the physician, may be prepared by the secretary but must be typed or written in indelible ink and signed by the physician
Term
What schedule is pseudoephedrine?
Definition
currently schedule V but no prescription is needed
Term
What is the limit of pseudoephedrine posession for one person?
Definition
12 grams
Term
What is the limit to how much pseudo ephedrine a person can by?
Definition
cannot purchase more than 7.5 grams in a 30 day period
Term
What are the penalties for physicians who fail to e-prescribe by 2012?
Definition
will have medicare payments reduced by up to 2%
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