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| the proper amount of a medicine or agent prescribed for a given patient or condition |
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| the quantity of medicine to be taken at one time or in divided amounts within a given period of time |
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| could be something like 4x day for 10 days or a taper-up dose |
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| given 2 or more times/day |
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| LIFETIME total dose - can't take more than lifetime dose or there will be complications |
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| quantitative amt of drug adminstered to a patient for intended effect -- Kid = 1m2, me = 1.65m2, sumo wrestler = 4.35m2 |
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An order for a hospitalized or institutionalized patient (an inpatient)
Parts of a medication order Patient name, drug name, dose of medication,
frequency of medication, date and time of order, signature of practitioner |
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| one year after the date the prescription is written unless it's a controlled substance |
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| if dispensed in a multi-dose, tight container, it may be assigned a BUD of the manufacturer's expiration OR one year, whichever comes first |
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| Criteria for Generic Name |
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| Appropriate for drug, short, easy to pronounce, euphoni |
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| Definition of Chemical Name |
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scientific name based on compound's chemical structure
Criteria for Brand Name Easy to remember, short, subliminal connotation, no trademark incompatibilities |
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| Definition of Generic Name |
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| name granted by the US Adopted Names Council which is composed of members from the USP, AMA, APhA, and FDA |
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| name assigned by drug manufacturer |
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| Parts of a Prescription Label |
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Pharmacy name and address, Rx number, patient name, date filled, prescriber's name, directions for use, drug name/strength/quantity, refills, name/initials of pharmacist, beyond-use date or expiration date, cautionary statements, federal transfer statements
Guidelines for Writing Pt. Directions "Start w/ a command
Follow w/ dosage number and form/unit
Give how the pt will take/use the medication
Follow with the dosing frequency
Finish w/ any additional information
Do not use abbreviations or medical terminology!" |
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| Prescription that looks "too good", written in different colors/handwriting, quantities/directions/doses don't seem right, directions are written in full (no abbreviations), quantity or refill #s are unusually large, markings appear erased/whited out, prescriptions appear photocopied, prescriptions are written more than one per blank |
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| Tactics of Prescription Forgers |
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| Add/alter refills, increase quantity, alter strength/drug, add controlled drug to non-controlled drug prescription |
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prescription an order written by a practitioner, to be filled by a pharmacist, indicating the medication needed by the patient and containing all the necessary directions for the pharmacist and the patient
inscription states the name and quantities of ingredient
subscription gives directions to the pharmacist
signatura gives directions to the patient
drug order consists of the patient name, hospital number, birthdate, date and time of the order, name of the drug, the dosage, how it is to be given, how many times it is to be given, and the signature of the physician who wrote the order
automatic stop policy antibiotics and narcotics have this. a new order is required for the drug to be continued after a specified time that has been established by the institution
Prescription "Legal means of communication between a
physician and a pharmacist that authorizes the pharmacist to compound or
dispense a medication."
Health Care Professionals that can Legally Write Rx "MD, DO
(doctors of osteopathic medicine), nurse practitioners (NP), podiatrists
(DPM), dentists (DDS), veterinarians (DVM), PAs, Optometrists (OD),
Psychologists, Clinical Pharmacists"
Legend Drug "A legend drug requires a medical practitioner's prescription because the drug is either addictive/has abuse potential or it is
toxic/potentially harmful"
Categories of Health Care needs that practitioners can write an Rx for Legend drugs, OTC, durable medical equipment, syringes, therapy, medical necessities,
List the parts of a prescription Superscription (Rx) -- Inscription (clindamycin 150mg) ---- Signa (directions to pt) ----Patient Name ----Patient Address -----Date written (good for 1 yr after written unless controlled) ----Refill Status (no refills if nothing circled - prn = 1 year's worth) -----Prescriber's Signature
Controlled Substance (definition) "A drug or chemical substance whose possession and use are regulated under the Controlled Substance Act which establishes 5
schedules that rank those substances by balancing potential for abuse against medical usefulness"
Controlled Substances (classes) "I - highest potential for abuse, no medical use - i.e. LSD, peyote, heroin
II - high potential for abuse, medicaluse w/ restrictions - i.e. morphine, ritalin, cocaine
III - low potential for abuse, medical use - i.e. tylenol #3, vicodin
IV - lower potential for abuse, medical uses - i.e. xanax, valium
V - lowest potential for abuse, medical uses - i.e. OTC cough syrups w/ codeine"
Purpose of a DEA Way to track controlled substances from the time they're manufactured until they reach the patient
How to check a DEA "A or C at beginning = practitioner, B =hospital, D = research, M=Midlevel practitioner, F= R= S= X=
Second letter = first letter of practitioner's last name -- (this is sometime not correct becaue women get married)
Last number = check digit
Add 1st, 3rd, and 5th digits
Take 2nd, 4th, and 6th digits, add, and multiply by 2
Add 2 totals together, and last digit
of total should be the same as the check digit!"
Drugs of Choice for Prescription Forgers |
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| Vicodin, Oxycontin, Percocet, Lortab, Tylenol #3 |
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