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Pharmacology Summer '22 > Prescription and Record Keeping > Flashcards

Prescription and Record Keeping Flashcards

1
Q

Heroin

A

no currently accepted medical use

Schedule I

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2
Q

LSD

A

no currently accepted medical use

Schedule I

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3
Q

Methaqualone (Quaalude, Sopor)

A

sedative than increases activity of GABA receptors in brain and spinal cord
no currently accepted medical use
Schedule I

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4
Q

Experimental drugs

A

no currently accepted medical use

Schedule I

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5
Q

Amobarbital (Amytal)

A

Barbiturate derivative; hypnotic, sedative

Schedule II

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6
Q

Cocaine

A

stimulant and euphoriant; used in medical procedures to numb nose, mouth and throat
Schedule II

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7
Q

Hydromorphone (Dilaudid)

A

Schedule II

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8
Q

Meperidine (Demerol)

A

opioid agonist, mu receptors; pre and post-op

Schedule II

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9
Q

Methylphenidate (Ritalin; Concerta)

Methylphenidate (Methylin)

A

Methylin (second line treatment for narcolepsy, code e)
Ritalin (ADHD)
blocks reuptake of presynaptic norepinephrine and dopamine
Schedule II

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10
Q

Morphine (Roxanol)

A

Schedule II

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11
Q

Opioid derivatives (tincture of opium)

A

Schedule II

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12
Q

Oxycodone (Percodon, Percocet)

A

relative mu receptor selectivity, affinity with all opioid receptors
Schedule II

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13
Q

Pentobarbital (Nembutal)

A

sedative-hypnotic; preanesthetic; seizures

Schedule II

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14
Q

Phenmetrazine (Preludin)

A

Appetite suppressant

Schedule II

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15
Q

Secobarbital (Seconal)

A

pre-op anxiety; insomnia for no more than a seven-day use

Schedule II

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16
Q

Hydrocodone (Lortab, Lorcet, Tussionex, Hycodan)

A

chronic pain; cough suppressant (semisynthetic opioid antitussive)
Schedule II

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17
Q

Acetaminophen with Codeine

A

Schedule III

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18
Q

Aspirin with Butalbital and Codeine (Fiorinal with Codeine)

A

tension headaches

Schedule III

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19
Q

Aspirin with Codeine

A

Schedule III

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20
Q

Aspirin with Butalbital (Fiorinal)

A

Schedule III

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21
Q

Barbituric acid derivatives

A

CNS depressant; sedative-hypnotics, anticonvulsants, anxiolytics, tranquilizers
largely replaced by benzodiazepines
Schedule III

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22
Q

Butabarbital (Butisol)

A

fast onset short duration barbiturate; sleep aid, anxiety

Schedule III

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23
Q

Pentobarbital suppository (Nembutal)

A

Schedule III

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24
Q

Secobarbital suppository

A

Schedule III

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25
Q

Butorphanol (Stadol)

A

full agonist at kappa receptor, partial agonist at mu receptor
Schedule IV

26
Q

Carisoprodol (Soma)

A

skeletal muscle relaxant

Schedule IV

27
Q

Meprobamate

A

nonbenzodiazepine anxiolytics

Schedule IV

28
Q

Pentazocine-naloxone (Talwin NX)

A

opioid partial agonist

Schedule IV

29
Q

Phenobarbital

A

anticonvulsants; barbiturates

Schedule IV

30
Q

Tramadol

A

non opioid derived synthetic opioid, may at least partially bind to mu receptors
Schedule IV

31
Q

Zolpidem (Ambien)

A

selective antagonism of GABA receptors; sedative-hypnotic, sleep aid
Schedule IV

32
Q

Benzodiazepines

A

Schedule IV

33
Q

Codeine cough syrups (Robitussin with codeine, Actifed with Codeine)

A

Schedule V

34
Q

Diphenoxylate with atropine (Lomotil)

A

Diphenoxylate: decrease GI propulsion and motility (like morphine)
Atropine: subtherapeutic dosage to discourage deliberate overdose
Schedule V

35
Q

Must identify medical conditions as “Code A to F” when…

A

prescribing controlled substance Schedules II to IV for > 30 days

36
Q

Code A

A

Anxiety

37
Q

Code B

A

ADD

38
Q

Code C

A

chronic debilitating neurologic disorders (seizures, movement disorders)

39
Q

Code D

A

Pain relief (chronic and incurable)

40
Q

Code E

A

Narcolepsy

41
Q

Code F

A

hormone deficiency in males, gynecologic conditions and breast cancer in women, anemia and angioedema responsive to anabolic steroids or chorionic gonadotrophin

42
Q

A National Provider Identifier number is issued by

A

CMS

US Center for Medicaid and Medicare Services

43
Q

All non electronic prescriptions must be issued on…

A

ONYSRx forms

44
Q

Where can you

(1) order ONYSRx
(2) renew registration with DoH
(3) attest to completion of mandatory prescriber education
(4) access the Prescription Monitoring Program (PMP)

A

NYS DoH

Health Commerce System Account (HCSA)

45
Q

Mandatory prescriber education every…

A

3 yrs

46
Q

Register with the NYS DoH Health Bureau of Narcotic Enforcement every ____ for…

A

Two years
Prescribe controlled substances
Obtain ONYSRx forms

47
Q

In NY, every prescription for a controlled substance must include a _______ number

A

Drug Enforcement Administration (DEA)

48
Q

Computer software must be …

A

Secure (encrypted and encoded)
Certified by FDA or audited
Registered with NYS DoH BNE

49
Q

In order to obtain medicaid benefits the NP must…

A

Obtain a Medicaid Provider number

50
Q

Before initially prescribing a controlled substance and many other drugs the prescriber is legally required to _____, except____

A 
Examine patient 
Sexual partner(s) of patient with chlamydia
51
Q

When not using an electronic prescription, the prescriber must ___

A

Document reason in patient’s record

52
Q

A pharmacist will not issue a refill for Schedule III-V drugs until ___

A

The patient has exhausted all but a seven day supply

53
Q

These drugs can only be prescribed via phone in an emergency

A

Benzodiazepines

Schedule II Drugs

54
Q

Opioids for acute pain can only be prescribed for…

A

7 days

55
Q

DAW

A

Dispense as written to distinguish generic vs Brand

56
Q

In general a prescription must include a pts

A

Name address dob/age

57
Q

A prescription for a schedule II controlled substance must include

A

The pts sex

58
Q

When issuing a prescription for a thirty day of Sched III, IV, and V (excluding benzos) the prescriber may authorize ___ refills

A

5

59
Q

When issuing a prescription for over a 3 month supply of schedule III, IV, and V (except benzos) ____ refill(s) may be authorized

A

One
NY law requires the number of refills authorized be in numeric and word for.
Refills are honored for up to 180 days

60
Q

A schedule III, IV or V drug may be personally called in by the prescriber for a maximum of ___, after which they have ___ to ___

A

5 day supply
72 hours
Send in an ONYSRx form or electronic prescription

61
Q

When schedule II or benzodiazepines are called in, ___ refills are allowed

A

0

Pharmacology Summer '22 (9 decks)

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