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Pharmacology > Prescribing laws and rules > Flashcards

Prescribing laws and rules Flashcards

1
Q

State laws may be _________, but not be less stringent than federal law

A

more stringent

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2
Q

What it comes to state laws and federal laws of prescribing medication, what must be follows?

A

the strictest regulation

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3
Q

What must Ohio PAs include on all prescriptions they issue?

A

their license number

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4
Q

If you want to dispense brand name drugs, what must you do?

A

write “dispense as written “D.A.W”, “do not substitute”, or “brand medically necessary”
-make it clear you want the brand

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5
Q

What is the maximum of non-controlled substances on a prescription order?

A

3 per blank

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6
Q

In cases where a blank has preprinted options, how many prescriptions are allowed per form?

A

one

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7
Q

What is the mission of the Drug Enforcement Administration (DEA)?

A

enforce the controlled substances laws and regulations… and to reduce the availability of illicit controlled substances on the domestic and international markets

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8
Q

What types of controlled substances have a high potential for abuse and are not accepted for medical use or lacks accepted safety for use in treatment?

A

schedule I

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9
Q

What are examples of schedule I controlled substances?

A

LSD, heroin, ecstasy

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10
Q

What types of controlled substances have a high potential for abuse but currently has accepted medical use?

A

schedule II

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11
Q

What can abuse of schedule II substances lead to?

A

severe psychological or physical dependence

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12
Q

What are examples of schedule II controlled substances?

A

fentanyl, oxycodone, hydrocodone, morphine, dexamphetamine, codeine (by itself), opium, GHB

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13
Q

What types of controlled substances have less potential for abuse than schedule I or II drugs and currently has accepted medical use?

A

schedule III

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14
Q

Abuse of schedule III substances lead to?

A

moderate or low physical or psychological dependence

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15
Q

What are some examples of schedule III substances?

A

testosterone, dronabinol

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16
Q

What type of controlled substance has less potential for abuse than schedule III drugs and currently has accepted medical use?

A

schedule IV

17
Q

What could abuse of schedule IV substances lead to?

A

limited physical and or psychological dependence

18
Q

What are some examples of schedule IV substances?

A

alprazolam, modafinil, phentermine, zolpidem

19
Q

What type of controlled substance has low potential for abuse compared to other schedules and currently has accepted medical use?

A

schedule V

20
Q

What can abuse of schedule V substances lead to?

A

limited physical or psychological dependence

21
Q

What are some examples of schedule V substances?

A

codeine cough syrup, diphenoxylate/atropine

22
Q

What must you include on all controlled substance prescriptions?

A

DEA number of prescriber

23
Q

What is the maximum number of controlled substances you can put on a prescription order blank?

A

1

24
Q

How must you write the quantity of the prescribed controlled substance?

A

in numbers and words

25
Q

What do you need to send controlled substance prescriptions through?

A

handwritten or sent electronically through an approved system; schedule II can’t call in a controlled substance to a pharmacy

26
Q

Are refills on CII prescriptions allowed?

A

no

27
Q

How many refills are allowed on CIII-CIV controlled substances?

A

5 times in a 6 month period from date of issuance

28
Q

How often can CV and non-controlled prescriptions be refilled for?

A

up to a year

29
Q

What do you need to include when you prescribe a controlled substance?

A

the ICD-10-CM medical diagnosis code of the primary disease of condition that it is being used to treat

30
Q

What can you do to prescribe responsibly and avoid errors?

A

-“always lead, never trail”: 0.1 not 1.0
-write legibly
-watch out for names easily confused
-provide diagnosis code or indication
-review order
-preferably one script per blank; no more than 3
-watch abbreviations
-DOB, pt weight
-specify exact quantities, making sure the quantity is sufficient to time of reassessment
-route of administration
-dosage form

31
Q

What is quantity to prescribe based on?

A

-number of medication doses required to complete treatment
-duration of treatment needed
-interval of time determined to be appropriate based on state/federal prescribing guidelines and controlled substance act

32
Q

The pharmacy may dispense any increment of quantity, as long as it does not what?

A

does not exceed the quantity ordered on the original prescription

Pharmacology (13 decks)

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