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Flashcards in Drug Laws Deck (51)
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1

Writing a prescription should be based on what rational steps?

1. Making a specific diagnosis
2. Consider the pathophysiologic implication of the diagnosis
3. Select a specific therapeutic objective
4. Select a drug of choice
5. Determine approx dosing regimen
6. Devise plan for monitoring drug action and end point for therapy
7. Plan program of pt education

2

What part of the hospital chart would a pt's drugs be prescribed on?

Physician's order sheet (POS) or chart order

3

What are the contents of a prescription on a POS designed by?

Medical staff rules by hospitals pharmacy and therapeutics committee

4

What does a hospital order for a drug consist of?

Name and strength of medication, dose, route and frequency of admin, date, pertinent info, signature of prescriber

5

What should be done if the duration of the drug therapy or number of doses isn't specified?

Medication is continued until prescriber discontinues the order
Until it is terminated by policy routine = stop order

6

How is the strength of a solution measured?

Expressed as the quantity of solute in sufficient solvent to make 100 mL

7

What should the quantity of the medication prescribed reflect?

Duration of therapy, cost, need for clinic or physician contact, potential for abuse, potential for toxicity or overdose, and standard size consideration, repeat or refill

8

What should be considered in the use of the drug?

Drug specific, pt specific, simpler direction = better, fewer doses = better, pt noncompliance major cause of treatment failure

9

When writing for a controlled substance how must the number of the physical dose be written out?

Longhand
(fourteen pills vs 14 pills)

10

What are some common prescribing errors?

Omission of information
Poor prescription writing
Inappropriate drug prescriptions

11

What are the identification data used on a prescription?

Signature,
National Provider Identification (NPI)
Drug Enforcement Agency (DEA) number
State license number

12

What are the different ways a pt can commit non-compliance?

Fails to obtain medication
Fails to take medication as prescribed
Premature discontinuation
Taking the medication inappropriately

13

What are the two classes of drug which the US gov recognizes?

Over the counter (OTC)
Prescription (Rx)

14

How should instruction to take drugs be given?

How and when to take it, duration of therapy and purpose - should be written on the label

15

Who controls prescription drugs?

US FDA

16

What does a package insert include?

The official brochure stating the indications, contraindications, warning and dosing for the drug

17

What three things is a prescription?

The physician's order in the pt's chart
Written order to which the pharmacist refers when dispensing
Pt's medication container with label affixed

18

What drugs does the fed gov and state impose special restrictions on?

Opioids
Hallucinogens
Stimulants
Depressants
Anabolic steroids

19

What was the Comprehensive Drug Abuse Prevention and Control Act of 1970 created for?

1960 inc in drug abuse
Classifies drugs with abuse potential in 5 schedules based on their potential for abuse and clinical use

20

Schedule I drugs

High abuse potential and no legitimate medical use and their distribution and possession are prohibited

21

Schedule II drugs

High abuse potential but a legitimate medical use and their distribution is highly controlled through requirements for inventories and records and through restrictions on prescriptions

22

Schedule III, IV and V drugs

Lower abuse potential and decreasingly fewer restrictions on distribution

23

What does the Controlled Drug Act do?

Requires prescribers and dispensers to register with the drug enforcement agency (DEA), pay and receive a personal registration number and keep a record of all controlled drugs

24

If you are prescribing a schedule II drug can you refill it?

No, but you can write multiple single prescriptions with time intervals in which they can be used

25

If a pt wants a specific brand name drug, how must it be written in a script to ensure they do not receive a generic?

"Dispense as written"

26

What is the generic version of valium?

Diazepam

27

Is it possible for pharmacists to substitute one therapeutic agent out for another if the effects are similar?

NO

28

In what ways are generics not as satisfactory as brand names?

Bioavailability - can vary
Drugs with a low therapeutic index, poor solubility or high ratio of inert ingredients to action drug content

29

What is an "A" coded drug in the orange book?

Products considered bioequivalent to a reference standard formulation of the same drug to all other versions

30

What is a "B" coded drug in the orange book?

Products not considered bioequivalent