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Clinical Pharmacology > KASPER > Flashcards

KASPER Flashcards

1
Q

Legend Drugs aka

A

Prescription Drugs

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2
Q

Scheduled Drugs aka

A

Controlled Drugs

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3
Q

What drug category do LAs fall into?

A

Rx (legend) drugs

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4
Q

What do you need in the state of KY to Rx prescription (legend) drugs?

A

Dental license

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5
Q

What do you need in the state of KY to Rx controlled (scheduled) drugs?

A

DEA #

  • Need a valid state dental license to get this #, through the federal government
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6
Q

Are telephone Rxs allowed for C-II drugs?

A

No

  • Except in a true emergency and with a written follow up Rx within 72 hours
  • Facsimile (fax) transmission of Rx is prohibited
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7
Q

Are refills allowed for C-II drugs?

A

No

A new Rx is required

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8
Q

What class of drug is codeine?

A
  • C-II when alone
  • C-III if combined with an analgesic (e.g., ASA, APAP (acetaminophen), or Ibuprofen)
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9
Q

For C-III and C-IV drugs how many refills are allowed?

A

Up to 5 times within 6 months, if authorized

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10
Q

What does KASPER stand for?

A

The Kentucky All Schedule Prescription Electronic Reporting System

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11
Q

What does Rxing a drug “off-label” mean?

A
  • Off-label = what the drug is not FDA approved to treat
  • Label = what the drug is FDA approved to treat
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12
Q

What infomation must be included in a written Rx for a controlled substance under Federal Law? (10)

A
  • The name and address of the prescriber
  • The name and address of the patient
  • Date on which the substance is written and signed
  • Name of the drug
  • Dosage unit and form of drug
  • Quantity must be both placed in parentheses and written out in English
    • Disp: 25 (twenty-five) tablets
  • Directions for use
  • Manual Signature
  • DEA registration #
    • Do not place on Rx for non-controlled substances
  • Refills - do not leave this blank
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13
Q

What does KY not require you to put on a Rx?

A

Dental license #

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14
Q

What does KASPER track?

A

Not you writing the Rx, but when the pt fills the Rx it is tracked

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15
Q

What must you do prior to the initial prescription of any controlled substance (schedule II, III, or “Listed” IV or V drugs)? (5)

A
  • Obtain a KASPER report (what was dispensed) for the previous 12 months of data for the pt.
  • Obtain a complete med hx and conduct a physical examination of the oral and maxillofacial area, and document the info in the pts dental record.
  • Make a written tx plan
  • Discuss risks and benefits of the use of controlled substances with the pt including the risk of tolerance and drug dependence
  • Obtain written consent for the treatment
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16
Q

What are the generic names of the C-III drugs?

A
  • Buprenorphine
  • Codeine + CA
  • Dihydrocodeine + CA

CA = combination analgesic (ASA, APAP, ibuprofen)

17
Q

When do you NOT need to obtain a KASPER report?

A
  • If you the dentist is Rxing a C-III or a “listed” C-IV or V drug after the performance of oral surgery provided no more than a 72 hr supply of such substance is Rx; or
  • You are Rxing a pre-appointment medication fo the tx of procedure anxiety provided the Rx is limited to a 2 day supply and has no refills
  • For a pt for drugs they will administer for performing IV sedation while the pt is in the office
18
Q

When do you not have to run a KASPER report when prescribing refills of a controlled substance?

A
  • 1 refill within 30 days of the initial Rx for the same substance for the same amount or less, or
  • Prescribe a lower schedule drug for the same amount without a clinical reevaulation of the pt by the dentist.
19
Q

What are the laws for a pt who requires additional refills or prescriptions for a controlled substance?

A
  • Pt shall be clinically reevaluated by the dentist
  • KASPER report
20
Q

What does ACME stand for?

A

Active Cumulative Morphine Equivalent

  • ACME >= 100 MME may warrant increased clinical vigilance
21
Q

What other information is available in KASPER?

A
  • Positive drug toxicity screen results related to a pts suspected OD treated in an ED
  • Data on a pts drug convictions
22
Q

I have a current KY Dental License and a DEA #, however, I am in the military, and/or I do not practice currently in KY. Do I still need to register with KASPER?

A

Yes

23
Q

Can I have an employee in my office obtain KASPER reports for my pts?

A

Yes, establish a separate delegate account

24
Q

How long are KASPER reports considered valid for making decisions regarding prescribing a controlled substance?

A

KASPER reports must be less than 3 months old

25
Q

Is a dentist required to inform the pt that a KASPER report will be generated?

A

No

26
Q

What do you do if a pt requires a prescription for a schedule II analgesic for today’s dental tx and you cannot obtain a KASPER report for the pt due to a system error or malfunction?

A

Yes

  • Document why you prescribed the drug
  • “Manual Process” = document the report request number in the pts chart
  • System unavailable = note the date and time

Clinical Pharmacology (9 decks)

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