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Flashcards in MPJE Deck (18):
1

Limitations to pharmacist ordering medications for a patient

No PO meds for pregnant women
No injectables
Limit to 34 day supply
Dose cannot exceed manufacturers recommendations

2

What must be documented in the patient profile when a pharmacist is ordering for a patient

Patient's chief complaint or condition in patient's own words
Statement regarding patient's medical history
Statement regarding patient's current complaint which may include onset, duration, or frequency of problem
Medicinal drug product ordered and dispensed
Pharmacist ordering and dispensing drug shall initial the profile
Prescription number shall be recorded

3

Can pharmacy interns order for patients?

NO pharmacists only

4

What may pharmacists order in Florida? Oral analgesics

Oral analgesics for mild to moderate pain (ibuprofen, naproxen, naproxen sodium): not to exceed 6 day supply, shall be labeled with take with food or milk if appropriate

5

What may pharmacists order in Florida? Urinary analgesic

Urinary analgesic: phenazopyridine not to exceed 2 day supply (must be labeled with tendency to discolor urine, if appropriate shall be labeled to take after meals)

6

What may pharmacists order in Florida? otic analgesics

antipyrine 5.4%, benzocaine 1.4%, glycerin

Only if clinical signs or symptoms of tympanic membrane perforation do not exist

Label to be used in the ear only

7

What may pharmacists order in Florida? anti nausea

Meclizine 25 mg as long as they're not on other CNS depressants

Scopolamine not to exceed 1.5 mg/patch (warn to seek medical attention if eye pain, redness, or decreased vision develops)

8

What may pharmacists order in Florida? antihistamiens

6yo+ only

Diphenhydramine
Carbinoxamine
Pyrilamine
Dexchlorpheniramine
Brompheniramine

Pharmacist shall warn the patient that an antihistamine should not be used by patients with bronchial asthma or lower respiratory symptoms, glaucoma, cardiovascular disorders, hypertension, prostate conditions and urinary retention

Labeled to advise patient of drowsiness and caution against the concomitant use with alcohol or other depressants

9

What may pharmacists order in Florida? Decongestants

Phenylephrine
Azatadine

Do not order for patient with coronary artery disease, angina, hyperthyroidism, diabetes, glaucoma, prostate conditions, hypertension, or a patient currently using an MAO-I

10

What may pharmacists order in Florida? topical antifungal/antibacterials

Iodochlorhydroxyquin with 0.5% hydrocortisone (not to exceed 20 g, label with warning of staining potential)
Haloprogin 1%
Clotrimazole topical cream and lotion
Erythromycin topical

Warn patient not to use near deep or puncture wounds and avoid contact with eyes or mucous membranes

11

What may pharmacists order in Florida? topical anti-inflammatory

Hydrocortisone 2.5% (or less)

Shall warn the patient that it should not be used on bacterial, viral, fungal infections or by patients with impaired circulation

Prescription shall be labeled to advise the patient to avoid contact with eyes, mucous membranes or broken skin

12

What may pharmacists order in Florida? otic antifungal/antibacterial

Acetic acid 2% labeled for use in ears only

13

What may pharmacists order in Florida? keratolytics

Salicylic acid 16.7% and lactic acid 16.7% in flexible colloidin to be applied to warts except for patients under 2 years of age and those with diabetes or impaired circulation

Label to avoid contact with normal skin, eyes, and mucous membranes

14

What may pharmacists order in Florida? vitamins with fluoride

May be ordered when fluoride in water < 0.5 ppm
Folic acid not to exceed 0.9 mg

15

What may pharmacists order in Florida? lice treatment

Lindane
Limit to treating head lice only
Order no more than 4 ounces per person
Provide patient with appropriate instructions and precautions for use

16

What may pharmacists order in Florida? H2 antagonists

Cimetidine, famotidine, ranitidine
Seek medical attention if symptoms persist longer than 14 days or if stools darken or contain blood

17

What may pharmacists order in Florida? Acne products

Benzoyl peroxide
Prescription shall be labeled to advise the patient to avoid use on the eye, eyelid, or mucous membranes

18

What may pharmacists order in Florida? topical antivirals

Acyclovir ointment or penciclovir