Prescription Writing

Question 1

What is the purpose of a prescription

Answer 1

its the written direction for the preparation and administration of a medication for the treatment, prevention, or diagnosis of diseases

Question 2

What was the purpose of the Durham-Humphrey Amendment of 1951

Answer 2

dividing medication into two categories

1. safely used without medical supervision (OTC)
2. only safely used with appropriate monitoring (prescription)

Question 3

The responsibility for proper prescribing is upon the prescriber, but a corresponding responsibility rests with who

Answer 3

the pharmacist

Question 4

True or False

The pharmacist has the responsibility to refuse a prescription that is unsafe or seems inappropriate

Answer 4

True

Question 5

What is a prerequisite for a prescription

Answer 5

a legitimate patient-provider relationship including; chief complaint, diagnostic studies, history of present illness and diagnosis, medical history, and physical exam

Question 6

What are some prescriptions not appropriate for a dentist to prescribe

Answer 6

birth control pills
anti-hypertensives
hypoglycemics

Question 7

What is the Comprehensive Drug Abuse Control Act of 1970

Answer 7

It created a schedule for certain prescriptions, allowing for close tracking and supervision; dependent upon medical use and the ability to lead to psychological or physical dependence

Question 8

What is the Drug Enforcement Agency

Answer 8

created in 1971 to coordinate all federal efforts related to drug abuse

Question 9

This type of substance requires registration with the DEA and some individual states (not Ohio) may also require a separate registration

Answer 9

controlled substances

Question 10

A DEA # is required for patient prescriptions for which schedule of medications

Answer 10

II, III, and IV

Question 11

Which schedule of medication have a high abuse potential and have no accepted medical use

Answer 11

schedule I

Question 12

What are some examples of schedule I drugs

Answer 12

heroin
LSD
Marijuana (in most states; Ohio)

Question 13

Which schedule is there a high abuse potential/severe dependency risk physically and psychologically but is accepted for medical use

Answer 13

schedule II

Question 14

What are some examples of schedule II drugs

Answer 14

oxycodone
amphetamine (adderall)
oxycodone preparations
hydrocodone preparations (NEW Aug14)

Question 15

Which schedule is there a moderate dependency risk

Answer 15

schedule III

Question 16

What are some examples of schedule III drugs

Answer 16

Buprenophine (subutex)
codeine preparations; <90mg/dose
ketamine

Question 17

Which schedule is there a lower dependency risk

Answer 17

schedule IV

Question 18

What are some examples of schooled IV drugs

Answer 18

benzodiazepines; valium, xanax
darvocet
tramadol

Question 19

Which schedule is there a limited abuse potential generally used for antidirrheal, antitussive, and analgesic purposes

Answer 19

Scheulde V

Question 20

What is the “start talking” program

Answer 20

where narcotic prescribers communicate the risks of addiction with parents/guardians of minors (under 21)

Question 21

This is required for state license registration

Answer 21

DEA registration number

Question 22

What are the requirements of a prescription regarding the prescriber

Answer 22

name
professional title
address
telephone

Question 23

What are the requirements of a prescription regarding the patient

Answer 23

full name
address
telephone
DOB

Question 24

This is the traditional symbol for the prescription, used to align other parts of the prescription

Answer 24

“Rx”

superscription

Question 25

This part of the prescription provides specific drug information for the preparation (and what)

Answer 25

``` inscription; drug name dose dose form manufactured vs. compounded ```

Question 26

This part of the prescription provides the directions to the pharmacist

Answer 26

subscription; quantity to be dispensed any special compounding instruction

Question 27

Why is it important to write in words the quantity of the prescription to be filled (i.e. twenty)

Answer 27

so that the patient cannot add an extra zero or such

Question 28

This part of the prescription provides instructions to the patient

Answer 28

``` transcription; number of dosage units per dose route of administration frequency of dosing duration of dosing purpose of the medication special instruction precautions and warnings ```

Question 29

This is important to ensure this is on the prescription

Answer 29

proper date; "dated as of and on the day when issued" | no post-dating

Question 30

When are typical expirations dates for prescriptions

Answer 30

typically expire after one year | schedule II, III, IV and V expire at 6 months

Question 31

What are the specifics about the "refillability" of schedule III and IV prescriptions

Answer 31

refillable up to 5 times in a 6 month period valid 12 months from date of issue may be faxed may be given as a verbal or telephone prescription

Question 32

What are the specifics about the "refillability" of schedule II prescriptions

Answer 32

not refillable valid 6 months from date of issuance must be signed by the practitioner

Question 33

What are two characteristics of using abbreviations in prescription writing

Answer 33

use only standardized abbreviations | use latin abbreviations appropriately

Question 34

What are four things to make sure you tell the patient

Answer 34

the name of the drug the purpose of the drug warn the patient of side effects stress compliance and/or special concerns

Question 35

It is important to check this for possible drug interactions

Answer 35

the patient's current Rx list

Question 36

What are two important things to verify

Answer 36

that the patient is not allergic to the prescription or related medications that the prescription has been written correctly

Question 37

What are eight things to keep in mind when prescribing

Answer 37

``` allergies drug interactions compliance weight metabolism organ systems (renal/hepatic) ```

Question 38

What are characteristics of narcotic analgesics

Answer 38

the maximum recommended dose of narcotic may not be effective for certain individuals

Question 39

What are three things to keep in mind regarding the patient and narcotic analgesics

Answer 39

patients managed for chronic pain history of substance abuse/dependency enzyme induction

Question 40

What are characteristics of opioid analgesics

Answer 40

the maximum number of tables for an opioid combination is usually determined by the maximum dose of the non-opioid component; acetaminophen, aspirin, NSAIDs

Question 41

For what time frame should narcotic analgesics be used for

Answer 41

a limited time only

Question 42

If the patient calls to request a refill what should you do

Answer 42

they should be seen for re-evaluation to check for muscle pain, hematoma, and infection