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SP15 Oral Surgery > Prescription Writing > Flashcards

Flashcards in Prescription Writing Deck (42)
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1
Q

What is the purpose of a prescription

A

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

2
Q

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

A

dividing medication into two categories

  1. safely used without medical supervision (OTC)
  2. only safely used with appropriate monitoring (prescription)
3
Q

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

A

the pharmacist

4
Q

True or False

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

A

True

5
Q

What is a prerequisite for a prescription

A

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

6
Q

What are some prescriptions not appropriate for a dentist to prescribe

A

birth control pills
anti-hypertensives
hypoglycemics

7
Q

What is the Comprehensive Drug Abuse Control Act of 1970

A

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

8
Q

What is the Drug Enforcement Agency

A

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

9
Q

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

A

controlled substances

10
Q

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

A

II, III, and IV

11
Q

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

A

schedule I

12
Q

What are some examples of schedule I drugs

A

heroin
LSD
Marijuana (in most states; Ohio)

13
Q

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

A

schedule II

14
Q

What are some examples of schedule II drugs

A
oxycodone
amphetamine (adderall)
oxycodone preparations
hydrocodone preparations (NEW Aug14)
15
Q

Which schedule is there a moderate dependency risk

A

schedule III

16
Q

What are some examples of schedule III drugs

A

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

17
Q

Which schedule is there a lower dependency risk

A

schedule IV

18
Q

What are some examples of schooled IV drugs

A

benzodiazepines; valium, xanax
darvocet
tramadol

19
Q

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

A

Scheulde V

20
Q

What is the “start talking” program

A

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

21
Q

This is required for state license registration

A

DEA registration number

22
Q

What are the requirements of a prescription regarding the prescriber

A

name
professional title
address
telephone

23
Q

What are the requirements of a prescription regarding the patient

A

full name
address
telephone
DOB

24
Q

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

A

“Rx”

superscription

25
Q

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

A
inscription; 
drug name
dose 
dose form
manufactured vs. compounded
26
Q

This part of the prescription provides the directions to the pharmacist

A

subscription;
quantity to be dispensed
any special compounding instruction

27
Q

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

A

so that the patient cannot add an extra zero or such

28
Q

This part of the prescription provides instructions to the patient

A
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
29
Q

This is important to ensure this is on the prescription

A

proper date; “dated as of and on the day when issued”

no post-dating

30
Q

When are typical expirations dates for prescriptions

A

typically expire after one year

schedule II, III, IV and V expire at 6 months

31
Q

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

A

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

32
Q

What are the specifics about the “refillability” of schedule II prescriptions

A

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

33
Q

What are two characteristics of using abbreviations in prescription writing

A

use only standardized abbreviations

use latin abbreviations appropriately

34
Q

What are four things to make sure you tell the patient

A

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

35
Q

It is important to check this for possible drug interactions

A

the patient’s current Rx list

36
Q

What are two important things to verify

A

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

37
Q

What are eight things to keep in mind when prescribing

A
allergies
drug interactions
compliance
weight
metabolism
organ systems (renal/hepatic)
38
Q

What are characteristics of narcotic analgesics

A

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

39
Q

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

A

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

40
Q

What are characteristics of opioid analgesics

A

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

41
Q

For what time frame should narcotic analgesics be used for

A

a limited time only

42
Q

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

A

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