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Prescription Writing Flashcards

(57 cards)

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1
Q

Who is the prescriber?

A

The person who writes the prescription or prescribes

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2
Q

The definition of prescribe

A

To write or give medical prescriptions; to designate or order the use of a remedy

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3
Q

What does it mean to dispense?

A

To prepare and distribute a medication

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4
Q

What does it mean to administer?

A

To prepare and give a medication

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5
Q

What is compounding?

A

The practice of combining, mixing, or altering ingredients of a drug to create a medication tailored to the needs of an individual patient

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6
Q

What are the traditional components of a prescription?

A

Superscription, Inscription, Subscription, Signature

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7
Q

What are the 6 key elements of a written prescription?

A
  1. Prescriber
  2. Supervising physician
  3. Prescription
  4. Controlled Substance
  5. Brand/Interchange
  6. Patient
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8
Q

What are some medication forms?

A

Cap-capsules and Tab-tablets

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9
Q

What are some routes of administration for meds?

A

PO, IM, SC, IV, PR, SL, TD

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10
Q

QD

A

Daily

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11
Q

QOD

A

Every other day

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12
Q

BID

A

Twice daily

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13
Q

TID

A

Three times daily

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14
Q

QID

A

Four times daily

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15
Q

AC

A

Before meals

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16
Q

HS

A

At bedtime

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17
Q

PRN

A

As needed

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18
Q

QHS

A

At bedtime daily

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19
Q

Schedule 1 drugs

A

No current accepted medical use, high potential for abuse, most dangerous with severe psychological or physical dependence

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20
Q

Schedule 1 drug examples

A

Heroin, LSD, Cannabis, Ecstacy

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21
Q

Schedule 2 drugs

A

High potential for abuse, also considered dangerous

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22
Q

Examples of schedule 2 drugs

A

Products with less than 15 mg of hydrocodone per dosage unit (Vicodin, Norco), cocaine, methamphetamine, methadone, hydromorphone, meperidine

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23
Q

Schedule 3 drugs

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A

Moderate to low potential for physical and psychological dependence

24
Q

Examples of schedule 3 drugs

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A

Products with less than 90 mg of codeine per dosage unit (Tylenol with codeine), ketamine, anabolic steroids, testosterone

25
Schedule 4 drugs
Low potential for abuse and low risk for dependence
26
Examples of schedule 4 drugs
Xanax, soma, Darvon, Darvocet, Valium, Ativan, Ambien, Tramadol
27
Schedule 5 drugs
Generally used for antidiarrheal, antitussive, and analgesic purposes
28
Examples of schedule 5 drugs
Cough preparations with less than 200mg of codeine per 100 ml (Robitussin), Lomotil, Lyrica, Parepectolin
29
What is schedule 6?
State defined; not federal
30
Can you give refills on narcotics?
No! NR (No refill)
31
What is the superscription in an Rx?
Identifying info of the patient and prescriber
32
What is the inscription in an Rx?
Name of the med, dose, quantity, ingredient, dosage form
33
What is the subscription in an Rx?
Directions for use of medication
34
What is the signature in an Rx?
Provider name, signature, number of refills
35
What percentage of prescriptions are sent electronically?
40%
36
T or F, in order to obtain a prescription, the pt or representative must pick it up at the office?
False
37
Verbal prescriptions
Cannot prescribe schedule 2, schedule 3-5must be written and filed with pharmacy w/in 7 days
38
Fax prescriptions
Can fax schedule 2 but need HARD COPY in hand in order to DISPENSE. 3-6 approved no hard copy needed
39
E-prescribing
Federal law prohibits eprescribing of schedule 2 through 5 controlled substances
40
Schedule 2 drugs can only be issued for how long of a supply?
30 day supply EXCEPT Ritalin and Adderall can be given up to 60-day supply
41
What are the dispense supply rules for drug schedules 3-4?
30-day prescriptions can be refilled up to 5 times w/in 6 mos but need INDICATION written
42
What are the dispense supply rules for drug schedules 5-6?
30-day supply or 90-day supply if part of manufacturer's indigent drug program, refills authorized by provider, dictated by insurance usually expires within a year
43
What is the recommendation for re-evaluation of pt on schedule 2 drug?
Once very 4 mos or as often as possible
44
What is the recommendation for re-evaluation of pt on schedule 3-6 drugs?
At least once every 6 mos
45
MassPat is to prevent what from happening?
"Doctor shopping"
46
All providers are required to use MassPat for the following:
Prior to prescribing 2-5 drugs for first time and every time for 2 and 3
47
What is an exception to the prescription monitoring program?
In ER if your prescribing a med for less than 5 days
48
What are some high profile medications for chronic pain management?
Methadone, Buprenorphine (Subutex), Suprenorphine/Naloxone (Suboxone)
49
Can high profile meds for chronic pain be prescribed?
Yes, for pain management only, must indicate FOR PAIN on Rx
50
Who can dispense Methadone for addiction?
An opioid treatment program ONLY
51
How do patients get the Methadone dose?
Have to visit the treatment center daily
52
Who can prescribe Methadone for addiction?
MD; a PA/NP are authorized to order "dispension"
53
Can a PA write a prescription for Methadone?
Yes, if indicated FOR PAIN, cannot if it is for ADDICTION
54
What is DATA
Drug Addiction Treatment Act of 2000
55
DATA
Permits physicians who meet certain qualifications to treat opioid dependency with narcotic meds approved by FDA
56
What is CARA?
Comprehensive Addiction and Recovery Act of 2016
57
CARA expanded the providing privileges to who?
PA and NP for 5 years

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