RVT - Prescribing and Dispensing Flashcards
(39 cards)
In describing a drug, what does ‘generic’ refer to?
the ‘Generic’ name is the scientific, official, non-proprietary name. ie; Enrofloxacin
In describing a drug, what does the chemical name refer to?
The chemical name describes the chemical composition that makes up the drug.
Only found in drug inserts
What does a veterinary/client/patient relationship refer to and why is its significance in reference to drug dispensing?
It is required that any prescribing veterinarian must have an ongoing client/patient relationship in order to prescribe or dispense a drug. The veterinarian must have examined the pet.
What classifies a drug as a ‘controlled substance’?
Potential for human abuse or misuse
All drugs are potential poisons if…..
- administered via the wrong route
- given to the wrong patient
- given in the wrong dosage
- inappropriate concentration
- given to wrong species
- given to food animals/withdrawal time considerations
What governing body ensures consistency, efficacy and quality of drugs?
FDA
food and drug administration ( Health Canada )
What are considered ‘Schedule 1’ drugs?
Controlled drugs that have the highest risk of dependency, abuse and adverse reactions.
ie; phenobarbital, diazepam, ketamine
What drugs are considered ‘Schedule II’ drugs?
Drugs that possess a high/moderate potential for abuse/misuse
Generally administered in a medical setting by Iv administration.
ie; heparin, diphenhydramine, bupivicaine, iv vitamins
What drugs would be considered ‘Schedule III’ drugs?
Drugs whose chronic use may delay or mask serious disease.
Moderate risk of abuse, abuse or dependency.
ie; lactulose, nsaids, hydrocortisone
What drugs are considered ‘Unscheduled’?
Over the counter drugs and compounded drugs
What does ‘ELDU’ refer to?
Extra label drug use. This is a classification determined by the CVO in reference to any compounded drug as well as any drug that is a human drug being used in veterinary medicine.
What do the ‘controlled drug’ classes refer to?
Five classes of drugs based on the potential for abuse as established by the controlled drug and substances act.
When recording in a controlled drug log, what information must be addressed?
Date Clients name and address Pets name Drug prescribed Quantity Initials of dispenser Running total
RX to a pharmacy must include what info?
DVM’s name and licence # address and phone #
Clients name, address, Patients name and species
Date, dosing instructions, refills, Signature of DVM
What information will we find on a drug insert?
Indications, Precautions, Contraindications, Overdose, Storage and administration, dosage, warnings, tech and scientific info.
What does shelf life refer to?
The time where a given product stored under appropriate conditions, is expected to remain stable at a >90% potency.
What does ‘Therapeutic range’ refer to?
The concentration of the drug in the body that produces the desired affect with minimal or no signs of toxicity.
What does a small margin of safety refer to?
If the drugs affective dose is close to lethal/toxic.
= higher therapeutic index
What does a ‘Large margin of safety’ refer to?
That the lethal/toxic dose is much larger than the effective dose.
Higher therapeutic index ( a larger dose will produce the desired affect)
What is a loading dose?
Initial dose to get the drug up to the therapeutic range.
What is a maintenance dose?
The dose that keeps the drug in the therapeutic range
What does ‘dosage’ refer to?
Amount of drug per body weight or measure.
What is the ‘drug interval’?
How frequently the drug is given
What is the ‘dosage regime?’
Dosage + dosage interval
Therapeutic levels rely on this