2: Charting and Prescription Writing - Mahoney

Question 1

where do lab tests and radiologic evalations go in the SOAP note?

Answer 1

objective or plan

Question 2

8 major parts of prescription

Answer 2

date 
name
superscription
inscription
subscription
signa
renewal
signature

Question 3

SISSY

Answer 3

superscription
inscription
subscription
signa
your signature

Question 4

which drugs can never be renewed without a new written prescription

Answer 4

oxycodone

hydrocodone

Question 5

the Rx

Answer 5

superscription

Question 6

name and strength of drug

Answer 6

inscription

Question 7

directions to the pharmacist

Answer 7

subscription

includes dosage form and is usally preced by disp

Question 8

directions to patient

Answer 8

signa

instructions as to the route of administration, the amount of drug to be taken, and the time and frequency of the dose

Question 9

a.c.

Answer 9

ante cibos

before meals

Question 10

b.i.d.

Answer 10

bis in die

twice a day

Question 11

caps.

Answer 11

capsula

capsules

Question 12

c

Answer 12

cum

with

Question 13

gtt.

Answer 13

gutta

drops

Question 14

H.S.

Answer 14

hora somni

at bedtime

Question 15

p.o.

Answer 15

per os

by mouth

Question 16

p.c.

Answer 16

post cibos

after meals

Question 17

p.r.n.

Answer 17

pro re nata

when necessary (as needed)

Question 18

q.

Answer 18

quaque

each, every

Question 19

q.i.d.

Answer 19

quarter in die

four times daily

Question 20

stat.

Answer 20

statim

immediately

Question 21

tab

Answer 21

tabella

tablet

Question 22

t.i.d.

Answer 22

ter in die

three times daily

Question 23

I.V.

Answer 23

intravenous

Question 24

subQ

Answer 24

subcutaneous

Question 25

I.M.

Answer 25

intramuscular

Question 26

h.

Answer 26

hora

hour

Question 27

teaspoon =

Answer 27

5 cc or 5 ml

Question 28

tablespoon =

Answer 28

15 cc or 15 m;

Question 29

1 oz = _____ ml

Answer 29

30

Question 30

1 pint = _______ ml

Answer 30

473

Question 31

renewal requirements for sched. III or IV drugs

Answer 31

no more than 5 times w/i 6 mo of date of issue and can be prescribed over the phone or via fax

Question 32

can sched.II drugs be renewed?

Answer 32

may not be renewed adn cannot be phoned or faxed to pharmacy

however, 3 separate 30 day supply prescriptions for schedule II drugs and submit to pharmacy with same date on each prescription

Question 33

“take as directed”

Answer 33

NEVER write this

Question 34

when do you use a zero

Answer 34

before a decimal point but never as a trailing zero

Question 35

what law do you follow?

Answer 35

the strictest law regardless of governmental level, always takes precedence unless federal law is preemptive

Question 36

heroin
marijuana
LSD
mescaline

Answer 36

schedule I

high abuse no med use

no prescription

Question 37

opioid
amphetamines
sedatives

Answer 37

schedule II

high abuse potential with severe psychological or physical dependence liability

must be WRITTEN prescription

Question 38

codeine sulfate
codeine phosphate
oxycodone Hcl
hydrocodone
ritalin

Answer 38

schedule II

Question 39

codeine phosphate + acetaminophen (tylenol w/ codeine)

anabolic steroids

Answer 39

schedule III

Question 40

phenobarbital
chloral hydrate
lirium
valium
serax
klonopin
ativan

Answer 40

schedule IV

potential for limited physical or psychological dependence

Question 41

codeine containing cough mixtures

Answer 41

schedule V

may be dispensed w/o prescription in certain states

Question 42

DEA number?

Answer 42

federal registration number

must be written on each prescription for schedule II-IV drugs

in some states also V

Question 43

morphine

Answer 43

sched. II

Question 44

5 most common drugs implicated in adverse events

Answer 44

vicodin
ibuprofen
acetaminophen
cephalexin
penicillin

Question 45

4 most commonly mishandled drugs leading to errors by physicians

Answer 45

vancomycin
morphine
cefazolin
acetaminophen

Question 46

factors that led to adverse event

Answer 46

• failure to detect a disease state contraindication to the drug therapy
• failure to detect a significant drug interaction
• failure to detect a significant drug allergy
• failure to prescribe the correct dose
• failure to monitor drugs with narrow therapeutic indices
• patient knowledge deficits