Controlled substances Flashcards
What is a schedule I drug?
no accepted medical use in the US, high abuse potential
ex: heroin, cannabis, LSD
What is a schedule II drug?
accepted medical use for treatment w/ severe restrictions, high abuse potential
ex: oxy, hydro, amphetamine, codeine, cocaine
What is a schedule three drug?
abuse potential less, may lead to moderate or low dependence
ex: buprenorphine, dronabinol, codeineD
Do you need a license for prescription of buprenorphine?
yes, extra registration and licensure
What is a schedule IV drug?
low potential for abuse and may lead to limited dependence
ex: anxiolytics (carisoprodol, benzos, modafinil)
What is a schedule V drug?
low potential for abuse, limited dependence, may be OTC
ex: codeine
If you are writing a controlled substance what must you include?
address of patient, address of prescriber, prescriber’s DEA number
What are the 10 prescribing requirements?
- date
- name of patient
- prescriber’s name
- signature
- drug
- strength
- quantity
- directions
- refills
- substitution
In Missouri what are the Class II limitations?
1) can only prescribe hydrocodone products w/ limits on quantity
2) NON refillable
3) limited to 5 day or 120 hr supply
4) RX valid for 6 months from write date
In Missouri what are the CLass III limitations?
1) can prescribe w/ quantity limitations
2) no refills allowed from PA
3) RX valid for 6 months from write date
4) limited to 5 day or 120 hr supply
In MO what are the class IV and V limitations?
full authority – refill up to 6 months, RX valid for 6 months, 90 day supply limit
When writing as a PA, what must you include?
the name, telephone number, address of both physician and prescribing PA
How do hospital order prescriptions work?
medication order by prescriber –> pharmacist verifies –> nursing administers verified medication
What do you need to include in a CPOE?
medication, dosage form, dosage, frequency, specil instuctions, any PRNs
What is the default for BID?
0900 and 1700
What is q12h?
0900 and 2100
What is TID?
0900, 1300, 1700
What is q8h?
0900, 1700, 0100
On a CII prescription what can the pharmacist not change?
patients address/name, drug, provider name/signature
How can you prevent errors?
ensure correct patient w/ 2 identifiers, document age/weight or age/date, avoid abbreviations, avoid leading zero, avoid “resume”
CD/CR?
controlled delivery/release
IR
immediate release
LA
long acting
MR
modified release
SA
sustained action
XL
extended release
XT
extended release
What equation is used to estimate GFR?
cockroft-gault
CrCl=(140-age)xweight /72xSCR x.85 if female
What’s important about the Cockroft-Gault equation?
age, serum creatinine, weight
