Controlled substances Flashcards

1
Q

What is a schedule I drug?

A

no accepted medical use in the US, high abuse potential
ex: heroin, cannabis, LSD

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2
Q

What is a schedule II drug?

A

accepted medical use for treatment w/ severe restrictions, high abuse potential
ex: oxy, hydro, amphetamine, codeine, cocaine

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3
Q

What is a schedule three drug?

A

abuse potential less, may lead to moderate or low dependence
ex: buprenorphine, dronabinol, codeineD

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4
Q

Do you need a license for prescription of buprenorphine?

A

yes, extra registration and licensure

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5
Q

What is a schedule IV drug?

A

low potential for abuse and may lead to limited dependence
ex: anxiolytics (carisoprodol, benzos, modafinil)

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6
Q

What is a schedule V drug?

A

low potential for abuse, limited dependence, may be OTC
ex: codeine

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7
Q

If you are writing a controlled substance what must you include?

A

address of patient, address of prescriber, prescriber’s DEA number

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8
Q

What are the 10 prescribing requirements?

A
  1. date
  2. name of patient
  3. prescriber’s name
  4. signature
  5. drug
  6. strength
  7. quantity
  8. directions
  9. refills
  10. substitution
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9
Q

In Missouri what are the Class II limitations?

A

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

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10
Q

In Missouri what are the CLass III limitations?

A

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

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11
Q

In MO what are the class IV and V limitations?

A

full authority – refill up to 6 months, RX valid for 6 months, 90 day supply limit

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12
Q

When writing as a PA, what must you include?

A

the name, telephone number, address of both physician and prescribing PA

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13
Q

How do hospital order prescriptions work?

A

medication order by prescriber –> pharmacist verifies –> nursing administers verified medication

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14
Q

What do you need to include in a CPOE?

A

medication, dosage form, dosage, frequency, specil instuctions, any PRNs

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15
Q

What is the default for BID?

A

0900 and 1700

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16
Q

What is q12h?

A

0900 and 2100

17
Q

What is TID?

A

0900, 1300, 1700

18
Q

What is q8h?

A

0900, 1700, 0100

19
Q

On a CII prescription what can the pharmacist not change?

A

patients address/name, drug, provider name/signature

20
Q

How can you prevent errors?

A

ensure correct patient w/ 2 identifiers, document age/weight or age/date, avoid abbreviations, avoid leading zero, avoid “resume”

21
Q

CD/CR?

A

controlled delivery/release

22
Q

IR

A

immediate release

23
Q

LA

A

long acting

24
Q

MR

A

modified release

25
Q

SA

A

sustained action

26
Q

XL

A

extended release

27
Q

XT

A

extended release

28
Q

What equation is used to estimate GFR?

A

cockroft-gault
CrCl=(140-age)xweight /72xSCR x.85 if female

29
Q

What’s important about the Cockroft-Gault equation?

A

age, serum creatinine, weight