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MUSC Pharmacology > Exam 1 Prescriptions > Flashcards

Exam 1 Prescriptions Flashcards

1
Q

Drug category that requires a prescription b/c it is considered potentially harmful if not used under the supervision of a licensed health care practitioner

A

Rx only

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2
Q

Drug category that does not require Rx b/c they are considered relatively safe to use without supervision

A

Over The Counter & Herbal

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3
Q

drug category that is regulated by Drug Enforcement Administration

A

Controlled substances

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4
Q

in South Carolina PA’s can prescribe which controlled drugs?

A

they can write II-V

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5
Q

what must PA’s in South Carolina do before prescribing controlled drugs

A

must register with DEA and DHEC

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6
Q

these controlled drugs have the highest potential for abuse

A

Schedule I Controlled Substances

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7
Q

there is No currently accepted medical use in treatment in the US for Schedule I Controlled Substances. This is regulated by the _______

A

Federal Government

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8
Q

Examples of Schedule I Controlled Substances

A 
heroin
lysergic acid diethylamide (LSD)
marijuana (cannabis)
peyote
3,4-methylenedioxymethamphetamine (“ecstasy”)
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9
Q

How are Schedule I Controlled Substances able to be prescribed?

A

State by state can deem some schedule 1 medically appropriate

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10
Q

What is the issue with prescribing Schedule I Controlled Substances in states that allow it?

A

Government could go in and arrest every doctor that perscribes it because federal law trumps state law

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11
Q

Controlled substance with High potential for abuse which may lead to severe psychological or physical dependence

A

Schedule II Controlled Substances

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12
Q

Examples of schedule II narcotic substances and their common name brand products

A 
hydrocodone (Zohydro ER)
hydromorphone (Dilaudid®)
methadone (Dolophine®)
meperidine (Demerol®)
oxycodone (OxyContin®)
fentanyl (Sublimaze® or Duragesic®)
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13
Q

Examples of schedule II stimulants

A

amphetamine (Dexedrine®, Adderall®)
methamphetamine (Desoxyn®)
methylphenidate (Ritalin®)

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14
Q

cocaine is an example of what type of controlled substance?

A

Schedule II Controlled Substances

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15
Q

Controlled substance with Potential for abuse less than substances in schedules I or II and abuse may lead to moderate or low physical dependence or high psychological dependence.

A

Schedule III Controlled Substances

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16
Q

Hormone replacement testosterone is an example of what type of controlled substance?

A

Schedule III Controlled Substances

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17
Q

Examples of schedule III narcotics

A

products containing not more than 90 milligrams of codeine per dosage unit (Tylenol with codeine®)

18
Q

Examples of schedule III non-narcotics

A

benzphetamine (Didrex®)
phendimetrazine
ketamine
anabolic steroids such as oxandrolone (Oxandrin®)

19
Q

Low potential for abuse relative to substances in schedule III.

A

Schedule IV Controlled Substances

20
Q

Examples of Schedule IV Controlled Substances

A 
alprazolam (Xanax®)
clonazepam (Klonopin®)
clorazepate (Tranxene®)
diazepam (Valium®)
lorazepam (Ativan®)
midazolam (Versed®)
temazepam (Restoril®)
triazolam (Halcion®)
21
Q

Low potential for abuse relative to substances listed in schedule IV and consist primarily of preparations containing limited quantities of certain narcotics. These are generally used for antitussive, antidiarrheal, and analgesic purposes.

A

Schedule V Controlled Substances

22
Q

examples of Schedule V Controlled Substances

A

cough preparations containing not more than 200 milligrams of codeine per 100 milliliters or per 100 grams (Robitussin AC® and Phenergan with Codeine®)

23
Q

What is a Prescription?

A

Written, verbal, or electronic order from a practitioner or designated agent to a pharmacist for a particular medication, product, or device for a specific patient

24
Q

difference between a medication order and prescription?

A

medication orders typically are referring to inpatient settings (e.g., hospital, nursing home)

25
Q

these can not to be taken in an outpatient setting and there is no need for refills/quantity

A

Medication Order

26
Q

these are to be taken/administered as an outpatient

A

Rx

27
Q

Under South Carolina State Law, all prescriptions should contain (9 things)

A
  1. Full name and address of the patient
  2. Name, address, telephone #, license #, and degree classification of the prescriber
  3. If applicable, supervising physician’s name
  4. Drug Enforcement Agency # for controlled drugs
  5. Date of issuance
  6. Name, strength, and quantity of drug
  7. Directions for use
  8. Number of refills authorized
  9. Signature of prescriber (if telephone order, the name of prescriber and name of proxy when applicable)
28
Q

when writing prescriptions you should avoid using _____.

A

abbreviations for drug names

29
Q

in 2001, the joint commission issued a ________ on the subject of medical abbreviations

A

Sentinel Event Alert

30
Q

When writing Multiple Rxs on Same Rx you should do (5 things)

A

ALWAYS write legibly.
ALWAYS space out words and numbers to avoid confusion.
ALWAYS complete medication orders.
AVOID unclear abbreviations.
HELP your pharmacist ensure safe therapies by noting use, patient weight, age, and drug allergies or sensitivities.

31
Q

to write controlled substances in SC, Every applicable PA must register with?

A

DEA (Drug Enforcement Agency) and DHEC (Dept. of Health and Environmental Control)

32
Q

To write controlled substances, you Must complete specific CME. how much initially and how much after?

A

15 hrs initial, then 4 hours every 2 years

33
Q

what will be assigned to registrants and must be provided on all prescriptions for controlled substances?

A

DEA identification number

34
Q

SC Reporting and Identification Prescription Tracking System

A

SCRIPTS

35
Q

What does the SCRIPTS website contain?

A

A record of all retail and outpatient hospital dispensing of CS II-IV

36
Q

A physician assistant’s prescriptive authorization may be terminated by the board if the physician assistant does these (3 things)

A

(1) practices outside the written scope of practice guidelines;
(2) violates any state or federal law or regulation applicable to prescriptions; or
(3) violates a state or federal law applicable to physician assistants

37
Q

can Schedule II Controlled Substances have refills?

A

no

38
Q

how much can a PA prescribe of a Schedule II Controlled Substance

A

31-day supply max with no refills

39
Q

how much can a PA prescribe of a Schedule III-IV Controlled Substance

A

90-day supply max with up to 5 refills in six months

40
Q

how much can a PA prescribe of a Schedule V Controlled Substance

A

C-V: as authorized by practitioner

MUSC Pharmacology (10 decks)

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