Exam 1 Prescriptions Flashcards
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
Rx only
Drug category that does not require Rx b/c they are considered relatively safe to use without supervision
Over The Counter & Herbal
drug category that is regulated by Drug Enforcement Administration
Controlled substances
in South Carolina PA’s can prescribe which controlled drugs?
they can write II-V
what must PA’s in South Carolina do before prescribing controlled drugs
must register with DEA and DHEC
these controlled drugs have the highest potential for abuse
Schedule I Controlled Substances
there is No currently accepted medical use in treatment in the US for Schedule I Controlled Substances. This is regulated by the _______
Federal Government
Examples of Schedule I Controlled Substances
heroin lysergic acid diethylamide (LSD) marijuana (cannabis) peyote 3,4-methylenedioxymethamphetamine (“ecstasy”)
How are Schedule I Controlled Substances able to be prescribed?
State by state can deem some schedule 1 medically appropriate
What is the issue with prescribing Schedule I Controlled Substances in states that allow it?
Government could go in and arrest every doctor that perscribes it because federal law trumps state law
Controlled substance with High potential for abuse which may lead to severe psychological or physical dependence
Schedule II Controlled Substances
Examples of schedule II narcotic substances and their common name brand products
hydrocodone (Zohydro ER) hydromorphone (Dilaudid®) methadone (Dolophine®) meperidine (Demerol®) oxycodone (OxyContin®) fentanyl (Sublimaze® or Duragesic®)
Examples of schedule II stimulants
amphetamine (Dexedrine®, Adderall®)
methamphetamine (Desoxyn®)
methylphenidate (Ritalin®)
cocaine is an example of what type of controlled substance?
Schedule II Controlled Substances
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.
Schedule III Controlled Substances
Hormone replacement testosterone is an example of what type of controlled substance?
Schedule III Controlled Substances
Examples of schedule III narcotics
products containing not more than 90 milligrams of codeine per dosage unit (Tylenol with codeine®)
Examples of schedule III non-narcotics
benzphetamine (Didrex®)
phendimetrazine
ketamine
anabolic steroids such as oxandrolone (Oxandrin®)
Low potential for abuse relative to substances in schedule III.
Schedule IV Controlled Substances
Examples of Schedule IV Controlled Substances
alprazolam (Xanax®) clonazepam (Klonopin®) clorazepate (Tranxene®) diazepam (Valium®) lorazepam (Ativan®) midazolam (Versed®) temazepam (Restoril®) triazolam (Halcion®)
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.
Schedule V Controlled Substances
examples of Schedule V Controlled Substances
cough preparations containing not more than 200 milligrams of codeine per 100 milliliters or per 100 grams (Robitussin AC® and Phenergan with Codeine®)
What is a Prescription?
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
difference between a medication order and prescription?
medication orders typically are referring to inpatient settings (e.g., hospital, nursing home)
these can not to be taken in an outpatient setting and there is no need for refills/quantity
Medication Order
these are to be taken/administered as an outpatient
Rx
Under South Carolina State Law, all prescriptions should contain (9 things)
- Full name and address of the patient
- Name, address, telephone #, license #, and degree classification of the prescriber
- If applicable, supervising physician’s name
- Drug Enforcement Agency # for controlled drugs
- Date of issuance
- Name, strength, and quantity of drug
- Directions for use
- Number of refills authorized
- Signature of prescriber (if telephone order, the name of prescriber and name of proxy when applicable)
when writing prescriptions you should avoid using _____.
abbreviations for drug names
in 2001, the joint commission issued a ________ on the subject of medical abbreviations
Sentinel Event Alert
When writing Multiple Rxs on Same Rx you should do (5 things)
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.
to write controlled substances in SC, Every applicable PA must register with?
DEA (Drug Enforcement Agency) and DHEC (Dept. of Health and Environmental Control)
To write controlled substances, you Must complete specific CME. how much initially and how much after?
15 hrs initial, then 4 hours every 2 years
what will be assigned to registrants and must be provided on all prescriptions for controlled substances?
DEA identification number
SC Reporting and Identification Prescription Tracking System
SCRIPTS
What does the SCRIPTS website contain?
A record of all retail and outpatient hospital dispensing of CS II-IV
A physician assistant’s prescriptive authorization may be terminated by the board if the physician assistant does these (3 things)
(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
can Schedule II Controlled Substances have refills?
no
how much can a PA prescribe of a Schedule II Controlled Substance
31-day supply max with no refills
how much can a PA prescribe of a Schedule III-IV Controlled Substance
90-day supply max with up to 5 refills in six months
how much can a PA prescribe of a Schedule V Controlled Substance
C-V: as authorized by practitioner
