Exam 1 - Rx Flashcards
What are the 6 Key Elements of a written prescription?
Prescriber, Supervising Physician, Prescription, Controlled Substance, Brand/Interchange, Patient
Rx is derived from what language? What does it mean?
Latin for “take”.
Sig is short for what? Which language?
Signa. Latin for “write”.
AC, HS, QHS, PRN and stand for?
AC=before meals
HS=at bedtime
QHS=at bedtime daily
PRN=as needed
Tips for prevention med errors?
Limit one med to prescription, avoid “as directed”, avoid abbreviations, use metric, add PT’s age or weight, specify indication, indicate specific quantities, circle prescriber name on preprinted pad
Should DEA numbers be preprinted on a prescription?
NEVER!
Describe Schedule 1 drugs use, abuse, and examples.
No accepted medical use. High potential for abuse.
Heroin, LSD, ecstasy, marijuana/cannabis (yeah right)
Describe Schedule 2 drugs use, abuse, and examples.
High potential for abuse but less than Schedule 1. Can lead to severe psychological or physical dependencies.
Cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol)
Products with less than 15mg hydrocodone per dose unit (Vicodin, Norco).
Which Schedule are products with less than 15mg hydrocodone per dose unit?
Schedule II
Ex: Vidocin, Norco
Describe Schedule 3 drugs use, abuse, and examples.
Moderate to low potential for physical and psychological dependence. Products with less than 90mg Codeine per dosage unit.
Tylenol w/Codeine, ketamine, anabolic steroids, testosterone
What Schedule are products with less than 90mg Codeine per dosage unit?
Schedule III
Describe Schedule 4 drugs use, abuse, and examples.
Low potential for abuse or psychological dependence.
Ambien, Ativan, Darvon, Darvoset, Soma, Tramadol, Valium, Xanax
Describe Schedule 5 drugs use, abuse, and examples.
Lower risk of abuse than Schedule 4. Generally used for antidiarrheal, antitussive, and analgesic properties.
Ex: Cough preparations with less than 200mg Codeine per 100mL (Robitussin AD). Lomotil, Lyrica, parepectolin
Which Schedule generally used for antidiarrheal, antitussive, and analgesic properties.
Schedule 5.
Which Schedule are cough preparations with less than 200mg Codeine per 100mL?
Schedule 5
Describe Schedule 6. Who defines it?
A prescription drug not in Schedule 1 through 5. Defined by states.
Can Schedule II be called in?
No. Must be given to pharmacy.
Can narcotic rx be refilled?
No refills.
Define Prescriber and Prescribe
Prescriber=person who writes the prescription
Prescribe=to write or give medical prescriptions; to designate or order the use of a remedy
Define Dispense and Administer
Dispense=to prepare and distribute a medication
Administer=to prepare and give a medication
Define “Compounding”
The practice of combining, mixing, or altering ingredients of a drug to create a medication tailored to the needs of an individual patient
What is the Inscription on an rx?
Name of medication, dose, quantity, quantity, dosage (tablets, capsules, syrups),
What is the Superscription on an rx?
Identifying info of patient and prescriber
What is the Subscription on an rx?
Directions for use of medication
What is included in the Signature of a prescription?
Provider name, signature, number of refills
What Schedule is Norco?
Schedule II
Can a Schedule II prescription be faxed to a pharmacy?
Yes, but patient must have hard-copy in order to pick it up.
Can a Schedule III and IV prescriptions be faxed to a pharmacy?
Yes. No need for a hard copy.
Can a Schedule II prescription be called into a pharmacy?
No, except for emergencies with small doses and a hard copy sent within 7 days saying “Authorization for Emergency Dispensing”
Can a Schedule III-IV prescriptions be called into a pharmacy?
Yes, but hard copy must be sent within 7 days to pharmacy
Which schedules can be e-prescribed?
Schedules II to V according to federal law
Which three Schedule II medications can be given a 60 day supply? What three conditions allow this?
Methylphenidate, Dextroamphetamine sulfate, and Methylphenidate HCl. (MDM)
Inattention, impulsivity hyperactive disorder, narcolepsy (IIN)
How many days can a Schedule II drug be normally issued for?
30 days
How many days can a Schedule III-IV drug be normally issued for? Refills? Is indication required?
30 days with 5 refills within 6 months.
Indication is required for refill or cannot be refilled without prescriber authorization
How many days can a Schedule VI drug be normally issued for?
30 days, or 90 days if part of a manufacturer’s indigent drug program
How often does a patient on a Schedule II drug need to be reevaluated? Schedule III-VI?
Schedule II=clinically reevaluated every 4 months or as often as possible
Schedule III-VI=every six months if prescribing over a long-period
How often must a prescription monitoring program such as MassPat be used for Schedule II, III, IV, and V?
Schedule II-V=prior to the first prescription
Schedule II and III=every time
When is a prescription monitoring program not required?
If PT in the ED, in-patient in hospital, less than 5 day supply of II-V, or when monitoring system not working
What do Buprenorphine, Methadone, and Suboxone require before a physician can prescribe? Exception?
Medication Assisted Treatment Waiver from DEA to treat opioid addicted patients.
Exception: one-day supply for acute withdrawal in emergency circumstances
What four opioid Medication Assisted Treatment drugs can PAs prescribe? Which one can’t?
Can=Buprenorphine, Methadone, Naltrexone, Naloxone
Can’t=Buprenorphine/Naloxone (Suboxone)
