Hospital Pharmacy Lecture 2 powerpoint Flashcards
Orders
Not only used for Medications
Also used to order:
Labs
Diet
____________
Dressing ________
Etc
Imaging
Dressing changes
How are orders placed?
Computerized Physician Order Entry (CPOE)
Verbal & ____________ Orders
Paper/_______________ orders
Telephone orders
handwritten orders
Order
Inpatient
Requirements:
Drug
Dose
Route
_______ Form
Frequency
_________-start and stop times
Ordering Provider
Dosage Form
Duration
Order is what is used inpatient setting aka hospital
Prescription which is used outpatient setting so in the community pharmacy
Abbreviations to use that are correct
mcg, right,left ear,each ear, right eye, left eye, each eye, bedtime, mL, discharge, discontinue,injection,intranasal, NAS, half-strength, bedtime,units,daily, do not use trailing zeros for doses in whole numbers instead use 1mg, use zero before a decimal point (ex: 0.5mg), use mg,ml without a terminal period
__________ Medication Orders
Require specific indications for administration
Should not overlap with another PRN medication with the same indication
PRN medication orders
PRN Medication Orders
May be order together:
Tylenol 500 mg Q8H PRN mild pain
Ibuprofen 600 mg Q6H PRN moderate & severe pain
Docusate PRN constipation, no BM > 24H, 1st line
Miralax PRN constipation, no BM > 24H, 2nd line
Should NOT be ordered together:
Tylenol 500 mg Q8H PRN pain
Ibuprofen 600 mg Q6H PRN pain
Docusate PRN constipation
Miralax PRN constipation
Hospital Formulary
Dictates what medications a hospital has on hand & what medications providers within the organization may order for _________ use
inpatient
Hospital Formulary
Dictates what medications a hospital has on hand & what medications providers within the organization may order for inpatient use
Only applies to inpatient medications
Or clinics with hospital supplied medications
P&T Committee oversees hospital formulary
Factors that are considered for hospital formulary
______, Pt __________, Hospital Location/Size/Services offered, Drug availability/shortages
Cost
Demographics
What happens if a medication is not on formulary?
________________
List of P&T approved substitutions
Allows pharmacists to interchange the medication without contacting the provider
What types of medications does this commonly occur with?
__________, ______, OTC allergy medications
Therapeutic Interchange
Inhalers
PPIs
Hospital Formulary
RESTRICTED MEDICATIONS
Restricted to certain patient
populations
Ex: Meropenem (IV antibiotic)
Requires __________ to be used
inpatient
ID approval
Non-Formulary medications
If the medication is not on
formulary, there is no formulary
alternative, & the patient needs to
continue this medication while in
the hospital
Requires approval by ________
pharmacy management
