Lecture 1-3

Question 1

what is required before a vet can dispense prescription drugs

Answer 1

valid veterinary client patient relationship (VCPR)

Question 2

two things that the vet takes responsibility for when issuing prescription drugs

Answer 2

The health of the animal
The need for treatment

Question 3

with a VCPR, the client agrees to what

Answer 3

to follow the doctors orders

Question 4

with a VCPR, The veterinarian has sufficient _______ of the animal to make a diagnosis

Answer 4

knowledge

Question 5

with a VCPR, the vet must have seen the patient ______

Answer 5

recently

Question 6

with a VCPR, the vet must be available for _________

Answer 6

follow up

Question 7

three reasons why vet tech need to know about VCPR even though its the doctors responsibility

Answer 7

clients don’t understand this

clients will ask you to dispense meds without an exam

vet techs needs excellent customer service skills to handle these situations

Question 8

the best kind of statement to give to a client about need a VCPR before getting meds

Answer 8

“we don’t want to guess on Fluffy’s health so let’s set up an appointment to have the doctor take a look at her and find out as soon as possible”

Question 9

two reasons why prescription drugs require FDA approval

Answer 9

specific species
specific indications

Question 10

what does this graphic indicate

Answer 10

DEA Scheduled Controlled Substance

Question 11

Prescription drugs must be properly _______ before dispensing

Answer 11

labeled

Question 12

To dispense prescription drugs, Appropriate ________ and _________ records must be maintained

Answer 12

dispensing
treatment

Question 13

prescription drugs Should be dispensed only in ________ required for the treatment of the animal for which the drug is dispensed

Answer 13

quantities

Question 14

you should avoid unlimited ______ with prescription drugs

Answer 14

refills

Question 15

making the order to use a prescription drug based on the diagnosis.

Answer 15

prescribing

Question 16

filling a prescription order

Answer 16

dispensing

Question 17

what must you have to dispense prescription drugs - this is why it is illegal for a vet clinic to fill a prescription written by someone else

Answer 17

pharmacy license

vets can diagnose and prescribe the drug themselves directly to patients

Question 18

can a vets office allow anyone to purchase prescription food from them

Answer 18

yes

Question 19

what should you do before selling a prescription food to a non client - as a CYA

Answer 19

call the non clients vets office and verify the correct food for their pet

Question 20

Prescription drugs are only effective if the _____ _____ is being used

Answer 20

right one

Question 21

what is the only way to know that you are using the right drug for a pet

Answer 21

getting a diagnosis

Question 22

Four approved ways, by federal law, that drugs can be used off label

Answer 22

species not listed in the labeling

use for indications (disease and other conditions) not listed in the labeling

use at dosage levels, frequencies, or routes of administration other than those stated in the labeling

deviation from labeled withdrawal time based on these different uses.

Question 23

Allows veterinarians some leeway in how prescription drugs are used

Answer 23

extra label drug use

Question 24

Three key constrains to Extra label drug use

Answer 24

Order of vet with VCPR

No food-animal residue

Conform to regulations in CFR part 530 (Code of Federal Regulation)

Question 25

what does AMDUCA stand for

Answer 25

Animal Medicinal Drug Use Clarification Act

Question 26

Makes extra label use of approved veterinary drugs legal under specific, well-defined conditions

Answer 26

AMDUCA: Animal Medicinal Drug Use Clarification Act (1994)

Question 27

11 record requirements under AMDUCA: Animal Medicinal Drug Use Clarification Act (1994)

Answer 27

Animal ID (individual or group) Animal species Number of animals treated Condition being treated Name of the drug and active ingredients Dosage prescribed or used Duration of treatment Withdrawal, withholding, or discard time(s) for meat, milk, eggs, or animal-derived food. Keep records for a minimum of 2 years Make these records available to the FDA when requested

Question 28

what did AMDUCA do to vets

Answer 28

Made it illegal for vets to use the most efficacious drugs

Question 29

Four conditions when compounding is permitted

Answer 29

legitimate need for the compound unique dosing aspects Unique aspects of the species, size, sex, or medical condition of the patient necessitate compounding lack of approved animal or human drug alternative An unacceptable wait time for procuring the approved alternative (backorders or out of stocks)

Question 30

why is Chloramphenicol prohibited for extra label use in all food-producing animals

Answer 30

it can cause Aplastic anemia in humans - the body can't produce enough red blood cells to function function properly

Question 31

what does FARAD stand for

Answer 31

Food Animal Residue Avoidance Database

Question 32

what does MUMS stand for

Answer 32

Minor Use and Minor Species Animal Health Act

Question 33

legistlation that provides FDA-authorized drugs for less common species and conditions.

Answer 33

MUMS: Minor Use and Minor Species Animal Health Act

Question 34

Treatment records must be maintained for _______ years (or otherwise mandated) for all animals treated

Answer 34

two

Question 35

who must also keep records for food animals receiving prescription drugs

Answer 35

food animal owners

Question 36

All prescription drugs dispensed must be properly ________

Answer 36

labeled

Question 37

11 things that must be on the prescription label

Answer 37

name (clinic and doctor), address and phone number of vet name of client name of pet and species date of prescribing or dispensing drug, qty and strength dosage, frequency and duration route of admin cautionary statements expiration date (of drug) number of refills withdrawal times (if applicable)

Question 38

five things that must be on the dispensing container

Answer 38

1. Veterinarian’s name and address 2. Name of the drug (active ingredient) 3. ID of the animal to be treated 4. Adequate directions for proper use 5. Cautionary statements, as needed, including withdrawal times

Question 39

clients need to be informed about _______, ________ and _______

Answer 39

handling storage disposal

Question 40

Keep _______drugs separate from _______ drugs in the clinic

Answer 40

prescription OTC

Question 41

Iowa says that prescription drugs have to be in what kind of container

Answer 41

childproof (Iowa law 811 12.1-12.4)

Question 42

why are drugs usually marked up at the vets office

Answer 42

to subsidize very low prices for services