Med Flashcards
the process of preparing and giving medicine to a named person on the basis of a prescription.
DISPENSING
a correct interpretation of the wishes of the prescriber and the accurate preparation and labeling of medicines for use by the patient.
DISPENSING
includes all the activities that occur between the time the prescription is presented and the time the medicine or other prescribed items are used to the patient.
DISPENSING
The Good Dispensing Practice Environment includes:
Q/Ts APS AS&SA PWS SE NPM
who should be involved in the process of dispensing
S
P
S
C
ensure that an effective form of the correct medicine is delivered to the right patient in the correct dosage and quantity, with clear instructions, and in a package that maintains the potency of the medicine.
GOOD DISPENSING PRACTICE
names and quantities of the desired substances, with instructions for the pharmacist for the preparation of the medicine and to the patient for the use of the medicine at a particular time
PRESCRIPTION
a formula written on a piece of paper
PRESCRIPTION
orders for medications, nondrug products, and services that are written by a licensed practitioner or midlevel practitioner who is authorized by state law to prescribe.
PRESCRIPTION
An order of medication issued by a physician, dentist, veterinarian or other properly licensed medical practitioner
PRESCRIPTION
may be written, presented orally (by telephone), or presented electronically (i.e., via fax or computer network) to the pharmacist.
PRESCRIPTION
serves as a vehicle for communication from the prescriber to the pharmacist about the needs of the patient.
PRESCRIPTION
printed forms containing blank spaces for filling in the required information, usually supplied in pads
Prescription blanks/forms
imprinted with the name, address, telephone number and other pertinent information of physician or his/her practice site
prescription blanks/fomrs
are used for in-patients
Medication order forms
only one ingredient, those written for a single component or prefabricated product and not requiring compounding or admixture by the pharmacist.
Simple prescription
more than one ingredient, those written for more than a single component and requiring compounding
Compound prescription –
Prescription for controlled substances contains a narcotic substance or other habit-forming drugs.
Yellow Prescription
Dangerous Drug Prescription
prescriptions transmitted to a pharmacy by computer
e-prescriptions
ten or more than two ingredients of the same therapeutic uses. Also called the shotgun preparation
Polypharmacy
prescription which is prescribed very often by the same doctor, of the same ingredients and compounded by the same pharmacist
Magistral prescription
also called the blind prescription and consists of word, symbols, to represent the names of the drugs. This is unethical practice.
coded prescription
The full name and address of the patient are necessary on a prescription for identification purposes.
PATIENT INFORMATION
on which the prescription was issued
DATE
time between the date a prescription was written and the date it was brought to the pharmacy may be questioned by the pharmacist to determine if the intent of the physician and needs of the patient can still
be met.
Unusual lapse
A contraction of the Latin verb “recipe” meaning you take or take thou
Rx SYMBOL or SUPERSCRIPTION
Symbol originated from the sign of Jupiter (god of healing
Rx SYMBOL or SUPERSCRIPTION
forms the beginning of a direct order from the prescriber to the compounder
Rx SYMBOL or SUPERSCRIPTION
the symbol is both the representation of prescription and pharmacy itself
Rx SYMBOL or SUPERSCRIPTION
body or principal part of the prescription
MEDICATION PRESCRIBED or INSCRIPTION
Contains the names and quantities of the prescribed medications
MEDICATION PRESCRIBED or INSCRIPTION
are orders requiring mixing of ingredients. It will include the names and quantities of each ingredients
Compounded prescriptions
Product strength. The strength of the product is not required if only one strength is commercially available or if the product contains a combination of active ingredients.
It is advisable to include the strength to reduce the
chance of misinterpreting the prescription. If the dose is to be calculated by the pharmacist, then the pharmacist can decide the strength of the product dispensed after calculating the patient’s dose.
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this may be the quantity to be dispensed or the dosage form of the drug
common prescription,
this is the part that gives direction to the pharmacist for preparing the prescription
compounded prescription,
chief, active ingredient
Basis
used as assist to the basis
Adjuvant
qualifies the action of basis and the adjuvant
Corrective
added to dilute the active ingredients processing the prescription order
Vehicle
This should include the amount and the units of measure (e.g., grams, ounces, tablets). If the amount is not specified, the directions should specify the dose to be taken and the duration of therapy so that the pharmacist can calculate the quantity required for the patient.
Quantity to be dispensed
“signatura” or mark thou
DIRECTIONS FOR THE PATIENT or SIGNA
method of administration, dose, frequency and special instructions to the patient
pharmacist transcribed these information onto
the label of the dispensed medication
- “take” or “give”
oral dosage forms
“Apply”
externally applied products
“insert”
suppositories
“Place” is preferable to “instill”
Eye, ear, nose drops
indicated by the prescriber and any refills should likewise be marked by the pharmacist
REFILL INSTRUCTIONS
“As needed” (pro re nata [prn]) refills are usually interpreted as allowing for refills for 1 year unless laws or regulations restrict the amount or time period in which a prescription is valid.
REFILL INSTRUCTIONS
This should include the name, office address,
signature of the prescriber, the S2 number (for
controlled substances only) and the PTR number.
PRESCRIBER’S INFORMATION
are used in the inpatient or institutional health system setting.
Medication orders
are used in the outpatient, or ambulatory setting.
Prescription
written directions provided by a prescribing practitioner for a specific medication to be administered to an individual.
medication order
- Copy of a written prescription
- Written order on a consultation form signed by the practitioner.
- Written list of medication order signed by the practitioner.
- Copy of a pharmacy call in order, given to you by the pharmacist.
- A verbal order given to a licensed person.
- Electronic prescriptions signed electronically via a secured system.
Examples of different types of medication orders are:
- Patient’s name, date of birth, medical record number
- Patient’s location and room number
- Date and time of order
- Drug name
- Dosage strength
- Route of administration
- Frequency of administration
- Duration of therapy
- Allergies
- Special considerations in administering the
medication, if applicable, as directed by the
prescribing practitioner or the pharmacist - Name and signature of physician
Medication order contains the following information:
A single dose of medication that should be administered immediately
Stat order
One time medication. Drug is to be given at a certain time.
Single order
Drug is to be given for a certain number of doses or for a certain number of days
Standing
Drug is administered when necessary or as needed based on the patient’s needs
PRN
the Pharmacy and Therapeutics Committee may identify a list of approved abbreviations for the institution.
hospital practice
there is no such list. Pharmacy abbreviations may be found in the inscription, subscription, or the sig (signa) of the prescription.
community practice
was considered the international language of medicine.
Latin
misuse, misinterpretation, and illegible writing of abbreviations
Medication error
The use of a controlled vocabulary, a reduction in the use of abbreviations, care in the writing of decimal points, and the proper use of leading and terminal zeros
Medication error
The use of a controlled vocabulary, a reduction in the use of abbreviations, care in the writing of decimal points, and the proper use of leading and terminal zeros
Medication error
Identifications of drugs and medicines by their scientifically and internationally recognized active ingredients or by their official names as determined by the FDA
Generic name
dispensing the patient’s/buyer’s choice from among generic equivalents.
Generic Dispensing
Prescribing drug or medicine using their generic names or generic terminology.
Generic prescribing
an act regulating and modernizing the practice of pharmacy in the Philippines, repealing for the purpose republic act numbered five thousand nine hundred twenty-one (R.A. NO. 5921), otherwise known as the Pharmacy Law.
RA 10918 (Pharmacy Law)
Lapsed in to law on July 21, 2018 without the signature of the pres
RA 10918 (Pharmacy Law)
sum of processes performed by a pharmacist from reading, validating; and interpreting prescriptions; preparing; packaging; labeling; record keeping: dose calculations; and counseling or giving information, in relation to the sale or transfer of pharmaceutical products, with or without a prescription or medication order.
Dispensing
Should be surrendered to the pharmacist for recording
Completely filled prescription
prescription less than the total quantity indicated in the prescription
Partial filling
containing special pharmacist instructions for the patient shall be required as prescribed for dangerous drugs, external-use-only-drugs, drugs with special storage and administration instructions.
Auxiliary labels
All required information in dangerous drugs dispensed by a pharmacy shall be recorded in?
Dangerous Drug Book or an equivalent recording system required by R.A. No. 9165
an act to promote, require and ensure the production of an adequate supply, distribution, use and acceptance of drugs and medicines identified by their generic names.
RA 6675 (Generics Act of 1988)
RA 6675 (Generics Act of 1988) was Approved (in what date )and signed by?
Sept.13 1988
Corazon C. Aquino
an act granting additional benefits and privileges to senior citizens, further amending RA 7432 as amended, otherwise known as “an act to maximize the contribution of senior citizens to nation building, grant benefits and special privileges and for other purposes.”
RA 9994 (Expanded Senior Citizen Act)
RA 9994 (Expanded Senior Citizen Act) was Approved (in what date )and signed by?
Feb. 15 2010
Gloria Macapagal-Arroyo
an act of prohibiting counterfeit drugs, providing penalties for violation and appropriating funds.
RA 8203 (Special Law on Counterfeit Drugs)
RA 8203 (Special Law on Counterfeit Drugs) was Approved (in what date )and signed by?
Sept. 4 1996
Fidel V. Ramos
an act instituting the comprehensive dangerous drugs act of 2002, repealing Republic Act No. 6425, otherwise known as the Dangerous Drug Act of 1972, as amended, providing funds therefor, and for other purposes.
RA 9165 (Comprehensive Dangerous Drug Act of 2002
RA 9165 (Comprehensive Dangerous Drug Act of 2002 was Approved (in what date )and signed by?
June 7 2002
Gloria Macapagal-Arroyo
medicines used for symptomatic relief or minor ailments and which may be dispensed without a prescription.
OTC drugs or med
medicines which can only be dispensed by a pharmacist to a patient, upon the presentation of a valid prescription from a physician, dentist, or veterinarian and for which a pharmacist’s advice is necessary
Prescription/Ethical medicines
refers to any preparation containing pharmaceutical substances of common or ordinary use to relieve common physical ailments. May be dispensed without a medical prescription in orig packages.
Household remedies
process food products intended to supplement the diet
Food/dietary supplements
substance or preparation intended to be placed in contact with external parts of the human body or with the teeth and tye mucuos membranes of the oral cavity.
Cosmetics