MPJE Flashcards
Limitations to pharmacist ordering medications for a patient
No PO meds for pregnant women
No injectables
Limit to 34 day supply
Dose cannot exceed manufacturers recommendations
What must be documented in the patient profile when a pharmacist is ordering for a patient
Patient’s chief complaint or condition in patient’s own words
Statement regarding patient’s medical history
Statement regarding patient’s current complaint which may include onset, duration, or frequency of problem
Medicinal drug product ordered and dispensed
Pharmacist ordering and dispensing drug shall initial the profile
Prescription number shall be recorded
Can pharmacy interns order for patients?
NO pharmacists only
What may pharmacists order in Florida? Oral analgesics
Oral analgesics for mild to moderate pain (ibuprofen, naproxen, naproxen sodium): not to exceed 6 day supply, shall be labeled with take with food or milk if appropriate
What may pharmacists order in Florida? Urinary analgesic
Urinary analgesic: phenazopyridine not to exceed 2 day supply (must be labeled with tendency to discolor urine, if appropriate shall be labeled to take after meals)
What may pharmacists order in Florida? otic analgesics
antipyrine 5.4%, benzocaine 1.4%, glycerin
Only if clinical signs or symptoms of tympanic membrane perforation do not exist
Label to be used in the ear only
What may pharmacists order in Florida? anti nausea
Meclizine 25 mg as long as they’re not on other CNS depressants
Scopolamine not to exceed 1.5 mg/patch (warn to seek medical attention if eye pain, redness, or decreased vision develops)
What may pharmacists order in Florida? antihistamiens
6yo+ only
Diphenhydramine Carbinoxamine Pyrilamine Dexchlorpheniramine Brompheniramine
Pharmacist shall warn the patient that an antihistamine should not be used by patients with bronchial asthma or lower respiratory symptoms, glaucoma, cardiovascular disorders, hypertension, prostate conditions and urinary retention
Labeled to advise patient of drowsiness and caution against the concomitant use with alcohol or other depressants
What may pharmacists order in Florida? Decongestants
Phenylephrine
Azatadine
Do not order for patient with coronary artery disease, angina, hyperthyroidism, diabetes, glaucoma, prostate conditions, hypertension, or a patient currently using an MAO-I
What may pharmacists order in Florida? topical antifungal/antibacterials
Iodochlorhydroxyquin with 0.5% hydrocortisone (not to exceed 20 g, label with warning of staining potential)
Haloprogin 1%
Clotrimazole topical cream and lotion
Erythromycin topical
Warn patient not to use near deep or puncture wounds and avoid contact with eyes or mucous membranes
What may pharmacists order in Florida? topical anti-inflammatory
Hydrocortisone 2.5% (or less)
Shall warn the patient that it should not be used on bacterial, viral, fungal infections or by patients with impaired circulation
Prescription shall be labeled to advise the patient to avoid contact with eyes, mucous membranes or broken skin
What may pharmacists order in Florida? otic antifungal/antibacterial
Acetic acid 2% labeled for use in ears only
What may pharmacists order in Florida? keratolytics
Salicylic acid 16.7% and lactic acid 16.7% in flexible colloidin to be applied to warts except for patients under 2 years of age and those with diabetes or impaired circulation
Label to avoid contact with normal skin, eyes, and mucous membranes
What may pharmacists order in Florida? vitamins with fluoride
May be ordered when fluoride in water < 0.5 ppm
Folic acid not to exceed 0.9 mg
What may pharmacists order in Florida? lice treatment
Lindane
Limit to treating head lice only
Order no more than 4 ounces per person
Provide patient with appropriate instructions and precautions for use
