Prescription Principals

Question 1

When prescribing, ordering, compounding, dispensing, or administering medications, or when ordering or administering substances, midwives (BCCNM standards doc) (6)

Answer 1

a.Scope of practice
b. accountable
c. follow guidelines
d. current evidence
e. infection prevention and control principles
f. competence

Question 2

What federal organizations regulate drugs

Answer 2

Health Canada
NAPRA (National Association of Pharmacy Regulatory Authorities)

Question 3

What is the NDA?

Answer 3

Also known as the national drug schedules it classifies drugs based on risk level

Question 4

What are the classifications of drug under heatlh canada

Answer 4

controlled substance, biologic product, prescription drug, or non-prescription drug

Question 5

What are Schedule 1 drugs

Answer 5

(prescription)
drugs that require aprescription and are dispensed by a pharmacist

Question 6

What are schedule II drugs

Answer 6

(no-public access)
non-prescription drugs that are stored in a no-public access area of the pharmacy and must be sold by a pharmacist (insulin, nitroglycerin, iron > 30 mg/unit, codeine products)

Question 7

What are schedule III drugs

Answer 7

(professional products area) drugs in the self-selection area of a pharmacy that may be sold by a pharmacist to any person

Question 8

What are schedule IV drugs

Answer 8

any retail outlet can sell

Question 9

What organizations/documents regulate drugs/prescriptions provincially

Answer 9

Provincial governmenty
in BC: NAPRA recommendations + provincial approval
Health Professions Act (who has rx power)

Question 10

BC Midwifery Prescription Powers (what can we prescribe and who dictates it)

Answer 10

Health Professions Act - Schedule A & B categories of drug
BCCNM - medications and substances document
Additional cert for additional rx powers

Question 11

Before performing any activities with medications or substances, midwives know the medication’s or substance’s: ….. (8)

Answer 11

1. Indication
2. Effects
3. Dosages
4. Precautions
5. Contraindications
6. Interactions
7. Side effects
8. Adverse effects

Question 12

WHO rational Rx process (6 steps)

Answer 12

1. Define problem
2. Specify therapeutic objective
3. Select safe and effective treatment
4. Write a prescription
5. Give information
6. Monitor treatmen

Question 13

What does a pharmacist (& the law) want to see on a Rx

Answer 13

• date
• name and address of patient
• name of drug/strength
• quantity
• dosage instructions
• refills
• name & ID of practitioner
• date on which drug is dispensed Rx was written

Question 14

BID

Answer 14

Twice per day

(bis in die)

Question 15

TID

Answer 15

Thrice per day

(ter in die)

Question 16

QID

Answer 16

Four times per day

(quarter in die)

Question 17

ac

Answer 17

before meals

(ante cibum)

Question 18

pc

Answer 18

after meals

(post cibum)

Question 19

hs

Answer 19

at bedtime

(hora somni)

Question 20

PRN

Answer 20

as needed

(pro re nata)

Question 21

po

Answer 21

by mouth/ orally

(per os)

Question 22

Q4H

Answer 22

every 4 hours

(quaque quarta hora)

Question 23

UD

Answer 23

as directed

(ut dictum)

Question 24

ung

Answer 24

ointment

(unguentum)

Question 25

sl

Answer 25

sublingual

Question 26

STAT

Answer 26

right away

Question 27

hs is confusing because

Answer 27

unclear if it means at bedtime or half-strength

Question 28

q.d. or QD is confusing because

Answer 28

confused for q.i.d - Use DAILY

Question 29

@ is confsued by

Answer 29

2 - use the word at instead