Prescription Writing Flashcards
What must a legal prescription written in Colorado contain?
Choice of drug (generic or name brand)
- can specify “dispense as written”
Date (for pharmacist reference)
Id of prescriber (name. address, license class, #)
Patient info (name, address, ~age, ~weight)
Symbol Rx
Drug strength (dose, concentration, form)
Directions to patient (amount, freq, duration, how)
Refill info (12 month limit unless controlled sub.)
Childproof container
Signature
DEA # (for controlled substances
written in ink
a Chart Order for inpatient setting
How are controlled substances different from prescriptions?
High potential for abuse High physiologic & psychologic dependence risk - cannot be phoned in - cannot refill for 1yr - prescriber must have DEA #
What are schedule I drugs?
high abuse potential
high physiologic/ psychologic dependence risk
no medical use
- opiates: heroin
- Hallucinogens: LSD, MDMA, ecstasy, peyote, merijuana
- depressants: methaqualone
- stimulants
What are schedule II drugs?
high abuse potential
high physiologic/ psychologic dependence risk
Accepted medical use
- opiod analgestics: morphine, codine, oxycodone, hydromorphone, methadone, meperidine
- stimulants: methamphetamine, amphetamine, cocaine. methylphenidate
- barbituates: pentobarbital, secobarbital
What are schedule III drugs?
moderate abuse/ physiologic dependence potential
sch III do not have change in reward path
slightly higher psychologic dependence risk
Accepted medical use
- opiods: codiene or hydrocodone with non-opiods
- stimulates: benzphethamine
- depressants: glutethinide, barbiturates
- anabolic steroids
- cannabinoids
What are schedule IV drugs?
low potential for abuse/ dependence
depressants: chloral hydrate, phenobarbital, meprobamate
stimulatns: phentermine
Benzodiazepines: alprazolam, diazepam, chlordiazepoxide, lorazepam, triazolam
hypnotic agents: zolpidem, zaleplon, ezzopiclone
What are schedule V drugs?
Even lower abuse potential than IV, accepted medical use
OTC behind the counter in some states, Rx in CO
contain opioids in small amounts: diphenoxylate-antidiarrheal, codein anti-tussive)
What is the metric equivalent of 1 grain?
64.8mg
60mg or 65mg also used
What is the metric equivalent of 1oz?
28.35g
often 30g used
What is the pound equivalent of 1kg?
2.2lbs
How many ml are in 1teaspoon?
5ml
How many ml are in 1tablespoon?
15ml
How many ml are in 1 fluid ounce?
29.56ml
often 30ml
What is the rule regarding zeroes and decimal points after and before whole numbers?
always lead, never follow
(think what would happen if the decimal was missed)
0.2 not .2
2 not 2.0
What does bid mean?
twice a day
what does tid mean?
three times a day
What is the abbreviation for “every morning”?
qam
What is the abbreviation for “at bedtime”?
hs
What is the abbreviation for “before meals”?
ac
What is the abbreviation for “after meals”
pc
What does STAT mean?
immediately
What does prn mean?
as needed
What is the abbreviation for intra-atrial?
IA
What does IM mean?
intramuscular
