Prescription Writing Flashcards
1
Q
Elements of a Prescription
A
- Prescriber ID: name, license, office address/phone
- Date Written
- Patient ID: name and address
- name of medication
- medication strength
- quantity (eg #30)
- sig: complete directions for use (eg take 1 tab PO qDaily)
- refill information
- prescriber’s signature
- DEA number
- other: substitution, DAW, container information
2
Q
OTC Drugs
A
- no prescription required
- safely self-administered
- half of all drug doses are OTC
3
Q
Legend Drugs
A
- prescription required from licensed prescriber
- federal legend statement: Federal law prohibits dispensing w/o a prescription.
- controlled by US FDA
- packaging requirements: federal legend statement, package insert w/ indications, contraind, warnings, dosing
4
Q
Controlled Substances
A
- potential for abuse
- prescribers and dispensers must register with DEA and get a DEA number
- DEA number on every controlled substance prescription
5
Q
Class I Controlled
A
- high potential for abuse
- no medical use
- LSD
6
Q
Class II Controlled
A
- high potential for abuse
- accepted medical use
- abuse may lead to psychologic or physical dependence
- morphine, vicodin
- no refills
7
Q
Class III Controlled
A
- moderate potential for abuse
- accepted medical use
- moderate-low physical abuse potential
- high potential for psych dependence
- codeine + acetominophen
- 5x/6mos
8
Q
Class IV Controlled
A
- limited potential for abuse
- accepted medical use
- valium
- 5x/6mos
9
Q
Class V Controlled
A
- minimal abuse potential
- accepted medical use
- cough syrup with codeine
- 5x/6mos
10
Q
- Labeled Use
2. Unlabeled Use
A
- approved uses or indications described in the package insert
- use not described in package insert, often based on adequate scientific evidence, no FDA restrictions on unlabeled use
11
Q
- Short Term Therapy
2. Long Term Therapy
A
- dispense amount needed for duration of therapy with no refills
- 30 day supply with refills if appropriate (insurance covers 1 month supply)
12
Q
What should be written instead of tbsp or T?
A
15 mL
13
Q
What should be written instead of tsp or t?
A
5 mL
14
Q
OU/AU
A
both eyes/ears
15
Q
OS/AS
A
left eye/ear
16
Q
OD/AD
A
right eye/ear
17
Q
Benefits of e-Prescribing
A
-e-prescribers 7x less likely to make errors than those hand writing prescriptions
18
Q
How to encourage adherence to medication regimen
A
- cost
- convenience
- medication reminder box
19
Q
ā
A
before
20
Q
ac
A
before meals
21
Q
c with a line over it
A
with
22
Q
disp, dis
A
dispense
23
Q
h
A
hour
24
Q
hs
A
bedtime (hour of sleep)
25
IM
intramuscular
26
IV
intravenous
27
kg
kilogram
28
mEq, meq
milliequivalent
29
mcg
microgram
30
p with a line over it
after
31
pc
after meals
32
prn
when needed
33
q
every
34
qam
every morning
35
qh
every hour
36
qhs
every night at bedtime
37
qid
4 times a day
38
qod
DO NOT USE THIS ONE
| -every other day
39
Rx
take
40
s with a line over it
without
41
sig
label
42
stat
at once, immediately
43
sup, supp
suppository
44
susp
suspension
45
tab
tablet
46
tbsp, T
15 mL
47
tid
three times a day
48
tsp, t
5 mL
49
i, ii, iii....
1, 2, 3, etc
