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Rx Writing > Prescription Writing > Flashcards

Prescription Writing Flashcards

1
Q

Who is the prescriber?

A

The person who writes the prescription or prescribes

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2
Q

The definition of prescribe

A

To write or give medical prescriptions; to designate or order the use of a remedy

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3
Q

What does it mean to dispense?

A

To prepare and distribute a medication

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4
Q

What does it mean to administer?

A

To prepare and give a medication

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5
Q

What is compounding?

A

The practice of combining, mixing, or altering ingredients of a drug to create a medication tailored to the needs of an individual patient

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6
Q

What are the traditional components of a prescription?

A

Superscription, Inscription, Subscription, Signature

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7
Q

What are the 6 key elements of a written prescription?

A
  1. Prescriber
  2. Supervising physician
  3. Prescription
  4. Controlled Substance
  5. Brand/Interchange
  6. Patient
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8
Q

What are some medication forms?

A

Cap-capsules and Tab-tablets

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9
Q

What are some routes of administration for meds?

A

PO, IM, SC, IV, PR, SL, TD

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10
Q

QD

A

Daily

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11
Q

QOD

A

Every other day

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12
Q

BID

A

Twice daily

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13
Q

TID

A

Three times daily

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14
Q

QID

A

Four times daily

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15
Q

AC

A

Before meals

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16
Q

HS

A

At bedtime

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17
Q

PRN

A

As needed

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18
Q

QHS

A

At bedtime daily

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19
Q

Schedule 1 drugs

A

No current accepted medical use, high potential for abuse, most dangerous with severe psychological or physical dependence

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20
Q

Schedule 1 drug examples

A

Heroin, LSD, Cannabis, Ecstacy

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21
Q

Schedule 2 drugs

A

High potential for abuse, also considered dangerous

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22
Q

Examples of schedule 2 drugs

A

Products with less than 15 mg of hydrocodone per dosage unit (Vicodin, Norco), cocaine, methamphetamine, methadone, hydromorphone, meperidine

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23
Q

Schedule 3 drugs

A

Moderate to low potential for physical and psychological dependence

24
Q

Examples of schedule 3 drugs

A

Products with less than 90 mg of codeine per dosage unit (Tylenol with codeine), ketamine, anabolic steroids, testosterone

25
Q

Schedule 4 drugs

A

Low potential for abuse and low risk for dependence

26
Q

Examples of schedule 4 drugs

A

Xanax, soma, Darvon, Darvocet, Valium, Ativan, Ambien, Tramadol

27
Q

Schedule 5 drugs

A

Generally used for antidiarrheal, antitussive, and analgesic purposes

28
Q

Examples of schedule 5 drugs

A

Cough preparations with less than 200mg of codeine per 100 ml (Robitussin), Lomotil, Lyrica, Parepectolin

29
Q

What is schedule 6?

A

State defined; not federal

30
Q

Can you give refills on narcotics?

A

No! NR (No refill)

31
Q

What is the superscription in an Rx?

A

Identifying info of the patient and prescriber

32
Q

What is the inscription in an Rx?

A

Name of the med, dose, quantity, ingredient, dosage form

33
Q

What is the subscription in an Rx?

A

Directions for use of medication

34
Q

What is the signature in an Rx?

A

Provider name, signature, number of refills

35
Q

What percentage of prescriptions are sent electronically?

A

40%

36
Q

T or F, in order to obtain a prescription, the pt or representative must pick it up at the office?

A

False

37
Q

Verbal prescriptions

A

Cannot prescribe schedule 2, schedule 3-5must be written and filed with pharmacy w/in 7 days

38
Q

Fax prescriptions

A

Can fax schedule 2 but need HARD COPY in hand in order to DISPENSE. 3-6 approved no hard copy needed

39
Q

E-prescribing

A

Federal law prohibits eprescribing of schedule 2 through 5 controlled substances

40
Q

Schedule 2 drugs can only be issued for how long of a supply?

A

30 day supply EXCEPT Ritalin and Adderall can be given up to 60-day supply

41
Q

What are the dispense supply rules for drug schedules 3-4?

A

30-day prescriptions can be refilled up to 5 times w/in 6 mos but need INDICATION written

42
Q

What are the dispense supply rules for drug schedules 5-6?

A

30-day supply or 90-day supply if part of manufacturer’s indigent drug program, refills authorized by provider, dictated by insurance usually expires within a year

43
Q

What is the recommendation for re-evaluation of pt on schedule 2 drug?

A

Once very 4 mos or as often as possible

44
Q

What is the recommendation for re-evaluation of pt on schedule 3-6 drugs?

A

At least once every 6 mos

45
Q

MassPat is to prevent what from happening?

A

“Doctor shopping”

46
Q

All providers are required to use MassPat for the following:

A

Prior to prescribing 2-5 drugs for first time and every time for 2 and 3

47
Q

What is an exception to the prescription monitoring program?

A

In ER if your prescribing a med for less than 5 days

48
Q

What are some high profile medications for chronic pain management?

A

Methadone, Buprenorphine (Subutex), Suprenorphine/Naloxone (Suboxone)

49
Q

Can high profile meds for chronic pain be prescribed?

A

Yes, for pain management only, must indicate FOR PAIN on Rx

50
Q

Who can dispense Methadone for addiction?

A

An opioid treatment program ONLY

51
Q

How do patients get the Methadone dose?

A

Have to visit the treatment center daily

52
Q

Who can prescribe Methadone for addiction?

A

MD; a PA/NP are authorized to order “dispension”

53
Q

Can a PA write a prescription for Methadone?

A

Yes, if indicated FOR PAIN, cannot if it is for ADDICTION

54
Q

What is DATA

A

Drug Addiction Treatment Act of 2000

55
Q

DATA

A

Permits physicians who meet certain qualifications to treat opioid dependency with narcotic meds approved by FDA

56
Q

What is CARA?

A

Comprehensive Addiction and Recovery Act of 2016

57
Q

CARA expanded the providing privileges to who?

A

PA and NP for 5 years

Rx Writing (1 decks)

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