Prescription Writing Flashcards

1
Q

Prereqs to a Prescription

A

Legitimate Patient-provider relationship:

  • Chief complaint/diagnostic studies
  • History of present illness and diagnosis
  • Medical History
  • Physical Exam
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Dentist Legitimate Prescriptions

A
Analgesics
Antibiotics
Antimicrobials
Anti-inflammatory
Anxiolytics
Muscle Relaxants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Schedule II Drugs

A

High Abuse potential

  • Oxycodone
  • Amphetamine
  • Oxycodone (Percocet)
  • Hydrocodone (Norco)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Schedule III Drugs

A

Moderate dependency risk

  • Anabolic steroids
  • Codeine preparations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Schedule 4 Drugs

A

Lower dependency risk

  • Tramadol
  • Benzodiazepines (Valium, Xanex)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Schedule 5 Drugs

A

Limited abuse potential, generally antidiarrheal or analgesic

  • Cough preps w/ codeine
  • Lyrica
  • Lomotil
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Requirements for Dentist

A

State license
Registration
DEA registration for Narcotic analgesics and Anxiolytics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Anatomy of a Prescription

A
Patient information
Date issued 
Drug information
Refill authorization
Prescriber information
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Drug Information

A

Drug name (avoid abbrev)
Strength (drug per dosing unit, mass or volume)
Dosage form (capsule, etc)
Route (oral, sublingual)
Directions (to pharmacist)
Duration
Quantity (must write and spell for controlled subs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Anatomy of Prescription - Lines

A

First line = Drug name, strength, dosage form

Second line = quantity

Third line = directions for use, duration, route and special instructions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Refill Authorization

A

Schedule 2 drugs can’t be refilled.

Refills retrieved within 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Prescriber

A
Name
Professional Title
Address
Telephone 
Signature
DEA #
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

New Law Requirements

A

List coding w/ description

List number of days to be taken

Only 3 days of narcotics, 30mg morphine equivalent )(1 hydrocodone every 6 hour for 3 days)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
Common abbreviations
b.i.d
mg
p.o.
p.r.n.
q.i.d.
q. _ h
t.i.d
A
Twice daily
milligram
by mouth
as needed, when necessary
four times a day
every _ hours
3 times daily
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

General Considerations

A
Allergies
Drug interactions
Compliance
Weight
Metabolism
Organ systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Opioid Combinations

A

Maximum number of tablets for an opioid combination usually determined by maximum dose of non-opioid component

17
Q

Analgesics - NSAIDS

A
  • Ibuprofen 600 mg tablets (12 , one every 6 hours as needed)
  • Naproxen Sodium 275 mg tablets (6, every 12 hours)
18
Q

Analgesics - Schedule 4

A

Tramadol 37.5 mg + Acetaminophen 325 mg (12, every 6 hrs)

Tramadol 50 mg tablets (12, every 6 hours)

19
Q

Alagesics - Schedule 2

A

Hydrocodone 5 mg + Acetaminophen 325 mg tablets (12, every 6 hrs)

Norco 5/325 mg tablets (12, every 6 hrs)

Oxycodone 5 mg/Acetaminophen 325 mg tablets (12, every 6 hrs)

Percocet 5/325 mg tablets (12, every 6 hrs)

20
Q

Antibiotics

A

Penicillin 500 mg tablets (28, every 6 hrs)

Amoxicillin 500 mg tablets (21, every 8 hrs)

Clindamycin 300 mg capsules (28, every 6 hrs)

Amox 875 mg + Clavulanate Potassium 125 mg tablets (14, 12 hrs)

21
Q

Antibiotics Ctd

A

Azithromycin 250 mg tablets (6 tablets = zpack. 2 tablets first day, one tablet each day)

Metronidazole 500 mg tablets (28, six hours, no alchohol)

22
Q

Antibiotic Prophalyxis

A

Artificial heart valves
History of infective endocarditis
Heart transplant
Heart conditions from birth

23
Q

Antibiotic Prophylaxis RX

A

Amoxicillin 500 mg tablets (4, take all 4 by mouth one hour prior to appointment, SBE proph)

Clindamycin 150 mg capsules (4, take all one hour prior SBE)

Cephalexin 500 mg tablets (4, take all four one hour prior SBE proph)

24
Q

Antimicrobial

A

Chlohexidine gluconate .12% oral rinse (1 pint)

25
Q

Antifungal

A

Cclotrimazole 10 mg troches (70, dissolve slowly in mouth 5 times daily, don’t eat/drink one hour)

26
Q

Anti-inflammatories - Nsaids

A

Ibuprofen 600 mg tablets (28, every 6 hours for muscular inflammation)

Naproxen Sodium 275 mg tablets (28, every 6 hrs for inflammation)

27
Q

Anti-inflammatories - Steroids

A

Methylprednisolone 4 mg (Medrol dose pack)

One pre-packaged 4 mg pack tablets decreasing over 6 days. Take as directed for myofascial pain.