Prescriptions Flashcards
What are the 10 parts of a prescription?
Name, owner, weight Date prescribed Superscription Inscription Subscription Signa Renewal instructions Name of prescriber Dosage Species
Describe the name, owner, and weight portion of a prescription
Address is required for controlled substances
Weight helps with dosage calculations
Describe the date prescribed portion of a prescription
This is the date that the prescription was written
This may be different that the date dispensed
Controlled drugs (CII) are not allowed to have refills so you will write multiple prescriptions that will have different dispense dates, but the date prescribed will all be the same.
Describe the inscription portion of a prescription
Body of the Rx
Name of the medication: generic or brand and strength
Describe the signa portion of a prescription
Directions for the patient
Abbreviations are used here, however they can increase the potential for mistakes to occur
DO NOT USE SID
It is not recognized in any other field, so an outside pharmacy will not know what it means
“The additional time to write out once a day versus SID is approximately 3 seconds, but by doing so, a potentially serious, avoidable error could be prevented” -Plumbs
Describe the renewal instructions portion of a prescription
Refill information If nothing is marked, it is assumed no refills 1 year limit for refills No refills for CII Maximum of 5 refills for CIII-V
Describe the name of the prescriber portion of a prescription
Signature
Preprinted prescriptions have address information at the top
Controls should include a DEA number
Describe to dosage portion of a prescription
Optional but helpful
This helps verify that the prescription is safe to fill
Less likely to get questions from pharmacy
Describe the species portion of a prescription
Required by law
Less likely to get calls from the pharmacy
Helpful when you prescribe large quantities
What are the prescribing requirements for controlled drugs?
Not allowed to have refills, so you must submit individual prescriptions with the dispense date on it.
In practice, controls should include a DEA number
An address for the clinic is required for controlled substances
What is extra label drug use?
Actual use or intended use of a drug in an animal in a manner that is not in accordance with the approved labeling. This includes, but it not limited to, use in species not listed in the labeling, use for indications (disease and other conditions) not listen in the labeling, use at dosage levels, frequencies or routes of administration other than those stated in the labeling, and deviation from labeled withdrawal time based on these different uses
What does that mean for you:
Any use of a drug that is extra labeled may be used with proper justification
ELDU requires proper labeling for the client
AMDUCA requires documentation of ELDU
Includes human OTC drugs (will require a prescription)
What are the legal requirements for labels in Mississippi?
Name and address of the pharmacy/clinic
Prescription number
Name of the patient
Directions
Date of filling or refilling
Initials or identifying code of the dispensing pharmacist/veterinarian
Any other information that is necessary or required (federal cautionary statements)
What are the federal requirements for labels?
All new and refilled prescriptions must be dispensed in a child-resistant closure unless:
—The prescriber specifies that none to be used
—Patients may ask for it for a single prescription or provide a “blanket waiver”
Caution: federal law restricts this drug to use by or on the order of a licensed veterinarian
Slaughter withdrawal and/or milk withholding times
For schedule II, III, IV prescriptions:
Caution: federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed
What are recommendations from the AVMA for labels?
Name, address, phone number Name of client Identification of animal treated Date of dispensing Name of active ingredient and quantity of drug Drug strength Route of administration Number of refills Cautionary statements, as needed Slaughter withdrawal and/or milk withholding times
What are examples of pharmaceutical resources?
Plumb’s Veterinary Drug Handbook Merck veterinary manual Sanders Handbook of Veterinary Drugs DailyMed Approved Animal Drug Products (Green Book) Handbook of injectable drugs Material Safety Data Sheet NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016 Google
