Prescriptions

Question 1

Your patient needs abx prophylaxis. Write a script that will last 4 appointments.

Answer 1

Amoxicillin 500mg tablets
Disp 16 tabs
Take 4 tabs one hour prior to dental appointment.
0 refills

Question 2

Your patient needs abx prophylaxis but is allergic to penicillins. Write a script that will last 5 appointments.

Answer 2

Clindamycin 300mg tablets
Disp 10 tabs
Take 2 tabs one hour prior to dental appointment.
0 refills

Question 3

Your patient needs abx prophylaxis but is allergic to penicillins and has pseudomembranous colitis. Write a script that will last 3 appointments.

Answer 3

Azithromycin 250mg tablets
Disp 6 tabs
Take 2 tabs one hour prior to dental appointment.
0 refills

Question 4

What warrants abx prophylaxis for dental appointments?

Answer 4

1. Prosthetic cardiac valves
2. Prosthetic material used for cardiac valve repairs, such as annuloplasty rings and chords.
3. Previous Infective Endocarditis.
4. Unrepaired cyanotic congenital heart disease or repaired congenital
   heart disease
5. Cardiac transplant with valve regurgitation due to a structurally abnormal valve.

Question 5

If your patient needs abx prophylaxis but is already taking a penicillin for something else, what should you prescribe?

Answer 5

An antibiotic from a different class.

i.e. Clindamycin (600mg 1-hr prior) or Azithromycin (500mg 1-hr prior)

Question 6

Your small pediatric pt has a moderate abscess and you’d like to write a script for an abx. They weigh 12 kg (25 lbs). Write a script for Amoxicillin.

Answer 6

Amoxicillin 125 mg/5ml suspension
Disp 150 ml
Take 1 tsp q8h for 10 days or until bottle is empty.
0 refills

Question 7

Your older pediatric pt has a bad infection and you’d like to write a script for an abx. They weigh 24 kg (50 lbs). Write a script for Amoxicillin.

Answer 7

Amoxicillin 250 mg/5ml suspension
Disp 150 ml
Take 1 tsp q8h for 10 days or until bottle is empty.
0 refills

Question 8

Your patient has pseudomembranous candidiasis. Write a script for an antifungal suspension.

Answer 8

Nystatin suspension 100,000 units/ml
Disp 240 ml
Rinse with 1 tsp for 3 minutes QID and swallow. Avoid eating/drinking for 30 minutes after rinsing.
1 refills

Question 9

Your patient has lichen planus or aphthous ulcers. Write a script for an oral suspension steroid.

Answer 9

Dexamethasone elixir 0.5 mg/5ml
Disp 240 ml
Rinse with 1 tsp for 3 minutes and expectorate after meals and at bedtime.
1 refills

Question 10

Your patient has closed VDO and has developed angular cheilitis. Write a script for an ointment. (anti-fungal & steroidal)

Answer 10

Mycolog II (nystatin 100,000 U/gm ointment & triamcinolong acetonide 0.1% ointment.
Disp 15 gm
Apply sparingly to affected areas QID
1 refills

Question 11

Pt needs a stronger analgesic than OTC meds. Write a script for Norco.

Answer 11

Norco 5/325 tablets
Disp 10 tabs
Take 1 tab q4-6h prn for pain. Do not exceed 6 tabs in 24 hours.
0 refills

Question 12

Your pediatric patient has an abscessed tooth and needs an antibiotic. They’re allergic to penicillins. Write a script for Clindamycin.

Answer 12

Clindamycin 75 mg/5ml
Disp 200 ml
Take 1 tsp q8h for 10 days
0 refills