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Dispensing Lab > Receiving and Filling Prescriptions > Flashcards

Receiving and Filling Prescriptions Flashcards

1
Q
  • First step in the dispensing process
  • The actual receipt of the prescription from the patient or a representative
A

RECEIVING

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2
Q

Check for legalities of prescription (validity and completeness)

mandated by law

may differ from one country to another

A

Legal Check

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3
Q

Check for clinical appropriateness of prescription (correctness and appropriateness)

Determined by individual patient characteristics

A

Clinical Check

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4
Q

Legal Check

A
  1. Date/Duration
  2. Drug Classification
  3. Prescription Limit
  4. Prescription Errors
  5. Parts of a Prescription
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5
Q

Date/Duration: 1 month

A

Ordinary Prescription:

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6
Q

Date/Duration: 7 days

A

Antibiotic prescription:

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7
Q

Date/Duration: 1 month (no refills)

A

Dangerous Drug prescription:

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8
Q

Period of validity may be longer in case of ___________ and ___________ for chronic conditions

A

maintenance drugs; prescription refills

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9
Q
  1. Drug Classification
A

• Over- the-counter Drugs
• Beyond- the-counter Drugs
• Prescription Drugs
• Regulated Drugs

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10
Q

-also known as nonprescription drugs may be sold to the public without a prescription and must bear a complete label as required by the FDA. They may be prescribed and dispensed with a prescription label only if this is pursuant to a valid prescription.

A

Over- the-counter Drugs

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11
Q

may be sold without a prescription but must either be sold by a pharmacist or at least not displayed to the public.

A

Beyond- the-counter Drugs

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12
Q

-also known as legend drugs, because their labels were formerly required to bear the legend, “Caution: Feder al law prohibits dispensing without prescription.” These drugs may now b e labeled “Rx only.”

A

Prescription Drugs

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13
Q

also known as controlled drug substances are drugs or their precursors that have a significant potential for abuse. They are divided into five schedules, depending on their medical use and potential for abuse.

A

Regulated Drugs

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14
Q

Regulated Drugs

A

Examples:
alprazolam,
fentanyl,
morphine,
phenobarbital,
oxycodone

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15
Q

Prescription Drugs

A

Examples:

antibiotics,
ibuprofen 800 mg,
mefenamic 500 mg

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16
Q

Beyond- the-counter Drugs

A

Examples: contraceptive pills

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17
Q

Over- the-counter Drugs

A

Examples:

cetirizine,
loperamide,
ibuprofen 400 mg,
mefenamic 250 mg,

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18
Q

Prescription Limit: Benzodiazepines

A

30 tabs/cap
10 amp x 1ml
3 amp x 2 ml
2 amp x 3 ml
2 amp x 5 ml
1 amp x 10 ml

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19
Q

Prescription Limit: Phenobarbital

A

2 weeks supply
2 bottles (100 tabs/bottle) for epilepsy

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20
Q

Prescription Limit: Pethidine

A

3 amp

21
Q

Prescription Limit: Ephedrine

A

1 vial

22
Q

Prescription Limit: Other DDs (ordinary)

A

1 vial

23
Q

Prescription Limit: Morphine sulfate

A

3,000 mg (tab)
448 mg (amp/vial)

24
Q

Prescription Limit: Fentanyl

A

30 patches 25/hr
15 patches 50/hr
10 amp x 1 ml
3 amp x 2 ml
50 amp (PCA machine)

25
Q

Prescription Limit: Oxycodone HCl

A

1200 mg

26
Q

Prescription Limit: Pethidine HCl

A

14 vials

27
Q

Prescription Limit: Other DDs (cancer)

A

20 amps
40 tabs
40 caps

28
Q

If BN precedes GN
GN is the only one in parenthesis
BN is not in parenthesis

A

Erroneous

29
Q

If only BN is written
If BN is written but the GN not legible
Terms that hinder generic dispensing

A

Violative

30
Q

GN is written but not legible or both are not legible

GN not equal with BN

A

Impossible

31
Q

Action: Erroneous

A

Fill
Keep
Report

32
Q

Action: Violative

A

Keep
Report

33
Q

Action: Impossible

A

Keep
Report

34
Q

Parts of a Prescription

A

▪ Prescriber’s Information
▪ Patient’s Information
▪ Date of Prescription
▪ Superscription (for Rx drugs)
▪ Inscription (must bear the name, dosage strength, dosage form and amount to be dispensed)
▪ Subscription (not always present)
▪ Signa
▪ Prescriber’s Signature and License numbers

35
Q

Clinical Check

A
  1. Interactions
  2. Dose
  3. Evidence of Harm/Benefit
  4. Appropriate
  5. Legal and Complete
  6. Cost-effective
  7. Acceptable to patient
  8. Safe
  9. Effective/Evidence-based
36
Q

Interactions

A

Drug-Drug
Drug-Food
Drug-Disease
Drug-Herb
Drug-Lab Test

37
Q

-calculated based on age, weight and height, BMI and, co-morbidities/condition

A

Dose

38
Q

-monitoring parameters to check for adverse effects and evidence of improvement
-benefits must outweigh the risk/harm

A

Evidence of Harm/Benefit

39
Q

-checks for the specifics of the drug to know if it is the most appropriate considering all factors

A

Appropriate

40
Q

Appropriate: 5 Rights

A

Right patient
Right drug
Right dose
Right route
Right time

41
Q

compliance to laws, signed and dated, genuine

A

Legal and Complete

42
Q

weigh the overall cost of treatment compared to the benefits the patient might get

A

Cost-effective

43
Q
  • check patient’s capability/preference in taking medications
  • ease of administration (size/amount of drug), religion (Halal), price, generic/branded
A

Acceptable to patient

44
Q

checks if treatment coincides with available clinical practice guidelines and protocols

A

Effective/Evidence-based

45
Q
  • Aka: assembly of the product
  • May be carried out by humans (pharmacists, pharmacy technicians) or robots
  • May involve extemporaneous (small-scale) compounding
A

FILLING

46
Q

FEFO

A

First Expiry, First Out

47
Q

SALAD

A

Sound-alike, Look-alike Drugs

48
Q

Salad Example Read

A

vinBLAStine - vinCRIStine
CIMETidine – CETIrizine
PENTObarbital – PHENObarbital
NIFEdipine – NICARdipine

medroxyPROGESTerone – methylPREDNIsolone
hydrALAZINE – hydroxyzine
ePHEDrine – EPINEPHrine

ceFAZolin - cefoTEtan – cefOXitin – cefTAZidime – cefTRIAXone

Dispensing Lab (8 decks)

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