[Wk1: CLP & FCM] 1.4 Good Prescribing

Question 1

What constitutes good prescribing?

Answer 1

When it is appropriate to the px’s condn

Appropriate in a sense that it should: 
> Maximize effectiveness 
> Minimize risks
> Minimize costs 
> Respect the patient's choice

Question 2

7 scopes of good prescribing

Answer 2

1 making a dx 
2 knowing px's kidney and liver functions 
3 getting the dose right 
4 explaining to patient 
- its likelihood to work 
- commoon AE 
- plans when the treatment don't work 
5 making the dose right 
6 being very clear what it is you are prescribing 
7 clear Rx

Question 3

Making the right diagnosis is based on integrating different information from which resources?

Answer 3

` cc 
` hx 
` PE 
` lab tests 
` xrays

Question 4

3 MC Prescribing errors

Answer 4

[] omission of needed info [] poor writing –> errors of drug dose or timing
[`] prescription of drugs that are inappropriate for specific situations

Question 5

4 types of non-compliance leading to medication errors and increased healthcare cost

Answer 5

1 the patient fails to obtain the medication
2 the patient fails to take the medciation as prescribed
3 the patient prematurely discontinued the medication
4 the patient takes medication inappropriately

Question 6

USA: Med Watch
PH: ________ ?

Answer 6

FDA

` Drug safety surveillance

Question 7

Socioeconomic Factors influencing Prescribing

Answer 7

` Cost of prescriptions
` Generic prescribing
` Fee

Question 8

Main approach to the treatment and prevention of dse

Answer 8

Prescribing

Question 9

This part of the Rx consists of

a. px name, complete address, age and gendder
b. date rx was written
c. Rx

Answer 9

Superscription

Question 10

Body of the Rx which consists of the name of the drug, dosage form, and the amount per dose and/or strength of the prep

Answer 10

Inscription

Question 11

Inscription:

the principle drug which gives the prescription its chief action

Answer 11

Basis

Question 12

Inscription:

aids or increases the action of the Basis

Answer 12

Adjuvant

Question 13

Inscription:

modifies or corrects the undesirable effects of the basis or adjuvant

Answer 13

corrective

Question 14

Inscription:

used as a solvent of the solution, to increasr the bulk or to dilute the mixture

Answer 14

Vehicle

Question 15

contains the direction to the pharmacist; in modern Rx writing, simply written as dispense no.

Answer 15

Subscription

Question 16

consists of the directions of the physician

Answer 16

Signatura

Question 17

consists of the prescriber’s name signiture followed by the initials MD with PRC number PTR # and S2 number

Answer 17

Prescriber’s Data

Question 18

For Rx writing what does a.c. (ante cibum) mean?

Answer 18

before meals

Question 19

For Rx writing what does b.i.d. (bis in die) mean?

Answer 19

2x / day

Question 20

For Rx writing what does gtt. (gutta) mean?

Answer 20

drop

Question 21

For Rx writing what does h.s. (hora somni) mean?

Answer 21

hour of sleep; at bedtime

Question 22

For Rx writing what does o.d. (omni die) mean?

Answer 22

everyday

Question 23

For Rx writing what does p.c. (post cibum) mean?

Answer 23

after meals

Question 24

For Rx writing what does p. r. n. mean?

Answer 24

pro re nata; if necessary

Question 25

For Rx writing what does q.h. mean?

Answer 25

quaque hora; every hgr

Question 26

For Rx writing what does qid mean?

Answer 26

quarter in die; 4x /day

Question 27

For Rx writing what does q.s. (quantum sufficit) mean?

Answer 27

as much as required