Writing Rx

Question 1

What are the legally required elements of a prescription (11)

Answer 1

Pt name, date, drug, dose, units, quantity to dispense, route, frequency, refills, signature(and printed name), no substitution line(brand name or generic)

Question 2

DEA # is req’d for

Answer 2

controlled agents (CII-CV)

Question 3

controlled substances cannot be ordered via

Answer 3

the internet

Question 4

every prescription needs a name and a(n) _______

Answer 4

identifier - DOB, address

Question 5

do you put a 0 before a decimal place or after?

Answer 5

before!! 0.5 is correct… putting 50.0 is wrong (sb 50)

Question 6

1L= ____qt

Answer 6

1qt

Question 7

1pt =____mL

Answer 7

500mL

Question 8

1cup = ____ml

Answer 8

237mL

Question 9

30mL = ______tbs

Answer 9

2 tablespoons

Question 10

1 teaspoon = ___mL

Answer 10

5mL

Question 11

______ and _____ are units that must be spelled out

Answer 11

micrograms, and units(like of insulin)

Question 12

What do you need to calculate dosage? (4)

Answer 12

concentration of drug(mg/ml, %age, powders), wt of the pt, indication(what it’s for), rate of delivery

Question 13

Q means ______, bid means ______, qid means ______, ac means ______

Answer 13

every(QH= every hour), bid means 2x day, qid mean 4x a day, ac means before meals

Question 14

pc means ________, hs/qhs means _______, SIVP means _____, bolus means ________

Answer 14

after meals, hs/qhs means at bedtime, SIVP means slow IV push, bolus means at one time

Question 15

IM means _______, IV infusion means ________, disp means _____, sig means

Answer 15

intramuscular, IV infusion means infuse over time, disp means dispense, sig means directions for use

Question 16

how would you instruct to give a med every four hours?

Answer 16

q4h

Question 17

what 5 factors influence refills

Answer 17

safety (suicidal risk), regulations, managed care specifications(max amount in certain amount of time), convenience (pt is on long term therapy), wastefulness.

Question 18

PAs can’t refill C__ drugs

Answer 18

CII

Question 19

PAs can refill CII-CIV with ______months inbetween

Answer 19

6months

Question 20

what is the order you write things on a script from top to bottom

Answer 20

DEA #, doc Name and address, date, Name of pt and identifier, 
drug name and dose
sig: how the med is taken
dispense
refills
signature

Question 21

___________ is not req’d to be on the label (unless the drug is PRN) but is useful to prevent filling errors and improve pt drug knowledge

Answer 21

indication - what the drug is useful for

Question 22

1lb = ___kg

Answer 22

0.454kg

Question 23

How would you calculate dosage of liquid(suspension): 100mg/kg/day every 8-12 hours for a 30lb child?

What if you got a 400mg/5mL suspension?

Answer 23

30lb–> kg (conversion is 1 lb =0.454kg
kg*100mg = mg/day
divide mg/day by either 2(for every 12 hours), or 3 for every 8 hours

Then if you have the option choose the highest concentration so there is less volume to swallow…. this may be available in 400mg/5mL (or 80mg/mL). so you would then have to take the mg dosage calculated from above and divide by 80mg to get the mL needed to swallow for each dose.

Question 24

As far as insulin goes, it is give to pts in units… 4 units = ___mL

Answer 24

0.04mL

Question 25

What needs to be on a script in addition to insulin? (4)

Answer 25

needles, BG moniter, BG test strips, lancets

Question 26

inhalers are dosed as ____ or ______

Answer 26

puffs or inhalations

Question 27

creams are dosed based on _____ (area needed to apply to)

Answer 27

percentage (nitro paste is measured with paper)

Question 28

orders are ______

Answer 28

notes describing what you want done