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31 Cards in this Set
- Front
- Back
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What is a controlled or scheduled drug?
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prescription drug-their use & distribution is tightly controlled because of its abuse potential or risk
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How are the controlled drugs classified?
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into schedules (CI, CII, CIII, cIV, CV)
-the lower the number, the higher potential for abuse |
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Why do you put the date on the prescription?
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determines the life of the Rx to validate refills
-ensures continual pt supervision -promotes patient follow up |
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When does Rx of legend drugs expire?
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expire 1 year from date issued
Legend drug is a prescription drug |
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When does Rx of Controlled drug expire?
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CIII-CV: expire 6 months
CII: expire 7 days |
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When writing Rx, what do you do with the zeros w/decimal points?
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avoid trailing zeros
always use leading zeros |
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If you prefer patient to have a brand name med, what do you need to put on the Rx?
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"brand necessary"
"brand Medically Necessary" |
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What does "Sig" mean?
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directions to the patient that you want printed on the Rx bottle
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regarding strength of drug, what 2 things do you have to include on Rx?
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BOTH concentration & dose of medication
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Quantity of the drug
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-prescribe only necessary quantity
-write for quantities, not time period -if they need more, then you can give them a number of refills |
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refills
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not required
to avoid interrupting maintenance therapy, practitioners can write refills |
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how many refills can non=controlled substances have?
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no limit, use discretion
-they are only authorized for the life of the prescription (1 year) |
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what does it mean when PRN is written in the refill spot?
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refill as needed for 1 year
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PRN
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as needed
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gtt (s)
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drop or drops
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q
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once (once a day)
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tid
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3 times a day
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qid
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4 times a day
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qhs
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once at bedtime
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hs
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bedtime
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p.o.
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by mouth
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o.u.
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both eyes
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o.s.
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left eye
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o.d.
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right eye
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schedule I
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highest abuse risk
no safe medical use in US (heroin, marijuana, LSD) |
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schedule II
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high abuse risk
some safe & accepted medical use (morphine, oxycodone, methylphenidate, dextroamphetamine) |
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schedule III
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abuse risk less than CII
safe & accepted medical use (acetaminophen, codeine (tylenol 3), vicodin, fiorinal FioriCET is NOT scheduled |
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schedule IV
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abuse risk less than CIII
safe & accepted medical use (diazepam, alprazolam, phenobarbital, chloral hydrate, darvocet) |
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schedule V
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abuse risk less than CIV
safe & accepted medical use mainly consist of preparations containing limited quantities of certain stimulant & narcotic drugs for antitussive & antidiarrheal purposes |
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additional law requirements for CII prescriptions
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-must register w/DEA & DPS
-exemptions don't apply for outpt prescriptions -need special Rx required: Triplicate, official Rx form -no refills -expire in 7 days |
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How can you maximize patient safety?
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always write legibly
always space out words & numbers to avoid confusion always complete medication orders AVOID abbreviations when in doubt, ask to verify |
