Prescription Writing

Front 1

Goals of Prescription Writing

Back 1

- Give an order
- Communicate
- Comply with rules

Front 2

The Heading of a Prescription include

Back 2

- DEA #
- may include license #
- NPI #
- Name, age, address, & Date

Front 3

NPI stands for

Back 3

National Provider ID

Front 4

Body of a prescription include

Back 4

- symbol Rx
- drug name
- Disp (quantity to be dispensed)
- dosage
- Sig (complete instructions for) use

Front 5

Disp means

Back 5

quantity to be dispensed

Front 6

Sig means

Back 6

directions for taking Rx

Front 7

Closing of a prescription includes

Back 7

- prescriber's signature
- refill information
- check-off box to label with drug name

Front 8

DAW stands for

Back 8

- Dispense
- As
- Written

Front 9

Three different units of measurement

Back 9

- Metric System
- Apothecary System
- Avoidupois or household system

Front 10

The basic unit of weight in the metric system is the

Back 10

gram

Front 11

The basic unit of weight in the Apothecary or household system is the

Back 11

grain

Front 12

1 kilogram =

Back 12

1000 grams (g)

Front 13

1 gram = _____ milligrams (mg)
1 gram = _____ centigrams (cg)
1 gram = _____ decigrams (dg)

Back 13

- 1000
- 100
- 10

Front 14

1 grain (gr) = ______ grams (g)

Back 14

- 0.065

Front 15

The basic unit of volume of the metric system is the

Back 15

liter

Front 16

1 Liter = _____ milliliters (mL)
1 Liter = _____ centiliters (cl)
1 Liter = _____ deciliters (dl)

Back 16

- 1000
- 100
- 10

Front 17

The basic unit of volume of the apothecary system is the

Back 17

minim

Front 18

The ___________ system is used for ordinary commodities such as defining the terms ounce, teaspoonful, and tablespoonful

Back 18

Avoidupois or household

Front 19

ac stands for

Back 19

before meals

Front 20

AM stands for

Back 20

Morning

Front 21

bid stands for

Back 21

Twice a day

Front 22

cap stands for

Back 22

capsule

Front 23

dis stands for

Back 23

dispense

Front 24

prn stands for

Back 24

as needed

Front 25

q stands for

Back 25

every

Front 26

qd stands for

Back 26

Every day

Front 27

h stands for

Back 27

hour

Front 28

hs stands for

Back 28

at bedtime

Front 29

qh stands for

Back 29

every hour

Front 30

q8h stands for

Back 30

every 8 hours

Front 31

qid stands for

Back 31

4 times a day

Front 32

pc stands for

Back 32

after meals

Front 33

PM stands for

Back 33

Afternoon

Front 34

stat stands for

Back 34

at once

Front 35

sig stands for

Back 35

write on label

Front 36

tid stands for

Back 36

3 times a day

Front 37

po stands for

Back 37

orally (by mouth)

Front 38

Rx stands for

Back 38

take thou a recipe; prescription

Front 39

qs stands for

Back 39

A sufficient quantity

Front 40

tab stands for

Back 40

Tablet

Front 41

gtts stands for

Back 41

drops

Front 42

od stands for

Back 42

right eye

Front 43

os stands for

Back 43

left eye

Front 44

NR stands for

Back 44

No Refills

Front 45

mL stands for

Back 45

milliliter

Front 46

___________ drugs require a written prescription or a telephone order to the pharmacy and can only be prescribed by a dentist, physician, podiatrist, or veterinarian

Back 46

Prescription

Front 47

_________ drugs are medications that can be obtained OTC or without a prescription

Back 47

Nonprescription

Front 48

A warning on the label that medical studies have shown that the drug carries significant risk of serious or even life-threatening adverse effects is called the

Back 48

Black Box Warning

Front 49

Labeled uses is defined as

Back 49

approved indication, or uses that are listed on the package insert in the drug box

Front 50

Off-label uses is defined as

Back 50

drugs that may be prescribed for a different purpose from which it originally intended

Front 51

Bioequivalence is defined as

Back 51

a pharmaceutical equivalent that does not show differences in rate and extent of absorption. (if the generic drug has the same key ingredient & targets the same tissue and acts equally as brand name than it is considered bioequivalent.)

Front 52

True or False:
A Bioequivalence only refers to generic drugs

Back 52

False

Front 53

FDA publishes the "Approved Drug Products with Therapeutic Equivalence Evaluations" which is also know as

Back 53

the orange book

Front 54

The "orange book" lists

Back 54

which trade name drugs are generically interchangeable

Front 55

Who regulates both prescription and OTC drugs

Back 55

FDA

Front 56

True of False:
A drug with OTC approval must be able to be safely self administered

Back 56

True

Front 57

Habit forming drugs are classified according to their abuse potential for addiction and dependency and are place in ________ by the Federal Drug Enforcement Administration (DEA)

Back 57

schedules

Front 58

Controlled substances have the potential to cause dependency and therefore these drugs have restrictions and are called

Back 58

Controlled dangerous substances (CDS)

Front 59

In dentistry, controlled drugs ar primarily used for

Back 59

dental and orofacial pain control and for sedation

Front 60

True or False:
Although nitrous oxide, which is referred to a laughing gas, has a high potential for abuse, it is not scheduled.

Back 60

True

Front 61

Drugs listed as C-I have the _______ potential for abuse

Back 61

highest

Front 62

Drugs listed as C-V have the ______ potential for abuse

Back 62

lowest

Front 63

Schedule ______ drugs have the most abuse potential and are not used clinically.

Back 63

C-I

Front 64

True or False:
Schedule C-II drugs are only allowed one refill.

Back 64

False
- Schedule II drugs CANNOT be refilled

Front 65

Prescriptions for schedule III, IV, & V drugs can only be refilled ____ times within a 6 month period.

Back 65

5

Front 66

Some states require prescribers to write prescriptions on special triplicate forms for all schedule ___ drugs

Back 66

II

Front 67

If a prescription for a schedule II drug is phoned or faxed to the pharmacy, it must be followed up within ____ hours with a written copy of the prescription.

Back 67

72

Front 68

The package insert is

Back 68

literature written about the drug

Front 69

Cough medications that contain codeine are schedule ____ drugs

Back 69

V

Front 70

True or False:
Class I drugs can be filled in a pharmacy as long as the pharmacist himself fills the prescription.

Back 70

False
- These drugs are not filled in a pharmacy

Front 71

marijuana, hashish, PCP, LSD, & heroin are all condidered class ____ drugs

Back 71

C-I

Front 72

some narcotics, stimulants, and depressants, Cocaine, morphine, methadone, methamphetamine, oxycodone, Percodan/Percocet, methylphenidate (Ritalin) are all class ____ drugs

Back 72

C-II

Front 73

Tylenol with codeine (acetaminophen with codeine), Vicodin (acetaminophen with hydrocodone), anabolic steroids are class ____ drugs

Back 73

C-III

Front 74

Formula for Prescribing for children

Back 74

childs weight in kg
------------------------- X adult dose
70
or
child's weight in lbs
------------------------- X adult dose
150

Front 75

The primary concern with giving certain drugs to pregnant women is

Back 75

harm to the fetus

Front 76

All drugs are given a safety _______ for use during pregnancy and for lactating women

Back 76

category

Front 77

The pregnancy saftey categories are

Back 77

A, B, C, D, X

Front 78

Pregnancy safety Category A is defined as

Back 78

Studies on humans fails to show risk to the fetus or pregnant women.

Front 79

The lowest pregnancy safet category is

Back 79

A

Front 80

The Pregnancy Safety Category where animal studies have not shown a risk to the fetus but there are no human studies in pregant women is Category

Back 80

B

Front 81

The pregnancy Safety Category where animal studies have shown a risk to the fetus but no human studies on pregnant women have been done is Category

Back 81

C

Front 82

The pregnancy safety category where there is evidence that the drug may cause fetal damage, but in life-threatening situations, benefits for use in pregnant women may be acceptable despite the risk to the fetus, and a warning is printed on the label is category

Back 82

D

Front 83

The pregnancy safety category where studies in animals or humans have shown risk to the fetus and women and the drug is contraindicated in women who are or may become pregnant is category

Back 83

X

Front 84

Levothyroxine (thyroid), potassium, ferrous (iron), and folic acid are included in pregnancy safety category

Back 84

A

Front 85

Acetaminophen, lidocaine with epenephrine, ibuprofen, erythromycin, chlorhexidine gluconate, azithromycin (Zithromax), penicillin, amoxicillin, metronidazole, clindamycin and insulin are included in pregnancy safety category

Back 85

B

Front 86

Isoniazid (for tuberculosis), carbamazepine (tegretol), fluoride, antidepressants (Zoloft, Prozac), clarithromycin (Biaxin), antihistamines (Allegra), acetaminophen with codeine, propranolol, aspirin (D if full dose; given in 3rd trimester) are included in pregnancy safety category

Back 86

C

Front 87

Nitrous oxide, phenytoin (Dilantin; for seizures), tetracycline (doxycycline, minocycline), anti-anxiety drugs (Valium, Xanax), warfarin (anticoagulant) are included in pregnancy safety category

Back 87

D

Front 88

Estrogens, Vitamin A (if used more than RDA [recommended daily allowance]) are included in pregnancy safety category

Back 88

X

Front 89

True are False:
Prescriptions should be written clearly

Back 89

True

Front 90

What should a prescription state
(FAD)

Back 90

(FAD)
- Frequency of administration
- Age of patient
- Dose

Front 91

True or False:
It is okay to use abbreviations on a prescription

Back 91

False
- only the approved common abbreviation is allowed

Front 92

True or False:
It is up to the pharmacy to instruct the patient on how to take the medication

Back 92

False
- Communication with patient on how to take medication is key

Front 93

True or False:
Successful pharmacotherapy depends on patient adherence.

Back 93

True

Front 94

True or False:
Always document in the chart that the medication was reviewed with the patient and that they understood how to take the medication.

Back 94

True

Front 95

True or False:
The best way to avoid medication errors is to write in ink and clearly print or use electronic transmission

Back 95

True

Front 96

True or False:
It is not necessary to include the number of refills on a prescription as the pharmacist will know according to the drug schedule which drugs are allowed refills.

Back 96

False
- Always enter number of refills on prescription

Front 97

True of False:
Including the age of a patient on the prescription will help to avoid medication errors.

Back 97

True

Front 98

True or False:
Physicians are required to keep written records of electronic prescriptions.

Back 98

True