English for Pharmacist

The course covers the following skills

Pharmacy vocabularyVocabulary ExercisesPronunciationListening comprehensionPharmacist ndash patient dialoguesIdiomatic languagePrescription writingBody parts vocabulary

Pharmacy Vocabulary amp Phrasesprescription

to get a good nights sleep

pharmacy

to take medicine

to take a pill

easier said than done

to stay calm

pharmacist

dispense

prescription

profiles

counsel

interaction

effect

drug

prescribe

>

13322485

>

10119288

regimen

antidepressant (n)

over-the-counter (adj)

side effect

dose (n)

generic drug

drowsy (adj)

fever

active ingredient

Sedative

therapeutic (adj)

allergy (n)

apply (v)

migraine

antibiotic

aseptic

bandage (n)

dehydration

nausea

rash (n)

diarrhea

>

14950792

>

12783789

The active ingredients are listed on the back of the package

This drug has potential for abuse

This will cause alleviation of swelling

May cause feelings of anxiousness

Can cause frequent bowel movements

Will promote alleviation of constipation

Take one dose every 8 hours

These English phrases will be useful when you are at a chemist

>

Blues

29139311

>

Blues

219004

>

Blues

2473387

>

Blues

26383665

>

Blues

2647074

>

Blues

27327337

>

Blues

25244617

Taking medication will cause drowsiness

For external use only

For internal use only

Take this medicine with food

Drug interaction warnings ______

Other drugs that may not interact well are _______

The medication may cause you to itch

If you take too much medicine you will overdose

>

Blues

2635999

>

Blues

18492783

>

Blues

18570335

>

Blues

20293055

>

Blues

23328972

>

Blues

2827101

>

Blues

24642167

>

Blues

30669105

See your doctor if the pain persists

Do not take more pills than you are supposed to

Let me know if you have one of these rare side effects

These pills should alleviate the throbbing

There are warnings in Spanish on the back of the bottle

Swallow two pills before bed

Describe your symptoms

>

Blues

21065028

>

Blues

27129514

>

Blues

31634002

>

Blues

24232645

>

Blues

3621359

>

Blues

24350195

>

Blues

2230285

Id like some hellip

toothpaste

paracetamol

Ive got a prescription here from the doctor

have you got anything for hellip

cold sores

a sore throat

chapped lips

a cough

travel sickness

athletes foot

>

14628565

>

08097957

>

13583668

>

2220408

>

19330604

>

25338786

>

2403266

>

2220408

>

23510208

>

15673463

>

23510208

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

The course covers the following skills

Pharmacy vocabularyVocabulary ExercisesPronunciationListening comprehensionPharmacist ndash patient dialoguesIdiomatic languagePrescription writingBody parts vocabulary

Pharmacy Vocabulary amp Phrasesprescription

to get a good nights sleep

pharmacy

to take medicine

to take a pill

easier said than done

to stay calm

pharmacist

dispense

prescription

profiles

counsel

interaction

effect

drug

prescribe

>

13322485

>

10119288

regimen

antidepressant (n)

over-the-counter (adj)

side effect

dose (n)

generic drug

drowsy (adj)

fever

active ingredient

Sedative

therapeutic (adj)

allergy (n)

apply (v)

migraine

antibiotic

aseptic

bandage (n)

dehydration

nausea

rash (n)

diarrhea

>

14950792

>

12783789

The active ingredients are listed on the back of the package

This drug has potential for abuse

This will cause alleviation of swelling

May cause feelings of anxiousness

Can cause frequent bowel movements

Will promote alleviation of constipation

Take one dose every 8 hours

These English phrases will be useful when you are at a chemist

>

Blues

29139311

>

Blues

219004

>

Blues

2473387

>

Blues

26383665

>

Blues

2647074

>

Blues

27327337

>

Blues

25244617

Taking medication will cause drowsiness

For external use only

For internal use only

Take this medicine with food

Drug interaction warnings ______

Other drugs that may not interact well are _______

The medication may cause you to itch

If you take too much medicine you will overdose

>

Blues

2635999

>

Blues

18492783

>

Blues

18570335

>

Blues

20293055

>

Blues

23328972

>

Blues

2827101

>

Blues

24642167

>

Blues

30669105

See your doctor if the pain persists

Do not take more pills than you are supposed to

Let me know if you have one of these rare side effects

These pills should alleviate the throbbing

There are warnings in Spanish on the back of the bottle

Swallow two pills before bed

Describe your symptoms

>

Blues

21065028

>

Blues

27129514

>

Blues

31634002

>

Blues

24232645

>

Blues

3621359

>

Blues

24350195

>

Blues

2230285

Id like some hellip

toothpaste

paracetamol

Ive got a prescription here from the doctor

have you got anything for hellip

cold sores

a sore throat

chapped lips

a cough

travel sickness

athletes foot

>

14628565

>

08097957

>

13583668

>

2220408

>

19330604

>

25338786

>

2403266

>

2220408

>

23510208

>

15673463

>

23510208

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Pharmacy Vocabulary amp Phrasesprescription

to get a good nights sleep

pharmacy

to take medicine

to take a pill

easier said than done

to stay calm

pharmacist

dispense

prescription

profiles

counsel

interaction

effect

drug

prescribe

>

13322485

>

10119288

regimen

antidepressant (n)

over-the-counter (adj)

side effect

dose (n)

generic drug

drowsy (adj)

fever

active ingredient

Sedative

therapeutic (adj)

allergy (n)

apply (v)

migraine

antibiotic

aseptic

bandage (n)

dehydration

nausea

rash (n)

diarrhea

>

14950792

>

12783789

The active ingredients are listed on the back of the package

This drug has potential for abuse

This will cause alleviation of swelling

May cause feelings of anxiousness

Can cause frequent bowel movements

Will promote alleviation of constipation

Take one dose every 8 hours

These English phrases will be useful when you are at a chemist

>

Blues

29139311

>

Blues

219004

>

Blues

2473387

>

Blues

26383665

>

Blues

2647074

>

Blues

27327337

>

Blues

25244617

Taking medication will cause drowsiness

For external use only

For internal use only

Take this medicine with food

Drug interaction warnings ______

Other drugs that may not interact well are _______

The medication may cause you to itch

If you take too much medicine you will overdose

>

Blues

2635999

>

Blues

18492783

>

Blues

18570335

>

Blues

20293055

>

Blues

23328972

>

Blues

2827101

>

Blues

24642167

>

Blues

30669105

See your doctor if the pain persists

Do not take more pills than you are supposed to

Let me know if you have one of these rare side effects

These pills should alleviate the throbbing

There are warnings in Spanish on the back of the bottle

Swallow two pills before bed

Describe your symptoms

>

Blues

21065028

>

Blues

27129514

>

Blues

31634002

>

Blues

24232645

>

Blues

3621359

>

Blues

24350195

>

Blues

2230285

Id like some hellip

toothpaste

paracetamol

Ive got a prescription here from the doctor

have you got anything for hellip

cold sores

a sore throat

chapped lips

a cough

travel sickness

athletes foot

>

14628565

>

08097957

>

13583668

>

2220408

>

19330604

>

25338786

>

2403266

>

2220408

>

23510208

>

15673463

>

23510208

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

regimen

antidepressant (n)

over-the-counter (adj)

side effect

dose (n)

generic drug

drowsy (adj)

fever

active ingredient

Sedative

therapeutic (adj)

allergy (n)

apply (v)

migraine

antibiotic

aseptic

bandage (n)

dehydration

nausea

rash (n)

diarrhea

>

14950792

>

12783789

The active ingredients are listed on the back of the package

This drug has potential for abuse

This will cause alleviation of swelling

May cause feelings of anxiousness

Can cause frequent bowel movements

Will promote alleviation of constipation

Take one dose every 8 hours

These English phrases will be useful when you are at a chemist

>

Blues

29139311

>

Blues

219004

>

Blues

2473387

>

Blues

26383665

>

Blues

2647074

>

Blues

27327337

>

Blues

25244617

Taking medication will cause drowsiness

For external use only

For internal use only

Take this medicine with food

Drug interaction warnings ______

Other drugs that may not interact well are _______

The medication may cause you to itch

If you take too much medicine you will overdose

>

Blues

2635999

>

Blues

18492783

>

Blues

18570335

>

Blues

20293055

>

Blues

23328972

>

Blues

2827101

>

Blues

24642167

>

Blues

30669105

See your doctor if the pain persists

Do not take more pills than you are supposed to

Let me know if you have one of these rare side effects

These pills should alleviate the throbbing

There are warnings in Spanish on the back of the bottle

Swallow two pills before bed

Describe your symptoms

>

Blues

21065028

>

Blues

27129514

>

Blues

31634002

>

Blues

24232645

>

Blues

3621359

>

Blues

24350195

>

Blues

2230285

Id like some hellip

toothpaste

paracetamol

Ive got a prescription here from the doctor

have you got anything for hellip

cold sores

a sore throat

chapped lips

a cough

travel sickness

athletes foot

>

14628565

>

08097957

>

13583668

>

2220408

>

19330604

>

25338786

>

2403266

>

2220408

>

23510208

>

15673463

>

23510208

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

The active ingredients are listed on the back of the package

This drug has potential for abuse

This will cause alleviation of swelling

May cause feelings of anxiousness

Can cause frequent bowel movements

Will promote alleviation of constipation

Take one dose every 8 hours

These English phrases will be useful when you are at a chemist

>

Blues

29139311

>

Blues

219004

>

Blues

2473387

>

Blues

26383665

>

Blues

2647074

>

Blues

27327337

>

Blues

25244617

Taking medication will cause drowsiness

For external use only

For internal use only

Take this medicine with food

Drug interaction warnings ______

Other drugs that may not interact well are _______

The medication may cause you to itch

If you take too much medicine you will overdose

>

Blues

2635999

>

Blues

18492783

>

Blues

18570335

>

Blues

20293055

>

Blues

23328972

>

Blues

2827101

>

Blues

24642167

>

Blues

30669105

See your doctor if the pain persists

Do not take more pills than you are supposed to

Let me know if you have one of these rare side effects

These pills should alleviate the throbbing

There are warnings in Spanish on the back of the bottle

Swallow two pills before bed

Describe your symptoms

>

Blues

21065028

>

Blues

27129514

>

Blues

31634002

>

Blues

24232645

>

Blues

3621359

>

Blues

24350195

>

Blues

2230285

Id like some hellip

toothpaste

paracetamol

Ive got a prescription here from the doctor

have you got anything for hellip

cold sores

a sore throat

chapped lips

a cough

travel sickness

athletes foot

>

14628565

>

08097957

>

13583668

>

2220408

>

19330604

>

25338786

>

2403266

>

2220408

>

23510208

>

15673463

>

23510208

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Taking medication will cause drowsiness

For external use only

For internal use only

Take this medicine with food

Drug interaction warnings ______

Other drugs that may not interact well are _______

The medication may cause you to itch

If you take too much medicine you will overdose

>

Blues

2635999

>

Blues

18492783

>

Blues

18570335

>

Blues

20293055

>

Blues

23328972

>

Blues

2827101

>

Blues

24642167

>

Blues

30669105

See your doctor if the pain persists

Do not take more pills than you are supposed to

Let me know if you have one of these rare side effects

These pills should alleviate the throbbing

There are warnings in Spanish on the back of the bottle

Swallow two pills before bed

Describe your symptoms

>

Blues

21065028

>

Blues

27129514

>

Blues

31634002

>

Blues

24232645

>

Blues

3621359

>

Blues

24350195

>

Blues

2230285

Id like some hellip

toothpaste

paracetamol

Ive got a prescription here from the doctor

have you got anything for hellip

cold sores

a sore throat

chapped lips

a cough

travel sickness

athletes foot

>

14628565

>

08097957

>

13583668

>

2220408

>

19330604

>

25338786

>

2403266

>

2220408

>

23510208

>

15673463

>

23510208

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

See your doctor if the pain persists

Do not take more pills than you are supposed to

Let me know if you have one of these rare side effects

These pills should alleviate the throbbing

There are warnings in Spanish on the back of the bottle

Swallow two pills before bed

Describe your symptoms

>

Blues

21065028

>

Blues

27129514

>

Blues

31634002

>

Blues

24232645

>

Blues

3621359

>

Blues

24350195

>

Blues

2230285

Id like some hellip

toothpaste

paracetamol

Ive got a prescription here from the doctor

have you got anything for hellip

cold sores

a sore throat

chapped lips

a cough

travel sickness

athletes foot

>

14628565

>

08097957

>

13583668

>

2220408

>

19330604

>

25338786

>

2403266

>

2220408

>

23510208

>

15673463

>

23510208

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Id like some hellip

toothpaste

paracetamol

Ive got a prescription here from the doctor

have you got anything for hellip

cold sores

a sore throat

chapped lips

a cough

travel sickness

athletes foot

>

14628565

>

08097957

>

13583668

>

2220408

>

19330604

>

25338786

>

2403266

>

2220408

>

23510208

>

15673463

>

23510208

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

can you recommend anything for a cold

Im suffering from hellip

hay fever

indigestion

diarrhea

Ive got a rash

you could try this cream

>

21681628

>

1488979

>

16457136

>

17502034

>

12277546

>

107102

>

1488979

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

if it doesnt clear up after a week you should see your doctor

have you got anything to help me stop smoking

have you tried nicotine patches

can I buy this without a prescription

its only available on prescription

does it have any side-effects

it can make you feel drowsy

you should avoid alcohol

Id like to speak to the pharmacist please

>

4101232

>

26383688

>

20636725

>

23510208

>

2455511

>

16979585

>

19330604

>

16979585

>

2272653

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer

Have fun

Exercise 1

Exercise 2

Exercise 3

Exercise 4

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal

2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)

sold out of away from

3 Nausea is a common __________________________ of these pills

side condition secondary affectation side effect

Exercise 1

refill

out of

side effect

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

4 Make sure you take this __________________________ with plenty of water

medication medicament pills

5 Dont take these on __________________________ Take them with a meal

empty stomach a stomach thats empty an empty stomach

6 We always __________________________ ( = verify) with your doctor before filling your prescription

check out check check in

medication

an empty stomach

check

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

7 You might __________________________ ( = feel) some dizziness Experience expect expend

8 This is the best cold medicine __________________________ ( = thats available)

on demand on the market on a scale of one to ten

9 Its benefits __________________________ its risks ( = it has more benefits than risks)

weight more than outweigh are heavier than

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Exercise 2

1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist

2 If youve had a _________________ with these pills in the past I dont recommend you take them again

Nausea bad feeling bad reaction

3 Are you ______________________ taking any other medication

right now currentlypresently presentcurrent

pharmaceutical

bad reaction

currentlypresently

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

4 You can __________________________ your prescription online or by telephone

re-order rearrange react to

5 I just want to make sure there are no __________________________ with other medication you might be taking

interaction(s) prescription(s) refills

6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through

re-order

interaction(s)

drive-through

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

7 A negative reaction = An __________________________ reaction adverse awesome adept

8 __________________________ medicine is medicine that you can buy without a prescription

Over-the-counter On demand Overpriced

9 Are their any potential __________________________ ( = problems) from using the medications together

Correlations complications collocations

adverse

Over-the-counter

complications

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Exercise 3

1 available without a prescription --gt

2 the amount of medicine to be taken --gt

3 having the ability to heal --gt

4 an abnormally high body temperature --gt

5 an undesired effect resulting from a medication --gt

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

1 b

2 d

3 j

4 g

5 c

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Match the definition on the left with the letter of the term above

a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug

f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)

6 medicine that treats depression --gt

7 the opposite of a brand name drug --gt

8 medicine that calms you down --gt

9 sleepy --gt

10 the substance in a pharmaceutical drug that is biologically active --gt

6 a

7 e

8 i

9 f

10 h

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Exercise 4Match the definition on the left with the letter of the term above

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

1 free of microorganisms --gt

2 medicine that kills bacteria --gt

3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt

4 severe headache --gt

5 an excessive loss of body fluid --gt

1 d

2 e

3 f

4 c

5 g

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic

f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea

6 to put on ones skin hair etc --gt

7 loose or liquid bowel movements --gt

8 a feeling like one wants to vomitthrow up --gt

9 a physical (usually negative) reaction to taking a medicine --gt

10 a change of the skin which affects its color appearance or texture --gt

6 b

7 j

8 h

9 a

10 i

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

PronunciationAcetaminophen

Amoxicillin (am OX i sil in)

Aspirin

Atenolol

Baclofen

Benadryl

BuSpar

Carbamazepine

Cialis

Concerta

Demerol

Digoxin

>

108

>

0936

>

0936

>

0936

>

06

>

228

>

1064

>

0936

>

081812245

>

0764

>

084

>

12277546

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Diphenhydramine

Effexor

Erythromycin

Excedrin

Femara

Ferrous Sulfate

Folic Acid

Gardasil

Glucophage

Glucovance

httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml

I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases

Listening Comprehension

Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button

Victor Oh doctor yoursquove got to help me

Doctor Try to relax What seems to be the problem

Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________

Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very

congested

Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help

Doctor What is this on your skin

Victor I donrsquot know Irsquove had red (7)_________ all over my body

Doctor They look like (8)__________ to me Are you experiencing any (9)___________________

Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________

Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to

an(14) _________ What were you doing right before you started experiencing these symptoms

Victor I started my first job

Doctor That could be your problem

Victor I knew it Irsquom (15)_____________ work

allergic to allergist to refer you severe allergy attack

breathe constricted shortness of breathhives

spots sinuses

nasal passages

wateryitchy

sneezing Tilt

sneezing wateryitchy

nasal passagesTilt

sinuses

severe allergy attack

shortness of breathhives

spots

breatheconstricted

allergic to

allergist

to refer you

Answers

>

new

14

Blues

5701905

Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain

pharmacist

prescriptions

pharmacy technician home remedy

medicationrash over-the-counter

Pharmaceuticals

allergies

drugstore

headachesPain relievers eye drops

dry eyes

insomnia

pharmacist

prescriptions pharmacy technician

home remedy medication

rash over-the-counter

Pharmaceuticals

allergiesdrugstore

headaches

Pain relievers eye drops

dry eyes insomnia

Answers

>

15

Blues

94996925

better flu symptoms sachet headache plenty help much appointment sore feel

Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon

Answers

help flu symptoms

headache sore

plentysachet

much

better

feel

appointment

>

38406277

Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend

Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription

Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day

Pharmacist ndash patient

>

Blues

697298

Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep

Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy

Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed

Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in

Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done

Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm

A Prescription

>

3877813

Pharmacist Excuse me sir May I help you

Patient Yes Irsquove just seen the doctor and now I want to get my medicine

Pharmacist Did you contact the cashier

Patient No not yet

Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here

Patient OK thanks a lot

Pharmacist No problem sir

Patient is standing in front of the counter

>

22980635

Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

>

12574808

Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

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Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

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Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

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This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

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To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

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The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

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>

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The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

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Blues

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Blues

33462572

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Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

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Blues

25317543

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Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

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Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Victor Oh doctor yoursquove got to help me

Doctor Try to relax What seems to be the problem

Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________

Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very

congested

Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help

Doctor What is this on your skin

Victor I donrsquot know Irsquove had red (7)_________ all over my body

Doctor They look like (8)__________ to me Are you experiencing any (9)___________________

Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________

Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to

an(14) _________ What were you doing right before you started experiencing these symptoms

Victor I started my first job

Doctor That could be your problem

Victor I knew it Irsquom (15)_____________ work

allergic to allergist to refer you severe allergy attack

breathe constricted shortness of breathhives

spots sinuses

nasal passages

wateryitchy

sneezing Tilt

sneezing wateryitchy

nasal passagesTilt

sinuses

severe allergy attack

shortness of breathhives

spots

breatheconstricted

allergic to

allergist

to refer you

Answers

>

new

14

Blues

5701905

Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain

pharmacist

prescriptions

pharmacy technician home remedy

medicationrash over-the-counter

Pharmaceuticals

allergies

drugstore

headachesPain relievers eye drops

dry eyes

insomnia

pharmacist

prescriptions pharmacy technician

home remedy medication

rash over-the-counter

Pharmaceuticals

allergiesdrugstore

headaches

Pain relievers eye drops

dry eyes insomnia

Answers

>

15

Blues

94996925

better flu symptoms sachet headache plenty help much appointment sore feel

Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon

Answers

help flu symptoms

headache sore

plentysachet

much

better

feel

appointment

>

38406277

Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend

Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription

Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day

Pharmacist ndash patient

>

Blues

697298

Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep

Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy

Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed

Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in

Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done

Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm

A Prescription

>

3877813

Pharmacist Excuse me sir May I help you

Patient Yes Irsquove just seen the doctor and now I want to get my medicine

Pharmacist Did you contact the cashier

Patient No not yet

Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here

Patient OK thanks a lot

Pharmacist No problem sir

Patient is standing in front of the counter

>

22980635

Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

>

12574808

Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

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>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

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>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

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Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

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Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

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Blues

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The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

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>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

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Blues

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Blues

33462572

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Blues

49547772

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Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

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>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain

pharmacist

prescriptions

pharmacy technician home remedy

medicationrash over-the-counter

Pharmaceuticals

allergies

drugstore

headachesPain relievers eye drops

dry eyes

insomnia

pharmacist

prescriptions pharmacy technician

home remedy medication

rash over-the-counter

Pharmaceuticals

allergiesdrugstore

headaches

Pain relievers eye drops

dry eyes insomnia

Answers

>

15

Blues

94996925

better flu symptoms sachet headache plenty help much appointment sore feel

Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon

Answers

help flu symptoms

headache sore

plentysachet

much

better

feel

appointment

>

38406277

Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend

Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription

Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day

Pharmacist ndash patient

>

Blues

697298

Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep

Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy

Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed

Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in

Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done

Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm

A Prescription

>

3877813

Pharmacist Excuse me sir May I help you

Patient Yes Irsquove just seen the doctor and now I want to get my medicine

Pharmacist Did you contact the cashier

Patient No not yet

Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here

Patient OK thanks a lot

Pharmacist No problem sir

Patient is standing in front of the counter

>

22980635

Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

>

12574808

Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

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>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

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>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

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Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

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12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

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Blues

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The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

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>

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The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

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Blues

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Blues

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Blues

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Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

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Blues

25317543

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Blues

3001958

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Blues

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Blues

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>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

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>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

better flu symptoms sachet headache plenty help much appointment sore feel

Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon

Answers

help flu symptoms

headache sore

plentysachet

much

better

feel

appointment

>

38406277

Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend

Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription

Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day

Pharmacist ndash patient

>

Blues

697298

Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep

Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy

Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed

Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in

Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done

Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm

A Prescription

>

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Pharmacist Excuse me sir May I help you

Patient Yes Irsquove just seen the doctor and now I want to get my medicine

Pharmacist Did you contact the cashier

Patient No not yet

Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here

Patient OK thanks a lot

Pharmacist No problem sir

Patient is standing in front of the counter

>

22980635

Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

>

12574808

Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

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>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

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>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

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The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

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The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

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throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

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3568162

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5803652

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Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

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Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend

Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription

Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day

Pharmacist ndash patient

>

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Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep

Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy

Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed

Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in

Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done

Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm

A Prescription

>

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Pharmacist Excuse me sir May I help you

Patient Yes Irsquove just seen the doctor and now I want to get my medicine

Pharmacist Did you contact the cashier

Patient No not yet

Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here

Patient OK thanks a lot

Pharmacist No problem sir

Patient is standing in front of the counter

>

22980635

Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

>

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Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

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Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

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Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

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bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

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come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

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9858988

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9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

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8496614

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605168

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on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

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10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

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12182208

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Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

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Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

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3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

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27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day

Pharmacist ndash patient

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Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep

Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy

Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed

Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in

Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done

Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm

A Prescription

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Pharmacist Excuse me sir May I help you

Patient Yes Irsquove just seen the doctor and now I want to get my medicine

Pharmacist Did you contact the cashier

Patient No not yet

Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here

Patient OK thanks a lot

Pharmacist No problem sir

Patient is standing in front of the counter

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Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

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Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

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Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

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Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

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Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

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Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

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Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

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eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

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health0602

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eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

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health0603

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eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

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eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

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eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

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eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

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Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

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Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

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bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

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come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

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get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

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on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

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splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

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Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

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Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

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Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

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Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

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Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

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Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

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Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

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This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

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To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

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The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

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The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

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throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

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Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

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bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep

Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy

Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed

Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in

Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done

Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm

A Prescription

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3877813

Pharmacist Excuse me sir May I help you

Patient Yes Irsquove just seen the doctor and now I want to get my medicine

Pharmacist Did you contact the cashier

Patient No not yet

Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here

Patient OK thanks a lot

Pharmacist No problem sir

Patient is standing in front of the counter

>

22980635

Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

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12574808

Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

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Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

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343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

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33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

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>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

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>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

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>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

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>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pharmacist Excuse me sir May I help you

Patient Yes Irsquove just seen the doctor and now I want to get my medicine

Pharmacist Did you contact the cashier

Patient No not yet

Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here

Patient OK thanks a lot

Pharmacist No problem sir

Patient is standing in front of the counter

>

22980635

Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

>

12574808

Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

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Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

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>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

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>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist

Pharmacist Just a minute please have a seat

Patient My medicine is not ready

Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready

Patient already contact the cashier

>

12574808

Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

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>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

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>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

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>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

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>

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>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pharmacist Mr peter Johnson please thellip Mr Johnson please

Hello sir Please check your name again is it correct

Patient Yeah Peter Johnson

Pharmacist How many doctors have you seen today

Patient Just one doctor Why do you always keep asking this question

Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have

Pharmacist Are you allergic to any medicine

Patient Nothing that I know of

Pharmacist OK Today you have 3 medicineshelliphellip

Calling patients to get their medicine

>

29036003

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pharmacist Have you ever been allergic to any medicine

Patient Yes I used to be allergic to penicillin but itrsquos a long time ago

Pharmacist OK what was the symptom when you took penicillin

Patient I had a rash all over

Pharmacist Have you ever take it again since then

Patient No never

Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic

Patient Thatrsquos good

Asking about allergy

>

22842976

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

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20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

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Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

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Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome

Situation I

>

343045

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Ph Hello May I speak to Mr John Smith please

Pt Speaking

Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right

Pt Yes Is there any problem

Ph Do you know that you suppose to have the medicine to take home

Pt Yeah but really didnrsquot have time to wait Can I pick it up to day

Ph Sure you can

Pt where can I get my medicine

Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department

Pt OK thank you very much

Ph No problem sir

Situation II

>

33806503

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it

Ph Irsquom very sorry What your name please Irsquoll check it out for you

Pt Patricia

Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time

Pt So how long do I have to wait

Ph Just about 10 minute Irsquom very sorry for the inconvenience

Pt Alright

Situation III

>

2993618

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Buying Over-the-Counter Medicine

A Excuse me could you help me pick out a lotion

B Sure what is the problem

A I got poison oak while hiking and I need something to help me with the itching

B I can suggest a product called Technu that comes in a lotion or cream

A Which do you prefer

B Hikers tell me that the cream is best because it stays on longer

A Is there anything else I can do to help with the itching

B You can take an antihistamine

A Thank you so much for all of the information

B You are welcome Please feel free to ask me a question any time you need help

>

health0601

null

3406389

eng - iTunPGAP0

eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939

eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

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3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

A I need help picking out a lotion

B It would be my pleasure to help you What do you need help with

A I picked up some poison oak while hiking and I cant stop itching

B We have Technu and it is available in lotion or cream

A Do you find that one works better than the other

B I have heard that the cream is longer lasting

A Is there anything I can take that will help with the itching

B If you take an antihistamine that would help a lot

A Thank you for helping me figure out what to do with my poison oak

B It was a pleasure Come back anytime

>

health0602

null

31268818

eng - iTunPGAP0

eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F

eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

A Can you help me find a lotion for a problem I am having

B Thats what I am here for What questions can I answer for you

A I have poison oak and I need help with the rash that wont stop itching

B The best product is Technu and you can buy either the lotion or cream

A Which one is best

B The cream form is very popular

A Can I do anything else to help with the itching

B You could also take an antihistamine to help the rash go away quicker

A I appreciate you helping me find a solution to the itching

B Anytime you have a question please feel free to ask

>

health0603

null

34534065

eng - iTunPGAP0

eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49

eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Filling Prescription

A I need to get my prescription filled

B You may pick it up in twenty minutes

A If I wanted to could I have it mailed to me

B Yes and you can renew this prescription by phone

A Are there any special instructions about this medication

B Take it three times a day

A Can I take it with food

B You should take this medicine with food and no alcohol

A Are there any side effects with this medication

B You might get a little dizzy but that is it

>

health0701

null

31686787

eng - iTunPGAP0

eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6

eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

A I am here to get my prescription filled

B Your prescription will be ready in twenty minutes

A Do you ever deliver prescriptions by mail

B Yes in fact you can renew this prescription over the Internet and have it delivered to

your home

A How should I take this medication

B You should take it twice a day

A Should I avoid alcohol with this medication

B You need something in your stomach when you take it Dont drink alcohol with this

medication

A Should I expect any side effects

B Sometimes you might feel dizzy but that isnt common

>

health0702

null

3437734

eng - iTunPGAP0

eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6

eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

A I am dropping off my prescription to get it filled

B You can come back in twenty minutes and it will be ready

A If I couldnt wait could the prescription be mailed to me

B Yes you can have it delivered or filled at any location in our HMO

A When should I take this medication

B You need to take it at bedtime

A Should I take this medicine on an empty stomach

B Dont mix alcohol with this medication but you can take it with or without food

A What are the side effects of this medication

B You might feel a little dizzy at first but it should pass

>

health0703

null

35892365

eng - iTunPGAP0

eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0

eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you

Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on

>

20244892

>

20211233

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place

Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish

>

26179062

>

30784765

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels

>

55156105

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate

black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs

break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant

catch a cold- to get a coldI caught a cold last week and had to miss four days of work

>

Blues

8259606

>

Blues

78614283

>

Blues

77701364

>

Blues

57195973

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week

a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us

fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription

get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death

>

Blues

79769664

>

Blues

9858988

>

Blues

9254414

>

Blues

9400563

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

get sick- to become illI got sick yesterday and did not go to the movie

get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system

get well- to become well to become healthy againThe boy was sick but now he is getting well

just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work

>

Blues

5054315

>

Blues

8496614

>

Blues

605168

>

Blues

77689385

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

on medication- taking medicine for a current medical problemThe woman has been on medication for many years

an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat

refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother

run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day

>

Blues

6743356

>

Blues

129873

>

Blues

8408806

>

Blues

10693685

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

splitting headache- a severe headacheI have been suffering from a splitting headache all morning

take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed

a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others

throw up- to vomitThe woman threw up after eating the bad shellfish

>

Blues

57963595

>

Blues

7111902

>

Blues

12182208

>

Blues

52769556

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down

>

3539579

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Patient Identifiers

According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria

DrugMedication

This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo

>

40252556

>

3134579

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Strength

After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5

Amount

Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician

>

3636893

>

3587259

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Route

Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)

As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out

>

3738114

>

27649899

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Common Route AbbreviationsPO (by mouth)

PR (per rectum)

IM (intramuscular)

IV (intravenous)

ID (intradermal)

IN (intranasal)

TP (topical)

SL (sublingual)

BUCC (buccal)

IP (intraperitoneal)

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo

Common Frequencies Abbreviations

daily (no abbreviation)

every other day (no abbreviation)

BIDbid (Twice a Day)

TIDtid (Three Times a Day)

QIDqid (Four Times a Day)

QHS (Every Bedtime)

Q4h (Every 4 hours)

Q4-6h (Every 4 to 6 hours)

QWK (Every Week)

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

The ldquoWhyrdquo Portion

Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it

How Much

The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Refills

The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term

>

28570053

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Prescription Writing Examples

This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills

>

12884034

>

12884034

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed

>

25826307

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant

>

3382814

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

To finish up here is a list of the JCAHO ldquoDo Not Userdquo List

U or u (unit) ndash use ldquounitrdquo

IU (International unit) ndash use ldquoInternational Unitrdquo

QDQDqdqd ndash use ldquodailyrdquo

QODQODqodqod ndash use ldquoevery other dayrdquo

Trailing zeros (0 mg) ndash use mg

Lack of leading zero () ndash use 0 mg

MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Body parts vocabulary

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

The Face

eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips

Mouth - you use your mouth to talk to eat and to breathe

Nose - You can smell things with your nose You can also breathe through your nose

Nostrils - these are the two holes in your nose

>

14820179

>

Blues

31464477

>

Blues

51842475

>

Blues

31784477

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb

The Hand and Fingers1 hand

2 thumb

3 index finger

4 middle finger

5 ring finger

6 little finger

7 nail

8 knuckle

>

10344514

>

17789417

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

The Leg and Foot

knee leg shin calf (muscle) ankle heel foot toe

ankle - the joint between your leg and your foot

Internal Parts of the Body

heart - your heart pumps your blood around your body

lungs - when you breathe the air goes into your lungs

veins - these transport blood through your body They are like little tubes

brain - this is your thinking machine inside your head

>

10055044

>

39183657

>

Blues

31674001

>

Blues

33462572

>

Blues

49547772

>

Blues

38748283

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

throat - food goes down this to get to your stomach

liver - the organ that cleans your blood

stomach - your food goes here when you swallow it

kidneys - the organs that process all your body waste

skeleton - all of the bones in your body

ribs - these are the bones that protect the organs in your chest

bones - your skeleton consists of many bones There are about 206 in your body

skin - it covers almost the entire body and helps keep all the organs and muscles in place

>

Blues

31434002

>

Blues

25317543

>

Blues

3001958

>

Blues

32643526

>

Blues

2668244

>

Blues

3568162

>

Blues

5803652

>

Blues

57137194

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

Other Parts of the Body

Here is a list of some other parts of the body that have not been included above

head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles

neck - this connects your head with your shoulders and the rest of your body

tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words

wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles

>

11634397

>

Blues

40991006

>

Blues

5194098

>

Blues

5279541

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish

bull amerenglish64gmailcom

bull amerenglish63yahoocom

bull httpamerenglishtripodcom

THANK YOU

Contact Us

Joel D Aldrich amerenglish