the prescription process - comprehensive clinical … prescription process ... inscription: name...
TRANSCRIPT
The Prescription Process
All written prescriptions should contain:o Prescriber's full name, address, telephone number, and DEA numbero Patient's full name and addresso Date of issuanceo Drug name, dose, dosage form, amounto Directions of useo Refill instructionso Signature of prescriber
Schedules of Controlled Drugso Schedule 1: drugs in this schedule have no accepted medical use in the U.S. and have a
high abuse potential. Examples are heroin, marijuana, LSD, peyote, etc.o Schedule 2: Drugs in this schedule have abuse potential with severe psychic or physical
dependence liability. Included are certain narcotic analgesics, stimulants, anddepressant drugs. Examples are opium, morphine, codeine, hydromorphone,methadone, meperidine, oxycodone, anileridine, cocaine, amphetamine,methamphetamine, phenmetrazine, methylphenidate, amobarbital, pentobarbital,secobarbital, methaqualone, and phencyclidine.
o Schedule 3: Drugs in this schedule have an abuse potential less than those in Schedules Iand II and include compounds containing limited quantities of certain narcotic analgesicdrugs, and other drugs such as barbiturates, glutethimide, methyprylon, andchlorphentemine. Any suppository dosage form containing amobarbital, secobarbital, orpentobarbital is in this schedule.
o Schedule 4: Druns in this schedule have an abuse potential less than those listed inSchedule III and include such drugs as barbital, phenobarbital, chloral hydrate,ethchlorvynol, meprobamate, chlordiazepoxide, diazepam, oxazepam, clorazepate,flurazepam, etc.
o Schedule 5: Drugs in this schedule have an abuse potential less than those listed inSchedule IV and consist primarily of preparations containing limited quantities of certainnarcotic analgesic drugs used for antitussive and antidiarrheal purposes.
Common prescription abbreviations:o ac (ante cibum) means "before meals"o bid (bis in die) means "twice a day"o gt (gutta) means "drop"o hs (hora somni) means "at bedtime"o od (oculus dexter) means "right eye"o os (oculus sinister) means "left eye"o po (per os) means "by mouth"o pc (post cibum) means "after meals"o prn (pro re nata) means "as needed"o q3h (quaque 3 hora) means "every 3 hours"o qd (quaque die) means "every day"o qid (quater in die) means "4 times a day"o Sig (signa) means "write"o tid (ter in die) means "3 times a day"
APGAR SCORE,for assessing
CRITERIA
Colw
Heart Rate
Respiration
fteflex feponie
MfuscBe To
Leti tfer. 100 beats
S!«M( and irregular 'brfi!'ai|iteig
^CopypiM HeaHh^ype cow 2009
Apgarscore
The test is designed to quickly evaluate a newborn's physical condition after delivery and to determine
any immediate need for extra medical or emergency care. It was developed in 1952 by an
anesthesiologist named Virginia Apgar. The test assesses Activity (and muscle tone), Pulse (heart rate),
Grimace (reflex irritability), Appearance (skin coloration), and Respiration (breathing rate and effort). It
is usually given to the baby twice, the first time at 1 minute after birth and again at 5 minutes after birth.
Scores are obtained by giving 0, 1, or 2 in each of the categories with 10 being the highest scorepossible.
A study done with 980,000 Danish children suggest that children with a five or six Apgar score had a 63%
higher risk of ADHD, while those with a score of one to four had a 75% greater risk. Researchers believe
this may be due to some sort of stress during pregnancy or birth, which decreased the oxygen supply
that later might contribute to the development of ADHD. It is believed that both pre-term birth and a
low Apgar score may be markers of less-than-optimal fetal development.
PRESCRIPTION INFORMATIONprescription has stringent
requirements designed to in fo rm the phar-macist and protect the pat ient .
Today's prescription regulations vary from state tostare and province to province, but generally a pre-scription lor a community pharmacy will containthe informat ion i l lus t ra ted below.
Prescriber Information:Name, title, office adf'-'ess,and telephone number
\S OF THE
PRESCRIPTION
Drug Enforcement Agency (OEA)registration number of prescribe!(required for all controlled substances.)
Name and address ofpatient. NAME £,-<£2>'~«---
Oth-er patient informationsuch as age or weight isoptional, but sometimes
important, e.g., achild's weight.
Note: If a compound isprescribed, a list of ingre-dients and directions for
mixing is included.
Refill Instructions—
DAW: Dispense As Written"and/or Generic
Substitution Allowedinstructions (optional).
\. A.B.Cain! 2? Main Sited
WtllsvUlc. PA 00000TEL:<«88)55S-U34 /
DF.A Number: AB 123*563'
DAI >• Cl.Sji^JslS&I
u£L.ADDRESS 'ujii^^it, ..%&*>O&.£A
Rx
DISPENSE AS WRITTEN O
PRESCRIBER'S SIGNATURE
-Date the prescription iswritten.
Inscription: Name (brandor generic), strength_of
-medication and it
-Slgna: This conies fromthe latin word signa,meaning "to write." It isabbreviated to slg andindicates what directionsfor use should be printedon the label.
- Signature of prescrlber(not required on a verbalprescription)
Note: prescriptions arewritten in ink, never pencil.
Additional Information
In addition to the above, theinformation at right must beadded to the prescription inthe pharmacy. This informa-tion is a product of the com-puterized prescription filling
process. Some data are automatically assignedby the computer (e.g., prescription number), whileother information is added by the pharmacist orpharmacy technician as they input the data nec-essary for the proper filling of the prescription(e.g., the product selected).
• Date the product is dispensed.• Identity of the product by manufacturer
and NDC (National Drug Code)—DIN (DrugIdentification Number) in Canada.
• Prescription and/or transaction number.• insurance information for the patient.• Price charged.• Initials of the technician and pharmacist,involved in the filling of the prescription.
• Signature of the pharmacist receiving theprescription if it is a verbal order.
Master List of Prescription Abbreviations
| Abbreviation I
aa
ad
a.c.
a.d.
ad lib.
admov.
agit
jalt. h.
a.m.
amp
amt
:aq
a. I., a.s.
A.T.C.
a.u.
bis
b.i.d.
;B.M.
bol.
B.S.
B.S.A
cap., caps.
cr*"
cc
cfr" ™ ' —comp.
cr., crm
D5W
D5NS
D.A.W.
idc, D/C, disc
dieb. alt.
dil.
From the Latin
ana
ad
ante cibum
aurio dextra
ad libitum
admove
agita
alternis horis
ante meridiem
aqua
aurio laeva, aurio
auris utrae
bis
bis in die
bolus
capsula
cum
cibos
cum cibos
diebus alternis
•*#$ MVWM
i Meaning jj
;of each
jup to
i before meals
right ear
use as much as one desires; freely
apply
stir/shake
every other hour
morning, before noon
ampule
amount
water
sinister I left ear
.around the clock
; both ears
twice
\e daily
| bowel movement
as a large single dose (usually intravenously)
blood sugar
body surface areas
; capsule
; with (usually written with a bar on top of the "c")
Sfood
with food, (but also cubic centimetre)
with food
compound
cream
i dextrose 5% solution (sometimes written as D5W)
dextrose 5% in normal saline (0.9%)
dispense as written
\e
every other day
dilute
Compliments of E^er^PatjentsAdvocate.cojTi' Helping Patients Help Themselves and About. com Page 1 of 4