Transcript Drug Prescription Writing

Rx
PRESCRIPTION WRITING
Submitted by:
Donna Lee Ettel, Ph.D.
Objectives and Agenda
Define commonly used medical
terminology and abbreviations
Identify drugs by both the brand
and the trade names
Differentiate look-alike and
sound alike drugs
Identify the parts of a
prescription
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WHEN DO DRUGS BECOME A PART OF YOUR
TREATMENT????
PAIN!!!!
INFECTION CONTROL
FEAR OR ANXIETY
ANTIVIRAL
ANTIFUNGAL
PRESCRIPTION VS
OVER THE COUNTER
Prescription Drugs (legend)
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Drugs determined by the Food and
Drug Administration (FDA) to be not
safe except under the supervision of a
practitioner licensed to administer
them.
Over the Counter Drugs
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Drugs considered safe and effective
without professional guidance when
used according to labeled instructions
Controlled Drugs
Abuse Potential
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Additional regulations by the Drug
Enforcement Administration (DEA)
May be OTC, legend or even unavailable
for medical use
Controlled Substances – regulated by
the Controlled Substance Act
Act divides into five schedules based on:
Potential Abuse
Medical Usefulness
Potential physical/psychological
dependence
General Drug Information
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Proprietary vs Nonproprietary names
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Single vs compound prescription
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Dosage
Proprietary vs. Nonproprietary
Nonproprietary Name – generic, common
name. Usually only 1 name per drug
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Acetaminophen – Tylenol, Datril
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Ibuprofen – Motrin, Advil
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Aspirin – Bufferin, Empirin
Proprietary Name – Trade name given by
manufacturer to identify their brand. Same
drug may have several different brand names
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Amoxicillin - Trimox, Amoxil, Polymax
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Lidocaine – Xylocaine, Octocaine, Nervocaine
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Hydrocodone – Vicodin, Lortab, Stagesic
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Ibuprofen – Motrin, Advil, Nuprin
General Drug Information
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Proprietary vs nonproprietary
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Single vs compound
Ingredients
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Single – Drug has one active ingredient
(i.e. ibuprofen, amoxicillin)
Combination – Drug has more than one
active ingredient (i.e. acetaminophen
with hydrocodone, lidocaine with
epinephrine)
General Drug Information
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Proprietary vs nonproprietary
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Single vs compound
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Dosage
Dose Expressions
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qd
qhs
qod
Sub q
Ss
bid
tid
qid
Graphically illustrate
apothecary symbols
D/C
AU
Dose Expressions
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qd
qhs
qod
Sub q
Ss
bid
tid
qid
Drug Amount – Unit dosage
Numerous Oral Forms
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Tablet
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Troche
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Capsule
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Cream
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Caplet
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Gel
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Liquid
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Rinse
First Ingredient
Active Ingredient – usually in unit dose in
mg (ibuprofen 200mg, hydrocodone
5mg, lidocaine 2% 36mg)
Prescription Writing
Drug prescription – A written or verbal
order for a medication by a licensed
individual (physician, dentist,
veterinarian,etc)
Prescription Format
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Name of provider
Patient’s name,
address,age,date
Drug information
Refills
Provider signature
DEA # if necessary
Prescription Requirements
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Ink, nonerasable print
No reference to pharmacy or a
pharmaceutical company
Special pads for controlled substances
vs other prescription meds
Component Parts of
Prescription
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Patient’s name, age,
address, date
Rx – recipe name of
drug and dose)
Disp. – quantity
(number) and
written out
Sig. – explicit
directions to patient
Parts of Prescription con’t
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Provider’s signature
Number of refills
Security box check
for controlled subst.
DEA and license #
Prescriptions can be written in English or
with Latin abbreviations
Prescriptions can be written or verbal
(telephone pharmacy) except for schedule II
drugs.