contraindication because of pt existing medical condition
poor handwriting
incorrect info
look alike drug names
what are the 6 guidelines for written prescriptions?
legible, accurate, include complete info and in ink
Schedule II must be in Ink, indelible pencil or typewritten
avoid product endorsement
keep pads in secure location
place duplicate or record of prescription in pt chart
use english instructions
which schedule must be written in ink?
schedule II (controlled substances)
what must be included in the heading of a prescription?
prescribers name, phone number and address
date of the prescription
patients info- name, age, weight (for children)
what information is contained in the body of a prescription
specific drug, dose or concentration and amount to be despensed, directions to pt
what info is contained in the closing of the prescription?
signature of prescriber
DEA Number
Instructions to pharmacists
refills
t/f a signature is not needed for schedule II drugs
false-it is needed and if phoned in than it must be followed up by a written and signed order within 72 hours
what must be on the label of a prescription
name of drug
number of doses dispensed
strength of dose form
pharmacy name, address, phone number, date of prescription
instructions for refills
one who follows the therapeutic regimen recommend by the clinician
compliant pt
the pt's perception of the ______ of the illness is the major factor influencing _______
severity
compliance
noncompliance issues can be avoided with proper counseling and explanations such as what? (5)
why the drug is needed
what can occur if the drug is not taken
clear instructions
possible side effects
when to notify the dentist
with a pt taking antibiotic prophylaxis what are some questions the DH must ask?
when taken
which drug taken
how much taken
any side effects
what medication should a anginal pt bring with them to the appointment?
sublingual nitroglycerin tablets
what medication should a asthmatic pt bring with them their appt?
rescue inhalers
1 kg=______g
1000
1 gram = _____mg
1000
1 mg= ______g
1/1,000
1 kg =______lb
2.2
1 gr= _____mg
65
1 L= _____mL
1000
1 mL=______L
1/1000
1 tsp= ___mL
5
1 tbs=____ mL
15
1 mL=____g++ (drops)
15
1 fl oz= ____mL
30
what is the common abbreviation for before?
a or a
what is the abbreviation for dispense
disp
what is the abbreviation of number
no
what is the abbreviation for capsule
cap
what is the abreviation for label
sig
what is the abbreviation for by mouth
po
what is the abbreviation for after meals
pc
what is the abbreviation for at once
stat
what is the abbreviation for at bedtime
hs
what is the abbreviation for as needed
prn
what is the abbreviation for every hour
qh
what is the abbreviation for every day
qd
what is the abbreviation for twice a day
bid
what is the abbreviation for 3 times a day
tid
what is the abbreviation for 4 times a day
qid
what is the abbreviation of discontinue
d/c
what are the three rules for child dosage calculations called?
youngs rule
clakrs rule
body surface area rule
what is the young's rule for child dosage calculation
child's dose (1 to 12 yr)= child's age in years X adult dose/child's age in years+12
what is the clark's rule for child dosage calculations?
child's dose=weight of child in lb X adult dose/150lbs
what is the body surface area rule for child dosage calculation?
child's dose=surface area of child in sq meters X adult dose/1.73
which pediatric dose formulas is considered most accurate?
Surface area rule
if a dentist has more than one office does he have more than on DEA number?
yes- one number per locaiton
t/f the DEA number must be on all prescriptions for controlled substances
true
what agency enforces the DEA numbers?
drug enforcement administration, registration unit
what schedule of drugs has a high potential for abuse and is only used for research and cannot be prescribed?
schedule I
what is an example of a schedule I drug?
LSD, marijuana, heroin, opium
what schedule of drug has high abuse potential and must have a written prescription?
schedule II
what is an example of a schedule II drug
amphetamines, morphine, oxycodone
what schedule of drugs has moderate abuse potential and may be issued orally or written to pharmacist
schedule III and IV
what is an example of a schedule III drug?
vicodin, anabolic steriods
what is an example of a schedule IV drug?
valium, darvon
what schedule of drug can be sold over the counter and has a low abuse potential
schedule V
what is an example of a schedule V drug?
cough and diarrhea prepartions
what are the five rules for prescribing scheduled drugs?
must be written in ink or typewritten
must bear full name and address of pt
must list full name, address, and DEA number of practitioner
must be dated
must be manually signed by practitioner
when a triplicate prescription is needed what is done with the copies?
one kept for dentist records
2 copies to pharmacist who keeps on and sends other to sate regulatory agency
an antibiotic has been prescribed for a pt at risk for bacterial endocarditis. The dental hygienist must ask all the following questions EXCEPT ONE. Which one is the exception?
