Scheduled (Controlled) drugs and abbreviations

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XQWCat
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234513
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Scheduled (Controlled) drugs and abbreviations
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2013-09-12 17:06:21
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Pharm Tox
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Scheduled drugs and abbreviations, lecture 2, pharm and tox
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  1. Drug Enforcement Agency (DEA)
    formulates and enforces regulations on controlled drugs.  Overseen by FDA, the attorney general is in charge.
  2. State regulations
    individual states have regulations.  Can be more strict than DEA.  Penalties for violation include written warnings, fines, disciplinary action or revocation of certification.
  3. schedules of controlled drugs
    divided into 5 schedules. 1 is most controlled, 5 is least
  4. Schedule 1
    • Drugs with high potential for abuse and no currently accepted medical use in the US.  
    • Heroin, LSD, marijuana, cocaine, peyote
  5. Schedule 2
    • Drugs with high potential for abuse with severe liability to cause psychic or physical dependance
    • morphine, hydromorphone, fentanyl, codeine, cocaine, oxycodone, amphetamine-containing agents
  6. schedule 3
    • drugs with a potential for abuse that is less than for those in schedule 1 and 2; their abuse may lead to moderate or low physical dependence or high psychological dependence. 
    • Anabolic steriods, ketamine, buprenorphine, hydrocordone
  7. Schedule 4
    • drugs with a low potential for abuse that only lead to limited physical dependence or psychological dependence relative to drugs in schedule 3.  
    • benzodiazepines (like diazepam, midazolam, alprazolam), phenobarbitol, zolpidem, zopiclone (sleep-aids), tramadol
  8. schedule 5
    • drugs with potential for abuse that is less than schedule 4 drugs. 
    • cough medicine with small amounts of codeine (Robatussin A-C), antidiarrheal agents with small amounts of opiodoids (diphenoxylate preparations like Lomotil), Pregabalin
  9. Controlled drugs are indicated on the label by
    upper right corner of original container shows a code containing a "C" with a roman numeral depicting the schedule.
  10. DEA requirements
    • Every practitioner who orders, dispenses, prescribes or administers a controlled substance must be registered
    • In NYS, Rx must be written on NYS prescription
    • Controlled substance administration or dispensation must be recorded in patient's records and in a log
  11. Controlled substances Inventory Log
    • must be readily retrievable and give an accurate balance on-hand for each substance.  
    • Each drug logged separately in a bound log book
    • must be kept for 5 years
  12. Label must include:
    • drug name, patient name, owner name, owner address, strength, # dispensed, # days that covers, NDC #
    • Caution: federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed
  13. Proper storage
    • Controlled drugs must be kept in a securely locked, substantially constructed cabinet or safe
    • Must be sturdy, hinges on inside, all sides enclosed so access can't be gained by removing drawers or walls.  
    • Combination locks preferred
  14. proper disposal
    • transfer expired, damaged, unusable, or unwanted controlled substances to a "reverse distributor". 
    • Records of transfer must be kept 2 years
    • Do not pour it down the drain or it will contaminate the water
  15. AD
    right ear
  16. AU
    both ears
  17. AS
    left ear
  18. OD
    right eye
  19. OU
    both eyes
  20. OS
    left eye
  21. PO
    orally
  22. IM
    intramuscularly
  23. IV
    intraveinous
  24. SQ, SC
    subcutaneous
  25. IC
    intracardiac
  26. ID
    intradermal
  27. IN
    intranasal
  28. IP
    intraperitoneal
  29. IO
    intraosseus
  30. NPO
    nothing by mouth
  31. sig
    "directions", on a scrip, etc.
  32. BID, TID, QID
    frequency (2x per day, 3x, 4x).  Aka q12h, etc.
  33. EOD or QOD
    Every other day, aka q48h
  34. PRN
    as needed
  35. SID
    • once a day
    • does not exist in any other health field.  
    • Rec. q24h or daily to avoid confusion at human pharmacy
  36. ac, pc
    before meal, after meal
  37. Ut dict
    as directed
  38. Rx
    scrip
  39. Tx
    treatment
  40. Dx
    diagnosis
  41. Bx
    biopsy
  42. Sx
    surgery
  43. DDx
    differential diagnosis
  44. Hx
    history
  45. PPHx
    past pertinent history
  46. VDA
    vomiting, diarrhea, anorexia
  47. pu/pd
    polyuria, polydypsea
  48. CRF
    chronic renal failure
  49. RACL, RCCL
    ruptured anterior (cranial) cruciate ligament
  50. KCS
    • dry eye
    • keratoconjunctivitis sicca
  51. CHF
    congestive heart failure
  52. IBD
    inflammatory bowel disease
  53. FLUTD
    feline lower urinary tract disease
  54. IMHA
    • immune-mediated hemolytic anemia
    • cocker spaniels
  55. AMA
    against medical advice
  56. ad lib
    freely
  57. D5W
    5% dextrose with water
  58. qs, qns
    • quantity sufficient/quantity not sufficient
    • (pull up x drug, add NaCl qs to make 5mL)
  59. gtt
    drops
  60. dr
    dram
  61. gr
    grain
  62. mEq
    milliequivalent.  1/1000 of equivalent weight.  (gram molecular weight)/(valance electrons)
  63. Word (and spelling) for itchy
    Pruritus
  64. ADR
    "ain't doin' right"
  65. HBC
    hit by car
  66. ROBO
    run over by owner
  67. BDLD
    big dog little dog
  68. FUBAR
    f'd up beyond all recognition
  69. DIC
    • disseminated intravascular coagulopathy
    • Dead in cage
    • death is coming
  70. IF
    Intra-fur
  71. PITA
    pain the the ass
  72. DOA
    dead on arrival
  73. MDB
    • minimum database 
    • patient comes in with a specific problem, basic battery of tests run before new orders are given
  74. NSF
    no significant findings
  75. WNL
    within normal limits
  76. BARH, QARH, DARH
    Bright (Quiet, Depressed), Alert, Responsive, Hydrated
  77. SOAP
    subjective, objective, assessment, plan
  78. CYA
    cover your ass
  79. -itis
    inflammation
  80. -ology
    study of
  81. -uria
    urine
  82. -centesis
    surgical puncture
  83. -otomy
    to cut into
  84. -ectomy
    to surgically remove or cut out
  85. -pathy
    disease
  86. -phagia
    eating
  87. poly-
    excessive
  88. intra-
    within
  89. sub-
    below
  90. a-
    absent
  91. olig(o)-
    few
  92. inter-
    between
  93. dermat
    skin
  94. cyst
    bladder
  95. lapar
    abdomen
  96. hemat
    blood
  97. oste
    bone
  98. ot
    ear
  99. ophthalm
    eye
  100. phleb
    vein
  101. cutane
    skin
  102. enter(o)
    intestine
  103. blephar
    eyelid
  104. dyps
    drinking
  105. enceph
    brain
  106. phlebitis
    catheter-caused vein inflammation
  107. cystocentesis
    surgical puncture of bladder
  108. laparotomy
    to cut into the abdomen
  109. ostectomy
    surgical removal of bone
  110. ophthalmology
    study of eye

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