Card Set Information
Chapter three study reveiw questions
List rules for prescription writing
make sure they are legible and written in ink
schedule II drugs must be in ink, indelible pencil, or typewritten
blank prescription sheets should not have name of pharmacy or pharmaceutical company
pads kept in secure location
duplicate of each prescription kept in pt record
english instructions used rather than latin abbreviations
Which prescriptions require a written order?
Which types of prescriptions must be written in ink?
all of them
which can be called in?
schedule III, IV, or V
In what location should printed prescription pads be kept?
in a safe place
How does the dentist know which prescriptions have been written for a pt?
a duplicate is kept in pt record
Which type of prescription is required to be signed by the prescriber?
all of them
Describe information included in the 3 parts of a prescription.
heading - prescriber (name, phone number, and address) date of prescription, and pt info (name, age, weight, and address)
body - drug, dose or concentration, amount dispensed, directions to pt
closing - signature, DEA number, instructions to pharmacist, number of fills
What does Rx mean?
latin symbol for 'take thou'
What information should be included on the prescription label? How could this info be used during a dental hygiene appointment? How can one determine if a prescription is past its expiration date?
name of drug, number of doses, strength of doseform, pharmacy name, address, phone number, and date it was filled.
the DH can determine if the prescription is outdated or not
the date is on the label
What are strategies in the dental office to ensure a properly written prescription has been given to the dental pt?
pt trust inclinician
pt must have a good understanding of the illness and severity
positive attitude and good follow up
nature of illness
What is the main factor for noncompliance regarding therapeutic medications in an adult? In a child?
pt's perception of severity of the illness
taste or smell of medication
Describe 5 principles to include when counseling a pt about a prescription.
why the drug is needed
what can occur if the drug is not taken
clear instructions for when to take the drug
side effects and how to manage them
situations that require notifications to the dentist
What questions should be asked when a drug for antibiotic prophylaxis has been prescribed?
When was the antibiotic taken?
which antibiotic was prescribed?
how much was taken?
Have any adverse effects developed?
Identify the U.S. agency that governs prescriptions for controlled substances.
congress and federal law
controlled substance act of 1970
Describe how a dentist secures a DEA number. For what reasons would a DEA number be denied?
the clinician registers
if it is determined that the issuance of such registration would be inconsistent with the public interest
Identify drugs in each of the 5 DEA schedules.
I - hallucinogens (LSD), marijuna, opiates (heroin, opium derivatives)
II - amphetamines, opiates (morphine, congeners, cedeine, methadone)
some barbiturates, oxycodone
III - anabolic steroids, opiates (acetaminophen with codeine, hydrocodone mixes (vicoden)
IV - benzodiazepines (diazepam valium), opiates (propoxyphene), barbiturates (phenobarbital)
IV - opiates (cough and diarrhea)
Which schedule has the highest risk for abuse? Which has the lowest? Which is used for research only?
List the rules for writing prescriptions for controlled substances. What is done to discourage prescription alterations?
ink or typed
bear full name and address of pt
list full name, address, and DEA number of practitioner
manually signed by practitioner
write out actual amount instead of abbreviations
What is the purpose of triplicate prescription? Which three individuals or agencies get copies?
to make sure they are used correctly
dentist gets one, pharmacist gets one, state gets one