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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- the DH can determine if the prescription is outdated or not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
- tood communication
- 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
- be dated
- 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