Midterm Pharm study guide NR565NP.
565 Midterm Study Guide
1
Week 1
• - Drug Schedules Descriptions of each schedule
• Examples of drugs in each schedule
Schedule I Controlled Substances
Substances in this schedule have no currently accepted medical use in the United
States, a lack of accepted safety for use under medical supervision, and a high
potential for abuse.
Some examples of substances listed in Schedule I are: heroin, lysergic acid
diethylamide (LSD), marijuana (cannabis), peyote, methaqualone, and 3,4-
methylenedioxymethamphetamine ("Ecstasy").
Schedule II/IIN Controlled Substances (2/2N)
Substances in this schedule have a high potential for abuse which may lead to
severe psychological or physical dependence.
Examples of Schedule II narcotics include: hydromorphone (Dilaudid®),
methadone (Dolophine®), meperidine (Demerol®), oxycodone (OxyContin®,
Percocet®), and fentanyl (Sublimaze®, Duragesic®). Other Schedule II narcotics
include: morphine, opium, codeine, and hydrocodone.
Examples of Schedule IIN stimulants include: amphetamine (Dexedrine®,
Adderall®), methamphetamine (Desoxyn®), and methylphenidate
(Ritalin®).
Other Schedule II substances include: amobarbital, glutethimide, and
pentobarbital.
Schedule III/IIIN Controlled Substances (3/3N)
Substances in this schedule have a potential for abuse less than substances in
Schedules I or II and abuse may lead to moderate or low physical dependence or
high psychological dependence.
Examples of Schedule III narcotics include: products containing not more than 90
milligrams of codeine per dosage unit (Tylenol with Codeine®), and
buprenorphine (Suboxone®).
Examples of Schedule IIIN non-narcotics include: benzphetamine (Didrex®),
phendimetrazine, ketamine, and anabolic steroids such as Depo®-Testosterone.
Schedule IV Controlled Substances
, Midterm Pharm study guide NR565NP.
Substances in this schedule have a low potential for abuse relative to substances
in Schedule III.
Examples of Schedule IV substances include: alprazolam (Xanax®), carisoprodol
(Soma®), clonazepam (Klonopin®), clorazepate (Tranxene®), diazepam
(Valium®), lorazepam (Ativan®), midazolam (Versed®), temazepam (Restoril®),
and triazolam (Halcion®).
Schedule V Controlled Substances
Substances in this schedule have a low potential for abuse relative to substances
listed in Schedule IV and consist primarily of preparations containing limited
quantities of certain narcotics.
Examples of Schedule V substances include: cough preparations containing not
more than 200 milligrams of codeine per 100 milliliters or per 100 grams
(Robitussin AC®, Phenergan with Codeine®), and ezogabine.
• Which ones can and can not be prescribed by nurse practitioners
➢ They can prescribe all but schedule 1 because they are not legal. Varies by state
• Prescriptive Authority
• Understand what prescriptive authority is and who mandates it.
➢ State mandates it under the jurisdiction of the health professional board. (state
board of nursing, board of medicine or board of pharmacy). Federal government
controls drug regulations but has no control over prescriptive authority.
Prescriptive authority is the legal right to prescribe drugs. Full authority is being
able to prescribe independently without limitations. MDs and DOs have no
limits. Limitations are tied to oversight of the doctor or DO. Being able to
prescribe independently means is not subject to rules requiring physician
supervision or collaboration. Florida III-V collaborative.
• What problems arise when it is limited?
➢ Barriers include quality, affordable, and accessible patient care. Can
increase patient waits
• Know the responsibilities of prescribing
➢ Must consider cost, availability, interactions with either food or other
medications, side effects, allergies, how the drug is metabolized (hepatic or
renal), need for monitoring (labs, effectiveness, ect) special populations
(pregnancy, nursing mothers, or older adults)
• Know patient reasons for medication non-adherence
➢ Missed a dose, forgot to take a dose, did not refill medication in time, took
lower than prescribed dose, did not refill medication, stopped taking medication.
➢ Reason why includes forgot a dose, ran out, was away from home, trying to save
money, did not like the side effects, was too busy, the medication didn’t work,
didn’t believe medication was necessary, didn’t like taking the medication.
Failure to comprehend instructions for reasons such as visual, intellectual or
auditory impairment, use of complex regimens (taking several drugs multiple
times a day)
565 Midterm Study Guide
1
Week 1
• - Drug Schedules Descriptions of each schedule
• Examples of drugs in each schedule
Schedule I Controlled Substances
Substances in this schedule have no currently accepted medical use in the United
States, a lack of accepted safety for use under medical supervision, and a high
potential for abuse.
Some examples of substances listed in Schedule I are: heroin, lysergic acid
diethylamide (LSD), marijuana (cannabis), peyote, methaqualone, and 3,4-
methylenedioxymethamphetamine ("Ecstasy").
Schedule II/IIN Controlled Substances (2/2N)
Substances in this schedule have a high potential for abuse which may lead to
severe psychological or physical dependence.
Examples of Schedule II narcotics include: hydromorphone (Dilaudid®),
methadone (Dolophine®), meperidine (Demerol®), oxycodone (OxyContin®,
Percocet®), and fentanyl (Sublimaze®, Duragesic®). Other Schedule II narcotics
include: morphine, opium, codeine, and hydrocodone.
Examples of Schedule IIN stimulants include: amphetamine (Dexedrine®,
Adderall®), methamphetamine (Desoxyn®), and methylphenidate
(Ritalin®).
Other Schedule II substances include: amobarbital, glutethimide, and
pentobarbital.
Schedule III/IIIN Controlled Substances (3/3N)
Substances in this schedule have a potential for abuse less than substances in
Schedules I or II and abuse may lead to moderate or low physical dependence or
high psychological dependence.
Examples of Schedule III narcotics include: products containing not more than 90
milligrams of codeine per dosage unit (Tylenol with Codeine®), and
buprenorphine (Suboxone®).
Examples of Schedule IIIN non-narcotics include: benzphetamine (Didrex®),
phendimetrazine, ketamine, and anabolic steroids such as Depo®-Testosterone.
Schedule IV Controlled Substances
, Midterm Pharm study guide NR565NP.
Substances in this schedule have a low potential for abuse relative to substances
in Schedule III.
Examples of Schedule IV substances include: alprazolam (Xanax®), carisoprodol
(Soma®), clonazepam (Klonopin®), clorazepate (Tranxene®), diazepam
(Valium®), lorazepam (Ativan®), midazolam (Versed®), temazepam (Restoril®),
and triazolam (Halcion®).
Schedule V Controlled Substances
Substances in this schedule have a low potential for abuse relative to substances
listed in Schedule IV and consist primarily of preparations containing limited
quantities of certain narcotics.
Examples of Schedule V substances include: cough preparations containing not
more than 200 milligrams of codeine per 100 milliliters or per 100 grams
(Robitussin AC®, Phenergan with Codeine®), and ezogabine.
• Which ones can and can not be prescribed by nurse practitioners
➢ They can prescribe all but schedule 1 because they are not legal. Varies by state
• Prescriptive Authority
• Understand what prescriptive authority is and who mandates it.
➢ State mandates it under the jurisdiction of the health professional board. (state
board of nursing, board of medicine or board of pharmacy). Federal government
controls drug regulations but has no control over prescriptive authority.
Prescriptive authority is the legal right to prescribe drugs. Full authority is being
able to prescribe independently without limitations. MDs and DOs have no
limits. Limitations are tied to oversight of the doctor or DO. Being able to
prescribe independently means is not subject to rules requiring physician
supervision or collaboration. Florida III-V collaborative.
• What problems arise when it is limited?
➢ Barriers include quality, affordable, and accessible patient care. Can
increase patient waits
• Know the responsibilities of prescribing
➢ Must consider cost, availability, interactions with either food or other
medications, side effects, allergies, how the drug is metabolized (hepatic or
renal), need for monitoring (labs, effectiveness, ect) special populations
(pregnancy, nursing mothers, or older adults)
• Know patient reasons for medication non-adherence
➢ Missed a dose, forgot to take a dose, did not refill medication in time, took
lower than prescribed dose, did not refill medication, stopped taking medication.
➢ Reason why includes forgot a dose, ran out, was away from home, trying to save
money, did not like the side effects, was too busy, the medication didn’t work,
didn’t believe medication was necessary, didn’t like taking the medication.
Failure to comprehend instructions for reasons such as visual, intellectual or
auditory impairment, use of complex regimens (taking several drugs multiple
times a day)
