and Management 11th Edition Stegan Sowerby
9781496385000 | All Chapters with Answers and
Rationals
Where do drugs come from? - ANSWER: Plants, animals (hormones), humans, Chemically synthetized
What is a "Prescription"? - ANSWER: an order written by a licensed health care professional allowing a
PT to receive a specified medication for a health condition
- Some are handwritten on paper perscription pads
- MOST are transmitted digitally using EMR
- In the US, FDA regulates dispensation of certain drugs --> These are known as prescription
medications because they can ONLY be obtained by consulting a prescriber first
Writing Rx --> What elements MUST be included when writing a prescription? - ANSWER: A-B:
Practitioner Identifying Information = Practitioner's full name, clinic address, phone #, & NPI #
- If prescribing a CONTROLLED substance, practitioner's DEA number must also be included
C: Patient Identifying Information = Patient's full name, DOB & home address
D-E: Medication (Rx): Name, Dosage, & Dosage Form of the medication
F: Instructions (Sig): This includes the amount to be taken, route of administration, and frequency of
the dose.
- You can also include what you are treating, but this is optional
G: Dispensing Instructions (Disp): Indicate the quantity of medication you want the pharmacist to
dispense to the patient
I: Refill Instructions: It is essential to include exactly how many times the patient can refill a
prescription medication.
- Even if it is a one-time prescription, you must write zero refills!
J: Brand name or Generic: You can specify if the brand name medication is the only option or if a
generic medication can also be prescribed. To ensure brand name dispensing, you must write
"Dispense as Written" or "D.A.W" on the prescription!
K-L: Prescriber's Signature and Date: Include your signature and the date that the prescription was
Writing Rx --> Practitioner Identifying Information - ANSWER: Usually found @ top of the prescription
Practitioner's full name
clinic address
phone #
NPI #
, Practitioner's DEA number must also be included (*If prescribing a CONTROLLED substance)
A practitioner's NPI & DEA (if it is a controlled subs) numbers may be found at the top or bottom of
the
prescription.
NPI number
- the National Provider Identifier
- Created by CMS (Center for Medicare and Medicaid Services)
- It is a unique 10 digit identification number issued to health care providers in the United States by
the Centers for Medicare and Medicaid Services
DEA number
- is a number assigned by the U.S. Drug Enforcement Administration
- Required in order to write for controlled substances (Scheduled II-V) in the US
- Allows the DEA to track controlled substance transactions
Writing Rx --> Patient Identification Info - ANSWER: Patient's full legal name
DOB
Address
Writing Rx --> Medication (RX) - ANSWER: The name of the medication
The dosage
Dosage is the amount of drug
Dosage can be expressed in many ways:
- weight ( e.g., 650 mg)
- volume (e.g., 10 mL, 2 drops)
- strength (250 mg/5mL)
- percentage (5%)
The dosage form
- The physical form of the dose of a drug
- There are many types of dosage forms
Writing Rx --> Medication (RX) --> DOSAGE FORM EXAMPLES - ANSWER: Common Dosage Forms:
Oral
- Pill
-Tablet
-Syruos
-Gels
-Capsules
-Emulsions
-Solutions
-Suspensions
-Ect
Transdermal
- ointments
-powders
-creams
-& other topicals
Intra-Nasal
- Solutions