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What is the first requirement for extra-label drug use?
a valid VCPR
3 primary components of a valid VCPR?
veterinarian sees patient & client in person
clients agrees to care & treatment plan
patient completes exam, treatment, and follow up
,Does this situation constitute a valid VCPR?
The owner of a dog that suffers seizures has run out of antiseizure
medicine (noncontrolled substance). He calls the practice and
requests that the
veterinarian treating his dog call in a prescription to a local
pharmacy.
yes
Does this situation constitute a valid VCPR?
Assume that the practice in Auburn is closed. The owner calls a
practiced
located in Opelika. He used to take his dog to a veterinarian at
this practice.
His request is the same. The veterinarian at this practice has not
seen the dog for several years.
No- need timely exam of patient
,Does this situation constitute a valid VCPR?
A cattle feedlot has changed owners, and the veterinarian has not
yet met the new owners or management team. The new owner
comes into the office of the veterinarian who has been caring for
the feedlot with weekly visits
and requests ceftiofur to treat a new shipment of cattle arriving at
the lot in the morning. The veterinarian can't fit a visit between now
and the arrival.
No- requires a physical exam
Does this situation constitute a valid VCPR?
A client whose pet you have not seen inthree years wants to utilize
your new telemedicineservice. Will the telemedicine phone call-
onlyappointment constitute the initiation of a VCPR in thestate of
Alabama?
No
, Does this situation constitute a valid VCPR?
Your client refuses a referral to a specialist afteryour physical exam
but will allow you to consult aspecialist and will follow any
recommendations you make.
-the primary care vet?
-the specialist?
Yes
No
Which situation is extra label drug use? Legal? Ethical?
You are treating a leg wound in a beef cow. The owner has some
topical compounded nitrofurazone mixed with DMSO on hand that he
left over
from his horse's injury. He has been applying it for the past three days.
You indicate that he should continue the treatment.
No- nitrofurazone prohibited in food animals