Download The Prescription Process All written prescriptions should contain: o

The Prescription Process
All written prescriptions should contain:
o Prescriber's full name, address, telephone number, and DEA number
o Patient's full name and address
o Date of issuance
o Drug name, dose, dosage form, amount
o Directions of use
o Refill instructions
o Signature of prescriber
Schedules of Controlled Drugs
o Schedule 1: drugs in this schedule have no accepted medical use in the U.S. and have a
high abuse potential. Examples are heroin, marijuana, LSD, peyote, etc.
o Schedule 2: Drugs in this schedule have abuse potential with severe psychic or physical
dependence liability. Included are certain narcotic analgesics, stimulants, and
depressant drugs. Examples are opium, morphine, codeine, hydromorphone,
methadone, meperidine, oxycodone, anileridine, cocaine, amphetamine,
methamphetamine, phenmetrazine, methylphenidate, amobarbital, pentobarbital,
secobarbital, methaqualone, and phencyclidine.
o Schedule 3: Drugs in this schedule have an abuse potential less than those in Schedules I
and II and include compounds containing limited quantities of certain narcotic analgesic
drugs, and other drugs such as barbiturates, glutethimide, methyprylon, and
chlorphentemine. Any suppository dosage form containing amobarbital, secobarbital, or
pentobarbital is in this schedule.
o Schedule 4: Druns in this schedule have an abuse potential less than those listed in
Schedule III and include such drugs as barbital, phenobarbital, chloral hydrate,
ethchlorvynol, meprobamate, chlordiazepoxide, diazepam, oxazepam, clorazepate,
flurazepam, etc.
o Schedule 5: Drugs in this schedule have an abuse potential less than those listed in
Schedule IV and consist primarily of preparations containing limited quantities of certain
narcotic analgesic drugs used for antitussive and antidiarrheal purposes.
Common prescription abbreviations:
o ac (ante cibum) means "before meals"
o bid (bis in die) means "twice a day"
o gt (gutta) means "drop"
o hs (hora somni) means "at bedtime"
o od (oculus dexter) means "right eye"
o os (oculus sinister) means "left eye"
o po (per os) means "by mouth"
o pc (post cibum) means "after meals"
o prn (pro re nata) means "as needed"
o q3h (quaque 3 hora) means "every 3 hours"
o qd (quaque die) means "every day"
o qid (quater in die) means "4 times a day"
o Sig (signa) means "write"
o tid (ter in die) means "3 times a day"
APGAR SCORE,
for assessing
CRITERIA
Colw
Heart Rate
Respiration
fteflex
Leti tfer. 100 beats
S!«M( and irregular
'brfi!'ai|iteig
feponie
MfuscBe To
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Apgarscore
The test is designed to quickly evaluate a newborn's physical condition after delivery and to determine
any immediate need for extra medical or emergency care. It was developed in 1952 by an
anesthesiologist named Virginia Apgar. The test assesses Activity (and muscle tone), Pulse (heart rate),
Grimace (reflex irritability), Appearance (skin coloration), and Respiration (breathing rate and effort). It
is usually given to the baby twice, the first time at 1 minute after birth and again at 5 minutes after birth.
Scores are obtained by giving 0, 1, or 2 in each of the categories with 10 being the highest score
possible.
A study done with 980,000 Danish children suggest that children with a five or six Apgar score had a 63%
higher risk of ADHD, while those with a score of one to four had a 75% greater risk. Researchers believe
this may be due to some sort of stress during pregnancy or birth, which decreased the oxygen supply
that later might contribute to the development of ADHD. It is believed that both pre-term birth and a
low Apgar score may be markers of less-than-optimal fetal development.
PRESCRIPTION INFORMATION
prescription has stringent
requirements designed to inform the pharmacist and protect the patient.
Today's prescription regulations vary from state to
stare and province to province, but generally a prescription lor a community pharmacy will contain
the information illustrated below.
PRESCRIPTION
Prescriber Information:
Name, title, office adf'-'ess,
and telephone number
\S OF THE
Drug Enforcement Agency (OEA)
registration number of prescribe!
(required for all controlled substances.)
\. A.B.Cain
! 2? Main Sited
WtllsvUlc. PA 00000
TEL:<«88)55S-U34
/
DF.A Number: AB 123*563'
Name and address of
patient.
Oth-er patient information
such as age or weight is
optional, but sometimes
important, e.g., a
child's weight.
DAI >•
NAME
Cl.Sji^JslS&I
u£L.
£,-<£2>'~«---
ADDRESS 'ujii^^it, ..%&*>O&.£A
Inscription: Name (brand
or generic), strength_of
-medication and it
Rx
Note: If a compound is
prescribed, a list of ingredients and directions for
mixing is included.
-Slgna: This conies from
the latin word signa,
meaning "to write." It is
abbreviated to slg and
indicates what directions
for use should be printed
on the label.
Refill Instructions—
DAW:
-Date the prescription is
written.
Dispense As Written"
and/or Generic
Substitution Allowed
instructions (optional).
DISPENSE AS WRITTEN
O
PRESCRIBER'S SIGNATURE
- Signature of prescrlber
(not required on a verbal
prescription)
Note: prescriptions are
written in ink, never pencil.
Additional Information
In addition to the above, the
information at right must be
added to the prescription in
the pharmacy. This information is a product of the computerized prescription filling
process. Some data are automatically assigned
by the computer (e.g., prescription number), while
other information is added by the pharmacist or
pharmacy technician as they input the data necessary for the proper filling of the prescription
(e.g., the product selected).
• Date the product is dispensed.
• Identity of the product by manufacturer
and NDC (National Drug Code)—DIN (Drug
Identification Number) in Canada.
• Prescription and/or transaction number.
• insurance information for the patient.
• Price charged.
• Initials of the technician and pharmacist,
involved in the filling of the prescription.
• Signature of the pharmacist receiving the
prescription if it is a verbal order.
Master List of Prescription Abbreviations
| Abbreviation
I From the Latin
i Meaning
jj
aa
ana
;of each
ad
ad
jup to
a.c.
ante cibum
i before meals
a.d.
aurio dextra
right ear
ad lib.
ad libitum
use as much as one desires; freely
admov.
admove
apply
agit
agita
stir/shake
jalt. h.
alternis horis
every other hour
a.m.
ante meridiem
morning, before noon
amp
ampule
amt
amount
aqua
:aq
water
aurio laeva, aurio sinister
a. I., a.s.
I left ear
.around the clock
A.T.C.
a.u.
auris utrae
bis
bis
b.i.d.
bis in die
; both ears
twice
\e daily
| bowel movement
;B.M.
bolus
bol.
as a large single dose (usually intravenously)
B.S.
blood sugar
B.S.A
body surface areas
cap., caps.
capsula
; capsule
c
cum
; with (usually written with a bar on top of the "c")
cibos
Sfood
r*"
cum cibos
cc
with food
cf
r"
with food, (but also cubic centimetre)
™
comp.
'
—
compound
cream
cr., crm
i dextrose 5% solution (sometimes written as D5W)
D5W
D5NS
dextrose 5% in normal saline (0.9%)
D.A.W.
dispense as written
\e
idc, D/C, disc
dieb. alt.
diebus alternis
every other day
dilute
dil.
•*#$ MVWM
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