Prescription Writing/ Regulations
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Questions and Answers

What does the abbreviation 'qid' stand for?

  • Four times a year
  • Four times a week
  • Four times a day (correct)
  • Four times a month

    • How many milligrams are in 1 grain (gr)?

  • 60 mg
  • 15.4 mg (correct)
  • 120 mg
  • 90 mg

    • What does the abbreviation 'ac' stand for?

  • Before meals (correct)
  • After meals
  • As needed
  • At bedtime

    • How many kilograms are in 180 pounds?

    <p>82 kg</p> Signup and view all the answers

    Who is responsible for prescription errors?

    <p>The licensed prescriber, pharmacist, staff administering medication, and employing institution</p> Signup and view all the answers

    What should you avoid when writing prescriptions?

    <p>Guessing the dosage</p> Signup and view all the answers

    What does the abbreviation 'prn' stand for?

    <p>As needed</p> Signup and view all the answers

    What is the equivalent of 1 fluid ounce in milliliters?

    <p>30 ml</p> Signup and view all the answers

    What is the DEA number of the prescriber?

    <p>2 letters and 7 digits</p> Signup and view all the answers

    What is the significance of the phrase 'NO SUBSTITUTION'?

    <p>The prescriber does not allow substitution of the medication</p> Signup and view all the answers

    What is the concept of 'Vicarious Liability' related to in the context of a hospital, clinic, or practice?

    <p>Employer liability for employee actions</p> Signup and view all the answers

    What is the primary focus of the DEA in relation to controlled substances?

    <p>Preventing diversion to illicit market</p> Signup and view all the answers

    What is the characteristic of Schedule I controlled substances?

    <p>High abuse potential with no approved medical use</p> Signup and view all the answers

    What is a characteristic of Schedule II controlled substances?

    <p>High abuse potential with approved medical use</p> Signup and view all the answers

    What is the purpose of the DEA number provided to practitioners?

    <p>Allows tracking of controlled substances</p> Signup and view all the answers

    How many refills are allowed for Schedule II prescriptions?

    <p>No refills</p> Signup and view all the answers

    What is the format of the DEA number?

    <p>Two letters, six numbers, and one check digit</p> Signup and view all the answers

    What is the significance of the first letter in the DEA number?

    <p>Identifies the type of practice or institution</p> Signup and view all the answers

    What is a characteristic of Schedule III controlled substances compared to Schedule II?

    <p>Lower abuse potential</p> Signup and view all the answers

    What is a common medication found in Schedule IV controlled substances?

    <p>Xanax</p> Signup and view all the answers

    What is the time period for filling or refilling a Schedule III or IV prescription?

    <p>Within 6 months of issue</p> Signup and view all the answers

    What is a characteristic of Schedule V controlled substances compared to Schedule IV?

    <p>Lower abuse potential</p> Signup and view all the answers

    What is the time period for filling or refilling a Schedule V prescription?

    <p>Within 1 year of issue</p> Signup and view all the answers

    What is a red flag for drug-seeking behavior?

    <p>Late day or near weekend appointments</p> Signup and view all the answers

    What is an important consideration when prescribing controlled substances for patients with a known history of dependence or addiction?

    <p>Disciplinary actions</p> Signup and view all the answers

    What is a current trend in national drug overdose trends?

    <p>Fentanyl-related overdoses</p> Signup and view all the answers

    What is the primary goal of Prescription Monitoring Programs (PMP)?

    <p>To improve patient care</p> Signup and view all the answers

    Which of the following is a function of Prescription Monitoring Programs?

    <p>Electronically reporting Schedule II-V RXs</p> Signup and view all the answers

    What is the significance of State data exchange in Prescription Monitoring Programs?

    <p>To facilitate the sharing of prescription data between states</p> Signup and view all the answers

    What is the role of professional organizations in the national response to the opioid crisis?

    <p>Providing education and guidelines for healthcare professionals</p> Signup and view all the answers

    What is the purpose of the Minnesota Prescription Monitoring Program?

    <p>To detect diversion, abuse, and misuse of controlled substances</p> Signup and view all the answers

    What is a consequence of identifying misuse of controlled substances through Prescription Monitoring Programs?

    <p>The prescriber may refuse to prescribe the medication</p> Signup and view all the answers

    What is the significance of the Controlled Substance Schedules in Prescription Monitoring Programs?

    <p>They classify controlled substances based on their potential for abuse and misuse</p> Signup and view all the answers

    What is the role of the FDA in the national response to the opioid crisis?

    <p>Regulating the distribution of controlled substances</p> Signup and view all the answers

    Study Notes

    Prescription Writing

    • A sample prescription example includes patient name, address, date, drug name, strength, quantity, and sig dosing directions.
    • Common abbreviations in prescription writing include disp=daily, stat=immediately, qd=every day, po=by mouth, bid=twice daily, tid=thrice daily, qid=4 times a day, ac=before meals, pc=after meals, and sig=directions for use.
    • Common conversions in prescription writing include 1 gram = 15.4 grains, 1 gr = 60 mg, and 1 fluid ounce = 30 ml.

    Prescription Error Responsibility

    • Licensed prescribers, pharmacists, staff administering medication, and employing institutions can be held responsible for prescription errors.

    Controlled Substances

    • The DEA's primary focus is preventing diversion of controlled substances to the illicit market.
    • Schedule I controlled substances have high abuse potential and no approved medical use.
    • Schedule II controlled substances have accepted medical use, high abuse potential, and severe dependence.
    • Examples of Schedule II drugs include oxycodone, hydrocodone, morphine, codeine, and cocaine.
    • Schedule III controlled substances have lower abuse potential and less dependence compared to Schedule II.
    • Examples of Schedule III drugs include codeine with Tylenol #3.
    • Schedule IV controlled substances have lower abuse potential and less dependence compared to Schedule III.
    • Examples of Schedule IV drugs include benzodiazepines like alprazolam and triazolam.
    • Schedule V controlled substances have lower abuse potential and less dependence compared to Schedule IV.
    • Examples of Schedule V drugs include cough medicines with codeine.

    Prescription Writing for Controlled Substances

    • Schedule II prescriptions require written, electronic, or emergency authorization, and have no refills or a 90-day supply for chronic pain.
    • Schedule III and IV prescriptions can be written, faxed, or oral, and have a 5-refill limit within 6 months.
    • Schedule V prescriptions can be dispensed or refilled within 1 year from the date of issuance.

    Prescribing Controlled Substances Risk Management

    • Be aware of drug-seeking behavior, such as late-day or near-weekend appointments, claims of allergy or lack of efficacy, and requests for specific drugs or higher doses.
    • Be cautious when prescribing for oneself, family, or friends, and maintain accurate records.
    • Patients with a known history of dependence or addiction require special care.
    • National trends show changing patterns of drug overdose, with fentanyl being a major concern.
    • There is intense public and government interest in monitoring programs, drug schedule changes, and new rules and regulations.

    National Response to Opioid Crisis

    • Professional organizations, state boards, the ADA, and dental education institutions are involved in the response.
    • State legislatures and federal agencies like the FDA and insurance companies are also responding.
    • Prescription Management Programs aim to detect diversion, abuse, and misuse of controlled substances.

    Minnesota Prescription Monitoring Program

    • The program monitors Schedule II-V drugs, protects patient health information, and allows queries and access to data.
    • Options for addressing misuse include no obligation, refusing to prescribe, or offering support resources.

    Opioid Misuse, Abuse, and Overdose in Dentistry

    • Recognize the importance of governing state and federal agencies, writing valid prescriptions, and understanding Controlled Substance Schedules.
    • Be aware of national and state narcotic abuse trends and initiatives addressing the opioid crisis.

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    Related Documents

    Prescribing Medications PDF

    Description

    This quiz tests your understanding of a medical prescription, including patient information, medication details, and contact information.

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