Medication Prescribing Reference Guide
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Questions and Answers

A prescription reads 'Prednisone 10mg PO QAM'. What does this signify?

  • Take Prednisone 10mg by mouth every evening.
  • Take Prednisone 10mg by mouth every morning. (correct)
  • Take Prednisone 10mg rectally every morning.
  • Take Prednisone 10mg under the tongue every evening.

A doctor gives the following verbal order: ‘Administer 50mg of drug X STAT’ What action should the nurse take?

  • Administer 50mg of the drug X immediately. (correct)
  • Administer 50mg of the drug X as needed.
  • Administer 50mg of the drug X before meals.
  • Administer 50mg of the drug X after meals.

If a prescription says to take a medication 'pc', when should the patient take the medication?

  • After meals. (correct)
  • Before meals.
  • With meals.
  • At bedtime.

When documenting a patient's medication regimen, which abbreviation should be avoided according to JCAHO?

<p>QD (C)</p> Signup and view all the answers

A prescription reads: 'Amoxicillin 250mg PO q8h'. How often should the patient take the medication?

<p>Every 8 hours. (D)</p> Signup and view all the answers

A physician writes 'DAW' on a prescription. What does this indicate to the pharmacist?

<p>The brand name medication is required. (D)</p> Signup and view all the answers

What does 'sig' mean on a prescription?

<p>Write; label (B)</p> Signup and view all the answers

If a prescription reads ‘Medication X 500mg q1-2H prn pain’, what instructions should the pharmacist provide to the patient?

<p>Take Medication X 500mg every one to two hours as needed for pain. (C)</p> Signup and view all the answers

A physician writes an order for 'Insulin 10 U SC qAM'. What potential issue should the pharmacist address before dispensing?

<p>The dose '10 U' should be written as '10 units' to avoid confusion. (A)</p> Signup and view all the answers

A patient is prescribed a medication with the following directions: '2 gtt OS bid'. How should the patient administer this medication?

<p>Two drops in the left eye twice a day. (B)</p> Signup and view all the answers

A prescription reads 'Metformin 500mg PO ER qd'. What does 'PO ER qd' instruct the patient to do?

<p>Take by mouth, extended-release, every day. (A)</p> Signup and view all the answers

A prescription is written as follows: 'Nitroglycerin 0.4mg SL PRN chest pain'. Which route of administration should the patient use?

<p>Sublingually (B)</p> Signup and view all the answers

Which of the following abbreviations indicates that a medication should be administered into the muscle?

<p>IM (A)</p> Signup and view all the answers

A doctor prescribes a medication with the following instructions: 'Apply AAA bid'. What does this mean?

<p>Apply to the affected area twice a day. (D)</p> Signup and view all the answers

A patient has a prescription for eye drops with the sig '2 gtt OU TID'. How should the patient administer the drops?

<p>Two drops in both eyes three times a day. (C)</p> Signup and view all the answers

A prescription states: 'Amoxicillin 250mg/5ml, 1 tsp PO TID'. What is the correct interpretation of these instructions?

<p>Administer 5 milliliters by mouth three times a day. (C)</p> Signup and view all the answers

Flashcards

Sublingual

Under the tongue; a route of administration.

Daily

Medication should be taken once every day.

BID

Medication should be taken twice a day.

TID

Medication should be taken three times a day.

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QAM

Medication to be administered every morning.

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QPM

Medication to be administered every evening.

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QHS

Medication to be administered at bedtime.

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STAT

Medication should be administered immediately.

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tbsp

A large spoon used for measuring liquid volume.

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DR

Medication released at a time later than immediately after administration.

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EC

Protective outer layer that prevents dissolution in the stomach.

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ER; XR

Medication released over a prolonged period.

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Study Notes

  • The document serves as a medication prescribing reference guide.
  • It was created in 2021 and revised on January 24, 2023.
  • The guide is authored by Dr. Christal Pham, PharmD, APh, CDCES, and Dr. Airani Sathananthan, MD.

Prescriber Information

  • This section needs the prescriber's personal information.
  • Name.
  • License Number.
  • NPI Number.
  • DEA Number; note that the first letter of the last name is needed in a highlighted section.
  • Clinic name and address, including phone and fax numbers.
  • WesternU Health is located at 795 East Second Street, Suite 7, Pomona CA 91766
  • The phone number is 909-706-3877, and the fax number is 909-706-3942.
  • Recommended drug information resources can be accessed.

How to Write a Prescription

  • Patient information is crucial, including name plus date of birth, phone number, or address.
  • Medication information is also required, including:
    • Inscription: Medication name and dosage form.
    • Subscription: Quantity.
    • Sig: Directions of use.
    • Refill amount.
  • Prescriber information and signature/date are needed.
  • Controlled Substance Medications need to be on controlled substance paper, and include the quantity box, signature, and date.
  • Prescription order should contain patient info, medication info, and prescriber info.
  • Electronic prescription orders must ensure dosage and product type accuracy, specify dose, route, and frequency, and calculate dispensing quantity based on available product size.

Pharmacy Abbreviations

  • Common pharmacy abbreviations are provided for:
    • Dosage forms (e.g., cap for capsule, gtt for drop, tab for tablet, etc.).
    • Routes (e.g. AAA, ID, IM, IN, PO, PR, PV, SC, and more).
    • Frequency (e.g., Daily, BID, TID, QAM, QPM, QHS, ATC, etc.).
  • The "Do Not Use" list of abbreviations is provided by JCAHO.
  • Note that "U" should never be used and instead write "unit".
  • Similarly, write "daily" instead of "Q.D.", and "every other day" instead of "Q.O.D."
  • Avoid trailing zeros and leading zeros, and always write "morphine sulfate" instead of "MS".

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Description

This medication prescribing reference guide, updated on January 24, 2023, provides essential information for prescribers. It covers prescriber details, prescription writing, and patient information. It also includes details such as medication names and dosages.

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