The Prescription Process

All written prescriptions should contain:o Prescriber's full name, address, telephone number, and DEA numbero Patient's full name and addresso Date of issuanceo Drug name, dose, dosage form, amounto Directions of useo Refill instructionso Signature of prescriber

Schedules of Controlled Drugso 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, anddepressant 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 Iand II and include compounds containing limited quantities of certain narcotic analgesicdrugs, and other drugs such as barbiturates, glutethimide, methyprylon, andchlorphentemine. Any suppository dosage form containing amobarbital, secobarbital, orpentobarbital is in this schedule.

o Schedule 4: Druns in this schedule have an abuse potential less than those listed inSchedule 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 inSchedule IV and consist primarily of preparations containing limited quantities of certainnarcotic 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 feponie

MfuscBe To

Leti tfer. 100 beats

S!«M( and irregular 'brfi!'ai|iteig

^CopypiM HeaHh^ype cow 2009

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 scorepossible.

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 INFORMATIONprescription has stringent

requirements designed to in fo rm the phar-macist and protect the pat ient .

Today's prescription regulations vary from state tostare and province to province, but generally a pre-scription lor a community pharmacy will containthe informat ion i l lus t ra ted below.

Prescriber Information:Name, title, office adf'-'ess,and telephone number

\S OF THE

PRESCRIPTION

Drug Enforcement Agency (OEA)registration number of prescribe!(required for all controlled substances.)

Name and address ofpatient. NAME £,-<£2>'~«---

Oth-er patient informationsuch as age or weight isoptional, but sometimes

important, e.g., achild's weight.

Note: If a compound isprescribed, a list of ingre-dients and directions for

mixing is included.

Refill Instructions—

DAW: Dispense As Written"and/or Generic

Substitution Allowedinstructions (optional).

\. A.B.Cain! 2? Main Sited

WtllsvUlc. PA 00000TEL:<«88)55S-U34 /

DF.A Number: AB 123*563'

DAI >• Cl.Sji^JslS&I

u£L.ADDRESS 'ujii^^it, ..%&*>O&.£A

Rx

DISPENSE AS WRITTEN O

PRESCRIBER'S SIGNATURE

-Date the prescription iswritten.

Inscription: Name (brandor generic), strength_of

-medication and it

-Slgna: This conies fromthe latin word signa,meaning "to write." It isabbreviated to slg andindicates what directionsfor use should be printedon the label.

- Signature of prescrlber(not required on a verbalprescription)

Note: prescriptions arewritten in ink, never pencil.

Additional Information

In addition to the above, theinformation at right must beadded to the prescription inthe pharmacy. This informa-tion is a product of the com-puterized prescription filling

process. Some data are automatically assignedby the computer (e.g., prescription number), whileother information is added by the pharmacist orpharmacy technician as they input the data nec-essary 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 (DrugIdentification 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 theprescription if it is a verbal order.

Master List of Prescription Abbreviations

| Abbreviation I

aa

ad

a.c.

a.d.

ad lib.

admov.

agit

jalt. h.

a.m.

amp

amt

:aq

a. I., a.s.

A.T.C.

a.u.

bis

b.i.d.

;B.M.

bol.

B.S.

B.S.A

cap., caps.

cr*"

cc

cfr" ™ ' —comp.

cr., crm

D5W

D5NS

D.A.W.

idc, D/C, disc

dieb. alt.

dil.

From the Latin

ana

ad

ante cibum

aurio dextra

ad libitum

admove

agita

alternis horis

ante meridiem

aqua

aurio laeva, aurio

auris utrae

bis

bis in die

bolus

capsula

cum

cibos

cum cibos

diebus alternis

•*#$ MVWM

i Meaning jj

;of each

jup to

i before meals

right ear

use as much as one desires; freely

apply

stir/shake

every other hour

morning, before noon

ampule

amount

water

sinister I left ear

.around the clock

; both ears

twice

\e daily

| bowel movement

as a large single dose (usually intravenously)

blood sugar

body surface areas

; capsule

; with (usually written with a bar on top of the "c")

Sfood

with food, (but also cubic centimetre)

with food

compound

cream

i dextrose 5% solution (sometimes written as D5W)

dextrose 5% in normal saline (0.9%)

dispense as written

\e

every other day

dilute

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