ordering & prescribing medications synchronous

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Description and Tags

synchronous material from lecture on 8/30

16 Terms

1

components of a drug regimen

  • route of admin

  • dose

  • strength/concentration

  • duration

  • frequency

  • indication (for as needed medications)

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2

state laws for SPs and PAs when prescribing

in the state of pa, PA prescriptions must include:

  • PA’s printed name and license number

  • SP’s name and license number

  • PA’s signature, followed by PA-C

  • PA’s DEA number (if controlled substance)

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3

how long can a PA prescribe an initial drug therapy for a schedule II controlled substance?

72 hours

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4

can a PA prescribe a 30-day prescription if approved by the SO for ongoing therapy?

yes, MUST be noted on the prescription

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5

prescribing resources

drug information databases

manufacturer website

FDA prescribing information

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6

drug information databases

search for specific medication for quick prescribing references

won’t tell you what medication is better than another

ex. Micromedex, Lexicomp

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7

manufacturer website

contains relevant safety and efficacy information and prescribing recommendations for brand name medications

can be a biased source

where to go if drug has just been released

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8

FDA prescribing information

package insert

published after immediate approval→ may not always be up-to-date

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9

cognitive process of prescribing

make a specific diagnosis → consider pathophysiologic implications of the diagnosis → select specific therapeutic objective(s) → select drug of choice → determine appropriate dosing regimen → create a monitoring plan (go back to goals of therapy)

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10

common errors in prescribing practices

inappropriate drug selection or dose

inadequate pt education and acknowledgement of understanding

confusing or unnecessarily complex regimens

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11

inappropriate drug selection or dose

based on:

  • drug-drug interactions

  • drug-disease interactions

  • failure to collect OTC or herbal medication use

  • missed dose adjustment in kidney or liver dysfunction

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12

confusing or unnecessarily complex regimens

does the pt have to take multiple pills per dose, or is there a higher strength or extended release formulation available?

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13

if IV fluids are administered too fast

fluid overload

infusion reactions

drug toxicity

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14

flow rate

volume of fluid per unit of time

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15

drip rate

drops of fluid administered per unit of time

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16

1 kg

2.2 lbs

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