[DISPENSING-LEC] CH6: PRESCRIPTION AND MEDICATION ORDER

Prescription

General instruction and communication of the healthcare team bot in the inpatient and outpatient setting to either provide for a medication or treatment to an individual patient.

• Praescriptionem

• Praescribere

• Prae

• Scriber

The word prescription came the Latin word?

Praescriptionem

A writing before, order, direction.

Praescribere

Write before, prefix in writing

Prae

Before

Scriber

Write

Medication Order

Written instruction provided by a prescribing physician for a specific medication to be administered to an individual or patient.

Medication Order

Used to order medications or patients in a hospitals and other healthcare facilities.

Medication Order

Contain orders for medications and procedures, laboratory test/s, and discharge

instructions.

• Handwritten

• Typed

• Preprinted

• Encoded

Rx and medication orders can be given in what form?

Pharmacists

They review the Rx/Medication Order ensuring correct and complete information.

• Erroneous

• Violative

• Impossible

What are the three types of prescription errors?

Erroneous

Brand name precedes the generic name.

Erroneous

Generic name is the one in parenthesis.

Erroneous

More than one drug product is prescribe in one Rx form.

Erroneous

Filled; kept and reported to DOH.

Violative

Generic name is not written

Violative

Generic name is not legible and brand name is legible.

Violative

“No substitution”

Impossible

Only generic name is written but not legible.

Impossible

Generic name does not correspond to the brand name.

Impossible

Both generic and brand name = not legible.

Impossible

Drug product is not registered with FDA.

Violative and Impossible

• Not filled

• Kept and reported to DOH

Joint Commission International (JCI)

• Accredits hospitals internationally.

• Requires healthcare organizations to develop guidelines in standardizing the use of abbreviations, acronyms, and symbols.

aa

Affected are

a.c.

Before meals

ABW

Actual bodyweight

ad

Up to

a.m.

Morning

amp

Ampoule

Aq

Water

ASA

Aspirin

ATC

Around the clock

b.i.d.

Twice a day

b.i.w.

Twice a week

BMI

Body mass index

BSA

Body surface arae

BW

Bodyweight

C

Centigrade

c or c

With

cap

Capsule

cr, crm

Cream

d

Day

dis

Dispense

div

Divide

DOB

Date of birth

DS

Double strength

jt or j-tube

Jejunostomy tube

KVO

Keep vein open

L

Liter

LE

Lower extermities

d.t.d.

Give as such dose

DW

Distilled water

D5NS

Dextrose 5% in normal saline

D51/2NS

Dextrose 5% in ½ normal saline (0.45% NaCl)

D5W

Dextrose 5% in water

EC

Enteric-coated

elix.

Elixir

e.m.p.

As directed

F

Fahrenheit

fl or fld

Fluid

ft.

Make

g or Gm

Gram

Gr

Grain

gtt, gtts

Drop, drops

h, hr

Hour

IBW

Ideal body weight

ID

Intradermal

IM

Intramuscular

inj.

Injection

IUD

Intrauterine device

IV

Intravenous

IVP

Intravenous push

IVPB

Intravenous piggyback

OTC

Over-the-counter

Oz

Ounce

p or per

By

p.c.

After meals

LR

Lactated Ringer

M² or m²

Square meter

MDI

Metered-dose inhaler

mEq

Milliequivalent

mg

Miligram

min

Minute

ml or mL

Milliliter

MOM

Milk of Magnesia

mOsm or mOsmol

Milliosmole

MR

May repeat

MRX

May repeat _ times

NG or NGT

Nasogastric or nasogastric tube

No. or no.

Number

noct.

Night

non rep. or N.R.

Do not repeat

NPO

Nothing by mount

NS

Normal saine (0.9% NaCl)

½ NS

Half-strength normal saline (0.45% NaCl)

NTG

Nitroglycerin

oint.

Ointment

syr.

Syrup