S Drug Enforcement Administration DEA if controlled substance Date Refills

S drug enforcement administration dea if controlled

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DEA (U.S. Drug Enforcement Administration [DEA]) # if controlled substance Date Refills Spell out quantity Writing a prescription Use preprinted prescription pads that contain the name, address, telephone number, and NPI number of the prescriber. Write the complete drug name, strength, dosage, and form. Write the date of the prescription. Use metric units of measure, such as milligrams and milliliters; avoid apothecary units of measure. Avoid abbreviations Avoid the use of “as directed” or “as needed.” Include the general indication, such as “for infection.” Write “Dispense as Written” if generic substitution is not desired. Include the patient weight, especially if pediatrics or elderly. 10. Indicate if a safety cap is not required, as medications will be dispensed with them by default. Ch. 5
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Prediction of ADRs 1) Age: young/old 2) Body mass a) Adult dosing is based on wt 150 lb b) Morbid obesity need dosing adjustment of some meds due to distribution 3) Gender a) Women tend to be smaller. b) Different fat distribution c) Pregnancy changes 4) Environment a) Drugs affecting mood and behavior b) Physical environment: low O2, temperature 5) Time of administration a) Timing with food b) Biorhythms may affect drug absorption and excretion. 6) Pathological state a) Pain intensifies need for opioids; anxiety may produce resistance to antianxiety drugs b) Renal or hepatic dysfunction 7) Genetic factors 8) Psychological factors: Cultural or faith-based attitudes toward drug Types of ADRs Type I Allergic Response : IgE antibody mediated anaphylactic reaction, happens immediately after medication taken, potentially fatal if not treated immediately Type II : Cytotoxic reaction, autoimmune response (hemolytic anemia, heparin- induced thrombocytopenia, lupus erythematosus), improves once suspected medication discontinued Type III : Arthus reaction or immune complex reaction “serum sickness” (Angioedema, arthralgia, fever, swollen lymph nodes, and splenomegaly), occurs 1- 3wks after exposure Type IV: Cell-mediated (not antibody-mediated but activation of t-cell), delayed hypersensitivity, common skin reaction (contact dermatitis), occurs 24 to 48 hours
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  • Spring '14
  • Henrikson,J
  • Pharmacology, U.S. Drug Enforcement Administration

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