Documentos de Académico
Documentos de Profesional
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Structure
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o
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Patient's name
Age
Will guide the pharmacist
5 year old boy given a capsule; pharmacist feels that boy can't
take capsule; makes call to doctor and tells him the situation of
the boy's age
Address
Pharmacist makes a mistake - don't give whole dosage that you
paid for; address makes you look for patient
Date
Don't want to give another refill
Important because you have to identify the name
Helpful to patient, relatives
Mom has 3 kids; need to know which med is for which
kid
Helpful to even the pharmacist --- who may have forgot
who the medicine is for
Rx - superscription
Symbol
Recipe in latin; take though ---this is the medicine that the
patient will be taking
Rx pad aka prescription pad
Inscription
Subscription
Embodies the Dr's direction to pharmacist as to method and of
preparation of drugs and amount of the drug
Only preparation and number of pills dispensed
Example --- in capsule
SIS - Capsule can be in suspension (syrup)
Too much to sell; should be in bottle depending on
Two bottles of remedial agent
Could be in cream, in solution, in lotion form, in powder form
Signature aka S
If you look at prescription given, no signature given
But some others like the one shown in manual has it
Not dr's signature
Direction of doctor to the patient; if child, direction to guardian,
or if patient is hospitalized, direction to hospital personnel
To save money, some nurses sent to the house ---sig. is
given to the nurse
Includes how the patient has to take it
One time, with glass of water, time of administration,
frequency
Example - take 1 capsule every 8 hours for one
week; get this when you have computed the
medication that you will prescribe; have to justify
these directions
Not the certification by the physician - finally guar
Cert by Physician
License number
Official signature that you're certifying the Rx
Erroneous prescription
Where brand name receives the generic name
Ex -- write a big Amoxil 50 mg; and a tiny little amoxycilin (tiny
words)
Generic name is in parenthesis
More than one drug product is prescribed in order not to waste
your space on the Rx paper
Economical
Impossible prescription
When only the generic name is written but NOT legible;
pharmacist cannot read it (impossible to read); hence the
term "chicken scratch"
Generic name doesn't correspond to the brand name
Amoxycillin (500 mg) and you put ventolin
You know they don't coincide; doctor should be
penalized
When both generic and brand name are not legible
They want you to buy in his drug store; only staff
members can read it; others can't read it
When drug prescribed that's not registered with the BFAD
Even if the generic name is already approved by BFAD,
but if there's no such thing as brand (not registered);
whether brand name or generic name
Impossible = it doesn't exist
Correct Prescription
o Name of patient
o Age
o Date
Address
o
o
Superscription
Inscription
If you don't write brand name, it's still correct
If you do, it should be smaller than generic and in parenthesis
Can't be reversed (erroneous)
Capsule - and amount
Signature
Direction to patient
"one capsule every 8 hours for 1 week"
Last Tuesday, Dr. Formalino gave also abbreviations; do
not give abbreviations to patients ---- Prn (if necessary)
- Read and know all abbreviations ----- P c4
PRN, STAT, OU
Certification
Usually prescriptions are copied; not required because you have your own index card
for each patient -- own file --- contains diagnosis that only you know and understand
o Some have blue, yellow copy -- - so that the drug company can
reimburse you for how many drugs you prescribed
o If dr. didn't indicate brand name, pharmacist can offer other brand
names to the patient; pharmacist has privilege to offer it; patient not
obligated to buy it though -- he wants a cheaper one
o Not recommended to write more than one brand name
Dr. tells patient to buy cheaper generic one for patient to
choose written on a different Rx paper
Ex combipack for TB or entepack -----all the same
Practical
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Take a paper --A 20 year old man came to clinic due to fever and cough for 5 days
duration;
Adult patient - use empirical
25 kg
How many teaspoons per day if use 250 mg =
2500 g
How many ml do you need a day?
Computation
Have 5 ml. how many do you need per
day? 10 (5ml) or 10 teaspoons
Formula
2,500ml/x = 250 ml/5 ml
X = 50 ml or 10 teaspoons
1 teaspoon = 5 ml
Computation
Prescription Written
E.R. Caangay, MD
Emergency Medicine
6/29/06
Name
Address
Rx
o
Subscription
i.
amoxicillin
250 mg/5ml
60 ml bottles # 7
Signature
2 1/2 teaspoons every 6 hours for 7 days
subscription
Certification
Parasetimol
o Name, date, address
o superscription
o Subscription
Paracetamol 250 mg/5m
120 ml bottlel
o
Sig