interpretation of prescription and medication orders

Remember the knowledge of pharmacy includes the action of the medication in the body or pharmacokinetics, the therapeutic uses and effects or pharmacotherapeutics, and the adverse and toxic reactions or toxicology. Objectives • Calculate total dosage of medication when quantity is unknown • Calculate number of doses of medication from total dosage presented on a prescription • Calculate the number of doses in a prescription if medication is taken according to a physician’s order, including duration in days • Read and interpret prescriptions to calculate doses and dosages Topics2 Chapter 4 Medication Orders and Labeling 2012 Paradigm Publishing 2. a prescription designates a specific medication and dosage to be prepared by a pharmacist and administered to a particular patient. Also, co-pays depend on your insurance plan, so make sure to consider your insurance coverage when deciding between traditional or mail-order prescriptions. record on the prescription drug order, the name of the person who transmitted the order in addition to all the requirements of a prescription. Both means of communicating a prescription must provide identification of the patient who is to receive the medication and the amount of medicine to be received. In the use of the metric system, the decimal point may be replaced by a vertical line that is imprinted on the prescription blank or hand-drawn by the prescriber. The legal document that doctors must fill out when prescribing a drug, or more than one drug, is called a prescription (community) or, in the case of hospitals, it’s referred to as a medication order. Recognize the influence of early Greek and Roman healthcare practitioners on current medical terminology and abbreviations. Examples include transdermal, ocular, and intrauterine systems. Only standard abbreviations should be used. In those instances, “local” or nonstandard abbreviations might become an area of concern for possible misinterpretation. In whatever setting, the order must be read and interpreted exactly so the correct medication and its dosage can be provided for patient safety. Trump Signs New Executive Order On Prescription Drug Prices The order, which would include Medicare parts B and D, replaces a previous order the president signed in … Prescription interpretation: __________________________________________________________, Label directions: ____________________________________________________________________, 2 nitroglycerin 0.4 mg sl q5min × 3 doses prn, 3 chlorothiazide 0.25 g i tab po qam prn swelling, 8 meperidine 50 mg and promethazine 25 mg IM q4-6h prn pain, 9 Zithromax 250 mg tab ii po stat, then tab i po daily on days 2-5, 10 Lanoxin 0.25 mg tab po qam if P 60 or ↑. x10d"? In those instances, “local” or nonstandard abbreviations might become an area of concern for possible misinterpretation. With medication transcriptions, the transcriber must follow certain rules to ensure accuracy and compliance. Related Articles. It is extremely important that the pharmacy technician know not only the laws pertaining to these situations, but also the policy and procedure of the institution or health care facility. Buy Membership for Basic Science Category to continue reading. The MAR is prepared by the pharmacy and signed by the administrator (nurse or other) each time a dose is given. With the medication order, the health care professional is told what drug or drugs should be administered, the strength of the medication, and the frequency to be taken. Parts of a Prescription. Prescriptions may include the chemical or nonproprietary (generic) name of the substance or the manufacturer’s brand or trademark name. Verbal orders should be minimized. shall . Bookmark & Share Tweet Follow med_assistant Disclaimer: This is a non-accredited, non-credit online review primarily intended for medical assistant student's personal self-evaluation of professional skills and review. Review and interpretation (translation) of the prescription. Even if the order is a verbal order to a health care professional, the order must be transcribed into writing to create a medication record for legal purposes. Abbreviations are often used in the writing of prescriptions. Prescription medication labels: how to read. Transcribing medication orders is when someone transfers a physician’s prescription order to a medication administration record, or MAR. Figure 6-1 provides short descriptions of the parts of a prescription. prescription An order for medication issued by a licensed prescriber, a physician, dentist, or veterinarian, for example, designating specific medication, dose, and dose rate to be prepared by a pharmacist and dispensed to the patient. Your prescription is filled by the mail-order pharmacy, run through insurance, and the medication is mailed directly to you. Periods in the abbreviations q.d., q.o.d., and q.i.d. Prescriptions requiring compounding may or may not contain the quantities of each ingredient required. Take 1/2 teaspoonful by mouth 4 times a day for 10 days. Only standard abbreviations should be used. Prescriptions may be written or verbal (except with Schedule II medications, which require a written signed prescription), but the legal implications are the same for both. Use the questions you prepared before you went to the office to understand more about your prescription. In whatever setting, the order must be read and interpreted exactly so the correct medication and its dosage can be provided for patient safety. i q.i.d. Some of the typed or computer-generated abbreviations, prescription symbols, and dose designations can still be confusing and lead to mistakes in drug dosing or timing. The MAR is prepared by the pharmacy and signed by the administrator each time a dose is given. Prescriptions have five main sections: For commonly accepted abbreviations, see the table on the inside front cover and Chapter 1. Examples of prescription directions to the pharmacist: c.M. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Presurgical Functional MappingAndrew C. Papanicolaou, Roozbeh Rezaie, Shalini Narayana, Marina Kilintari, Asim F. Choudhri, Frederick A. Boop, and James W. Wheless, the Child With SeizureDon K. Mathew and Lawrence D. Morton, and Pharmacologic Consequences of SeizuresShilpa D. Kadam and Michael V. Johnston, Self-Limited EpilepsiesDouglas R. Nordli, Jr., Colin D. Ferrie, and Chrysostomos P. Panayiotopoulos, in Epilepsy: A Network and Neurodevelopmental PerspectiveRaman Sankar and Edward C. Cooper, Hematology, Oncology and Palliative Medicine, Interpret prescriptions and medication orders, Interpret labels found on medication containers, Use and understand units of measurement found in pharmacology, nitroglycerin 0.4 mg sl q5min × 3 doses prn, chlorothiazide 0.25 g i tab po qam prn swelling, meperidine 50 mg and promethazine 25 mg IM q4-6h prn pain, Zithromax 250 mg tab ii po stat, then tab i po daily on days 2-5, Medications are ordered by a physician either as a, Just as a reminder, because many drugs have similar-sounding or look-alike names, reading the prescription can become much like working a puzzle. As new precautions are found for medicines, you should keep these in mind. a.m.Instill two (2) drops in the right eye every day in the morning. Prescriptions written by veterinarians generally include the animal species and/or pet’s name and the name of the owner. Syrups may or may not be medicated. 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