26. the prescription

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  • 8/9/2019 26. the Prescription

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    By:

    DEPARTMENT OF PHARMACY

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    A Prescription is an order for medication

    issued by a physician, dentist, veterinarianor other properly licensed medicalpractitioner. Prescription designate aspecic medication and dosage to beadministered to a particular patient at a

    specied time.

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    Legal Classifcation o medication

    1. Obtained only by prescription

    2. Without a prescription (OTC drugs)

    orm o the prescription !

    " #rescription blan$

    " Color ! %hite

    " &easurement ' sie

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    orm Name :Address :

    License ! "rac#ice :

    Band$n%& ''''(

    R)

    Pr :

    A%e :

    Address :

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    T+e cm"nen# "ar#s ! a "rescri"#in :

    1( Pa#ien# in!rma#in

    2( Da#e

    3( R) sym,- r .$"erscri"#in

    4( Medica#in "rescri,ed r /nscri"#in

    *( Dis"ensin% direc#in # "+armacis# r .$,scri"#in

    0( Direc#ins !r "a#ien# r .i%na # ,e "-aced n -a,e-

    ( Re!i--& s"ecia- -a,e-in% and)r #+er ins#r$c#ins

    ( Prescri,er5s si%na#$re& address and #+er "er#inen#

    in!rma#in

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    1. Patient information" The ull name" ddress

    " ge and'or %eight

    2. DateThe time they are %ritten and recei*ed and flled inthe pharmacy.

    +mportant

    or the medication record o thepatient.,rug abuse control - months ater the dateprescribed.

    3. R ! symbol or superscriptionContraction o the Latin *erb recipe&eaning /ta$e thou0 or you ta$e

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    ". #edication Prescribed or $nscriptionThe body o the prescription orderContain ! the name and uantities o the prescribed

    ingredients (the symbol gor ml oten elimited)

    o% ! already prepared 'preabricated into dosage ormby industrial manuacturer" trade mar$ or manuacturer3s proprietary name

    " non proprietary" generic name

    Compounded prescription the pharmacist to mi4ingredient

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    %. Dispensing direction to pharmacist or&ubscriptionConsist !

    " ,irection to the pharmacist or preparing theprescription (to designate the dosage orm astablet5 capsule etc." The number o dosage units to be suplied

    64ample !" m . . Caps . dtd . o 77+8 (mi4 and ma$e capsule. ,ispense 29 such dose)" t . :upp . o. 7++ (ma$e 12 suppositories)" m . t . ;ngt (mi4 and ma$e ointment)

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    '. Direction for patient or &ignaturaConsist o !" number o dosage unit each time

    " reuency o administration" time o administration" route o administration

    Wordabbre*iated /signa0 mean /mar$ thou0

    %ritten using abbre*iated orm o 6nglish5 +ndonesia orLatin terms or combination o each.

    64ample !" Tab ++ . . 9h (ta$e t%o tablet e*ery our hours)

    " Caps 1 . 94d . #c < h . c (ta$e one capsule our times aday ater meals and at bed time )

    " +nstill gtts ++ od (instill t%o drops into the right eye)

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    (he direction the label o the container

    )*piration date do not use ater ===. daydiscard ater === day

    Au*iliary labels sha$e > %ell

    or the ear

    e4ternal usepoisonnot to be s%allo%edetc

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    Word or phrase Abbreviation Meaning Indonesia

    Ad

    Ante cibos

    Bis in die

    Capsule

    Collutorium

    Collyrium

    Detur tales doses

    Dilut us

    Fac, fiat

    Gutta

    ora som ni

    !nus

    "ress

    ad

    ac

    bid

    cap

    collut

    collyr

    dtd

    dil

    f

    gtt

    hs

    I

    III

    "o, up to

    Before meal

    "#ice a day

    Capsule

    A mouth #ash

    An eye #ash

    $es such doses be given

    Diluted

    Ma%e, let it be made

    A drop

    At bed time

    &ne

    three

    'ampai

    'ebelum ma%an

    Dua %ali sehari

    (apsul

    Cuci mulut

    Cuci mata

    $arut%an

    Buatlah

    "etes

    Malam hari

    'atu

    "iga

    Example of Latin and English Prescription Abbreviation

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    A model prescription sho+ing various parts issho+n as

    ? &arry @ones1119 Arady *enuethens5 Aeorgia 12B9

    2. ,ate ! "1"DB. E'9. Codeine :ulate Tabs BD mg. ,ispense tabs o.12. :ign. Tab i h prn painF. Eeflls ! D Label ! yes

    G. @ohn Hro%n5 &, (signature)I. 1DD &ain :treettlanta Aeorgia

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    #atient3s name ! &arry @onesddress! 1119 Arady *enue

    E' Codeine :ulate Tabs BD mg o.7++:. tab 1 . . h . #rn painJJJJJJJJJKJJJJJJJJJJJJJJ

    Eefll ! 12B9

    Label !

    @ohn Hro%n5 &,1DD &ain :treettlanta Aeorgia

    Da#e : *810870

    PHY./C/AN5. PRE.CR/PT/ON

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    PHY./C/AN5. PRE.CR/PT/ON

    In Indonesia

    Name :

    ."ecia-is# :

    Address :

    License ! Prac#ice

    Band$n%&'''2770

    R)Am"ici--in(*77m% caps No.XXIV

    .(4( d( d( ca"s / a(c(

    Name :

    A%e :

    Address :

    .$"erscri"#in/nscri"#in

    Prescri,er in!rma#in

    .i%na#$ra

    Pa#ien# in!rma#in

    .$,scri"#in

    Da#e

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    1*

    /n #+e +s"i#a- se##in%

    11)13)7

    17(37 a(m

    1 Am"ici--in *77 m% / 9 ( 0 ( + ( ; * days

    2 As"irin 7(0 % "er rec#$m ( 0 ( "rn ( #em

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    CLA..E. OF PRE.CR/PT/ON

    1( Frm$-a !!icina-es Precm"$nded

    2( Frm$-a Ma%is#ra-es Cm"$nded

    1( Precm"$nded

    = name ! "re"ara#in > Am;yci--in& /n#erm;i-

    =dsa%e !rm i(e(#a,-e#& ca"s$-e& syr$"& in#men#= sin%-e dse

    = !re$ency ! adminis#ra#in

    = d$ra#in ! #+era"y

    R) Am;yci--in Ca"s(2*7 m% N(??

    .(4(d(d Ca"s(1

    R) Panad- Ta,( *77 m% N(/?

    .(3(d(d Ta,(1

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    2( Cm"$nded

    =#+e sin%-e dse ! eac+ in%redien#= #+e !re$ency ! adminis#ra#in

    = d$ra#in ! #+era"ydsa%e !rm si%na#$re @ri##en ,y "+ysician

    R) Ace#amin"+en 2*7 m%

    C+-r"+eniramin ma-ea#e 2 m%

    De;#rame#r"+an HBr 17 m%

    .ac+( Lac#is (s(

    M(!("$-< d#d N(/?

    .(3(d(d "$-

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    -riting a prescription order / select thedrug

    1. +ndi*idual patient

    2. ,ose

    B. ,osage orm

    9. Eoute o administration. ,uration o medication

    . o or minimum ad*erse drug interaction

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    Rasional Prescribing

    1. &a$e a specifc diagnosis2. Consider the pathophysiologic implication o the

    diagnosis

    B. :electa specifc therapeutic obecti*e

    9. :elect a drug o choice. ,etermine the appropriate dose regiment

    . ,e*ise a plan or monitoring the drug3s actionand determine an end point or therapy

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    1. 6ach ingredientMs name shall ha*e a separate line

    The mi4ed dosage orm The single dosage orm

    E' +ngredient 7mg. E'cti*e &edicinal .

    +ngredient H Nmg E'acti*e &edicinal H.

    +ngredient C 7mg

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    2. 6ach line begin %ith capital letter

    E' 6phedrini ydrochlorici.........

    Hut the second %ord as an adecti*e! E' :ulphur praecipitatum

    E' ua destilata

    B. ame o acti*e ingredients come frst5the name odiluents or *ehicle last. +n a liuid prescription5 thename o the solid acti*e medicinally are %rittenbeore those a liuid and the *ehicle last.

    E' ,e4tromethorphan HE D529 g

    mmonium Chioride F52 g

    romatic 6le4ir5 to ma$e 12D ml.

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    9. ame o ingredients come frst5 the dosage orm last.

    E' #romethaine :yrup........

    E' #romethaine +nectio......

    Hut! :6E and 8CC+6 come frst.

    E' :6E;& nti To4icum ,iphtheriae

    E'8CC+;& #olimyelitis.....

    O :alts the name o the base frst5 as

    E' #OT::+ Hromidi...

    O C+,:5 the term or acid. irst 5 as

    E' C+,: hydrochlorici

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    . Latin is regularly employed or the name o the ingredients and orthe directions or compounding5 %hen in doubt as to the correct Latine4pression %rite in 6nglish.

    . When %riting or more than the ordinary dose o the potent drug5 asor

    E':trychnine ydrochloride 10 mg.( initial ) P

    F. This part o the prescription usually consist o!

    a. The asicor principal acti*e ingridient.

    b. The Aduvantor that %hich assists its action

    c. The orrigens( Correcti*e ) or that %hich correct its operations.

    d. The 4ehicleor 64cipient %hich imparts an agreeable orm.

    E'&agnesil :ulphatis .......asic........ ...E'Thiophylini

    64tra.:ennae. Lig .........Aduvant......6phedrini CL.

    Tinct. Cardam. Co. ......orrective......#henobarbital

    uam . s. ad. .........4ehicle..........:ach. Lactis. . s.

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    &56$D D5&A7) 85R#& 6$9:$D D5&A7) 85R#& m. . pul*. o. 44 &. ,. :. B d. d. c. +.

    m Q misce ac

    m. pul*. d. t. d. no. 44.

    d. t. d. da Tales ,osis &. ,. :. gutt. nasal

    m. . pul*. d. t. d. no. 44 &. ,. :. gutt. auric

    da im caps

    m. . caps. d. t. d. no. 44. &. ,. :. gutt. Opth

    d. in caps d. t. d. no. 44. &. ,. :. collyrium

    &)#$ &56$D D5&A7) 85R#&m. . ung. 2D

    m. . crim. 1

    m. . past. 2D

    m . . lin. 2D

    m. . l. a. ung. opththm. . suppos. d. t. d. no

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    2*

    (;) &$7 ;5- #:;, ;5- 58()