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PRESCRIPTION
ORDER
3. Beware of
LASA/SALAD
Similar drug names
Aldactone Aldazide
Gliclazide - Glipizide
6. Reduce distraction
when possible
Multitasking
Distraction during work
7. Focus on reducing
stress and balance
heavy workload
Workload increase
PROCESSING
PRESCRIPTION
R
Prescription written
by authorized
prescriber
Patient presents
prescription to the
pharmacy
LABEL
Prescription is prepared.
Correct amount of med
prescribed is measured and
placed into container
Prescription is prepared by
pharmacy technician, and
final check done by
pharmacist
packaging
rechecking
Labeling
preparing the
prescription
recording and
filling
pricing the
prescription
The
1.name
of physician
1. RECEIVING THE
PRESCRIPTION
Enhance
the
pharmacist
patient relationship
PHARMACIST should:
Estimate
length
of
time
required to fill the Rx
To price the Rx if requested by
the patient.
Receiving the Rx
The appropriateness of the Rx for that patient can
be assessed
Any required records can be completed correctly
2. READING AND
CHECKING THE Rx
Read the Rx in the privacy of
the prescription department
There should be no doubt as
to
the
ingredient
or
quantities prescribed
2. READING AND
CHECKING THE Rx
If something is illegible or if it
appears that an error has been
made. Pharmacist should consult
another pharmacist or the prescriber.
Should verify omission or failure to
specify
desired
strength
of
medication
2. READING AND
CHECKING THE Rx
The size and frequency of dose be
carefully noted and checked:
1. Age
2. Weight and condition of patient
3. Possible influence of other drugs
being
taken
4. Frequency of administration
IDEAL CASE
Checking of Rx
Interaction
Dose
Evidence of harm/benefit
Appropriate
CASE
Cost effective
Acceptable to the patient
Safe
Effective
INTERACTION
Does the drug interact
with any other items the
patient is taking or with
the patients condition?
DOSE
An initial dose
A maximum dose
Reading and
Checking
Aldactone Aldactide
CARBOplatin CISplatin
Betnesol Betnetan
cefiXIME cefuROXIME
Co-amifruse Co-amilazide
DOBUtamin DOPamine
Cordene Codeine
ephEDRINE epINEPHRINE
Daonil Danol
Gliclazide Glipizide
hydrOXYZINE hydraALAZINE
Nicardipine Nifedipine
Promazine Promethazine
INFLIXimab RITUXimab
Zocor - Zoton
metFORMIN metRONIDAZOLE
vinCRISTINE - vinBLASTINE
3.
NUMBERING AND
DATING THE Rx
It is a universal practice to
number the Rx order and to
place the same number on the
label.
To connect the bottle or package
with the original medication
order.
4.
LABELING THE Rx
4. LABELING THE Rx
(cont.)
A prescription should have an
aesthetic
and
professional
appearing label.
The size of the label should be in
conformance with the size of the
prescription container.
4. LABELING THE Rx
(cont.)
Name,
address
and
telephone number of the
pharmacy are generally
imprinted in the label
The pharmacist should
give clear directions
4. LABELING THE Rx
(cont.)
Label of Compounded Rx should
include:
1.Number of Rx
2.Date of filling
3.Name of Patient
4.Quality and quantity of ingredients
4. LABELING THE Rx
(cont.)
Label of Compounded Rx
should include:
5. Directions for administration
6. Name of Physician
4. LABELING THE Rx
(cont.)
Label of Unit Dose Rx should
include:
1.Name of Patient
2.Generic name of drug
3.Brand Name
4.Manufacturer
4. LABELING THE Rx
(cont.)
Label of Unit Dose Rx should
include:
5. Dosage strength
6. Expiry date
7. Directions for use
8. Name of Pharmacist
4. LABELING THE Rx
(cont.)
AUXILIARY LABELS emphasize a
number of important aspects of the
dispensing medication including:
1. proper use
2. handling
3. storage
4. LABELING THE Rx
(cont.)
AUXILIARY LABELS
4. Refill status
5. Necessary warnings and precautions
Example: Shake well
POISON
Should Not Be Swallowed
Keep Out of Reach of Children
Wording to be replaced
Do not swallow
Put two drops in the
affected eye
For creams,
ointments: spread
thinly
For Pessaries or
suppositories: gently
put one into the
vagina/rectum
Not to be taken
Instill 2 drops into
the affected eye
Use sparingly
Insert one into the
vagina or rectum
Auxiliary labels
Shake well
5. PREPARING THE
Rx
Information Necessary:
1.Adjuvant used
2.Order of mixing
3.Amount of each ingredients
4.Capsule size
5. PREPARING THE Rx
(cont.)
Information Needed:
5. Type and size of container
6.Name and product identification
number of manufacturer.
5. PREPARING THE
Rx (cont)
Partially filled Rx should be
returned to the buyer after
recording the partial filling in the
Rx book
Partial filling of prohibited or
List A drugs shall not be
allowed.
6. PACKAGING
Pharmacist should
consider the size,
shape, mouth opening,
color and composition
in packaging
6. PACKAGING
TYPES
OF
CONTAINERS
GENERALLY USED:
for
dispensing liquids of low viscosity
6. PACKAGING
Pharmacist should CHECK for:
1.Permeability of containers
atmospheric
gases
and
moisture vapor.
to
to
6. PACKAGING
Pharmacist should CHECK for:
3. Absorption of drugs from content
container
4. Transmission of light through the
container
5. Alteration of the container on storage,
particularly at extremes in temperature.
6. PACKAGING
Child-Resistant Containers
- To prevent accidental poisoning
resulted
from
ingestion
of
medication and other household
chemicals by children.
- With safety closures
7. RECHECKING
The importance of this step
should not be overemphasized
Every Rx should be rechecked by
the Pharmacist
All details of the label should be
rechecked against the Rx order
to verify directions, patients
name, Rx number, date and
prescribers name
8. DELIVERING THE
PRESCRIPTION
Every prescription leaving the store
should not only be correctly and
skillfully compounded but the
physical appearance of the finished
preparation should indicate the
pride
and
care
which
the
pharmacist has taken in his
professional work.
9. RECORDING
A record of the prescriptions
dispensed should be maintained
in addition to the prescription
files.
This would permit rapid location
of prescription orders.
9. RECORDING
(cont.)
Different RECORDS used:
1. Prescription Book
2. Poison Book
3. Dangerous Drug Record Book
10. PRICING
MOST COMMONLY USED:
1.% Mark-up
Dispensing Price =
Cost of Ingr. + (Cost of Ingr. X %
Mark-up)
11. FILING
Too be kept for 2 years
Prescription File Types:
1. metal or cardboard unit
2. partitioned drawers
Exercises:
Rx
Salbutamol tablet.2mg
Theophylline tablet ..125mg
Lactose q.s. .300mg
In one cap # 20
Sig. One cap b.i.d. p.c. and H.S.
Data
Nuelin tablet .. P 3.75
Ventolin tablet .. P 4.50
Lactose . P 40.00 / half Kg
Capsule . P 0.75/piece
Minimum fee P30.00
% mark up 15 % and Professional Fee P 50.00
QUESTIONS:
1. What is the dispensing price using the
% mark up plus minimum fee method?
2. Cost of the above Rx per capsule
3. What is the dispensing price using
professional fee method?
4. What is the daily dose of Salbutamol?