Writing Prescriptions

[prominence]

as a resident, what's the proper format for writing out a prescription?

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[docB]

For a resident or anyone else:
Drug, size, prep
dose, route, scedule, indictations
dispense amount
refills

Eg:
Tylenol 650 mg tabs
i - ii tabs po every 6 hours PRN pain or fever
dispense 30 (thirty)
refill 2

 

[Anasazi23]

Fill in the patient's name, address, age, date, etc at top.

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Zyprexa 10mg

Sig: One tab PO QD

Disp: 30 (thirty)

Dr. Prominence

(stamp your hospital's license number underneath)

3 refills
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How to write a presciption

Simpler example

And memorize this list Not all rx's are pills and are taken by mouth.

 

[14022]

For a resident or anyone else:
Drug, size, prep
dose, route, scedule, indictations
dispense amount
refills

Eg:
Tylenol 650 mg tabs
i - ii tabs po every 6 hours PRN pain or fever
dispense 30 (thirty)
refill 2

A little different for pediatric liquid medications

Write the patient's weight in the corner of the script and then figure out the amount of drug for the given weight and then the volume of a certain concentration needed to be given to acheive that amount of drug

Drug, concentration
"Sig:" dose, route, schedule, indications
"Disp:" amount
refill

Eg:
Patient weighs 25 kg. Tylenol comes in several concentrations, one of which is 160 mg/5 ml (5 ml = 1 teaspoon). Tylenol is given 10-15 mg/kg PO(by mouth)/PR (per rectum) q6-8 h prn fever. Say we give 13 mg/kg. Then the patient needs 325 mg for each dose. Divide 325 by 160 and multiply by 5 to get the volume of each dose (about 10 ml or 2 tsp).

Tylenol 160/5ml
Sig: take 2 tsp PO/PR q6/8 h PRN fever or pain
Disp: 500 ml
Refill: 3 (three)

If you are giving a drug for a certain duration (eg, antibiotic for 10 days) you can use "QS" in "disp" line for quantity sufficient and the pharmacist will give her enough for 10 days.

Eg:
Amoxicillin 400/5ml
Sig: take 2 tsp PO q12h x 10 days
Disp: QS

In this case the pharmacist will make sure the pt has enough for 10 days (ie, at least 200 ml).