Controlled substances quiz
Controlled
substances quiz
, Controlled substances quiz
1. Controlled Substances: -Any drug whose use is controlled by the Federal
Government.
-Drugs are put into Schedules I-V depending abuse potential
2. Controlled Substances Act of 1970: -All Schedule II prescriptions must be
written ink & dated the same day as signed, no refills w/ DEA number
-Drugs in Schedules III-V may not be filled after 6 months after issuance of
prescription
-Dynamic? Static? No State may place something lower in the schedule than the
Feds have
3. CSA and DEA: -The DEA regulates every step of controlled substances from
manufacture to dispensing The goal is to prevent diversion from legitimate use. -
States may require more stringent regulations than the Controlled Substance Act
mandates.
, Controlled substances quiz
-Federal law governing the issuance and filling of prescriptions can be found in the
Code of Federal Regulations, Title 21, Section 1306 and the United States Code
(USC) - Controlled Substances Act, Title 21, Section 829.
4. Orders for Controlled Substances: -Must be issued for legitimate medical
purposes.
-By a practitioner in the usual course of his/her professional practice.
-Not for self-use --> Even if this is not mandated by law 5.
Why Opiates Are Controlled: -Abuse/Overuse potential.
-Danger of use--REMS
-Side effects/Toxicities
-Diversion
-Physical and psychological addiction
-Bridging
, Controlled substances quiz
6. Assessment of Pain: -Evaluate prior to opioid administration and about 1 h
after -Assess pain location, type of pain (dull, sharp, stabbing, throbbing, etc.),
what makes pain better, worse, how pain changes with time.
-Some patients over-report (drug seekers)
-Some patient under-report (fear of addiction, fear of treatment, feel a need to be
stoic, men to female ! , etc.).
7. Types of Pain: -Acute Pain: Recent onset, transient, from an identifiable
cause.
-Chronic Pain: Persistent or recurrent; lasting beyond the usual course of illness
or injury or more than 3-6 months, and which adversely affects the individual's
well-being.
-Breakthrough or Flare-up Pain: transient pain which is severe or excruciating;
unpredictable. May indicate changes in underlying disease.
Controlled
substances quiz
, Controlled substances quiz
1. Controlled Substances: -Any drug whose use is controlled by the Federal
Government.
-Drugs are put into Schedules I-V depending abuse potential
2. Controlled Substances Act of 1970: -All Schedule II prescriptions must be
written ink & dated the same day as signed, no refills w/ DEA number
-Drugs in Schedules III-V may not be filled after 6 months after issuance of
prescription
-Dynamic? Static? No State may place something lower in the schedule than the
Feds have
3. CSA and DEA: -The DEA regulates every step of controlled substances from
manufacture to dispensing The goal is to prevent diversion from legitimate use. -
States may require more stringent regulations than the Controlled Substance Act
mandates.
, Controlled substances quiz
-Federal law governing the issuance and filling of prescriptions can be found in the
Code of Federal Regulations, Title 21, Section 1306 and the United States Code
(USC) - Controlled Substances Act, Title 21, Section 829.
4. Orders for Controlled Substances: -Must be issued for legitimate medical
purposes.
-By a practitioner in the usual course of his/her professional practice.
-Not for self-use --> Even if this is not mandated by law 5.
Why Opiates Are Controlled: -Abuse/Overuse potential.
-Danger of use--REMS
-Side effects/Toxicities
-Diversion
-Physical and psychological addiction
-Bridging
, Controlled substances quiz
6. Assessment of Pain: -Evaluate prior to opioid administration and about 1 h
after -Assess pain location, type of pain (dull, sharp, stabbing, throbbing, etc.),
what makes pain better, worse, how pain changes with time.
-Some patients over-report (drug seekers)
-Some patient under-report (fear of addiction, fear of treatment, feel a need to be
stoic, men to female ! , etc.).
7. Types of Pain: -Acute Pain: Recent onset, transient, from an identifiable
cause.
-Chronic Pain: Persistent or recurrent; lasting beyond the usual course of illness
or injury or more than 3-6 months, and which adversely affects the individual's
well-being.
-Breakthrough or Flare-up Pain: transient pain which is severe or excruciating;
unpredictable. May indicate changes in underlying disease.
