Chapter 26 Administration of Medication
and Intravenous Therapy Objectives
List and describe the five schedules for controlled drugs. - correct answer-Schedule I: High
potential for abuse, currently no accepted medical use in treatment in the US, there is a lack
of accepted safety for use of the drug under medical supervision, use may lead to severe
physical or psychological dependence, may be used for research with appropriate
limitations, not available for prescribing.
Schedule II: High potential for abuse, currently accepted medical use in treatment in the US
or a currently accepted medical use with severe restrictions, abuse may lead to severe
psychological or physical dependence, prescription must be in writing in indelible ink or
typed, emergency telephone order permitted only for immediate amount needed to treat
patient; written prescription must be provided to pharmacist within 7 days; no refills allowed,
manufacturer's label marked C-II
Schedule III: Less potential for abuse than drugs in Schedules I and II, currently accepted
medical use in treatment in the US, abuse may lead to moderate or low physical
dependence or high psychological dependence, telephone and fax orders permitted, if
authorized by physician prescription can be refilled five times within 6 months from issue
date, prescription expires 6 months from issue date, manufacturer's label marked C-III
Schedule IV: Lower potential for abuse than drugs in Schedule III, currently accepted
medical use in treatment in the US, abuse may lead to limited physical or psychological
dependence, telephone and fax orders permitted
Schedule V: low potential for abuse, accepted medical use in the US, abuse may lead to
limited physical or psychological dependence, telephone and fax orders permitted,
prescribing policies determined by state and local regulations
Explain the difference among administering, prescribing, and dispensing medication. -
correct answer-Administered: medication given to the patient at the office
Prescribed: when a physician provides a patient with a handwritten or computer-generated
prescription for a drug to be filled at a pharmacy; can be sent electronically, telephoned, or
faxed
Dispensed: medication given to a patient at the office to be taken at home
State the common routes for administering medication. - correct answer-Oral
Sublingual
Inhalation
Buccal
Rectal
Vaginal
Topical
Intradermal
Subcutaneous
Intramuscular
Intravenous
, Route depends on type of drug being given, the dosage form, the intended action, and the
rapidity of response desired.
List and describe the six sections of the Physicians' Desk Reference - correct
answer-SECTION 1 Manufacturer's Index: lists pharmaceutical manufacturers in
alphabetical order along with a list of drugs that are manufactured by each company. This
index provides all of the necessary information, should the manufacturer need to be
contacted regarding a particular drug.
SECTION 2 Brand and Generic Name Index: consists of an alphabetical listing of the drugs
included in the PDR by both generic and brand names. Allows for a quick and easy location
of drug information.
SECTION 3 Product Category Index: places each drug into a category based on the action it
has on the body. The drug categories are arranged alphabetically which allows for the easy
location of a list of drugs with a similar therapeutic use or mechanism of action.
SECTION 4 Product Identification Guide: provides a full-color (actual size) photograph of the
tablets and capsules included in the PDR. The drugs are arranged alphabetically by
manufacturer.
SECTION 5 Product Information: contains product information on approximately 3000 drug
products. They are arranged alphabetically by manufacturer; under the manufacturer, the
drugs are listed alphabetically by brand name. The information included in this section
consists of the actual drug package inserts.
List and describe the categories of information in a drug package insert. - correct
answer-DESCRIPTION: a general description of the drug: brand name, generic name, drug
category, dosage form, route of administration, chemical name and structural formula, the
inactive ingredients contained in the drug, and whether its prescription or OTC.
CLINICAL PHARMACOLOGY: describes how the drug functions in the body. Include an
analysis of the absorption, distribution, metabolism, and excretion of the drug.
INDICATIONS AND USAGE: presents a list of the conditions that the drug has been formally
approved to treat by the U.S. FDA
CONTRADICTIONS: includes the situations in which a drug should not be used.
WARNINGS: describes the serious adverse reactions and potential safety hazards that may
occur when using the drug
PRECAUTIONS: includes any information regarding any special care that needs to be taken
by the physician for the safe and effective use of the drug.
ADVERSE REACTIONS: describes the unintended and undesirable effects that may occur
with the use of the drug.
OVERDOSAGE: describes symptoms associated with an overdosage of the drug, as well as
the complications and the treatment to institute for an overdosage.
DOSAGE AND ADMINISTRATION: lists the recommended adult dosage, the usual dosage
range of a drug, and the route of administration. Also includes the intervals recommended
between doses, the usual duration of treatment, and any modification of dosage needed for
special groups of people.
HOW SUPPLIED: indicates the dosage forms that are available, the units in which the
dosage form is available, information to help identify the dosage form, and handling and
storage conditions of the drug.
and Intravenous Therapy Objectives
List and describe the five schedules for controlled drugs. - correct answer-Schedule I: High
potential for abuse, currently no accepted medical use in treatment in the US, there is a lack
of accepted safety for use of the drug under medical supervision, use may lead to severe
physical or psychological dependence, may be used for research with appropriate
limitations, not available for prescribing.
Schedule II: High potential for abuse, currently accepted medical use in treatment in the US
or a currently accepted medical use with severe restrictions, abuse may lead to severe
psychological or physical dependence, prescription must be in writing in indelible ink or
typed, emergency telephone order permitted only for immediate amount needed to treat
patient; written prescription must be provided to pharmacist within 7 days; no refills allowed,
manufacturer's label marked C-II
Schedule III: Less potential for abuse than drugs in Schedules I and II, currently accepted
medical use in treatment in the US, abuse may lead to moderate or low physical
dependence or high psychological dependence, telephone and fax orders permitted, if
authorized by physician prescription can be refilled five times within 6 months from issue
date, prescription expires 6 months from issue date, manufacturer's label marked C-III
Schedule IV: Lower potential for abuse than drugs in Schedule III, currently accepted
medical use in treatment in the US, abuse may lead to limited physical or psychological
dependence, telephone and fax orders permitted
Schedule V: low potential for abuse, accepted medical use in the US, abuse may lead to
limited physical or psychological dependence, telephone and fax orders permitted,
prescribing policies determined by state and local regulations
Explain the difference among administering, prescribing, and dispensing medication. -
correct answer-Administered: medication given to the patient at the office
Prescribed: when a physician provides a patient with a handwritten or computer-generated
prescription for a drug to be filled at a pharmacy; can be sent electronically, telephoned, or
faxed
Dispensed: medication given to a patient at the office to be taken at home
State the common routes for administering medication. - correct answer-Oral
Sublingual
Inhalation
Buccal
Rectal
Vaginal
Topical
Intradermal
Subcutaneous
Intramuscular
Intravenous
, Route depends on type of drug being given, the dosage form, the intended action, and the
rapidity of response desired.
List and describe the six sections of the Physicians' Desk Reference - correct
answer-SECTION 1 Manufacturer's Index: lists pharmaceutical manufacturers in
alphabetical order along with a list of drugs that are manufactured by each company. This
index provides all of the necessary information, should the manufacturer need to be
contacted regarding a particular drug.
SECTION 2 Brand and Generic Name Index: consists of an alphabetical listing of the drugs
included in the PDR by both generic and brand names. Allows for a quick and easy location
of drug information.
SECTION 3 Product Category Index: places each drug into a category based on the action it
has on the body. The drug categories are arranged alphabetically which allows for the easy
location of a list of drugs with a similar therapeutic use or mechanism of action.
SECTION 4 Product Identification Guide: provides a full-color (actual size) photograph of the
tablets and capsules included in the PDR. The drugs are arranged alphabetically by
manufacturer.
SECTION 5 Product Information: contains product information on approximately 3000 drug
products. They are arranged alphabetically by manufacturer; under the manufacturer, the
drugs are listed alphabetically by brand name. The information included in this section
consists of the actual drug package inserts.
List and describe the categories of information in a drug package insert. - correct
answer-DESCRIPTION: a general description of the drug: brand name, generic name, drug
category, dosage form, route of administration, chemical name and structural formula, the
inactive ingredients contained in the drug, and whether its prescription or OTC.
CLINICAL PHARMACOLOGY: describes how the drug functions in the body. Include an
analysis of the absorption, distribution, metabolism, and excretion of the drug.
INDICATIONS AND USAGE: presents a list of the conditions that the drug has been formally
approved to treat by the U.S. FDA
CONTRADICTIONS: includes the situations in which a drug should not be used.
WARNINGS: describes the serious adverse reactions and potential safety hazards that may
occur when using the drug
PRECAUTIONS: includes any information regarding any special care that needs to be taken
by the physician for the safe and effective use of the drug.
ADVERSE REACTIONS: describes the unintended and undesirable effects that may occur
with the use of the drug.
OVERDOSAGE: describes symptoms associated with an overdosage of the drug, as well as
the complications and the treatment to institute for an overdosage.
DOSAGE AND ADMINISTRATION: lists the recommended adult dosage, the usual dosage
range of a drug, and the route of administration. Also includes the intervals recommended
between doses, the usual duration of treatment, and any modification of dosage needed for
special groups of people.
HOW SUPPLIED: indicates the dosage forms that are available, the units in which the
dosage form is available, information to help identify the dosage form, and handling and
storage conditions of the drug.
