NR 565 MIDTERM STUDY GUIDE
drugposchedulespo-poschedulepoIpo-poans--DrugpoSchedules
nopocurrentlypoacceptedpomedicalpousepoandpoforporesearchpousepoonly
highpopotentialpoforpoabuse
examples:
heroin
LSD
MDMApo(3,4-Methylenedioxymethamphetamine:poAKApoecstasy)
drugposchedulespo-poschedulepo2po-poans--combinationpodrugspow/
po<po15mgpohydrocodonepoperpodosagepounit
Highpopotentialpoforpoabusepoandposeverepophysical/psychologicalpodependence
examples:
Vicodin,pococaine,pomethamphetamine,pomethadone,poDilaudid,pooxycodone,poMeperidin
e,poFentanyl,poAdderall,poRitalin
drugposchedulespo-poschedulepo3po-poans--drugspow/
po<90pomgpoofpocodeinepoperpodosagepounit
abusepowouldpoleadpotopomod-
lowpophysicalpodependencepoandpohighpopsychologicalpodependence
examples:poketamine,potylenolpow/pocodeine,poanabolicposteroids,potestosterone
drugposchedulespo-poschedulepo4po-poans--
lowpopotentialpoforpoabuse;polowpolevelpoofpodependence
examples:
xanax,poSoma,poDarvon,poValium,poAmbien,poTramadol
Whatpoproblemspoarisepowhenpoprescriptivepoauthoritypoispolimited?po-poans--
Limitedpoprescriptivepoauthoritypocreatesponumerouspobarrierspotopoquality,poaffordable,po
andpoaccessiblepopatientpocare
, drugposchedulespo-poschedulepo5po-poans--verypolowpopotentialpoforpoabuse/dependence
Examples:po
Robitussin,poLomotil,poMotofen,poLyrica,poParepectolin
FullpoPrescriptivepoAuthoritypo-poans--
Fullpoprescriptivepoauthoritypoaffordspothepolegalporightpotopoprescribepoindependentlypoan
dpowithoutpolimitation
whopomandatespoprescriptivepoauthority?po-poans--
PhysicianspocanpolimitpothepotypespoofpodrugspothatpothepoAPRNpocanpoprescribe
healthpoprofessionalpoboards
Statepolawspoplacepoadditionalporestrictionspowithporegardpotopocontrolledpodrugspo(full,por
estricted,poetc.)
responsibilitiespoofpoprescribingpo-poans--*safepoandpocompetentpoprescribingpo
mustpohavepoapodocumentedpopatient-providerporelationship
nopopersonalpoprescribing!
documentedpothoroughpoH+P
discussionpoofposidepoeffects,porisks/benefits,poalternativepooptions
documentedpoplanpoforpomonitoring/titrationpoetc.poifpoapplicable
considerpocost,poavailability,poCPGs,pocompatibility,poindication
patientporeasonspoforpomedicationponon-adherencepo-poans--
cost,poavailability,poadversepoeffects,pocomplicatedporegimen,polackpoofpoeducation,podisb
eliefpoinpomedpoimportance,posupply/missedpopick-up
whatpotypepoofpoevidencepoprescribersposhouldpousepotopomakepotreatmentporecommend
ationspo-poans--CurrentpoClinicalpoPracticepoGuidelines
Prescriptivepoconsiderationspoforpoolderpoadultspo-poans--decreasedporenalpofunction--
>poserumpodrugpoaccumulation
polypharmacy
increasedpoillness
otherpocomorbiditiespo(CHF,pocirrhosis,poCKD,poDMpoetc.)
lowerpotherapeuticpoindex
alteredpopharmacokineticspo(drugpomovementpothrupobody)
inadequatepolongpotermpotherapyposupervision
drugposchedulespo-poschedulepoIpo-poans--DrugpoSchedules
nopocurrentlypoacceptedpomedicalpousepoandpoforporesearchpousepoonly
highpopotentialpoforpoabuse
examples:
heroin
LSD
MDMApo(3,4-Methylenedioxymethamphetamine:poAKApoecstasy)
drugposchedulespo-poschedulepo2po-poans--combinationpodrugspow/
po<po15mgpohydrocodonepoperpodosagepounit
Highpopotentialpoforpoabusepoandposeverepophysical/psychologicalpodependence
examples:
Vicodin,pococaine,pomethamphetamine,pomethadone,poDilaudid,pooxycodone,poMeperidin
e,poFentanyl,poAdderall,poRitalin
drugposchedulespo-poschedulepo3po-poans--drugspow/
po<90pomgpoofpocodeinepoperpodosagepounit
abusepowouldpoleadpotopomod-
lowpophysicalpodependencepoandpohighpopsychologicalpodependence
examples:poketamine,potylenolpow/pocodeine,poanabolicposteroids,potestosterone
drugposchedulespo-poschedulepo4po-poans--
lowpopotentialpoforpoabuse;polowpolevelpoofpodependence
examples:
xanax,poSoma,poDarvon,poValium,poAmbien,poTramadol
Whatpoproblemspoarisepowhenpoprescriptivepoauthoritypoispolimited?po-poans--
Limitedpoprescriptivepoauthoritypocreatesponumerouspobarrierspotopoquality,poaffordable,po
andpoaccessiblepopatientpocare
, drugposchedulespo-poschedulepo5po-poans--verypolowpopotentialpoforpoabuse/dependence
Examples:po
Robitussin,poLomotil,poMotofen,poLyrica,poParepectolin
FullpoPrescriptivepoAuthoritypo-poans--
Fullpoprescriptivepoauthoritypoaffordspothepolegalporightpotopoprescribepoindependentlypoan
dpowithoutpolimitation
whopomandatespoprescriptivepoauthority?po-poans--
PhysicianspocanpolimitpothepotypespoofpodrugspothatpothepoAPRNpocanpoprescribe
healthpoprofessionalpoboards
Statepolawspoplacepoadditionalporestrictionspowithporegardpotopocontrolledpodrugspo(full,por
estricted,poetc.)
responsibilitiespoofpoprescribingpo-poans--*safepoandpocompetentpoprescribingpo
mustpohavepoapodocumentedpopatient-providerporelationship
nopopersonalpoprescribing!
documentedpothoroughpoH+P
discussionpoofposidepoeffects,porisks/benefits,poalternativepooptions
documentedpoplanpoforpomonitoring/titrationpoetc.poifpoapplicable
considerpocost,poavailability,poCPGs,pocompatibility,poindication
patientporeasonspoforpomedicationponon-adherencepo-poans--
cost,poavailability,poadversepoeffects,pocomplicatedporegimen,polackpoofpoeducation,podisb
eliefpoinpomedpoimportance,posupply/missedpopick-up
whatpotypepoofpoevidencepoprescribersposhouldpousepotopomakepotreatmentporecommend
ationspo-poans--CurrentpoClinicalpoPracticepoGuidelines
Prescriptivepoconsiderationspoforpoolderpoadultspo-poans--decreasedporenalpofunction--
>poserumpodrugpoaccumulation
polypharmacy
increasedpoillness
otherpocomorbiditiespo(CHF,pocirrhosis,poCKD,poDMpoetc.)
lowerpotherapeuticpoindex
alteredpopharmacokineticspo(drugpomovementpothrupobody)
inadequatepolongpotermpotherapyposupervision
