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DEH 2300 Module 1
Applied Pharm for the DH
| Question | Answer |
|---|---|
| History: Who studied Pharmacology? | Greeks, Romans, Chinese,, Muslims and other early cultures |
| Synthetic organic chemistry was born in? | 1828 |
| Who was recognized as the founder of modern pharmacology? | Oswald Schmiedeberg |
| Testing is done with: | animals, humans (ethical issues) |
| Define Pharmacology | Pharmacology derived from prefix pharmaco- (“drug” or “medicine”) + suffix -logy (“study of”) |
| Stedman’s Medical Dictionary definition of drug: | “Therapeutic agent; any substance, other than food, used in the prevention, diagnosis, alleviation, treatment or cure of disease” |
| Others define drug as: | chemical substances that affect biologic systems |
| Knowledge off pharmacology imperative in order for dental professionals to perform important clinical functions such as: | • Obtaining health history • Administering drugs in the office • Handling emergency situations • Planning appointments • Choosing self medication • Discussing drugs • Life-long learning |
| What are some sources of pharmacology information? | Books, journals, CD-ROMs, Internet, & Pharmacists |
| Generic name: | Only one name; first letter lowercase ex: lidocaine For dental drugs, generic provide the equivalent therapuetic results at a cost savings |
| Trade name: | More than one name; first letter capitalized ex: Xylocaine, Octocaine |
| Metric system: | Base 10 language of scientific measurement. * Only metric units should be used in prescription writing.* Solid drugs by weight. Liquids by volume. |
| Apothecary system: | Cumbersome, does not convert to base 10. Measurements of weight in sands, grains, scruples, ounces, pounds. Measurements of volume in drams, and ounces. Still used by some older practitioners. |
| Avoirdupis system: | Used in U.S. commerce (food cans, quarts of milk). 16 oz. in 1 lb. 1 oz. = 30ml metric, I cup (8 oz.) = 240ml |
| Superscription | (Patient’s name, address, age, date and the symbol, Rx [Latin for “recipe” or “take thou” ] ) |
| Inscription | Name of drug, dose form, and amount |
| Subscription | Directions to the pharmacist |
| Signature or Transcription | Directions to the patient |
| Heading | Name, address, phone number of prescriber on prescription blank; name, address, phone number of patient written in, and date* (*not a legal prescription without date!) |
| Body | The symbol, “Rx”; name and dosage size or concentration (for liquids) of given drug; amount to be dispensed; and directions to the patient. |
| Closing | Prescriber’s signature; DEA number, if required; refill instructions |
| Federal law divides controlled substances into: | 5 schedules according to their abuse potential |
| Any Rx for controlled substance must have a: | DEA number |
| All Schedule __ through __ drugs require an Rx | II through IV |
| Schedule II specifications: | Written in pen or typed, cannot be phoned in; no refills; may require triplicates in some states (triplicates should be locked away) |
| Schedule III and IV may be phoned in to pharmacist and may be refilled no more than: | 5 times in 6 months |
| DDR | Alphabetic by generic drug name Not bias Least expensive Updated every 2 years Dental implications, brief |
| LCD | Alphabetic by generic name Not bias Moderately expensive Updated 1/year; CD 4/year Dental implications, brief |
| PDR | Alphabetic by manufacturer's name; within that list alphabetic by trade name Bias Moderately expensive 1/year; 4 year; CD=4/year Package insert, not often updated, contains selected drugs |
| F&C | Therapeutic class Not bias Most expensive 1/year; 12/year (paper); CD=4/year Has many tables; includes most prescription and OTC drugs |
| AHFS | Alphabetic by pharmacologic class Not bias Expensive 1/year; CD=4 year Detailed coverage; useful to anser specific questions |
| USP DI | Alphabetic by pharmacologic class Not bias Expensive 1/year; 12/year; CD=4/year Extensive list of properties of drugs |
| a. | Before |
| a.c. | Before meals |
| A.D. | Right ear |
| A.L. | Left ear |
| b.i.d. | Twice a day |
| gtt. | Drop |
| h. | Hour |
| h.s. | Bedtime |
| o.u. | Each eye |
| o.d. | Right eye |
| o.s. | Left eye |
| p.o. | By mouth |
| p.c. | After meals |
| p.r. | By rectum |
| p.r.n. | As needed |
| q.d. | Once a day |
| q.i.d. | Four times a day |
| q.o.d. | Every other day |
| q6h | Every six hours |
| sl | Sublingual |
| Supp. | Suppository |
| t.i.d. | Three times a day |
| u.d. | As directed |