WGU D116 ADVANCED PHARMACOLOGY
FINAL OA EXAM LATEST 2024-2025
COMPLETE 450 QUESTIONS AND DETAILED
SOLUTIONS JUST RELEASED
Prescription Drug Misuse Principles for prescribers
1. Use of chemical dependence screening skills
2. Limit-setting regarding controlled drug prescribing
3. Documentation of a confirmed diagnosis and the ruling out of chemical dependence
before initiating a controlled prescription
4. Practice "just saying no"
Drug Scams
-Learn to recognize common ones
-Refusing to give in to them
-Practicing the skill of turning the tables on the scammer
-Be aware of forging and altering of prescriptions
Prescriber Issues
-Pressure to prescribe
-Enabling
-Dealing with patients who misuse medications
Solutions for dealing with patients
-careful documentation
-electronic medical record
-use of prescription drug monitoring program
State Law
-Federal government decides what a prescription drug is.
-States decide who can prescribe. Prescriptive authority varies from state to state. States
, determine how independent an NP is in prescribing.
-DEA number is obtained from the DEA, but states determine scope of controlled substance
prescribing.
Writing a Prescription
1. Use preprinted prescription pads or electronic templates that contain the name, address,
telephone number and NPI number of the prescriber.
2. Write the complete drug name, strength, dosage and form.
3. Write the date of the prescription.
4. Use metric units of measure, such as milligrams and milliliters; avoid apothecary units of
measure.
5. Avoid abbreviations
6. Avoid the use of "as directed" or "as needed"
7. Include the general indication, such as "for infection"
8. Write "Dispense as written" if generic substitution is not desired.
9. Include the patient's weight, especially if pediatric or older adult patients.
10. Indicate if a safety cap is not required because medications will be dispensed with them
by default.
What may be prescribed?
Legend drugs
Controlled drugs
medical devices
home health products
home testing equipment (needles, syringes)
OTC medications
Ethical issues of prescribing meds
Informed consent
Prescribing for family or friends
Sale of pharmaceuticals and supplements
American Recovery and Reinvestment Act
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