Question

Medical Assistant:

Oral Medication Orders for Practice:

1. Order: Give phenytoin 100 mg cap i po bid with a full glass of water.  Take each dose at the same time every day.  Give first dose now.  

What is the dose to be given?

Write instructions for patient (if any) on how they should take the medication when they go home.

Practice giving this order to a patient and write the corresponding progress note.

2. Order: Give Prevacid 30 mg cap now. Rx at front desk.

What is the dose to be given?

Write instructions for patient (if any) on how they should take the medication when they go home.

Practice giving this order to a patient and write the corresponding progress note.

3. Order: Give Paxil 10 mg tab for anxiety.  i now, then ii qd for the next 7 days, then iii qd for the next 7 days.

What is the dose to be given?

Write instructions for patient (if any) on how they should take the medication when they go home.

Practice giving this order to a patient and write the corresponding progress note.

Answer 1

1. PHENYTOIN 100 MG CAPSULE

Phenytoin is used to prevent and control seizures ( also called an anticonvulsant or antiepileptic drug ) . It works by reducing the spread of seizure activity in the brain .

Dose to be given is 100 mg ( 1 capsule )

PATIENT TEACHING ON HOW TO USE MEDICATION AT HOME

• Swallow the capsules whole . Do not use the capsules if discolored .
• Take the medication with food if stomach upset occurs .
• Take the medication with a full glass of water ( 8 ounces or 240 milliliters ) .
• Use this medication regularly in order to get the most benefit from it . Take all doses at the same time each day to keep the amount of medicine in the body at a constant level .
• Do not stop taking this medication without consulting the doctor .Seizures may become worse when the drug is suddenly stopped . Your dose may need to be gradually decreased .
• Inform doctor if your condition does not improve or worsens .
• SAFETY ; This drug may make you dizzy or drowsy . Alcohol or marijuana can make you more dizzy or drowsy . Do not drive , use machinery , or do anything that needs alertness until you can do it safely . Limit alcohol beverages .
• OVERDOSE ; If overdose happens and has serious symptoms such as passing out or trouble breathing , call a poison control center right away .
• MISSED DOSE ; If you miss your once daily dose , take it as soon as you remember unless it is within 4 hours of the next dose . In that case , skip the missed dose  .Take the next dose at regular time .  If you do not remember until the next day , skip the missed dose . Check with your doctor if you miss for more than 2 days in a row . Do not double the dose to catch up .
• STORAGE ; Store at room temperature away from light and moisture . Keep away from children .
• SIDE EFFECTS ; Headache , nausea , vomiting , constipation , dizziness , drowsiness may occur . If any of these effects persists or worsen , tell your doctor .
• HOW TO TAKE ; Advice the patient to take the 1 capsule ( 100 mg ) orally BID ( twice in a day ) with a full glass of water . Take each dose at the same time every day .

2. PREVACID 30 MG CAPSULE

Prevacid capsule ( lansoprazole ) is used to treat certain stomach and esophagus problems ( such as acid  reflux , ulcers ) . It works by decreasing the amount of acid your stomach makes . It relieves symptoms such as heartburn , difficulty swallowing , and persistent cough .

Dose to be given is 30 mg ( 1 capsule )

PATIENT TEACHING ON HOW TO USE MEDICATION AT HOME .

• Advice the patient to take the medication by mouth once daily , before a meal . Do not increase the dose or take this drug more often than directed .
• Do not crush or chew the capsules . Swallow the medication whole . If you have difficulty swallowing capsules ;

** PREVACID capsules can be opened and sprikled on applesauce , ensure pudding , cottage cheese , yogurt or strained pears .

** PREVACID capsules may also be emptied into a small volume of either apple juice , orange juice or tomato juice .

• Use the medication regularly to get the most benefit from it . To help you remember , take it at the same time each day . Continue to take the medication for the prescribed length of treatment even if you are feeling better .
• Tell your doctor if your condition persists or worsens .
• Advice the patient to report any symptoms associated with acute interstitial nephritis , diarrhoea that does not improve , fractures of hip, wrist , spine etc .
• MISSED DOSE ; If a dose is mised , take as soon as possible . Do not take 2 doses at one time to make up for a missed dose .
• OVERDOSE ; In the event of overexposure , treatment should be symptomatic and supportive . If over exposure occurs , call pioson control center .
• SIDE EFFECTS ; Diarrhea , abdominal pain , or headache may occur . If any of these effects persists or worsen , tell your doctor or pharmacist promptly .
• HOW TO TAKE ; Advice the patient to take 1 capsule ( 30 mg ) at a time .

3 . PAXIL 10 MG TABLET

Paxil ( Paroxetine ) is used to treat depression , panic attacks , obsessive - compulsive disorder ( OCD ) , anxiety disorders , and post - traumatic stress disorder . It works by helping to restore the balance of a certain natural substance (serotonin) in the brain . Paroxetine is known as a ( SSRI ) selective serotonin reuptake inhibitors .

Dose to be given is 10 mg ( 1 tablet) at a time orally .

PATIENT TEACHING ON HOW TO USE MEDICATION AT HOME .

• Take the medication by mouth with or without food as directed by the doctor . Taking  this medication with food may decrease nausea .
• Do not increase the dose or use this drug more often or for longer than prescribed . Your condition will not improve any faster , and your risk of side effects will increase .
• Take the medication regularly to get the most benefit from it .
• Keep taking this medication even if you feel well . Do not stop taking this medication without consulting your doctor .
• It may take upto several weeks before you get the full benefit of this drug .
• Tell doctor if condition persists or worsens .
• SAFETY ; This drug may make you dizzy or drowsy or blur your vision . Alcohol or marijuana ( cannabis ) can make you more dizzy or drowsy . Do not drive , use machinery , or do anything that needs alertness or clear vision until you can do it safely . Avoid alcoholic beverages .
• OVERDOSE ; If overdose occurs call the poison control center . Symptoms of overdose may include ; irregular heartbeat , fainting , severe dizziness , seizures .
• MISSED DOSE ; If you miss a dose , take it as soon as you remember . If it near the time of next dose , skip the missed dose . Take the next dose at the regular time . Do not double the dose to catch up .
• STORAGE ; Store at room temperature away from light and moisture .
• SIDE EFFECTS ; Nausea , drowsiness , dizziness , trouble sleeping , loss of appetite , weakness , dry mouth , sweating , blurred vision , and yawning may occur . If any of these effects persists or worsens tell the doctor or pharmacist promptly .
• HOW TO TAKE ; Take 1 tablet at a time . qd ( quater in a day ) means 4 times in a day for next 7 days .