IN-CLASS ASSIGNMENT
PRESCRIPTIONS
DIRECTIONS: ANSWER THE FOLLOWING QUESTIONS USING THE CORRESPONDING BLANK PRESCRIPTIONS. MAKE
SURE THAT ALL INFORMATION IS ACCURATE AND COMPLETE. PLEASE LIST IF OTHER ITEMS ARE NEEDED TO
COMPLETE THE LABELS.
DR WROTE A PRESCRIPTION FOR PT AUSTIN PRICE FOR IBU 600 MG QID X10D PRN ARTHRITIS PC & HS W/SNACK. HOW MANY
TABLETS ARE NEEDED TO FILL THE PRESCRIPTION WITH 3 REFILLS AND IS THE DOSAGE APPROPRIATE FOR AUSTIN WITH A DATE OF
BIRTH OF 2/15/83?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR SUE HEYN FOR TYLENOL #3 I-II Q4-6H PRN P; #30. HOW MANY DAYS WILL THIS LAST THE PATIENT
WITH NO REFILLS AND IS THE DOSAGE APPROPRIATE FOR SUE WHO I S 2 MONTHS PREGNANT?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR PT SANDRA M AINY, DOB 4/29/04 FOR AMOXICILLIN 1 TEA TID X10. WHAT IS THE AMOUNT NEEDED
TO FILL THE PRESCRIPTION AND HOW MANY BOTTLES WILL BE NEEDED? IS THE DOSAGE APPROPRIATE FOR SANDRA WHO WEIGHTS
26 LBS?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR PT MICHAEL WATERS FOR BENADRYL 50 MG TID-QID PRN ALLERGIES, #50 WITH 2 REFILLS. HOW
MANY DAYS WILL THE MEDICATION LAST MICHAEL?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR PT M ARTY HAMMOND FOR METOPROLOL 75MG BID FOR 3 MO WITH 4 ADDITIONAL REFILLS. IS THE
DOSAGE APPROPRIATE FOR M ARTY AND HOW LONG, IF PT WAS TO FILL FOR ALL THE MEDICATION AT ONCE WOULD THIS LAST
PATIENT? IF PT HAS INSURANCE AS A 30 DAY SUPPLY ONLY?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR PT LESTER YERBA FOR POTASSIUM 20 MEQ TABLETS QAM X30D, REFILL X3. PT IS ALSO TAKING
HCTZ 50 MG, PROPRANOLOL 10 MG, BACTRIM DS AND PREDNISONE. HE IS ALSO TAKING OVER THE COUNTER M AALOX, IBU 200
MG, AND COLACE 100 MG. ARE THERE ANY DRUG INTERACTIONS WITH THIS MEDICATION? IF SO, WHAT ARE THEY AND HOW CAN
THEY BE AVOIDED?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR PT JANICE BULL FOR DOXYCYCLINE 100 MG 2 STAT THEN 1 BID (Q12H) TAT, #20, NR. WHAT IS
THE INDICATION FOR THIS MEDICATION AND IS THIS DOSE OKAY FOR A 10-YEAR-OLD WITH ECZEMA?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR PT M ARY JANE PANE FOR NTG 0.4 MG Q5 MIN, UP TO 3 TABLETS PRN CHEST PAIN, #100, PRN
REFILLS. IS THERE ANY IMPORATANT INFORMATION THAT THE PHARMACIST SHOULD GO OVER WITH PATIENT IF IT IS THE FIRST TIME
M ARY JANE IS TAKING THIS MEDICATION? WHAT IS THE MAXIMUM AMOUNT OF TABLETS THAT CAN BE TAKEN BEFORE IT IS ADVISED
TO CALL THE AMBULANCE?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR PT ROGER COSTA FOR LANOXIN 0.25 MG QD IF PULSE IS GREATER THAN 60 B/MIN, #1 MONTH
SUPPLY ONLY. IS THIS SAFE FOR ROGER IF HE HAS AN ENLARGED PROSTATE AND IS TAKING PROSCAR, LEVITRA, AND
TETRACYCLINE?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD
DR WROTE A PRESCRIPTION FOR PT NANCY JAMES FOR ZANTAC 150 MG BID PRN ULCER X1M, #50 ONLY. IS THIS OKAY TO BE
GIVEN TO A CHILD? NANCY WAS JUST DIAGNOSED WITH A HIATAL HERNIA. IS THIS THE ONLY MEDICATION THAT IS AVAILABLE OR IS
THERE SOMETHING ELSE THAT IS STRONGER TO CONTROL THE SYMPTOMS?
VCPPEDS
8957 N SHAW FRESNO CA 93756
(559) 897-5634
NAME: _______________________________________________________________ DATE: ____________
ADDRESS: ____________________________________________________________ DOB: _____________
RX
REF ______
___________________________________________________________________ MD
RALPH PEROT, MD
FRANKLIN CRAMER, MD
PEZ TREMER, MD
LENARD KROG, MD
KYLE BRIGHTEN, MD
JON FREEMAN, MD