Writing Endocrine Disorder Medication Prescriptions

Introduction

Disorders of the endocrine system are commonly seen in all settings of clinical practice. One of their main features lies in an abnormal level of a naturally-occurring hormone. Treating endocrine disorders usually relies on medications that either replete a low level or decrease an excessive production of a specific hormone. Prescribing these medications is common, and a familiarity of normal prescribing practices is an important skill for the APRN. Most notably, due to their potent effects in the body, hormones replacement medications are usually dosed in microgram or nanogram amounts. The APRN should pay close attention to dosing literature when selecting a regimen for their patients, as it is common for various sources to express the medication strength in different units of measure. For instance, levothyroxine is usually dosed from 25-150 mcg, but can also be listed as 0.025-0.150 mg.

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Paying close attention to units will ensure safe prescribing practices.

The prescription pad should have safety features built in, such as features that prevent photocopying or faxing. Like many other aspects of controlled substance prescribing, these rules and requirements vary by state, so it is important to be fully informed in the laws that govern your practice location.

For each of the following five scenarios, please use the Rx blanks provided to write a prescription for the medication regimen indicated. You must include all pertinent and legally-required information. If an element on the Rx pad is not required, you must put ‘n/a’ in the field to complete the submission. Your typed name shall serve as your signature.

Summary

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Please use the Rx blanks provided to write a prescription for the medication regimen indicated. You must include all pertinent and legally-required information. If an element on the Rx pad is not required, you must put ‘n/a’ in the field to complete the submission. Your typed name shall serve as your signature.

Pay close attention to the details provided in each scenario to ensure accurate and safe prescribing. Your DEA number this week is MR5479431 and NPI is 10349799101. When needed, use this for your patient’s home address: 101C Central Avenue, Apt 12, Honolulu, Hawaii 96813.

Kealoha Brown

Kealoha Brown (DOB 8/8/1972) is a patient who you recently diagnosed with DM2. You would like to begin him on a regimen of metformin, but the patient states he often gets an upset stomach from medications. You recall that slowly titrating the drug and taking it with food often helps to decrease the incidence of GI upset from metformin use. Please prescribe Kealoha a 30-day supply of an appropriate dose of metformin, and make sure to include instructions on the prescription that would be appropriate for his history.

Sample Rx Form for Course Learning Only

Primary Care Clinic, Hawai’i Pacific University

45-045 Kamehameha Highway

Kaneohe, Hawaii 96744

(808) 236-0000

Please use the Rx blanks provided to write a prescription for the medication regimen indicated. You must include all pertinent and legally-required information. If an element on the Rx pad is not required, you must put ‘n/a’ in the field to complete the submission. Your typed name shall serve as your signature.

Pay close attention to the details provided in each scenario to ensure accurate and safe prescribing. Your DEA number this week is MR5479431 and NPI is 10349799101. When needed, use this for your patient’s home address: 101C Central Avenue, Apt 12, Honolulu, Hawaii 96813.

Judy Smith

Judy Smith (DOB 2/5/1953) is a long-standing diabetic patient in your clinic. She is currently maxed out on her oral treatments, and you recommend starting a basal regimen with insulin glargine (Lantus). You see it is recommended to begin at 0.1 units/kg/day. Judy’s weight today is 86.6 kg. Please write her a prescription for an appropriate starting dose and instructions. Please use the quantity of “1 box (3 pens)” on your prescription (as this is commonly how the medication is supplied).

Sample Rx Form for Course Learning Only

Primary Care Clinic, Hawai’i Pacific University

45-045 Kamehameha Highway

Kaneohe, Hawaii 96744

(808) 236-0000

Please use the Rx blanks provided to write a prescription for the medication regimen indicated. You must include all pertinent and legally-required information. If an element on the Rx pad is not required, you must put ‘n/a’ in the field to complete the submission. Your typed name shall serve as your signature.

Pay close attention to the details provided in each scenario to ensure accurate and safe prescribing. Your DEA number this week is MR5479431 and NPI is 10349799101. When needed, use this for your patient’s home address: 101C Central Avenue, Apt 12, Honolulu, Hawaii 96813.

John Kim

John Kim (DOB 4/12/1984) is a DM2 patient you have been seeing for the last year. He failed lifestyle modifications and was started on metformin. John’s blood sugar and HgbA1c level continue to be elevated despite the fact he is now on the maximum recommended dose of metformin. You decide to add on a second oral agent and choose a sulfonylurea. His renal function is normal. Please select an appropriate drug from the sulfonylurea class for John to take and write him a prescription for a safe starting dose. Provide him with a one-month supply.

Sample Rx Form for Course Learning Only

Primary Care Clinic, Hawai’i Pacific University

45-045 Kamehameha Highway

Kaneohe, Hawaii 96744

(808) 236-0000

Please use the Rx blanks provided to write a prescription for the medication regimen indicated. You must include all pertinent and legally-required information. If an element on the Rx pad is not required, you must put ‘n/a’ in the field to complete the submission. Your typed name shall serve as your signature.

Pay close attention to the details provided in each scenario to ensure accurate and safe prescribing. Your DEA number this week is MR5479431 and NPI is 10349799101. When needed, use this for your patient’s home address: 101C Central Avenue, Apt 12, Honolulu, Hawaii 96813.

Jesus Rodriguez

Jesus Rodriguez (DOB 7/7/1989) is a new patient to your practice who you have diagnosed with hypothyroidism. You would like to start him on treatment with levothyroxine. Jesus is otherwise young and healthy. Please provide him with a prescription for an appropriate starting dose of levothyroxine (1 month supply).

Sample Rx Form for Course Learning Only

Primary Care Clinic, Hawai’i Pacific University

45-045 Kamehameha Highway

Kaneohe, Hawaii 96744

(808) 236-0000

Please use the Rx blanks provided to write a prescription for the medication regimen indicated. You must include all pertinent and legally-required information. If an element on the Rx pad is not required, you must put ‘n/a’ in the field to complete the submission. Your typed name shall serve as your signature.

Pay close attention to the details provided in each scenario to ensure accurate and safe prescribing. Your DEA number this week is MR5479431 and NPI is 10349799101. When needed, use this for your patient’s home address: 101C Central Avenue, Apt 12, Honolulu, Hawaii 96813.

Stephanie Walker

You recently diagnosed Stephanie Walker (DOB 1/12/1990) with mild hyperthyroidism. Her pregnancy test today is negative. You decide to start her on medication to control her elevated thyroid levels. Which of the available medications would you choose in Stephanie's case? Please provide her with a prescription for that medication with an appropriate starting dose and regimen. Since you will be closely monitoring her lab tests, please provide her with a short (15 day) supply.

Sample Rx Form for Course Learning Only

Primary Care Clinic, Hawai’i Pacific University

45-045 Kamehameha Highway

Kaneohe, Hawaii 96744

(808) 236-0000

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