Author Question: The patient looks at the prescription provided by the doctor and asks the nurse whether he can ... (Read 64 times)

Yi-Chen · **on:** Jul 23, 2018

The patient looks at the prescription provided by the doctor and asks the nurse whether he can request a generic substitution. The nurse answers No when noting what on the prescription?

A) No refills
B) DAW
C) Brand name used on prescription
D) Patient older than 65 years of age

Question 2

The nurse works on a renal transplant unit and receives an order for posaconazole (Noxafil) for the patient which the nurse interprets to mean the patient has what infection?

A) Blastomycosis
B) Aspergillus
C) Mucormycosis
D) Coccidioidomycosis

Andromeda18 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
DAW stands for dispense as written and means that the doctor does not want a generic substituted for the prescribed medication. Requesting no refills does not preclude the substitution of a generic medication. Even when the brand name is ordered, the pharmacist can substitute a generic equivalent so long as the prescriber does not write DAW. Generic substitutions are not impacted by the patient's age.

Answer to Question 2

B
Feedback:
Posaconazole is used for prophylaxis treatment of invasive Aspergillus and Candida infections in adults and children older than 13 years who are immunosuppressed secondary to antineoplastic, chemotherapy, graft-versus-host disease following transplants, or hematological malignancies. Posaconazole would not be used to treat blastomycosis, mucormycosis, or coccidioidomycosis.