English for Pharmacist
The course covers the following skills
Pharmacy vocabularyVocabulary ExercisesPronunciationListening comprehensionPharmacist ndash patient dialoguesIdiomatic languagePrescription writingBody parts vocabulary
Pharmacy Vocabulary amp Phrasesprescription
to get a good nights sleep
pharmacy
to take medicine
to take a pill
easier said than done
to stay calm
pharmacist
dispense
prescription
profiles
counsel
interaction
effect
drug
prescribe
13322485
10119288
regimen
antidepressant (n)
over-the-counter (adj)
side effect
dose (n)
generic drug
drowsy (adj)
fever
active ingredient
Sedative
therapeutic (adj)
allergy (n)
apply (v)
migraine
antibiotic
aseptic
bandage (n)
dehydration
nausea
rash (n)
diarrhea
14950792
12783789
The active ingredients are listed on the back of the package
This drug has potential for abuse
This will cause alleviation of swelling
May cause feelings of anxiousness
Can cause frequent bowel movements
Will promote alleviation of constipation
Take one dose every 8 hours
These English phrases will be useful when you are at a chemist
Blues
29139311
Blues
219004
Blues
2473387
Blues
26383665
Blues
2647074
Blues
27327337
Blues
25244617
Taking medication will cause drowsiness
For external use only
For internal use only
Take this medicine with food
Drug interaction warnings ______
Other drugs that may not interact well are _______
The medication may cause you to itch
If you take too much medicine you will overdose
Blues
2635999
Blues
18492783
Blues
18570335
Blues
20293055
Blues
23328972
Blues
2827101
Blues
24642167
Blues
30669105
See your doctor if the pain persists
Do not take more pills than you are supposed to
Let me know if you have one of these rare side effects
These pills should alleviate the throbbing
There are warnings in Spanish on the back of the bottle
Swallow two pills before bed
Describe your symptoms
Blues
21065028
Blues
27129514
Blues
31634002
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24232645
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3621359
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24350195
Blues
2230285
Id like some hellip
toothpaste
paracetamol
Ive got a prescription here from the doctor
have you got anything for hellip
cold sores
a sore throat
chapped lips
a cough
travel sickness
athletes foot
14628565
08097957
13583668
2220408
19330604
25338786
2403266
2220408
23510208
15673463
23510208
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
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Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
The course covers the following skills
Pharmacy vocabularyVocabulary ExercisesPronunciationListening comprehensionPharmacist ndash patient dialoguesIdiomatic languagePrescription writingBody parts vocabulary
Pharmacy Vocabulary amp Phrasesprescription
to get a good nights sleep
pharmacy
to take medicine
to take a pill
easier said than done
to stay calm
pharmacist
dispense
prescription
profiles
counsel
interaction
effect
drug
prescribe
13322485
10119288
regimen
antidepressant (n)
over-the-counter (adj)
side effect
dose (n)
generic drug
drowsy (adj)
fever
active ingredient
Sedative
therapeutic (adj)
allergy (n)
apply (v)
migraine
antibiotic
aseptic
bandage (n)
dehydration
nausea
rash (n)
diarrhea
14950792
12783789
The active ingredients are listed on the back of the package
This drug has potential for abuse
This will cause alleviation of swelling
May cause feelings of anxiousness
Can cause frequent bowel movements
Will promote alleviation of constipation
Take one dose every 8 hours
These English phrases will be useful when you are at a chemist
Blues
29139311
Blues
219004
Blues
2473387
Blues
26383665
Blues
2647074
Blues
27327337
Blues
25244617
Taking medication will cause drowsiness
For external use only
For internal use only
Take this medicine with food
Drug interaction warnings ______
Other drugs that may not interact well are _______
The medication may cause you to itch
If you take too much medicine you will overdose
Blues
2635999
Blues
18492783
Blues
18570335
Blues
20293055
Blues
23328972
Blues
2827101
Blues
24642167
Blues
30669105
See your doctor if the pain persists
Do not take more pills than you are supposed to
Let me know if you have one of these rare side effects
These pills should alleviate the throbbing
There are warnings in Spanish on the back of the bottle
Swallow two pills before bed
Describe your symptoms
Blues
21065028
Blues
27129514
Blues
31634002
Blues
24232645
Blues
3621359
Blues
24350195
Blues
2230285
Id like some hellip
toothpaste
paracetamol
Ive got a prescription here from the doctor
have you got anything for hellip
cold sores
a sore throat
chapped lips
a cough
travel sickness
athletes foot
14628565
08097957
13583668
2220408
19330604
25338786
2403266
2220408
23510208
15673463
23510208
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
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31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pharmacy Vocabulary amp Phrasesprescription
to get a good nights sleep
pharmacy
to take medicine
to take a pill
easier said than done
to stay calm
pharmacist
dispense
prescription
profiles
counsel
interaction
effect
drug
prescribe
13322485
10119288
regimen
antidepressant (n)
over-the-counter (adj)
side effect
dose (n)
generic drug
drowsy (adj)
fever
active ingredient
Sedative
therapeutic (adj)
allergy (n)
apply (v)
migraine
antibiotic
aseptic
bandage (n)
dehydration
nausea
rash (n)
diarrhea
14950792
12783789
The active ingredients are listed on the back of the package
This drug has potential for abuse
This will cause alleviation of swelling
May cause feelings of anxiousness
Can cause frequent bowel movements
Will promote alleviation of constipation
Take one dose every 8 hours
These English phrases will be useful when you are at a chemist
Blues
29139311
Blues
219004
Blues
2473387
Blues
26383665
Blues
2647074
Blues
27327337
Blues
25244617
Taking medication will cause drowsiness
For external use only
For internal use only
Take this medicine with food
Drug interaction warnings ______
Other drugs that may not interact well are _______
The medication may cause you to itch
If you take too much medicine you will overdose
Blues
2635999
Blues
18492783
Blues
18570335
Blues
20293055
Blues
23328972
Blues
2827101
Blues
24642167
Blues
30669105
See your doctor if the pain persists
Do not take more pills than you are supposed to
Let me know if you have one of these rare side effects
These pills should alleviate the throbbing
There are warnings in Spanish on the back of the bottle
Swallow two pills before bed
Describe your symptoms
Blues
21065028
Blues
27129514
Blues
31634002
Blues
24232645
Blues
3621359
Blues
24350195
Blues
2230285
Id like some hellip
toothpaste
paracetamol
Ive got a prescription here from the doctor
have you got anything for hellip
cold sores
a sore throat
chapped lips
a cough
travel sickness
athletes foot
14628565
08097957
13583668
2220408
19330604
25338786
2403266
2220408
23510208
15673463
23510208
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
regimen
antidepressant (n)
over-the-counter (adj)
side effect
dose (n)
generic drug
drowsy (adj)
fever
active ingredient
Sedative
therapeutic (adj)
allergy (n)
apply (v)
migraine
antibiotic
aseptic
bandage (n)
dehydration
nausea
rash (n)
diarrhea
14950792
12783789
The active ingredients are listed on the back of the package
This drug has potential for abuse
This will cause alleviation of swelling
May cause feelings of anxiousness
Can cause frequent bowel movements
Will promote alleviation of constipation
Take one dose every 8 hours
These English phrases will be useful when you are at a chemist
Blues
29139311
Blues
219004
Blues
2473387
Blues
26383665
Blues
2647074
Blues
27327337
Blues
25244617
Taking medication will cause drowsiness
For external use only
For internal use only
Take this medicine with food
Drug interaction warnings ______
Other drugs that may not interact well are _______
The medication may cause you to itch
If you take too much medicine you will overdose
Blues
2635999
Blues
18492783
Blues
18570335
Blues
20293055
Blues
23328972
Blues
2827101
Blues
24642167
Blues
30669105
See your doctor if the pain persists
Do not take more pills than you are supposed to
Let me know if you have one of these rare side effects
These pills should alleviate the throbbing
There are warnings in Spanish on the back of the bottle
Swallow two pills before bed
Describe your symptoms
Blues
21065028
Blues
27129514
Blues
31634002
Blues
24232645
Blues
3621359
Blues
24350195
Blues
2230285
Id like some hellip
toothpaste
paracetamol
Ive got a prescription here from the doctor
have you got anything for hellip
cold sores
a sore throat
chapped lips
a cough
travel sickness
athletes foot
14628565
08097957
13583668
2220408
19330604
25338786
2403266
2220408
23510208
15673463
23510208
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
The active ingredients are listed on the back of the package
This drug has potential for abuse
This will cause alleviation of swelling
May cause feelings of anxiousness
Can cause frequent bowel movements
Will promote alleviation of constipation
Take one dose every 8 hours
These English phrases will be useful when you are at a chemist
Blues
29139311
Blues
219004
Blues
2473387
Blues
26383665
Blues
2647074
Blues
27327337
Blues
25244617
Taking medication will cause drowsiness
For external use only
For internal use only
Take this medicine with food
Drug interaction warnings ______
Other drugs that may not interact well are _______
The medication may cause you to itch
If you take too much medicine you will overdose
Blues
2635999
Blues
18492783
Blues
18570335
Blues
20293055
Blues
23328972
Blues
2827101
Blues
24642167
Blues
30669105
See your doctor if the pain persists
Do not take more pills than you are supposed to
Let me know if you have one of these rare side effects
These pills should alleviate the throbbing
There are warnings in Spanish on the back of the bottle
Swallow two pills before bed
Describe your symptoms
Blues
21065028
Blues
27129514
Blues
31634002
Blues
24232645
Blues
3621359
Blues
24350195
Blues
2230285
Id like some hellip
toothpaste
paracetamol
Ive got a prescription here from the doctor
have you got anything for hellip
cold sores
a sore throat
chapped lips
a cough
travel sickness
athletes foot
14628565
08097957
13583668
2220408
19330604
25338786
2403266
2220408
23510208
15673463
23510208
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Taking medication will cause drowsiness
For external use only
For internal use only
Take this medicine with food
Drug interaction warnings ______
Other drugs that may not interact well are _______
The medication may cause you to itch
If you take too much medicine you will overdose
Blues
2635999
Blues
18492783
Blues
18570335
Blues
20293055
Blues
23328972
Blues
2827101
Blues
24642167
Blues
30669105
See your doctor if the pain persists
Do not take more pills than you are supposed to
Let me know if you have one of these rare side effects
These pills should alleviate the throbbing
There are warnings in Spanish on the back of the bottle
Swallow two pills before bed
Describe your symptoms
Blues
21065028
Blues
27129514
Blues
31634002
Blues
24232645
Blues
3621359
Blues
24350195
Blues
2230285
Id like some hellip
toothpaste
paracetamol
Ive got a prescription here from the doctor
have you got anything for hellip
cold sores
a sore throat
chapped lips
a cough
travel sickness
athletes foot
14628565
08097957
13583668
2220408
19330604
25338786
2403266
2220408
23510208
15673463
23510208
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
See your doctor if the pain persists
Do not take more pills than you are supposed to
Let me know if you have one of these rare side effects
These pills should alleviate the throbbing
There are warnings in Spanish on the back of the bottle
Swallow two pills before bed
Describe your symptoms
Blues
21065028
Blues
27129514
Blues
31634002
Blues
24232645
Blues
3621359
Blues
24350195
Blues
2230285
Id like some hellip
toothpaste
paracetamol
Ive got a prescription here from the doctor
have you got anything for hellip
cold sores
a sore throat
chapped lips
a cough
travel sickness
athletes foot
14628565
08097957
13583668
2220408
19330604
25338786
2403266
2220408
23510208
15673463
23510208
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Id like some hellip
toothpaste
paracetamol
Ive got a prescription here from the doctor
have you got anything for hellip
cold sores
a sore throat
chapped lips
a cough
travel sickness
athletes foot
14628565
08097957
13583668
2220408
19330604
25338786
2403266
2220408
23510208
15673463
23510208
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
can you recommend anything for a cold
Im suffering from hellip
hay fever
indigestion
diarrhea
Ive got a rash
you could try this cream
21681628
1488979
16457136
17502034
12277546
107102
1488979
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
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129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
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Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
if it doesnt clear up after a week you should see your doctor
have you got anything to help me stop smoking
have you tried nicotine patches
can I buy this without a prescription
its only available on prescription
does it have any side-effects
it can make you feel drowsy
you should avoid alcohol
Id like to speak to the pharmacist please
4101232
26383688
20636725
23510208
2455511
16979585
19330604
16979585
2272653
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Vocabulary ExercisesIn the first two exercises choose the correct answer for each of the following questions After you answer the question click on the ldquoCheck Markrdquo to see the correct answer
Have fun
Exercise 1
Exercise 2
Exercise 3
Exercise 4
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
1 I have to __________________________ my prescription ( = get a second subsequent filling ) refill refuel reveal
2 Im sorry were temporarily __________________________ that antibiotic ( = we dont have any more)
sold out of away from
3 Nausea is a common __________________________ of these pills
side condition secondary affectation side effect
Exercise 1
refill
out of
side effect
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
4 Make sure you take this __________________________ with plenty of water
medication medicament pills
5 Dont take these on __________________________ Take them with a meal
empty stomach a stomach thats empty an empty stomach
6 We always __________________________ ( = verify) with your doctor before filling your prescription
check out check check in
medication
an empty stomach
check
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
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25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
7 You might __________________________ ( = feel) some dizziness Experience expect expend
8 This is the best cold medicine __________________________ ( = thats available)
on demand on the market on a scale of one to ten
9 Its benefits __________________________ its risks ( = it has more benefits than risks)
weight more than outweigh are heavier than
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Exercise 2
1 A company that produces drugsmedicine is called a ________________ company Pharmacy pharmaceutical pharmacist
2 If youve had a _________________ with these pills in the past I dont recommend you take them again
Nausea bad feeling bad reaction
3 Are you ______________________ taking any other medication
right now currentlypresently presentcurrent
pharmaceutical
bad reaction
currentlypresently
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
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3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
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12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
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Blues
2668244
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3568162
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5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
4 You can __________________________ your prescription online or by telephone
re-order rearrange react to
5 I just want to make sure there are no __________________________ with other medication you might be taking
interaction(s) prescription(s) refills
6 In the United States and Canada there are many __________________________ pharmacies You can pick up your prescription without even getting out of your car Driving drive-by drive-through
re-order
interaction(s)
drive-through
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
7 A negative reaction = An __________________________ reaction adverse awesome adept
8 __________________________ medicine is medicine that you can buy without a prescription
Over-the-counter On demand Overpriced
9 Are their any potential __________________________ ( = problems) from using the medications together
Correlations complications collocations
adverse
Over-the-counter
complications
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
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9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
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8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
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7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
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31464477
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51842475
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31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
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31674001
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33462572
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49547772
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38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
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25317543
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3001958
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32643526
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2668244
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3568162
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5803652
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57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
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Blues
40991006
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5194098
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5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Exercise 3
1 available without a prescription --gt
2 the amount of medicine to be taken --gt
3 having the ability to heal --gt
4 an abnormally high body temperature --gt
5 an undesired effect resulting from a medication --gt
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
1 b
2 d
3 j
4 g
5 c
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Match the definition on the left with the letter of the term above
a - antidepressant (n)b - over-the-counter (adj)c - side effectd - dose (n)e - generic drug
f - drowsy (adj)g - feverh - active ingredienti - sedativej - therapeutic (adj)
6 medicine that treats depression --gt
7 the opposite of a brand name drug --gt
8 medicine that calms you down --gt
9 sleepy --gt
10 the substance in a pharmaceutical drug that is biologically active --gt
6 a
7 e
8 i
9 f
10 h
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Exercise 4Match the definition on the left with the letter of the term above
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
1 free of microorganisms --gt
2 medicine that kills bacteria --gt
3 a strip of material such as gauze used to protect immobilize compress or support a wound --gt
4 severe headache --gt
5 an excessive loss of body fluid --gt
1 d
2 e
3 f
4 c
5 g
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
a - allergy (n)b - apply (v)c - migrained - antibiotice - aseptic
f - bandage (n)g - dehydrationh - nauseai - rash (n)j - diarrhea
6 to put on ones skin hair etc --gt
7 loose or liquid bowel movements --gt
8 a feeling like one wants to vomitthrow up --gt
9 a physical (usually negative) reaction to taking a medicine --gt
10 a change of the skin which affects its color appearance or texture --gt
6 b
7 j
8 h
9 a
10 i
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
PronunciationAcetaminophen
Amoxicillin (am OX i sil in)
Aspirin
Atenolol
Baclofen
Benadryl
BuSpar
Carbamazepine
Cialis
Concerta
Demerol
Digoxin
108
0936
0936
0936
06
228
1064
0936
081812245
0764
084
12277546
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
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8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
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129873
Blues
8408806
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10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
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25317543
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3001958
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32643526
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2668244
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3568162
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5803652
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57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Diphenhydramine
Effexor
Erythromycin
Excedrin
Femara
Ferrous Sulfate
Folic Acid
Gardasil
Glucophage
Glucovance
httpwwwmerckmanualscomhomepronunciationshttpwwwdrugscomdrug_informationhtml
I have to apologize for not putting more words here but below are 2 excellent websites that you can use and even have on your iPods to use daily in getting correct pronunciation of pharmacy words and phrases
1368
0936
1296
0944
0732
1584
1224
0768
108
091412246
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Listening Comprehension
Listen to the dialogues and on a separate piece of paper try to write down all the missing words After you have finished making your list of the words click on ldquoCheck Your Answersrdquo button
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
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25317543
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3001958
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32643526
Blues
2668244
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3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
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5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Victor Oh doctor yoursquove got to help me
Doctor Try to relax What seems to be the problem
Victor Irsquom (1)___________ all the time and my eyes are (2)_________and(3)_____________
Doctor (4)________ your head back so I can take a look at your (5)_______________ Yoursquore very
congested
Victor My (6)_________ are killing me I have headaches all the time and nothing I do seems to help
Doctor What is this on your skin
Victor I donrsquot know Irsquove had red (7)_________ all over my body
Doctor They look like (8)__________ to me Are you experiencing any (9)___________________
Victor Well my chest feels (10)_____________ and itrsquos hard to (11)____________
Doctor I think you may be experiencing a (12) _________________ Irsquom going (13)___________ to
an(14) _________ What were you doing right before you started experiencing these symptoms
Victor I started my first job
Doctor That could be your problem
Victor I knew it Irsquom (15)_____________ work
allergic to allergist to refer you severe allergy attack
breathe constricted shortness of breathhives
spots sinuses
nasal passages
wateryitchy
sneezing Tilt
sneezing wateryitchy
nasal passagesTilt
sinuses
severe allergy attack
shortness of breathhives
spots
breatheconstricted
allergic to
allergist
to refer you
Answers
14
Blues
5701905
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
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9858988
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9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
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8496614
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605168
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77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
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129873
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8408806
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10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
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7111902
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12182208
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52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
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31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
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33462572
Blues
49547772
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38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
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2668244
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5803652
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57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
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40991006
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5194098
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5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pharmacist Can I help you Sanaz Yes I had some questions for the ______________ Pharmacist Irsquom the pharmacist How can I help you Sanaz Can I fill these ________________here Pharmacist Yes you can Just give those to the _____________________ and shersquoll take care of you Sanaz The reason I ask is that Irsquom hoping therersquos a _______________for my problems so I donrsquot have to pay for prescription ______________ Pharmacist If yoursquove already seen a doctor then I would follow his or her instructions on what to do including taking these medications Sanaz All right but I have some other problems Pharmacist Like what Sanaz I have a _________ on my arm See Is there an __________________ medication I can use Pharmacist That doesnrsquot look too serious You can find medications for rashes on aisle 3 I would recommend a cream made by McQ _________________ Use it for a few days and monitor it to see if it improves If not you may want to see your doctor about it Sanaz Okay thanks I also have ______________ Pharmacist There are several ______________ medications for allergies Sanaz I already take those What I want to know is if there is something I can do about the ____________ I get from the allergies Pharmacist _______________are on aisle 4 Let me show you where they are Sanaz Oh thank you On the way there Irsquoll tell you about my other health problems I need ________________for my _____________ pills for my _____________ something for my back pain
pharmacist
prescriptions
pharmacy technician home remedy
medicationrash over-the-counter
Pharmaceuticals
allergies
drugstore
headachesPain relievers eye drops
dry eyes
insomnia
pharmacist
prescriptions pharmacy technician
home remedy medication
rash over-the-counter
Pharmaceuticals
allergiesdrugstore
headaches
Pain relievers eye drops
dry eyes insomnia
Answers
15
Blues
94996925
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
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9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
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605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
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129873
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8408806
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10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
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31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
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33462572
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49547772
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38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
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57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
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Blues
40991006
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5194098
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5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
better flu symptoms sachet headache plenty help much appointment sore feel
Pharmacist Can I ____________ youOlga Yes hellip I think Ive got the __________ Pharmacist Ah What are your _________________ Olga Ive got a _____________ and my muscles are ___________ Pharmacist When did this startOlga YesterdayPharmacist Well you should stay at home and drink _____________ of fluids You can also take this drink Just add hot water and have one _____________ every four hoursOlga OK How _________ is thatPharmacist Its pound340 for a box of 10 sachetsOlga Ok Ill take thatPharmacist If youre not feeling ____________ in a couple of days then you should make an ________________ to see your GPOlga Ok I will Thanks for your helpPharmacist Thank you Hope you ____________ better soon
Answers
help flu symptoms
headache sore
plentysachet
much
better
feel
appointment
38406277
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pharmacist ndash patient dialoguesListen to each of these dialogues and then practice them with a friend
Pharmacist ndash patient A PrescriptionPatient is standing in front of the counterPatient already contact the cashierCalling patients to get their medicineAsking about allergySituation ISituation IISituation IIIBuying Over-the-Counter MedicineFilling Prescription
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
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25317543
Blues
3001958
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32643526
Blues
2668244
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3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pharmacist Hi how may I help youPatient Hi there Irsquod like to pick up a prescriptionPharmacist Alright give me the doctorrsquos notePatient Here it isPharmacist Alright one moment pleasePatient Also therersquos something else I wantedPharmacist Alright what do you needPatient Do you have any anti-itch medicationPharmacist What kind of itch is itPatient Itrsquos itches due to bug bitesPharmacist Oh okay Therersquos some down the third aislePatient Alright What does it look likePharmacist Well there are many brands Some can be used for more than just bug bitesPatient Cool thank youPharmacist Irsquoll have your prescription drugs ready shortlyPatient Thanks Hm my daughter hurt her wrist the other day Maybe I should get a brace for itPharmacist There are some bandages and braces over there if yoursquod like to take a lookPatient Okay I think I will The pharmacy sure has a lot of helpful thingsPharmacist Yes it does Do you own an emergency first aid kitPatient No I donrsquot Should I get onePharmacist Yes you should Theyrsquore extremely helpful In fact let me get one for you from the backPatient Perfect thanks I wonder if I need anything elsehellipPharmacist Well if you need anything you can always come in and askPatient Alright thanks Is my prescription readyPharmacist Yeah here it is Yoursquore all setPatient Alright thank youPharmacist Have a nice day
Pharmacist ndash patient
Blues
697298
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Patient hellip what about the problems Ive been having sleepingDoctor Im going to give you a prescription for some medicine to help you get a better nights sleep
Patient Thank you doctorDoctor Here you can get this prescription at any pharmacy
Patient How often should I take the medicineDoctor Just take one pill about 30 minutes before you go to bed
Patient How long should I take themDoctor The prescription is for thirty days If youre not sleeping well after thirty days Id like you to come back in
Patient Is there anything else I can do to help me sleep at nightDoctor Dont worry so much about things at work I know I know easier said than done
Patient Should I stay home from workDoctor No I dont think thats necessary Just remember to stay calm
A Prescription
3877813
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pharmacist Excuse me sir May I help you
Patient Yes Irsquove just seen the doctor and now I want to get my medicine
Pharmacist Did you contact the cashier
Patient No not yet
Pharmacist OK could you please contact them first And wait for the cashier to call your name After that you can bring the receipt to get your medicine here
Patient OK thanks a lot
Pharmacist No problem sir
Patient is standing in front of the counter
22980635
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pharmacist Good morning Could I have your receipt please Patient gives the receipt to the pharmacist
Pharmacist Just a minute please have a seat
Patient My medicine is not ready
Pharmacist Umm Not yet sir Irsquoll call you when your medicine is ready
Patient already contact the cashier
12574808
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pharmacist Mr peter Johnson please thellip Mr Johnson please
Hello sir Please check your name again is it correct
Patient Yeah Peter Johnson
Pharmacist How many doctors have you seen today
Patient Just one doctor Why do you always keep asking this question
Pharmacist Because some patients met more than one doctor so I just want to make sure that yoursquove got all the medicine you suppose to have
Pharmacist Are you allergic to any medicine
Patient Nothing that I know of
Pharmacist OK Today you have 3 medicineshelliphellip
Calling patients to get their medicine
29036003
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pharmacist Have you ever been allergic to any medicine
Patient Yes I used to be allergic to penicillin but itrsquos a long time ago
Pharmacist OK what was the symptom when you took penicillin
Patient I had a rash all over
Pharmacist Have you ever take it again since then
Patient No never
Pharmacist OK today you wonrsquot have any problem about this because the doctor gave different class of antibiotic
Patient Thatrsquos good
Asking about allergy
22842976
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pt Hello I want to buy this medicine I couldnrsquot find it from anywhere Do you have it herePh Just a minute please Let me check it for you Yes we have this medicine but I cannot dispense it without a prescription from the doctor Would you mind to see the doctor firstPt Why do I have to see the doctor Irsquove been taking this medication for a long timePh Yes I understand that but this medicine has to be used under doctorrsquos control thatrsquos why you need a prescriptionPt OK where can I see a doctorPh Is this your first time herePt YeahPh So you have to register first The registration section is right at the corner over there You just tell them that you want to buy the medicine which needs a prescription from the doctorPt OK thank youPh Yoursquore welcome
Situation I
343045
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Ph Hello May I speak to Mr John Smith please
Pt Speaking
Ph This is Bumrungrad Hospital calling Yesterday you came to the hospital right
Pt Yes Is there any problem
Ph Do you know that you suppose to have the medicine to take home
Pt Yeah but really didnrsquot have time to wait Can I pick it up to day
Ph Sure you can
Pt where can I get my medicine
Ph Please contact the cashier on 2nd floor and bring the receipt to get your medicine at Pharmacy department
Pt OK thank you very much
Ph No problem sir
Situation II
33806503
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Pt Is my medicine ready yet Irsquove been waiting here for almost 15 minute And there are no other patients at all What are you doing I donrsquot get it
Ph Irsquom very sorry What your name please Irsquoll check it out for you
Pt Patricia
Ph OK just a minute please You have one medicine that needs to be mixed so it might take some more time
Pt So how long do I have to wait
Ph Just about 10 minute Irsquom very sorry for the inconvenience
Pt Alright
Situation III
2993618
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Buying Over-the-Counter Medicine
A Excuse me could you help me pick out a lotion
B Sure what is the problem
A I got poison oak while hiking and I need something to help me with the itching
B I can suggest a product called Technu that comes in a lotion or cream
A Which do you prefer
B Hikers tell me that the cream is best because it stays on longer
A Is there anything else I can do to help with the itching
B You can take an antihistamine
A Thank you so much for all of the information
B You are welcome Please feel free to ask me a question any time you need help
null
3406389
eng - iTunPGAP0
eng - iTunNORM 0000057E 00000563 00002DB4 0000329B 00002953 00002953 00007301 000078D4 00002939 00002939
eng - iTunSMPB 00000000 00000210 000009F0 000000000016E000 00000000 000421F6 00000000 00000000 00000000 00000000 00000000 00000000
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
A I need help picking out a lotion
B It would be my pleasure to help you What do you need help with
A I picked up some poison oak while hiking and I cant stop itching
B We have Technu and it is available in lotion or cream
A Do you find that one works better than the other
B I have heard that the cream is longer lasting
A Is there anything I can take that will help with the itching
B If you take an antihistamine that would help a lot
A Thank you for helping me figure out what to do with my poison oak
B It was a pleasure Come back anytime
null
31268818
eng - iTunPGAP0
eng - iTunNORM 000007B4 0000076C 00004E4D 00004144 000029BC 000029BC 00007D1A 000080F7 0000170F 0000170F
eng - iTunSMPB 00000000 00000210 00000870 0000000000150000 00000000 0003CA9D 00000000 00000000 00000000 00000000 00000000 00000000
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
A Can you help me find a lotion for a problem I am having
B Thats what I am here for What questions can I answer for you
A I have poison oak and I need help with the rash that wont stop itching
B The best product is Technu and you can buy either the lotion or cream
A Which one is best
B The cream form is very popular
A Can I do anything else to help with the itching
B You could also take an antihistamine to help the rash go away quicker
A I appreciate you helping me find a solution to the itching
B Anytime you have a question please feel free to ask
null
34534065
eng - iTunPGAP0
eng - iTunNORM 00000743 00000713 000054E2 0000464E 00002AF5 00002AF5 000079D9 00007995 00002714 00000E49
eng - iTunSMPB 00000000 00000210 00000AF0 0000000000173000 00000000 000430A8 00000000 00000000 00000000 00000000 00000000 00000000
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Filling Prescription
A I need to get my prescription filled
B You may pick it up in twenty minutes
A If I wanted to could I have it mailed to me
B Yes and you can renew this prescription by phone
A Are there any special instructions about this medication
B Take it three times a day
A Can I take it with food
B You should take this medicine with food and no alcohol
A Are there any side effects with this medication
B You might get a little dizzy but that is it
null
31686787
eng - iTunPGAP0
eng - iTunNORM 00000712 000006E2 0000452D 00003DED 00000139 00004634 00007853 00007795 00000139 00005BD6
eng - iTunSMPB 00000000 00000210 00000870 0000000000154800 00000000 0003D7AD 00000000 00000000 00000000 00000000 00000000 00000000
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
A I am here to get my prescription filled
B Your prescription will be ready in twenty minutes
A Do you ever deliver prescriptions by mail
B Yes in fact you can renew this prescription over the Internet and have it delivered to
your home
A How should I take this medication
B You should take it twice a day
A Should I avoid alcohol with this medication
B You need something in your stomach when you take it Dont drink alcohol with this
medication
A Should I expect any side effects
B Sometimes you might feel dizzy but that isnt common
null
3437734
eng - iTunPGAP0
eng - iTunNORM 0000084A 000007C3 00004D27 0000560C 00001D97 00001D97 000080D3 00008107 000061F5 000050B6
eng - iTunSMPB 00000000 00000210 000007F0 0000000000171800 00000000 00042BC2 00000000 00000000 00000000 00000000 00000000 00000000
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
A I am dropping off my prescription to get it filled
B You can come back in twenty minutes and it will be ready
A If I couldnt wait could the prescription be mailed to me
B Yes you can have it delivered or filled at any location in our HMO
A When should I take this medication
B You need to take it at bedtime
A Should I take this medicine on an empty stomach
B Dont mix alcohol with this medication but you can take it with or without food
A What are the side effects of this medication
B You might feel a little dizzy at first but it should pass
null
35892365
eng - iTunPGAP0
eng - iTunNORM 000007AB 00000773 00006403 000055EF 0000203E 0000203E 0000812C 0000805F 00002024 000014D0
eng - iTunSMPB 00000000 00000210 000007ED 0000000000181D03 00000000 00045B1B 00000000 00000000 00000000 00000000 00000000 00000000
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Idiomatic LanguageIn England high-street chemists (drugstore or pharmacy) stock a huge range of toiletries (items for personal hygiene) baby products cosmetics perfumes and medicines Dispensing chemists also fill prescriptions (given to you by your doctor) and some even develop films for you
Baby careMany people buy nappies (diapers) for their babies at chemists Along with the nappies are other products for babies such as nappy cream cotton wool buds(lengths of plastic tipped with soft cotton to clean a babys ears for example) baby wipes (to help clean a baby) and so on
20244892
20211233
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Hair careChemists also stock a range of hair products You can buy shampoo and conditioner (to wash your hair) and products to colour hair For styling your hair you can buy gel or mousse which act a bit like glue to keep your hair in a particular style You can also buy hair brushes or combs to make your hair neat and hair grips and hair slides which are plastic objects that keep your hair in place
Make upIf you are looking for cosmetics or make-up you can find eye-liner (or kohl) mascara (for your eyelashes) and eye-shadow which is coloured powder to put on your eyelids You can also buy foundation (a cream to put on your face to give an even surface) blusher (to add colour to your cheeks) lipstick (which adds colour to your lips) and lip-gloss which adds shine to your lips To colour your nails you can use nail polish also known as nail varnish
26179062
30784765
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Personal hygieneTheres normally a wide selection of personal hygiene products Many English people like to soak in a long hot bath and so theres a huge market in bath oils bath salts or bubble bath ndash all ways to add nice smells to your bath You can also buy nail scissors and emery boards (to file your nails) and pumice stone to rub away dry skin from your feet For oral hygiene you can buy toothbrushes toothpaste and dental floss which is like string that you use to clean between your teeth You can also buy face and body creams moisturizer (cream to prevent your skin from going dry) soap and deodorant Other items you can find in this section of the chemist are razors to shave hair from your body shaving foam and feminine hygiene products such as tampons and sanitary towels
55156105
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
bitter pill to swallow- an unpleasant fact that one must acceptLosing the election was a bitter pill to swallow for the candidate
black-and-blue- bruised showing signs of having been physically harmedMy arm was black-and-blue after falling down the stairs
break out in (something)- to begin showing a rash or other skin disorderI broke out in a rash after eating the shrimp at the restaurant
catch a cold- to get a coldI caught a cold last week and had to miss four days of work
Blues
8259606
Blues
78614283
Blues
77701364
Blues
57195973
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
come down with (something)- to become sick with something to catch an illnessMy niece came down with a cold and was unable to visit me last week
a dose of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)We gave the boy a dose of his own medicine after he bullied us
fill a prescription- to get some medicine from a pharmacy (drug store) with the orders from a doctorThe man went to the drug store to fill a prescription
get over (something)- to overcome a difficulty to recover from an illness or shockThe woman is having trouble getting over her father`s death
Blues
79769664
Blues
9858988
Blues
9254414
Blues
9400563
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
get sick- to become illI got sick yesterday and did not go to the movie
get (something) out of ones system- to get rid of the desire to do somethingI went on a short holiday so that I could get travelling out of my system
get well- to become well to become healthy againThe boy was sick but now he is getting well
just what the doctor ordered- exactly what is needed or wantedA nice hot bath was just what the doctor ordered after my long day at work
Blues
5054315
Blues
8496614
Blues
605168
Blues
77689385
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
on medication- taking medicine for a current medical problemThe woman has been on medication for many years
an ounce of prevention is worth a pound of cure- it is easier to prevent something bad than to deal with the resultsAn ounce of prevention is worth a pound of cure and I decided to stay home and rest rather than go out in the cold with my sore throat
refill a prescription- to sell a second set of medicine on a doctors ordersI went to the pharmacy to refill a prescription for my mother
run a fevertemperature- to have a higher than normal body temperatureThe girl has been running a fever this week The little boy is running a temperature and should stay in bed all day
Blues
6743356
Blues
129873
Blues
8408806
Blues
10693685
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
splitting headache- a severe headacheI have been suffering from a splitting headache all morning
take ones medicine- to swallow ones medicineThe boy had to take his medicine before he went to bed
a taste of ones own medicine- the same treatment that one gives to others (usually this has a negative meaning)Our boss got a taste of his own medicine when people began to treat him badly like he treats others
throw up- to vomitThe woman threw up after eating the bad shellfish
Blues
57963595
Blues
7111902
Blues
12182208
Blues
52769556
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Prescription writingA prescription is an order that is written by you the physician (or medical student with signature by a physician) to tell the pharmacist what medication you want your patient to take The basic format of a prescription includes the patientrsquos name and another patient identifier usually the date of birth It also includes the meat of the prescription which contains the medication and strength the amount to be taken the route by which it is to be taken and the frequency Often times for ldquoas neededrdquo medications there is a symptom included for when it is to be taken The prescriber also writes how much should be given and how many refills Once completed with a signature and any other physician identifiers like NPI number or DEA number the prescription is taken to the pharmacist who interprets what is written and prepares the medication for the patient Letrsquos break it down
3539579
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Patient Identifiers
According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) national patient safety goals at least two patient identifiers should be used in various clinical situations While prescription writing is not specifically listed medication administration is I think prescription writing should be considered in this category as well The two most common patient identifiers are full name and date of birth These are the FIRST things to write on a prescription This way you donrsquot write a signed prescription without a patient name on it that accidentally falls out of your white coat and onto the floor in the cafeteria
DrugMedication
This is an easy one This is the medication you want to prescribe It generally does not matter if you write the generic or the brand name here unless you specifically want to prescribe the brand name Remember if you do want the brand name you specifically need to tell the pharmacist ndash ldquono genericsrdquo There are several reasons why you would want to do this but we wonrsquot get into that here On the prescription pad there is a small box which can be checked to indicate ldquobrand name onlyrdquo or ldquono genericsrdquo
40252556
3134579
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Strength
After you write the medication name you need to tell the pharmacist the desired strength Many if not most medications come in multiple strengths You need to write which one you want Often times the exact strength you want is not available so the pharmacist will substitute an appropriate alternative for you For example if you write prednisone (a corticosteroid) 50 mg and the pharmacy only carries 10 mg tablets the pharmacist will dispense the 10 mg tabs and adjust the amount the patient should take by a multiple of 5
Amount
Using my previous example for prednisone the original prescription was for 50 mg tabs The prescriber would have written ldquoprednisone 50 mg one tabhelliprdquo (Irsquoll leave out the rest until we get there) The ldquoone tabrdquo is the amount of the specific medication and strength to take Again using my previous example the instructions would be rewritten ldquoprednisone 10 mg five tabshelliprdquo You can see that ldquoone tabrdquo was changed to ldquofiverdquo Pharmacists make these changes all the time often without any input needed from the physician
3636893
3587259
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Route
Up until this point we have been using plain English for the prescriptions The route is the first opportunity we have to start using English or Latin abbreviations A NOTE it is often suggested that to help reduce the number of medication errors prescription writing should be 100 English with no Latin abbreviations I will show you both and let you decide There are several routes by which a medication can be taken By Mouth (PO) Per Rectum (PR) Sublingually (SL) Intramuscularly (IM) Intravenously (IV) Subcutaneously (SQ)
As you can see the abbreviations are either from Latin roots like PO ndash per os ndash or just common combination of letters from the English word Unfortunately when you are in a hurry and scribbling these prescriptions (there is a truth behind never being able to read a physicianrsquos hand writing) many of these abbreviations can look similar For example intranasal is often abbreviated ldquoINrdquo which when you are in a hurry can be mistaken for ldquoIMrdquo or ldquoIVrdquo Check this out
3738114
27649899
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Common Route AbbreviationsPO (by mouth)
PR (per rectum)
IM (intramuscular)
IV (intravenous)
ID (intradermal)
IN (intranasal)
TP (topical)
SL (sublingual)
BUCC (buccal)
IP (intraperitoneal)
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
FrequencyThe frequency is simply how often you want the prescription to be taken This can be anywhere from once a day once a night twice a day or even once every other week Many frequencies start with the letter ldquoqrdquo Q if from the Latin word quaque which means once So it used to be that if you wanted a medication to be taken once daily you would write QD for ldquoonce dailyrdquo (ldquodrdquo is from ldquodierdquo the Latin word for day) However to help reduce medication errors QD and QOD (every other day) are on the JCAHO ldquodo not userdquo list Instead you need to write ldquodailyrdquo or ldquoevery other dayrdquo
Common Frequencies Abbreviations
daily (no abbreviation)
every other day (no abbreviation)
BIDbid (Twice a Day)
TIDtid (Three Times a Day)
QIDqid (Four Times a Day)
QHS (Every Bedtime)
Q4h (Every 4 hours)
Q4-6h (Every 4 to 6 hours)
QWK (Every Week)
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
The ldquoWhyrdquo Portion
Many prescriptions that you write will be for ldquoas neededrdquo medications This is known as a ldquoPRNrdquo (from the Latin pro re nata meaning as circumstances may require) For example you may write for ibuprofen every 4 hours ldquoas neededrdquo What is commonly missed is the ldquoreasonrdquo Why would it be needed You need to add this to the prescription You should write ldquoPRN headacherdquo or ldquoPRN painrdquo so that the patient knows when to take it
How Much
The ldquohow muchrdquo instruction tells the pharmacist how many pills should be dispensed or how many bottles or how many inhalers This number is typically written after ldquoDisp rdquo I highly recommend that you spell out the number after the sign though this is not required For example I would write ldquoDisp 30 (thirty)rdquo This prevents someone from tampering with the prescription and adding an extra 0 after 30 turning 30 into 300
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Refills
The last instruction on the prescription informs the pharmacist how many times the patient will be allowed to use the same exact prescription ie how many refills are allowed For example letrsquos take refills for oral contraceptives for women A physician may prescribe 1 pack of an oral contraceptive with 11 refills which would last the patient a full year This is convenient for both the patient and physician for any medications that will be used long term
28570053
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Prescription Writing Examples
This example is a common medication prescribed when people are leaving the hospital It is one 100 mg tablet taken at bedtime The prescription is for 30 pills and no refills
12884034
12884034
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Zofran is a very popular anti-nausea medication used after surgery Yoursquoll notice this script is missing the ldquoamountrdquo IV medications are a little different in that the amount and strength are kind of mixed together This is not always the case though You also see that this is an ldquoas neededrdquo or ldquoPRNrdquo medication When the patient complains of nausea the nurse can give this medication because it has been prescribed
25826307
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
This example shows a common way to write prescriptions for liquids especially for children Obviously ldquoliquidrdquo isnrsquot the medication but you get the idea Liquids come in specific strengths per amount of liquid Here the strength is 10 mg per 5 mL We only want to give 5 mg though so the ldquoamountrdquo that we prescribe is only 25 mL per dose Itrsquos given by mouth every 4 hours We are dispensing ldquo1 (one) bottlerdquo You could also just write ldquo1 (one)rdquo as the pharmacist would know what you meant
3382814
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
To finish up here is a list of the JCAHO ldquoDo Not Userdquo List
U or u (unit) ndash use ldquounitrdquo
IU (International unit) ndash use ldquoInternational Unitrdquo
QDQDqdqd ndash use ldquodailyrdquo
QODQODqodqod ndash use ldquoevery other dayrdquo
Trailing zeros (0 mg) ndash use mg
Lack of leading zero () ndash use 0 mg
MS ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
MS04 and MgSO4 ndash use ldquomorphine sulfaterdquo or ldquomagnesium sulfaterdquo
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Body parts vocabulary
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
The Face
eye nose mouth ear cheek chin nostril eyebrow eyelid eyelash lips
Mouth - you use your mouth to talk to eat and to breathe
Nose - You can smell things with your nose You can also breathe through your nose
Nostrils - these are the two holes in your nose
14820179
Blues
31464477
Blues
51842475
Blues
31784477
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
The Arm and Handfinger palm wrist forearm elbow upper arm shoulder thumb
The Hand and Fingers1 hand
2 thumb
3 index finger
4 middle finger
5 ring finger
6 little finger
7 nail
8 knuckle
10344514
17789417
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
The Leg and Foot
knee leg shin calf (muscle) ankle heel foot toe
ankle - the joint between your leg and your foot
Internal Parts of the Body
heart - your heart pumps your blood around your body
lungs - when you breathe the air goes into your lungs
veins - these transport blood through your body They are like little tubes
brain - this is your thinking machine inside your head
10055044
39183657
Blues
31674001
Blues
33462572
Blues
49547772
Blues
38748283
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
throat - food goes down this to get to your stomach
liver - the organ that cleans your blood
stomach - your food goes here when you swallow it
kidneys - the organs that process all your body waste
skeleton - all of the bones in your body
ribs - these are the bones that protect the organs in your chest
bones - your skeleton consists of many bones There are about 206 in your body
skin - it covers almost the entire body and helps keep all the organs and muscles in place
Blues
31434002
Blues
25317543
Blues
3001958
Blues
32643526
Blues
2668244
Blues
3568162
Blues
5803652
Blues
57137194
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
Other Parts of the Body
Here is a list of some other parts of the body that have not been included above
head - face - hair - tongue - tooth - back - waist - chest - hip - thigh - muscles
neck - this connects your head with your shoulders and the rest of your body
tongue - the muscle at the bottom of your mouth that tastes things and helps you pronounce words
wrinkles - the lines in your skin caused by age Old people have a lot of wrinkles
11634397
Blues
40991006
Blues
5194098
Blues
5279541
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
bull amerenglish64gmailcom
bull amerenglish63yahoocom
bull httpamerenglishtripodcom
THANK YOU
Contact Us
Joel D Aldrich amerenglish
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