universal precautions for prescribing controlled substances

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Universal Precautions forPrescribing Controlled Substances1. Have a “real” diagnosis: check the labs,look at the xrays, read the consultantreports2. Try the less risky interventions first: PT,NSAIDS, etc. TREATING PAIN WITHNON-NARCOTIC INTERVENTIONS ISTREATING PAIN.
Con’t3. Get informed consent: ControlledSubstance Agreement– Include Prescription Monitoring Program4. UDS– Protects the patient AND YOU– Every patient– See Algorithm for frequency
Page 1 and 2: UNIVERSAL PRECAUTIONSFOR PRESCRIBIN
Page 3 and 4: CONTACT INFORMATION• 540-941-2500
Page 6 and 7: Epidemiology• While there are mor
Page 10 and 11: Cost• Treated and untreated subst
Page 12 and 13: From a VA Board of Medicine’s Ord
Page 14 and 15: OUR COMMUNITY…OURRESPONSIBILITYAp
Page 16 and 17: HigherBrainAA=AddictionPP=physicalt
Page 18 and 19: Factoid• It is AGAINST THE LAW to
Page 20 and 21: DIVERSION• Obtaining mood alterin
Page 22 and 23: ADDICTION• “the substance use i
Page 25 and 26: What is needed to trigger thenatura
Page 27 and 28: BRAINBLOOD BRAIN BARRIERPCNBLOOD
Page 29 and 30: Well, This Is One Way AroundThat Pe
Page 31 and 32: Which Substance, A B C or D, isthe
Page 33 and 34: Non-controlled substances withstree
Page 35 and 36: What Changes Does AddictionMake to
Page 37 and 38: CRAVINGCRAVINGCRAVINGCRAVINGCRAVING
Page 40 and 41: In Animals AND Humans• Addiction
Page 42 and 43: Animal studiesAGENES=Rat with Addic
Page 44 and 45: Genetic Predisposition• Some peop
Page 46 and 47: Can people given pain medicationsfo
Page 48 and 49: Physician ClinicalSupport SystemPCS
Page 50 and 51: Physician ClinicalSupport SystemAsk
Page 54 and 55: Con’t5. Assess Risk Factors for S
Page 56 and 57: Con’t10. Prescribe the fewest num
Page 58 and 59: Urine Drug Screens• For the BENEF
Page 60 and 61: UDS• WOULD YOU PRESCRIBE COUMADIN
Page 62 and 63: MEDICATION ASSITEDADDICTION TREATME
Page 64 and 65: From a VA Board of Medicine’s Ord
Page 66 and 67: More References• Slides 8 & 9 cou
Page 68 and 69: More References• Hojsted J, Sjogr

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