A patient who has asthma and who is known to the primary care NP calls the NP after hours and asks for a refill of an albuterol metered-dose inhaler. The patient has not been seen in the clinic for more than a year. The NP should:
a. call the pharmacy to order the medication with several refills.
b. send an electronic prescription to the pharmacy for one time only.
c. send the patient to the emergency department for evaluation of symptoms.
d. refill the drug and tell the patient that an office visit is necessary for further refills.
D
The patient needs the medication and is known to the NP so a refill is not inconsistent with practice guidelines. However, further refills should not be provided until the patient is seen and has an updated asthma action plan. The patient should be informed of this; simply refilling the prescription sends a message that it is acceptable to get refills without being seen.
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