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A Textbook of Hospital and Clinical Pharmacy

D.Pharmacy (Second Year)

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  • ISBN: 9789395596237
  • Published : August 2023
  • Book Language : English
  • Edition : First
  • Format : Paperback
  • Pages : 224
  • Category:
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D.Pharmacy (Second Year)
A Textbook of Hospital and Clinical Pharmacy

Hospital and Clinical Pharmacy is considered to be one of the important subjects of D.Pharmacy. The book is student-friendly because it is written in an understandable way, covering the entire syllabus prescribed by Pharmacy council of India (PCI), including the recent advances. The matter is presented in such a way as to avoid confusion and to make the reading of the book a pleasurable experience. The lucid language of the book would facilitate quick revision.
This book has been divided in to twelve units covering complete syllabus of Hospital and clinical pharmacy. The key feature of this book includes a simple and holistic approach with illustrations and tables.
In spite of sincere attempt to make the book a comprehensive one, there may be some gaps, imperfections and mistakes. Readers are requested to give the feedback in the form of remarks and suggestions, which will be accepted sportively for the improvement of next edition.

1. Hospital Pharmacy 
• Definition, scope, national and international scenario
• Organizational structure
• Professional responsibilities, Qualification and experience requirements, job specifications, work load requirements and inter professional relationships
• Good Pharmacy Practice (GPP) in hospital
• Hospital Pharmacy Standards (FIP Basel Statements, AHSP)
• Introduction to NQAS guidelines and NABH Accreditation and Role of Pharmacists

2. Different Committees in the Hospital 
• Pharmacy and Therapeutics Committee – Objectives, Composition, and functions
• Hospital Formulary – Definition, procedure for development and use of hospital formulary
• Infection Control Committee – Role of Pharmacist in preventing Antimicrobial Resistance

3. Supply Chain and Inventory Control 
• Preparation of Drug lists – High Risk drugs, Emergency drugs, Schedule H1 drugs, NDPS drugs, reserved antibiotics.
• Procedures of Drug Purchases – Drug selection, short term, long term, and tender/e-tender process, quotations, etc.
• Inventory control techniques – Economic Order Quantity, Reorder Quantity Level, Inventory Turnover etc.
• Inventory Management of Central Drug Store – Storage conditions, Methods of storage, Distribution, Maintaining Cold Chain, Devices used for cold storage (Refrigerator, ILR, Walk-in-Cold rooms).
• FEFO, FIFO methods.
• Expiry drug removal and handling, and disposal. Disposal of Narcotics, cytotoxic drugs.

4. Drug Distribution 
• Definition, advantages and disadvantages of individual prescription order method, Floor Stock Method, Unit Dose Drug Distribution Method, Drug Basket Method.
• Distribution of drugs to ICCU/ICU/NICU/Emergency wards.
• Automated drug dispensing systems and devices.
• Distribution of Narcotic and Psychotropic substances and their storage.

5. Compounding in Hospitals 
• Bulk compounding, IV admixture.
• Services and incompatibilities, Total parenteral nutrition.

6. Radio Pharmaceuticals 
• Storage
• Dispensing
• Disposal of Radiopharmaceuticals

7. Application of Computers in Hospital Pharmacy Practice 
• Application of Computers.
• Softwares used in Hospital Pharmacy.

8. Clinical Pharmacy 
• Definition, scope, and development – in India and other countries
Technical definitions, common terminologies used in clinical
Settings and their significance such as Pediatrics, Geriatric, Anti-natal Care, Postnatal Care, etc.
• Daily activities of clinical pharmacists: Definition, goal, and procedure of
 Ward round participation
 Treatment Chart Review
 Adverse drug reaction monitoring
 Drug information and poisons information
 Medication history
 Patient counseling
 Interprofessional collaboration
• Pharmaceutical care: Definition, classification of drug related Problems, Principles and procedure to provide pharmaceutical care
• Medication Therapy Management, Home Medication Review

9. Clinical Laboratory Tests Used in the Evaluation of Disease States 
Significance and interpretation of test results.
• Hematological, Liver function, Renal function, thyroid function tests
• Tests associated with cardiac disorders
• Pulmonary Function Tests

10. Poisoning 
• Types of poisoning
• Drug information centre and their services
• Poison information centre and their services

11. Pharmacovigilance 
• Definition, aim and scope
• Overview of Pharmacovigilance

12. Medication Errors 
• Definition, types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP
• Drug Interactions : Definition, types, clinical significance of drug interactions.


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