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Hospital Training Presentation.pdf
1. Presentation on Hospital Training
at
250 Bedded General Hospital, Pabna
Submitted By
ID NO. : 161328
REG. NO. : 1135110
SESSION : 2015-2016
Department of Pharmacy
Pabna University of Science and Technology.
4. A hospital is a health care institution providing patient treatment with specialized medical,
nursing staff and medical equipment.
❑ Proper medical care.
❑ Patient Support.
❑ Preventive and promotive health care.
❑ Rehabilitation services (physiotherapy, occupational therapy etc.)
❑ Healthcare professionals.
❑ Clinical research.(1)
4
Hospital
5. Hospital Pharmacy is one of the key departments in hospitals that deals with
procurement, storage, compounding, dispensing, manufacturing, testing.
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❖Form of medication best suits each patient.
❖Monitoring the effects of the medications.
❖Monitoring the outcomes of treatments.
❖Supporting other Healthcare professionals.
❖Route of administration.
❖Monitoring supply of medicines.
(2)
Roles of a Hospital Pharmacist
6. Objectives of the Training
➢ Hospital activities.
➢ Real life scenario.
➢ Interaction with other Healthcare Professionals.
➢ Prescription pattern.
➢ Polypharmacy.
➢ Drug induced harmful reactions.
➢ Prescription Errors.
➢ Critical condition management.
6
10. 10
Common classes of drug
Anesthetic
E.g. Lidocaine
Tranquilizers
E.g. Benzodiazepines
Miscellaneous
E.g. Salbutamol
Antibiotics
E.g. Ceftriaxone, flucloxacillin,
penicillin.
Antiprotozoal
E.g. Metronidazole
Antihypertensives
E.g. Amlodipine
Proton pump inhibitor
E.g. Esomeprazole
Anti-emetic
E.g. Domperidon, Ondansetron.
Analgesics and antipyretics
E.g. Paracetamol, Tramadol
Hydrochloride, Ketorolac.
12. 12 Name : Shanta
Age : 20 years
Sex : Female
Address :Gopalpur, Pabna
Date of admission : 21.05.22
O/E
BP: 100/80 mm/Hg
Pulse: 70 beats/min.
Anemia: Absent
C/C
SOB.
Chest Pain.
Diagnosis
❖ Hb%: 9.9 g/dl
❖ Blood grouping & Rh typing
Management
Patient Profile
Management
21.05.2022
➢ Diet: Normal
➢ Inf N/S 1L, Iv stat 25 d/min
➢ Tab Deleta (1+1+0)
➢ Tab Propanolol 10 (1+1+1)
➢ Cap. Dexilend (1+1+0)
➢ Tab Rivo 0.5 (0+0+1)
P/A
➢ Tab. Cefixim 400 (1+0+1)
P/A 31.05.22
• Inj. Algin 1 amp I/M stat
P/A 01.06.22
• Tab Algin (1+1+1)
Medicine ward
13. Recommendation
❑ As the patient was prescribed cefixime there might be a chance of allergic conditions
happening or improper bowel movement. So, this had to be considered by the physician.
❑ Deleta is problematic for people undergoing therapy with MAOIs, which may cause intense
CNS depression.
❑ Algin is problematic to patients with glaucoma.
❑ Cefixime will not work for viral infections (such as common cold, flu). Using any antibiotic
when it is not needed can cause it to not work for future infections.(3)
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15. 15
➢ Diet-NPO TFO
➢ Inj. Flucloxacillin 500 mg-1vial I/V stat & 6
hourly.
➢ Inj. Ketorolac 30 mg- 1 amp I/M stat &
TDS
➢ Inj. Esomeprazole 40 mg- 1vial
I/V stat & BD
➢ Inj. Ceftriaxone 1g- 1vial I/V stat
& BD
➢ Inj. Emistat 8mg 1amp iv stat &
BD
➢ Tab. p/c 500mg (1+1+1)
➢ Inj. N/S (1L) +5% DNS
(1L) I/V stat 20d/min
Name: Asad
Age: 45 years
Sex: Male
Address: Ataykula,
Pabna
Admission date:
23.05.2022
C/C
Cell injury to mouth
Hx
RTA
Diagnosis
CT scan of head
CBC
Patient Profile Management
Surgery ward
16. 16 Recommendation
❑ Flucloxacillin, Ceftriaxone should be given with caution to patients with a history of
hypersensitivity reactions.
❑ As antibiotics are very powerful and destroy normal flora, this combination of two
antibiotics may cause intolerable abdominal distress.
❑ Ketorolac should not be used for longer than 5 days, it may cause serious side effects,
especially when taken improperly.
18. 18
o Name: Julekha
o Age: 26 years
o Sex: female
o Address: Kumarpur, Pabna
C/C
• Amenorrhea for 29 wks
• Abdominal pain
• Fever for 2 days
H/O
• Para: 1 NVD+ 1 Abortion
• Gravida: 3rd
• E.D.D: 29.07.2022
O/E
▪ BP: 120/80 mmHg.
▪ Absence of anemia.
Management
21.05.2022
• Diet: Normal
• Cap. Esomeprazole 20
• (1+0+1)
• Tab. P/C 500 mg
(1+0 +1)
• Tab. Hysomide 20
(1+1+1)
Patient Profile Management
Labor ward
19. 19 Recommendation
❑ Hysomide is problematic for patients with benign prostatic hyperplasia, urinary
retention, closed-angle glaucoma, tachycardia.
❑ Hysomide also seems to lower CNS activity which may lead to respiratory depression
and ultimately lead to coma.
❑ Should avoid other medications that also have anti-cholinergic effects./
❑ It is permissible in pregnancy only if the potential benefits outweigh the potential
risks.(3)
22. 22 Recommendation
❑ As the patient is of very little age, ceftriaxone’s hypersensitivity reactions may cause
severe fatal conditions which may be intolerable for the child.
❑ Ceftriaxone is problematic for patients with gallbladder disease, kidney disease, liver
disease, intestinal disease. So, physician should always check for this before prescribing.
❑ Forced diuresis may cause the patient severe dehydration so, dextrose solution should be
continually administered.(3)
27. CONCLUSION
Pabna General Hospital is a public hospital ,funded by govt. It’s obvious
that we won’t get quality treatment compared to high-end private
hospital. There is no A grade pharmacist working in the hospital, low
technology usage , inadequate physician and staff, lack of patient
monitoring, inefficient patient medication history checking. However, it
is a heaven for poor people, they can come here and get well with a low
cost. There are a lots of area where improvements can be done. People
involved are trying hard to improve the total service with best effort &
team spirit. 27
28. References
1. Vedantu. Hospital [Internet]. VEDANTU. Vedantu; 2022 [cited
2022Nov12]. Available from: https://www.vedantu.com/biology/hospital
2. Hospital pharmacist [Internet]. Hospital Pharmacist - an overview |
ScienceDirect Topics. [cited 2022Nov12]. Available from:
https://www.sciencedirect.com/topics/nursing-and-health-
professions/hospital-pharmacist
3. Ketorolac: Medlineplus Drug Information [Internet]. MedlinePlus. U.S.
National Library of Medicine; [cited 2022Nov12]. Available from:
https://medlineplus.gov/druginfo/meds/a693001.html
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