Role of pharmacist in interdepartmental communication and community health ed...akankshasrivastava121
By- Akanksha (B.pharma 4th year, Galgotias University)
Role of pharmacist, Professsion of pharmacy practice, Interdepartmental communication of pharmacist, Communication with health proffesions , with paitients , Information leaflets, Medication counselling for patient, Impact of internal dysfunction
The pharmacy and therapeutic committee is a group of persons which formulate policies regarding therapeutic use of drugs. This committee is composed of physician pharmacists and other health professional with the inclusion of the medical staff.
Role of pharmacist in interdepartmental communication and community health ed...akankshasrivastava121
By- Akanksha (B.pharma 4th year, Galgotias University)
Role of pharmacist, Professsion of pharmacy practice, Interdepartmental communication of pharmacist, Communication with health proffesions , with paitients , Information leaflets, Medication counselling for patient, Impact of internal dysfunction
The pharmacy and therapeutic committee is a group of persons which formulate policies regarding therapeutic use of drugs. This committee is composed of physician pharmacists and other health professional with the inclusion of the medical staff.
Objectives, scope, Organization and structure of retail and wholesale drug store, type and design, dispensing of proprietary products, legal requirements
Drug distribution system in a hospital.pptxMangeshBansod2
Drug distribution system in a hospital
Dispensing of drugs to inpatients, types of drug distribution systems, charging policy and labelling, Dispensing of drugs to ambulatory patients, and Dispensing of controlled drugs.
hospital formulary is developed under the guidance of pharmacy and therapeutic commitee of the hospital.pharmacist working in a hospital should play an important role in the preparation of the hospital formulary
Pharmacy and Therapeutic Committee (PTC) & Hospital Formulary
The Pharmacy and Therapeutic Committee (PTC) is an advisory group that considers essentially all the matters related to the use of drugs in a hospital including evaluation of drugs & dosage forms and safe use of investigational drugs.
What is a pharmacy and therapeutics committee?
Pharmacy and Therapeutics (P&T) is a committee at a hospital or a health insurance plan that decides which drugs will appear on that entity's drug formulary.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
Includes information about Education and training programs planned in hospital by hospital pharmacy. Useful for B Pharmacy 4th year student, and for M pharmacy (clinical pharmacy) student.
Objectives, scope, Organization and structure of retail and wholesale drug store, type and design, dispensing of proprietary products, legal requirements
Drug distribution system in a hospital.pptxMangeshBansod2
Drug distribution system in a hospital
Dispensing of drugs to inpatients, types of drug distribution systems, charging policy and labelling, Dispensing of drugs to ambulatory patients, and Dispensing of controlled drugs.
hospital formulary is developed under the guidance of pharmacy and therapeutic commitee of the hospital.pharmacist working in a hospital should play an important role in the preparation of the hospital formulary
Pharmacy and Therapeutic Committee (PTC) & Hospital Formulary
The Pharmacy and Therapeutic Committee (PTC) is an advisory group that considers essentially all the matters related to the use of drugs in a hospital including evaluation of drugs & dosage forms and safe use of investigational drugs.
What is a pharmacy and therapeutics committee?
Pharmacy and Therapeutics (P&T) is a committee at a hospital or a health insurance plan that decides which drugs will appear on that entity's drug formulary.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
Includes information about Education and training programs planned in hospital by hospital pharmacy. Useful for B Pharmacy 4th year student, and for M pharmacy (clinical pharmacy) student.
A hospital exists mainly to provide therapeutic services to the patients.
Drugs are an integral part of patient care. In every hospital, medicines are crucial to the hospital services.
Appropriate use of medicines in the hospital is a multidisciplinary responsibility that includes doctors, nurses, pharmacists, administrators, support personnel and patients.
The availability of medicines in the hospitals depends not only on good supplies, but also on efficient use through good distribution system, rational prescribing, and dispensing practices.
"When a drug is required, the appropriate drug must be chosen. It must be available at the right time, at the right price. It must be dispensed correctly, must be delivered in a right dose, at the right intervals and for the right length of time".
Pharmacy and Therapeutics (P&T) is a committee at a hospital or a health insurance plan that decides which drugs will appear on that entity's drug formulary.
PTC includes not just pharmacists, but also physicians, nurses, administrators, risk and quality improvement managers etc. There are also sub-committees under the PTC, for example, drug review panels that focus on a particular specialty, reviewing the drug products and guidelines of this specialty.
mprove Medicine treatment in accordance with acceptable current practice within the limited available resources.
PTC: Pharmacy and Therapeutics committeeSHIVANEE VYAS
The pharmacy and therapeutics committee is a policy framing and recommending body to the medical staff and the administration of the hospital on matters related to the therapeutic use of drugs.
Unit III: 10 Hours
a) Pharmacy and therapeutic committee
Organization, functions, Policies of the pharmacy and therapeutic committee in including drugs into formulary
Inpatient and outpatient prescription, automatic stop order, and emergency drug list preparation.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
2. DEFINITION
The pharmacy and therapeutics committee(PTC) is an advisory group of
the medical staff and serves as the organizational line of communication
between the medical staff and the pharmacy department.
The committee is composed of physicians, the pharmacist and the other
health professionals selected with guidance of the medical staff.
This committee assists in the formulation of broad professional policies
regarding the evaluation, selection, procurement, distribution, use, safety
procedures and other matters relating to drugs use in the hospital.
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3. Functions of PTC:
Preparation of hospital drug formulary.
Selection of manufacturer and supplier, mode of procurement.
Addition of new drugs, deletion of old drugs.
Drugs to be supplied in OPD.
Policy formulation for pharmacy and monitoring
Budget demand for pharmacy
Developing Drug Information System
Checking of pharmacy records and drug quality
Maintenance of drug standard and quality control
Disposal of Expiry Drug
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4. Composition of PTC:
At least three physicians
A pharmacist
A representative of the nursing staff
A hospital administrator or his/her designated person and ex-officio member of
the committee
The physician may be appointed as the “ Chairman ” of P.T.C.
The pharmacist is designated as the “ Secretary ” of the committee.
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5. Objectives of PTC:
Advisory:
• The committee recommends the
adoption of (or) assists in the
formulation of the broad
profession policies regarding
evaluation, selection and
therapeutic use of drugs in the
hospital.
• The committee serves in an
advisory capacity to medical staff
and hospital administration in all
matters pertaining to the use of
drugs including the
investigational drugs.
Educational:
• The committee recommends or
assists in the formulation of
functions, designed to meet the
needs of the professional staff, the
physicians, nurses, pharmacists and
other health care practitioners, for
the complete current knowledge of
the matters related to drugs and
their uses.
• The committee studies the problems
related to the distribution and
administration of medication.
• It establishes or plans suitable
educational scheme for the hospital
professional staff on the matters
related to the use of drugs.
Drug Safety and
Adverse Drug
Monitoring:
• As the therapeutic agents are
increasing, the scope, knowledge
and responsibility of the hospital
pharmacist is also increasing.
• The safety aspects are more or
less taken for granted by
pharmacy, medical and nursing
staff.
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6. Organization and
Operation of PTC:
• Operation PTC should meet regularly at
least six times in an year and also as and
when necessary.
• The committee can invite its meetings and
persons within or outside the hospital who
can contribute specialized or unique
knowledge and skilled judgment.
• The agenda and the supplementary
materials should be prepared by the
secretary and furnished to the committee
members sufficiently in time before the
meeting.
• The pharmacy and therapeutics committee
should be.composed of at least three
physicians, a pharmacist, a nurse and an
administrator.
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7. Meetings:
The Pharmacy and Therapeutics Committee shall meet monthly or as otherwise
deemed necessary by the Chair, but not less than quarterly.
Topics that may be discussed at meetings include:
New brand or generic drugs
PDL changes based on any local or national issues (including contract issues)
Stakeholder feedback through a Public Comment session
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8. Responsibility of PTC:
Ensure safety medication to patients The preparations of a hospital formulary
Publishing of a pharmacy educational bulletin, The establishment of automatic
stop orders for dangerous drugs
The supervision of investigational use drugs
The development of a program for reporting and investigating adverse drug
reactions
Assisting in the preparation of emergency kits or carts for medical emergencies
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9. Role of PTC in drug safety:
Drug safety is the moral, legal and professional obligation of pharmacist .
It includes responsibility from dispensing of drugs to drug administration .
Following guidelines may sub serve the committee in ascertaining the adequate
safety factor of hospital pharmacy.
The hospital must employ a qualified, at least, a registered pharmacist with at least
B. Pharm degree as ‘Chief pharmacist’ and the rest are may be at least diploma
holders in pharmacist.
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10. Role of PTC in drug safety: (CONT)
Following guidelines may subserve the committee in
asertaining the adequate safety factor of the hospital
pharmacy.
1) A registered pharmacist – chief pharmacist -
diploma holders
2) Not permit non-pharmacist perssonel
3) A sufficient numbers of qualified perssonel
4) Adequate safe, work space, and storage
facilities
5) Have equipment necessary
6) Automatic stop order-narcotics, hypnotics, anti
coagulants
7) Firm policy-research drugs
8) Drug formulary
9) Out side its working hours
10) Poisonous materials- non poisionous materials
11) External use drugs-internal use drugs
12) Quality control measures, GMP during processing
13) Teaching programme
14) Periodical inspection
15) Adequate reference library
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11. Role in the adverse drug reaction
program:
A consequence of recent advances in drug therapy is the proportionate increase in
drug reactions. Reaction caused by blood and plasma products need to be reported
unless a chemical agent other than the basic substance is responsible.
An adverse Drug Reaction(ADR) Report From, should be prepared by the PTC and
made available on every nursing station.
Every case of adverse drug reaction must be reported by the attending doctor to the
clinical pharmacologist, if one is available, otherwise to the chairman of PTC.
The completed ADR from of any having adverse drug reaction, will remove from the
medical record and forward to the chairman or clinical pharmacologist, after discharge
of the patient.
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12. Role of PTC in Developing “Emergency
Drug Lists”:
Since time factor is of very great urgency to most true emergency situations, it is
absolutely necessary for the PTC of a hospital to get prepared boxes containing
emergency drugs which should be always available readily for use at the bed-side.
List of such drugs and other supplies should be complied by the committee, and it
should find their place in emergency kits.
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13. Role of PTC in Developing “Emergency
Drug Lists”: (CONT)
Supplies to be maintained in Emergency
Box:
Syringes of various range Two each of 1 ml.
i.e tuberculin or insulin syringe, 2 ml. syringe
and 5 ml. syringe; and one each of 10ml and
20ml syringe.
Needles, preferebly two each of 16’, 18’, 20’,
21’, 23’, and 26’,
Files for breaking the ampoule
Torniquets
Airway equipment
Ryles tube
Drugs for Emergency Box:
Aminophylline 0.25 g/ml
Amylnitrite glass capsules for inhalation
Atropine sulphate 0.4mg/ml
Caffeine sodium benzoate 0.5g/2 ml.
Calcium Gluconate 1 g/10 ml vi.
Digoxin 0.25 mg/ml
Pentobarbitone 50mg/ml
Pentzocine
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14. Role of PTC in Developing “Emergency
Drug Lists”: (CONT)
Supplies for Cabinet Utility Room
Venuous cannulation set.
Each set 12&17 venous catheters
Pieces 6’’shock blocks
Oxygen catheters
Sterile suction catheters
Razor with blades
Package sterile gelatine sponge
Resuscitation tube
Other emergency supplies
Resuscitation carts
Phlebotomy sets
Oxygen equipments
Tracheotomy sets
Dextran and tubing
Burn sheets
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15. Role of PTC in Drug Product Defect
Reporting Programme:
The drugs purchased by hospital may be defective in quality. It is for the
committee to get information about the defective drug products and to inform it
first to the manufacturer for appropriate action.
If satisfactory answer is not obtained from the manufacturer or supplier, it should
be reported to the Food and Drug Control Administration.
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16. Role of PTC in Drug Utilization Review:
Drug utilization includes prescribing, dispensing, administering and ingesting of
prescription of drugs. Hospital pharmacist should take medication history that
should include following information.
Medication being taken at the time of admission, during admission, home
remedies (OTC) drugs.
Drug-allergies and idiosyncrosy towards food products etc.
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