COMMUNITY PHARMACY AND MANAGEMENT – CHAPTER -1................... (1).pptSumit Tiwari
A community pharmacy, often referred to as retail pharmacy or retail drug outlets, is places where medicines are stored and dispensed, supplied or sold
COMMUNITY PHARMACY AND MANAGEMENT – CHAPTER -1................... (1).pptSumit Tiwari
A community pharmacy, often referred to as retail pharmacy or retail drug outlets, is places where medicines are stored and dispensed, supplied or sold
In this slides included clinical pharmacy introduction and pharmaceutical care, also explanation about the goals and objectives of the clinical pharmacy requirements
Chapter 8_Over The Counter (OTC) Medications.pptxVinayGaikwad14
Definition, need and role of Pharmacists in OTC medication dispensing
OTC medications in India, counseling for OTC products
Self-medication and role of pharmacists in promoting the safe practices during self medication
Responding to symptoms, minor ailments, and advice for self-care in conditions
Hospital Formulary - presentation gives the detail idea about Hospital formulary, its advantage, disadvantage, how to prepare Hospital formulary and much more. this will be useful for Pharm.D-IV YEAR students, which was in their Hospital pharmacy subject. regards APOLLOJAMES
Barriers of patient counseling in a community pharmacy and Strategies to over...MerrinJoseph1
Second Pharm -D , Patient Counseling Barriers and Strategies to overcome the barriers-pharmacist specific barriers,patient specific barrires and system based barriers and how to overcome the barriers for effective patient counseling in a community pharmacy.
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
Hospital pharmacy: Hospital and Clinical Pharmacy SHIVANEE VYAS
The hospital pharmacy may be defined as that department of the hospital that deals with procurement, storage, compounding, dispensing, manufacturing, testing, packaging, and distribution of drugs. It is also concerned with education and research in pharmaceutical services. A hospital pharmacy is controlled by a qualified pharmacist.
The hospital pharmacy exerts a great deal of influence on the professional status of the hospital as well as the economics of the total operational cost of the institution. Modern-day hospital pharmacy also provides clinical pharmacy services of drug monitoring and drug information system.
In this slides included clinical pharmacy introduction and pharmaceutical care, also explanation about the goals and objectives of the clinical pharmacy requirements
Chapter 8_Over The Counter (OTC) Medications.pptxVinayGaikwad14
Definition, need and role of Pharmacists in OTC medication dispensing
OTC medications in India, counseling for OTC products
Self-medication and role of pharmacists in promoting the safe practices during self medication
Responding to symptoms, minor ailments, and advice for self-care in conditions
Hospital Formulary - presentation gives the detail idea about Hospital formulary, its advantage, disadvantage, how to prepare Hospital formulary and much more. this will be useful for Pharm.D-IV YEAR students, which was in their Hospital pharmacy subject. regards APOLLOJAMES
Barriers of patient counseling in a community pharmacy and Strategies to over...MerrinJoseph1
Second Pharm -D , Patient Counseling Barriers and Strategies to overcome the barriers-pharmacist specific barriers,patient specific barrires and system based barriers and how to overcome the barriers for effective patient counseling in a community pharmacy.
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
Hospital pharmacy: Hospital and Clinical Pharmacy SHIVANEE VYAS
The hospital pharmacy may be defined as that department of the hospital that deals with procurement, storage, compounding, dispensing, manufacturing, testing, packaging, and distribution of drugs. It is also concerned with education and research in pharmaceutical services. A hospital pharmacy is controlled by a qualified pharmacist.
The hospital pharmacy exerts a great deal of influence on the professional status of the hospital as well as the economics of the total operational cost of the institution. Modern-day hospital pharmacy also provides clinical pharmacy services of drug monitoring and drug information system.
Community Pharmacy Ravinandan A P 7th Sem.pptxRavinandan A P
Community Pharmacy -
Introduction
Organization and structure of retail and wholesale drug store,
Types and design
Legal requirements for establishment and maintenance of a drug store
Dispensing of proprietary products
Maintenance of records of retail and wholesale drug store.
Hospital Pharmacy And Its Organization -Ravinandan A PRavinandan A P
Hospital pharmacy is the department, service, or domain in the hospital organization managed under the direction of a professionally competent, legally qualified pharmacist.
Hospital pharmacy near me and general anaesthetic and general anaesthetic drugs and the rest is a lot better than yesterday and I was in the rest of my life with the kids and I was thinking of going to bed and I was in the rest of your day to do the rest and general issues and I was thinking about it when you were on the
Successful treatment of hypertension is possible with limited side effects
given the availability of multiple antihypertensive drug classes. The translation of
pharmacological research to the treatment of hypertension has been a continuous
process, starting with drugs discovered 60 years ago, such as thiazide diuretics
(1958) and currently finishing with the newest antihypertensive agent available
on the market, the orally active direct renin-inhibitor aliskiren, discovered more
than 10 years ago (2000) (Laurent, 2017).
In between, there has been a continuous rate of discovery, including
spironolactone (1957), beta-blockers (propranolol, 1973), centrally acting alpha-
2 adrenergic receptor agonists (clonidine, 1970s), alpha1- adrenergic receptor
blocker (prazosin, 1975), angiotensin converting enzyme inhibitors (captopril,
1977), calcium channel blockers (verapamil, 1977), and angiotensin II receptor
blockers (losartan, 1993) (Kotchen, 2011).
Therapeutic considerations regarding the treatment of hypertension in
patients with diabetes mellitus are reviewed. Good blood pressure control is
essential in diabetic patients to prevent morbidity and mortality associated with
Hospital pharmacy
Objectives,Functions,Location,Layout,Flow chart of materials and men,Personnel and facilities requirements including equipment,requirements and abilities for Hospital Pharmacists.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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
1. GOOD COMMUNITY PHARMACY PRACTICE
Good Pharmacy Practice (GPP) defines pharmacists
provide quality pharmacy service to every patient. It
is the practice of pharmacy that responds to the
needs of the people, who use the pharmacists’
services to provide optimal, evidence based care.
2. Good Pharmacy Practice (GPP) organizes following
major roles for pharmacists:
1. Prepare, obtain, store, secure, distribute,
administer, dispense and dispose of medical
products.
2. Provide effective medication therapy
management.
3. Maintain and improve professional
performance.
4. Contribute to improve effectiveness of health
care system and public health.
3. National Good Pharmacy Practice standards was initiated at
Department of Drug Administration (DDA) in 2003
supported by WHO. This responsibility was given to Nepal
Pharmacy Council.
Nepal Pharmacy Council has prepared the guidelines of
Good Pharmacy Practice (GPP). It has stated various
requirements for the Good Pharmacy Practice (GPP):
• Premises/layout
• Furniture
• Equipment
• Manpower
• Material
• Documentation
• Inventory control
• Storage
• Services
4.
5. REQUIREMENTS OF PREMISES/LAYOUT
• The location of pharmacy should be such that it is easily
identified by the public.
• The environment in the pharmacy should be neat and clean.
• It should have clearly marked word “PHARMACY-फार्मेसी”
(औषधी पसल) written in English as well as Nepali.
• The pharmacy should also be accessible to disabled people or
people using wheel chairs.
• It should have display counter, shelves for medicine storage,
counselling area, waiting area, billing area, adequate space
for movement and waste collection boxes.
• Counselling area should have furnitures (table and chairs) for
comfortable conversation or communication and cabinets for
keeping Patient Medication Records (PMR).
• It should have telephone service, electronic supply,
refrigerator, drinking water, etc.
• A compounding pharmacy for extemporaneous preparations
should have additional space and necessary equipments.
6. REQUIREMENTS OF EQUIPMENTS
• The pharmacy should be equipped with refrigerator for
storage of medicines in cold temperature and validated from
time to time.
• Counselling area should be equipped with demonstration
charts, patient information leaflets (PILs), reference materials
and other required materials.
• It should contain basic instruments like sphygmomanometer,
glucometer, thermometer, stethoscope, weight and height
scale.
• The pharmacy should be preferably equipped with computer
and appropriate softwares that can manage inventory, manage
invoicing, generate timely warnings for expiring medicines and
archive patient medication records.
• Compounding pharmacy should be equipped with appropriate
apparatus required for the preparation.
7. REQUIREMENTS OF MANPOWER
• The pharmacy should be managed under the
supervision of pharmacist and other personnel
working in the pharmacy should be well trained.
• The pharmacy should have well documented
guidelines and procedures for personnel set by
management with pharmacist consultation.
• The personnel in the pharmacy should wear neat
apron/coat and wear a badge displaying name and
designation.
• All pharmacy personnel should be medically
examined and adequately immunized periodically
and their health data should be archived.
8. • Pharmacist working in the pharmacy should hold at least
a bachelor degree in pharmacy and registered as
Pharmacist in Nepal Pharmacy Council. Pharmacist should
also have done adequate practical training in community
pharmacy and have adequate communication skills for
patient counselling.
• Pharmacy Assistant working in the pharmacy should hold
at least a diploma in pharmacy and registered as
Pharmacy Assistant in Nepal Pharmacy Council. Pharmacy
Assistant should also have done adequate practical
training in community pharmacy and have adequate
communication skills.
• Professionalist working in the pharmacy should hold the
qualification specified by Drug Advisory Committee and
recognized by that committee.
9. REQUIREMENTS FOR STORAGE
• All medicines coming into the pharmacy should
initially be quarantined and then checked for
quantity, batch number, expiry, integrity, etc. After
checking they should be transferred to their
respective storage location.
• All medicines should be stored at appropriate
temperature protecting from excessive light, dust
and humidity. Record of daily temperature should be
kept in record sheet and preserved for future record.
• The medicines and shelves should be clean and dust
free following Standard Operating Procedures (SOPs).
• All medicines that are to be stored in cold
temperature should be kept in the refrigerator.
10. • Narcotics and Psychotropic drugs that fall into
Group “Ka” should be kept in a separate safe with
lock and handled only by the Pharmacist. Records
of such drugs should be maintained as per legal
requirements.
• Shelves should be checked periodically for expiry
of medicines and expired medicines should be
kept separately labelling “Expired Goods-Not For
Sale”.
• Near expiry medicines which can expire during the
prescribed time should not be sold. Expired
medicines, unused or unopened medicines are
either returned to the supplier or destroyed as per
in house protocol.
11. REQUIREMENTS OF INVENTORY CONTROL
• The pharmacy should develop and maintain safe,
effective, operational and socioeconomically
acceptable procurement and inventory management.
Pharmacist should ensure medicines and health care
products are readily available in the pharmacy in
sufficient quantities.
• Suppliers and Purchasing
The pharmacist should ensure quality supply of medicine
by purchasing from supplier that meets the standard laid
down by the law. Details of suppliers (name, address,
contact number, licenses, etc.) should be kept. A list of
trusted suppliers should be maintained and visited from
time to time for audit of premises and system. Any errors
made by the supplier should be reported and rectified in
timely manner.
12. • The pharmacist should inform regulatory authorities if
any deliberate dubious activity by the supplier is
found.
• The pharmacy should have written procedure for the
selection of medicines and maintain product list with
retail price including essential and life saving
medicines. The product list should be reviewed from
time to time and updated by the pharmacist.
• All the medicines received from the supplier should
be checked for quantity, price, batch number and
expiry date.
• Cost effective purchasing method should be followed
and the purchase records/invoice should be
maintained.
13. REQUIREMENTS OF SERVICE
• The pharmacy should have well documented
service strategy based on its goals.
• Service strategies includes home delivery of
medicine, special care and attention to patients
like elderly patients, regular patients, etc.
• Service manual should state in detail service
offered, service time and pharmacy operation
schedule.
• Service manual should enlist details of activities,
routines, delegations, work procedures and
instructions for day to day activities in pharmacy.
14. REQUIREMENTS OF DOCUMENTATION
• Documentation is one of the core activities for
maintaining and achieving quality.
• Pharmacist should maintain all necessary statutory
documents like regulatory licenses, registrations,
permissions, etc. for operating a pharmacy and
displayed if required under the law.
• All operational documents like purchase invoices,
sales invoices and other statutory documents
should be maintained and archived as prescribed
by law.
15. • Some of the necessary documents includes:
Quality manual and policy documents
Protocols
Standard Operating Procedures
Cleaning and maintenance processes and
records
Training manual and training records
Complaint records
Audit records
Personnel details and job descriptions
Record of narcotics and psychotropics
16. • Additionally, documents for pharmaceutical care
should be adequately maintained and stored.
These documents includes:
Patient’s health profile
Patient’s medication record
Record of counselling, follow-ups, etc.