The document provides guidelines for the correct use of the International System of Units (SI) or metric system. It discusses the base SI units of meter, liter, and kilogram. It then lists guidelines for writing unit names and symbols, placement of decimals, use of fractions vs decimals, avoiding trailing zeros, and selecting appropriate unit sizes. Special considerations for using SI units in pharmacy are also outlined.
This presentation quotes various pharmaceuticals calculations with examples. The following aspects like percentage calculations, alcoholic dilutions, alligation method, proof spirits calculation, isotonicity adjustment.
This presentation quotes various pharmaceuticals calculations with examples. The following aspects like percentage calculations, alcoholic dilutions, alligation method, proof spirits calculation, isotonicity adjustment.
Definition of prescription, Types, Difference between them.
Analyzing some prescriptions and their errors, comparing them with an ideal one.
Methods we should take to minimize those errors.
Chapter 3_Prescription and prescription handling.pptxVinayGaikwad14
Definition, parts of prescriptions, legality of prescriptions, prescription handling, labeling of
dispensed medications (Main label, ancillary label, pictograms), brief instructions on medication
usage, Dispensing process, Good Dispensing Practices, dispensing errors and strategies to minimize
them.
In this presentation viewers will able to learn about liquids for external use such as liniments and lotions, liquids for oral cavity such as mouthwash, throat paints and gargles.
Definition of prescription, Types, Difference between them.
Analyzing some prescriptions and their errors, comparing them with an ideal one.
Methods we should take to minimize those errors.
Chapter 3_Prescription and prescription handling.pptxVinayGaikwad14
Definition, parts of prescriptions, legality of prescriptions, prescription handling, labeling of
dispensed medications (Main label, ancillary label, pictograms), brief instructions on medication
usage, Dispensing process, Good Dispensing Practices, dispensing errors and strategies to minimize
them.
In this presentation viewers will able to learn about liquids for external use such as liniments and lotions, liquids for oral cavity such as mouthwash, throat paints and gargles.
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Principles of measurement including accuracy, precision and significant figures.
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
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R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
2. Metric system
The International System of Units (SI), formerly called
the metric system, is the internationally recognized
decimal system of weights and measures.
The base units of the SI are the meter, liter and the
kilogram.
3. Guidelines for the Correct Use of
the SI
The following are select guidelines for the correct use of the
SI from the U.S. Metric Association, with additional
considerations relevant to the practice of pharmacy:
Unit names and symbols generally are not capitalized
except when used at the beginning of a sentence or in
headings. However, the symbol for liter (L) may be
capitalized or not.
Examples: 4 L or 4 l, 4 mm, and 4 g; not 4 Mm and 4 G.
In the United States, the decimal marker (or decimal
point) is placed on the line with the denomination and
denominate number; however, in some countries, a
comma or a raised dot is used.
Examples: 4.5 mL (U.S.); 4,5 mL or 4⋅5 mL (non-U.S.).
4. Guidelines for the Correct Use of
the SI
Periods are not used following SI symbols except at the
end of a sentence. Examples: 4 mL and 4 g, not 4 mL.
and 4 g.
A compound unit that is a ratio or quotient of two
units is indicated by a solidus (/) or a negative
exponent. Examples: 5 mL/h or 5 mL⋅h1
, not 5 mL per hour.
Symbols should not be combined with spelled-out
terms in the same expression.
Examples: 3 mg/mL, not 3 mg/milliliter.
5. Guidelines for the Correct Use of
the SI
Plurals of unit names, when spelled out, have an added s.
Symbols for units, however, are the same in singular and plural.
Examples: 5 milliliters or 5 mL, not 5 mLs.
The symbol for square meter is m2 ; for cubic centimeter, cm3 ;
and so forth. In pharmacy practice, cm3 is considered
equivalent to milliliter.2 The symbol cc, for cubic centimeter, is
not an accepted SI symbol.
Decimal fractions are used, not common fractions.
Examples: 5.25 g, not 51 ⁄ 4 g.
A zero should be placed in front of a leading decimal point to
prevent medication errors caused by uncertain decimal points.
Example: 0.5 g, not .5 g. It is critically important for
pharmacists to recognize that a misplaced or misread decimal
point
6. Guidelines for the Correct Use of
the SI
To prevent misreadings and medication errors,
‘‘trailing’’ zeros should not be placed following a whole
number on prescriptions and medication orders.
Example: 5 mg, not 5.0 mg.
In selecting symbols of unit dimensions, the choice
generally is based on selecting the unit that will result
in a numeric value between 1 and 1000.
Examples: 500 g, rather than 0.5 kg; 1.96 kg, rather
than 1960 g; and 750 mL, rather than 0.75 L.
7.
8. Special Considerations of the SI in
Pharmacy
In the large-scale manufacture of dosage forms, pharmaceutical
ingredients are measured in kilogram and kiloliter quantities.
In the community and institutional pharmacy, compounding
and dispensing in milligram, gram, and milliliter quantities are
more common.
Drug doses are typically administered in milligram or microgram
amounts and prepared in solid dosage forms, such as tablets or
capsules, or in a stated volume of a liquid preparation, such as an
oral solution (e.g., 30 mg/5 mL) or injection (e.g., 2 mg/mL).
Doses for certain drugs are calculated on the basis of body
weight and expressed as mg/kg, meaning a certain number of
milligrams of drug per kilogram of body weight. Clinical
laboratory values are in metric units and expressed, for example,
as mg/dL, meaning milligrams of drug per deciliter of body fluid
(such as blood).
9. Particle Size and Nanotechnology
Drug particle size has long been an important
consideration in pharmaceutical technology.
Through the milling and reduction of drug materials
to micron and nano size, the surface area of particles is
increased and pharmaceutical and clinical benefits
often accrue.
These benefits may include:
1- increased aqueous dissolution rates for poorly soluble
substances
10. Particle Size and Nanotechnology
2- improved bioavailability, with increased rates of
absorption of orally administered drugs.
3- lower oral dosage possibilities with enhanced drug
absorption.
4- expanded formulation options in the preparation of
stable and predictable pharmaceutical suspensions and
colloidal dispersions for all routes of administration,
including oral, parenteral, respiratory, ophthalmic, and
nasal.
11. Nanotechnology
An area of technology with great potential is
nanotechnology. Nanotechnology may be defined as the
development and use of materials on the nano-size scale.
Molecular nanotechnology refers to the method of
building organic and inorganic structures atom by atom or
molecule by molecule. With nanotechnology, scientists
and engineers generally work with materials between 1 and
1000 nanometers (nm).
Nanotechnology has applications for many potential
products, including those that integrate chemistry, the
biological sciences, medicine, and computer technology.
The term nanomedicine refers to the application of
nanotechnology to the prevention and treatment of
disease. It may further be defined as ‘‘the monitoring,
repair, construction and control of human biological
systems at the molecular level, using engineered
nanodevices and nanostructures
12. Measure of Length
The meter is the primary unit of length in the SI
1 kilometer (km) 1000.000 meters
1 hectometer (hm) 100.000 meters
1 dekameter (dam) 10.000 meters
1 decimeter (dm) 0.100 meter
1 centimeter (cm) 0.010 meter
1 millimeter (mm) 0.001 meter
1 micrometer (m) 0.000,001 meter
1 nanometer (nm) 0.000,000,001 meter
13. Measure of Volume
The liter is the primary unit of volume. It represents the
volume of the cube of one tenth of a meter, that is, of 1
dm3
- The table of metric volume:
1 kiloliter (kL) 1000.000 liters
1 hectoliter (hL) 100.000 liters
1 dekaliter (daL) 10.000 liters
1 liter (L) 1.000 liter
1 deciliter (dL) 0.100 liter
1 centiliter (cL) 0.010 liter
1 milliliter (mL) 0.001 liter
1 microliter (L) 0.000,001 liter
14. Measure of Weight
The primary unit of weight in the SI is the gram, which is the
weight of 1 cm3 of water at 4C, its temperature of greatest
density.
The table of metric weight:
1 kilogram (kg) 1000.000 grams
1 hectogram (hg) 100.000 grams
1 dekagram (dag) 10.000 grams
1 gram (g) 1.000 gram
1 decigram (dg) 0.1000 gram
1 centigram (cg) 0.010 gram
1 milligram (mg) 0.001 gram
1 microgram (g or mcg) 0.000,001 gram
1 nanogram (ng) 0.000,000,001 gram
1 picogram (pg) 0.000,000,000,001 gram
1 femtogram (fg) 0.000,000,000,000,001 gram
15. Measure of Weight
Equivalencies of the most common weight
denominations:
1000 micrograms (g or mcg) 1 milligram (mg)
1000 milligrams (mg) 1 gram (g)
1000 grams (g) 1 kilogram (kg)