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Definition, parts of prescriptions, legality of prescriptions, prescription handling, labeling of
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A prescription is an order form a registered practitioner or another properly licensed practitioner such as a physician, dentist, Doctor veterinarian or dermatologists etc. to a pharmacist to compound Pharmacy and dispense a specific medicine for the patient.
PHARMACIST ROLE IN COMMUNITY PHARMACY , OTC GUIDELINES , PRESCRIPTION PRECAU...VENKATA RAMA RAO NALLANI
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Medication Reconciliation A Basic OverviewAnupam Das
Hi everyone, in this presentation I have shared a basic overview of Medication Reconciliation and its benefits & challenges.
However, this is for education & information purpose only.
This presentation tries to explain various components of a prescription and their importance. The use of prescriptions as examples in this presentation is solely for academic purpose and not to comment/ criticize the prescriber.
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.
Role of the pharmacist in medication safety.Subash321
Role of the pharmacist in medication safety. In this you know about the medication safety, medication error & how to prevent medication error. And the role of the pharmacists in medication safety.
Dispensing of Prescription Rx & Ethic of Pharmacist with PatientsDashty Rihany
A prescription is an order form a registered practitioner or another properly licensed practitioner such as a physician, dentist, Doctor veterinarian or dermatologists etc. to a pharmacist to compound Pharmacy and dispense a specific medicine for the patient.
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IT has covered choice medicine by cost ,taste, safety, Prescription precautions, COMMUNITY PHARMACY AND CLINICAL PHARMACIST RESPONSIBILITIES IN IN PATIENT CARE
Patient medication adherence, Medication adherence, Causes of medication non-adherence, Problems linked with Medication Non-adherence, Factors affecting medication adherence, Patient related factors, Social and Economic factor, Disease related factor, Health care provider related factors, Therapy related factors, pharmacist role in the medication adherence, role of pharmacist in the medication adherence, monitoring of patient medication adherence, Direct method, Indirect method
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An insightful look at the key rules and regulations underpinning DUoS (Distribution Use of System) charges – typically 20 to 25% of the electricity bill. Learn about how the regulation is set and amended, opportunities and risks for your energy users, and get an update on recent and current changes and how they could impact you.
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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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
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There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
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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
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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.
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
2. HISTORY
Ancient prescriptions – China, Egypt and Rome
Rx:
• Egyptian ‘Eye of Horus’
• symbol denoting health;
• symbolic appeal by physicians to Jupiter for a prescription's
success.
• Latin word recipere ( ‘take’ or ‘take thus’)
• direction to the pharmacist, preceding the physician's ‘recipe’.
Definitions of Prescription
An order to take certain medications.
Health-care program implemented by a physician or other
medical practitioner in the form of instructions that
govern the plan of care for an individual patient.
An order for medication, issued by a properly licensed
medical practitioner, dentist or veterinarian.
4. Communication between the physician and the
pharmacist.
May include orders to be performed by a patient,
caretaker, nurse, pharmacist.
Legal implications: the prescriber takes responsibility for
the clinical care of the patient and in particular for
monitoring efficacy and safety.
Originally directed at the pharmacist to take a certain
amount of each ingredient and to compound the
medicine.
Today, it is directed to the patient to ‘take’ the medicine
(consuming it).
‘Pre’ and ‘script’ – ‘to write before’ a drug can be
prepared.
5. The word ‘Prescription comes from the Latin
word ‘Praescriptus’.
The prefix ‘pre’ means ‘before’ and ‘scriptus’
means ‘writing’. So, a prescription has to be
written before a drug is compounded.
6. PRESCRIBING PROCESS
Prescribing:
• Evaluate the patient.
• Evaluate the need for medication.
• Select the right medication.
• Determine interactions & allergies.
• Prescribe the medications.
Transcription:
• Transcribe the prescription or order.
• Transmit the prescription or order to pharmacy.
7. • Right patient
• Right drug
• Right dose (strength per unit dose)
• Right dosage schedule, dosing interval, time of
day
• Right route of administration
• Right date
• Right number of refills
• Right duration of treatment
• Right to informed consent
• Right to refuse treatment
‘RIGHTS’ OF A PRESCRIPTION
8. COMPONENTS OF A PRESCRIPTION
Superscription, Inscription, Subscription and Signa
Superscription
• Symbol ‘Rx’ separates the superscription from the
inscriptions sections.
• Contains date the prescription order is written; patient
details and Rx symbol.
Inscription
• Body of the prescription (defines the medication)
• Composed of:
a ‘Basis’ or chief ingredient intended to cure (curare)
an ‘Adjuvant’ to assist Basis’ action and make it cure
quickly (cito)
a ‘Corrigen’ or corrective to prevent or lessen any
undesirable effect (tuto)
a ‘Vehicle’ or ‘excipient’ to make it suitable for
administration and pleasant to the patient (jucunde)
9. Components (contd’.)
Subscription
• Contains dispensing directions to the pharmacist.
• May be compounding instructions or quantities.
Signa (Sig or Signatura)
• Contains directions to the patient (how to take the
medication)
• Interpreted and transposed onto the label by the
pharmacist.
• Refills: the number of refills permitted for the patient.
10.
11. The patient's name and address
• ensures right medication goes to the correct patient;
identification and record-keeping purposes.
Patient’s weight, age, BSA
• for medications whose dosage involves calculation.
• include both the calculated dose and the dosage
formula
(eg.: 240 mg Q8H and 40 mg/kg per day)
• allows other health care professionals to double-check
the prescribed dosage.
• Pharmacists should always recalculate dosage
equations when filling these prescriptions.
12. Prescription pad blanks – imprinted with a heading
containing the physician’s name, address and phone
number of the practice site.
Institutional blanks – don’t bear physician's
information.
Controlled substances prescriptions – the name,
address and Drug Enforcement Agency (DEA)
registration number of the physician.
13.
14. Proprietary Prescriptions
• The medications are indicated by their trade names.
Non-proprietary Prescriptions
• The medications are indicated by their generic names.
Pediatric prescriptions
• Include the age of the child (< 12 yrs.; < 5 months).
• Weight of the child.
15. Modern prescriptions: ‘extemporaneous’ and ‘non-
extemporaneous’.
Extemporaneous prescriptions
• prescription is written ‘on-the-spot’ for a specific
patient with a specific ailment.
• ‘Compound prescriptions’ ( pharmacist mixes or
compounds the medication in the pharmacy for the
specific needs of the patient).
Non-extemporaneous prescriptions
• generic recipe for a general ailment.
Modern prescriptions evolved with the separation of the
role of the pharmacists from that of the physician .
16. • Contraindicated drug
• Incomplete order
• Allergy
• Transcribing error
• Wrong dose / frequency
• Wrong drug
• Illegible order
• Omission
• Altered order
• Wrong patient
• Wrong route
SOME PRESCRIBING ERRORS
17. WHAT SHOULD YOU TELL THE PATIENT?
• What the drug is
• It’s purpose
• How it works
• How to take it
• Precautions
• Duration of treatment; risks of discontinuation
• Side-effects
18. Reading Prescription Abbreviations
These abbreviations tell when to take the medication:
• a.c. ante cibum before meals
• ad lib ad libitum as much as you want
• b.i.d. bis in die twice a day
• cc cum cibos with food or cubic centimeters
• dieb. alt. diebus alternis every other day
• hs hora somni at bedtime
• p.c. post cibum after meals
• p.r.n. pro re nata as needed
• q.d. quaque die once a day
• q.i.d. quater in die four times a day
• q.h. quaque hora hourly
• q.2h. every 2 hours
• q.3h. every 3 hours
• q.4h. every 4 hours
• t.i.d. ter in die 3 times a day
19. Medication form, instructions to the pharmacist:
• caps capsules
• comp. compound
• daw dispense as written
• gt gutta drop
• nebul nebula a spray
• po per os by mouth
• p.r. by rectum
• sol solutio solution
• supp suppositorium suppository
• susp suspension
• syr syrupus syrup
• tab tabella tablet
• top topical
• ung unguentum ointment
• ut dict ut dictum as directed
• vag vaginally
• w with
• w/o without
• X times
20. Warning about side effects:
• D drowsiness
• H habit forming
• I interaction
• X SOS contains a substance that could cause problems
• ASA contains acetylsalicylic acid (aspirin)
• C caution
• G glaucoma
• S diabetes