The document discusses legal requirements and interpretation of prescriptions. It notes that recent legislation has legalized electronic prescriptions, but new technologies have also made prescriptions easier to alter or forge. As such, pharmacists must take care to properly handle, interpret, authenticate and record prescriptions. The document outlines the parts of a prescription, doctors' and patients' rights and responsibilities regarding prescriptions, and pharmacists' obligations to verify prescriptions and retain records. It also discusses common causes of dispensing errors like illegible writing or misinterpreted instructions and the importance of pharmacists ensuring the right patient receives the right drug and dose.
Introduction to Clinical Pharmacy, Concept of clinical pharmacy, functions and
responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart
review, clinical review
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
Pharmacy and therapeutic committee, PTC, Organization of PTC, Functions of PTC, Automatic stop order, Emergency drug list, ADR and safety monitoring, Role of Pharmacy and therapeutic committee
Introduction to clinical pharmacy, Concept and Objectives of clinical pharmacy, Function and responsibilities of clinical pharmacist, Clinical Pharmacy services.
Patient Counseling is defined as providing medication information Orally or in written form to the patients or their representatives on directions of use, on side effects, precautions, storage, diet, life style modifications.
It is a very important topic in healthcare. Pharmacists must be aware of few important counselling points for every medicine. Community Pharmacist must be aware of counselling.
Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
Introduction to Clinical Pharmacy, Concept of clinical pharmacy, functions and
responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart
review, clinical review
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
Pharmacy and therapeutic committee, PTC, Organization of PTC, Functions of PTC, Automatic stop order, Emergency drug list, ADR and safety monitoring, Role of Pharmacy and therapeutic committee
Introduction to clinical pharmacy, Concept and Objectives of clinical pharmacy, Function and responsibilities of clinical pharmacist, Clinical Pharmacy services.
Patient Counseling is defined as providing medication information Orally or in written form to the patients or their representatives on directions of use, on side effects, precautions, storage, diet, life style modifications.
It is a very important topic in healthcare. Pharmacists must be aware of few important counselling points for every medicine. Community Pharmacist must be aware of counselling.
Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
It is a written order by physician, dentist, nurse practitioner or other designated health professional for a medication to be dispensed by a pharmacy for administration to a patient.
Prescriptions and medication orders are the primary means by which prescribers communicate with pharmacists regarding the desired treatment regimen for a patient. Prescriptions are used in the outpatient, or ambulatory, settings.
whereas medication orders are used in the inpatient or institutional health system setting. Prescriptions and inpatient orders are legal orders that can be used for medications, devices, laboratory tests, procedures, etc.
Prescriptions and medication orders can be handwritten, typed, preprinted, verbal, or entered into a computer program and submitted to the pharmacy by the patient or caregiver, or via fax, computer, or other electronic means.
REVIEWING THE CLINICIANS PRESCRIPTION AND TREATMENT PROGRESSION IS THE FUNDAMENTAL RESPONSIBILITY OF PHARMACIST. THIS PRESENTATION WILL DEAL WITH VARIOUS ASPECTS OF REVIEWING PATIENT DRUGTHERAPY PLAN
Clinical errors by nursing / paramedic staffMohit Changani
Nursing staff care is very critical for the management of any patient. Nursing staff need to be specific and punctual in providing care. This presentation deals with common clinical errors that might be occurring on the care provided by nursing or paramedic staff
This is a draft e-learning module for the Prescribe Project (http://ow.ly/uO53A). It is about how to improve communication with patients and colleagues around prescribing decisions.
Definition of Prescription
Parts Prescription
Handling of Prescription
legality & identification of medication related problems like drug interactions.
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!
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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.
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
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
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.
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.
Surgical Site Infections, pathophysiology, and prevention.pptx
Prescription balkar ppt
1. Legal requirements & interpretation
of prescription
Submitted To :
Dr. KANCHAN VOHRA
Assistant Professor
Submitted By :
Mohd. Rafi Bhat
Department of pharmaceutical
science & Drug Research
2. “Prescription”
means the written direction given by the doctor to
the chemist for the
compounding of medicine suitable to a patient’s
case.
3. Additional information-
Recent legislation has legialised electronic
communication of prescriptions.
New technology has also made it easier to alter or forge
prescriptions.
It is therefore important for pharmacists and
pharmacist’s assistants to develop good pharmacy
practice habits in handling, interpreting,
authenticating and recording of prescriptions.
It is equally important for doctors and patients to
understand their rights and obligations with regard to
prescriptions.
4. Doctors –
• have an obligation to prescribe accurately and write their
prescriptions correctly and legibly in accordance with relevant
legislation
• must keep accurate records of their prescriptions on their
patient profiles
• must include international classification of disease and health
related problems ( ICD10) diagnostic codes on the prescription,
if it is to be submitted to a medical scheme for payment
• have a right to expect the dispenser to carry out their
prescription instructions accurately
• have a right to expect to be consulted about any changes or
corrections to the prescription that may affect treatment
outcomes.
5. Patients
• Have a right to ask for a written prescription and to
have the prescription dispensed by the pharmacy of
their choice.
• Have a right to retain an original repeat prescription
until the last repeat has been dispensed.
• Have a responsibility to supply the original
prescription to the pharmacist and present the original
for endorsement of each repeat.
• Legally may not be in the possession of any schedule 3
to 6 medicine if they do not have a legitimate prescription
for that medicine.
6. Pharmacists and pharmacist’s assistants-
• Have an obligation to verify the authenticity of any
prescription (electronic, faxed or written).
• Must retain prescriptions for a period of five years in orderly
files that can be easily retrieved.
• Must dispense strictly in accordance with the doctor’s
instructions.
• Must endorse the prescription with any necessary changes
made including, repeats given, notes of confirmation or
communication with the prescriber, and notes of reasons for
not dispensing any specific items or insistence by the patient
or the doctor that only the original product must be supplied.
• Have the right to expect the patient to present the original
prescription and the doctor to follow verbal instructions with
a written prescription.
7. PARTS OF PRESCRIPTION
1) Prescriber information
2) Patient information
3) Date of prescription
4) Superscription
5) Inscription
6) Subscription
7) Direction to patient (Transcription)
8) Signature of prescriber
8.
9. PRESCRIPTION
Parts of prescription:-
1.Prescriber information-
Name
Qualification
Practice number
Address of the prescriber
10. 2.Patient information----
Name , address, age and weight of patient in the
case of a prescription
The name and address of the person to whom the
medicines are delivered in the case of a
prescription issued by a Veterinarian
11. 3. Date of prescription
• Date of issue of the prescription or Order
12. 4. Superscription
RX
RX is an abbreviation for the Latin word
“recipe” which mean “to take” or
“ take thou”.
The symbol is said to designate jupiter “The God of
Healing”
13. 5. Inscription
It is main part of prescription. It contain the name and
quantity of prescribed ingredients.
It also contain manner in which medicine should be
taken.
14. 6.Subscription:-
This parts contains the prescriber direction to the
pharmacist.
It includes-
Type dosage form to be prepared
No of dose to be dispensed
15. 7.Transcription
Transcription is the prescriber direction
to the patient contains instruction about
the amount of drug , time and frequency
of doses to be taken.
16. 8.Signature of physician:-
Prescription must be signed with
prescribers own hand.
o Address and Registration no. should be written in
case of dangerous drugs
18. Receiving the prescription:-
Pharmacist should himself receive the
prescription.
It includes
Reading the prescription
Checking the prescription
19. Reading the prescription:-
Prescription should be completely and
carefully read from top to bottom.
Checking of prescription:-
Prescription should be checked for any
incompatibility.
27. Label information
Type of prescription
Name, age & sex of patient
Date of dispensing
Storage condition
Name and address of pharmacy
In case of liquid preparation attach auxiliary
label
Shake well before use
Route of administration
28. Rechecking
Each prescription should be rechecked
After labeling container should be
thoroughly polished to remove finger prints.
Recording
A variety of prescription files are available
which serve to maintain and preserve
original prescription in numerical order
29. Pricing of prescription :-
The prescription should be priced
immediately after receiving it & informed
the patient about it. This should be done
before starting the compounding to avoid
any dispute..
30. INTERPRETATION OF PRESCRIPTION
Drug use is a complex process and there are many
drug related challenges at various levels ,
involving prescriber, pharmacists and patients.
While medication misadventure can occur any
where in the health care system from prescriber to
dispenser to administration and finally to patient
use, the simple truth is that many errors are
preventable, and pharmacists assume active role
in appropriate use of drugs.
31. Medication errors
? Incomplete patient information (not knowing about
patients’ allergies, other medicines they are taking ,
previous diagnoses, and lab results for example)
? Unavailable drug information (such as lack of up-to date
warnings)
? Miscommunication of drugs orders, which can involve poor
handwriting , confusion between drugs with similar
names, misuse of zeroes and decimal points, confusion of
metric and other dosing units, and inappropriate
abbreviations.
? Lack of appropriate labeling as a drug is prepared and
repackaged into smaller units and
? Environmental factors, such as lighting, heat, noise, and
interruptions that can distract health professionals from
their medical tasks.
32. Dispensing errors
“Error of wrong interpretation of doctor
prescription and especially in children.”
Dispensing error refers to medication errors
linked to the pharmacy and includes error of
commission (dispensing the wrong drug or dose)
and those of omission (failure to counsel on safe
use of medicine ). Most dispensing errors involve
the dispensing of an incorrect medication, dosage
strength or dosage form. Look alike and sound
alike drug often causes confusion with ineligible
prescriptions or verbal medication orders and
errors are likely inaccurate calculation of dose.
33. Causes for errors
? Too many telephone calls (62%)
? Overload/ unusually busy day (59%)
? Too many customers (53%)
? Lack of concentration (41%)
? No one available to double check (41%)
? Staff shortage (32%)
? Similar drug names (29%)
? No time to counsel (29%)
? Illegible prescription (26%)
? Misinterpreted prescription (24%)
34. Common types of medication
errors
The Institute for Safe Medication Practices(ISMP) identifies
the following areas as potential causes of medication
errors.
? Poor drug distribution practices.
? Workplace environmental problems increasing the job
stress.
? Complex or poorly designed technology.
? Access to drugs by non-pharmacy personnel
? Dose miscalculations
? Lack of information to prescribers
? Lack of patient information
? Lack of patients’ understanding of their therapy
35. Medication errors due to failure to follow
label instruction
? Failure to “shake well”
? Crushing medications
? Medications taken with food or antacids
? Sublingual tablets which should not be
swallowed
? Use of inappropriate solvents
36. Conclusion
Pharmacists should ensure that “right ” patient is
receiving the “right” drug in a “right” dose.
Pharmacists and other health care professionals
involved in the medication use process must work
together to develop a systems approach to
medication use & error reduction.