BP 703T.
PHARMACY PRACTICE (Theory)
45 Hours
Scope: In the changing scenario of pharmacy practice in India, for successful practice of
Hospital Pharmacy, the students are required to learn various skills like drug distribution,
drug information, and therapeutic drug monitoring for improved patient care. In
community pharmacy, students will be learning various skills such as dispensing of
drugs, responding to minor ailments by providing suitable safe medication, patient
counselling for improved patient care in the community set up.
Objectives: Upon completion of the course, the student shall be able to
1. know various drug distribution methods in a hospital
2. appreciate the pharmacy stores management and inventory control
3. monitor drug therapy of patient through medication chart review and clinical
review
4. obtain medication history interview and counsel the patients
5. identify drug related problems
6. detect and assess adverse drug reactions
7. interpret selected laboratory results (as monitoring parameters in therapeutics) of
specific disease states
8. know pharmaceutical care services
9. do patient counseling in community pharmacy;
10. appreciate the concept of Rational drug therapy.
Unit I: 10 Hours
a) Hospital and it’s organization
Definition, Classification of hospital- Primary, Secondary and Tertiary hospitals,
Classification based on clinical and non- clinical basis, Organization Structure of a
Hospital, and Medical staffs involved in the hospital and their functions.
b) Hospital pharmacy and its organization
Definition, functions of hospital pharmacy, Organization structure, Location, Layout
and staff requirements, and Responsibilities and functions of hospital pharmacists.
c) Adverse drug reaction
Classifications - Excessive pharmacological effects, secondary pharmacological
effects, idiosyncrasy, allergic drug reactions, genetically determined toxicity, toxicity
following sudden withdrawal of drugs, Drug interaction- beneficial interactions,
adverse interactions, and pharmacokinetic drug interactions, Methods for detecting
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drug interactions, spontaneous case reports and record linkage studies, and Adverse
drug reaction reporting and management.
d) Community Pharmacy
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.
Unit II: 10 Hours
a) 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.
b) Hospital formulary
Definition, contents of hospital formulary, Differentiation of hospital formulary and
Drug list, preparation and revision, and addition and deletion of drug from hospital
formulary.
c) Therapeutic drug monitoring
Need for Therapeutic Drug Monitoring, Factors to be considered during the
Therapeutic Drug Monitoring, and Indian scenario for Therapeutic Drug Monitoring.
d) Medication adherence
Causes of medication non-adherence, pharmacist role in the medication adherence,
and monitoring of patient medication adherence.
e) Patient medication history interview
Need for the patient medication history interview, medication interview forms.
f) Community pharmacy management
Financial, materials, staff, and infrastructure requirements.
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.
b) Drug
information services
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