HOSPITAL AND CLINICAL
PHARMACY
By
Dr.Sowmya Spoorthi .M
Assistant Professor
KLE COLLEGE OF PHARMACY
Part-I: Hospital Pharmacy
Hospital
• Definition,
• Function,
classifications based on various criteria,
• organization,
• Management
• health delivery system in India.
Hospital Pharmacy
• Definition
• Functions
• objectives of Hospital pharmaceutical services.
• Location,
• Layout,
• Flow chart of materials and men.
• Personnel and facilities requirements including equipment's based on
individual and basic needs.
• Requirements and abilities required for Hospital pharmacists
Drug Distribution system in Hospitals
• Out-patient service
• In-patient services
Types of services detailed discussion of :-
• unit Dose system
• Floor ward stock system
• satellite pharmacy services
• central sterile services
• Bed side pharmacy.
Manufacturing
• Economical considerations
• estimation of demand.
Sterile manufacture-
• Large and small volume parenterals,
• facilities,
• requirements,
• layout production planning
• man-power requirements.
Non-sterile manufacture
• Liquid orals
• Externals
• Bulk concentrates
• Procurement of stores and testing of raw materials
Nomenclature and uses of surgical instruments
and Hospital Equipments and health accessories.
P.T.C.(pharmacy Therapeutic Committee)
• P.T.C.(pharmacy Therapeutic Committee)
Hospital Formulary system and their
organization, functioning, composition
Drug Information service and Drug Information
Bulletin
Surgical dressing
• cotton,
• gauze,
• bandages
• adhesive tapes including their pharmacopoeial tests for quality. Other
hospital supply eg. I.V.sets, B.G. sets, Ryals tubes, Catheters, Syringes
etc
• Application of computers in maintenance of records, inventory
control, medication monitoring, drug information and data storage
and retrieval in hospital retail pharmacy establishment.
Clinical Pharmacy:
• Introduction to Clinical pharmacy practice- Definition, scope.
Modern dispensing aspects- Pharmacists and
patient counseling and advice for the use of
common drugs, medication history.
Common daily terminology used in the
practice of Medicine.
Disease, manifestation and patho-physiology including salient symptoms to
understand the disease like
• Tuberculosis,
• Hepatitis,
• Rheumatoid Arthritis,
• Cardio-vascular diseases,
• Epilepsy,
• Diabetes,
• Peptic Ulcer,
• Hypertension
• Physiological parameters with their significance.
Drug Interactions
• Definition of Drug Interactions
• Mechanism of Drug Interaction.
• Drug-drug interaction with reference to analgesics, diuretics,
cardiovascular drugs, Gastro-intestinal agents. Vitamins and
Hypoglycaemic agents. Drug-food interaction.
Adverse Drug Reaction
• Definition
• Significance.
• Drug-Induced diseases
• Teratogenicity.
Drugs in Clinical Toxicity
• Introduction, general treatment of poisoning, systemic antidotes,
Treatment of insecticide poisoning, heavy metal poison, Narcotic
drugs, Barbiturate, Organo-phosphorus poisons.
DRUG DEPENDENCE
• COMMONLY ABUSED DRUGS ,THEIR COMPLICATIONS AND
TREATMENT
• DRUG ABUSE
• DRUG ADDICTION
• DRUG HABITUATION
BIO-AVAILABILITY
What is mean by Bio-availability of drugs ?
What are the factors affecting Bio-availability of Drugs ?

Hospital and clinical pharmacy