“A Textbook of Pharmacy Practice” is a comprehensive and well-structured book designed to provide a clear understanding of the principles and practices involved in modern pharmacy settings. Written in a simple and concise language, the book aims to present essential concepts in an organized manner, making it useful for both learners and professionals.
The book covers fundamental areas such as hospital organization, hospital pharmacy management, and community pharmacy practice, offering insights into their structure, functions, and roles in healthcare delivery. It also provides detailed information on adverse drug reactions, drug interactions, and their monitoring and management, highlighting the importance of patient safety.
Further, the text explores drug distribution systems, hospital formulary management, therapeutic drug monitoring, and medication adherence, along with patient medication history interviews and community pharmacy management. It emphasizes the role of pharmacists in ensuring effective drug use and improving patient outcomes.
Important topics such as pharmacy and therapeutic committees, drug information services, patient counseling, and communication skills are discussed to enhance professional competence. The book also includes clinical pharmacy practices, budget preparation, over-the-counter medication use, and drug store management with inventory control techniques.
In addition, the book addresses investigational drug use and the interpretation of clinical laboratory tests, providing a practical approach to pharmaceutical care. With its clear presentation and focus on real-world applications, this book serves as a valuable guide for understanding the essential aspects of pharmacy practice and building a strong professional foundation in the field.
Unit 1.
a) Hospital and Its Organization :
1. Introduction / Definition
2. Classification of hospital - Primary, Secondary and Tertiary hospitals
3. Classification based on clinical and non- clinical basis
4. Organization Structure of a Hospital, and Medical staffs involved in the hospital and their functions.
b) Hospital pharmacy and its organization :
1. Definition.
2. Functions of hospital pharmacy.
3. Organization structure.
4. Location, Layout and staff requirements.
5. Responsibilities and functions of hospital pharmacists.
c) Adverse Drug Reaction :
1. Introduction
2. Classifications
3. Excessive pharmacological effects
4. Secondary pharmacological effects
5. Idiosyncrasy
6. Allergic drug reactions
7. Genetically determined toxicity
8. Toxicity following sudden withdrawal of drugs
9. Drug interaction- beneficial interactions
10. Pharmacokinetic drug interactions
11. Methods for detecting drug interactions
12. Adverse drug reaction reporting and management.
d) Community Pharmacy :
1. Introduction
2. Organization and structure of retail and wholesale drug store,
3. Types and design,
4. Legal requirements for establishment and maintenance of a drug store,
5. Dispensing of proprietary products.
Unit 2.
a) Drug Distribution System in a Hospital :
1. Introduction
2. Dispensing of drugs to inpatients,
3. Types of drug distribution systems,
4. Charging policy and labelling,
5. Dispensing of drugs to ambulatory patients, and
6. Dispensing of controlled drugs.
b) Hospital Formulary :
1. Definition,
2. Contents of hospital formulary,
3. Differentiation of hospital formulary and Drug list,
4. Preparation and revision,
5. Addition and deletion of drug from hospital formulary.
c) Therapeutic Drug Monitoring :
1. Definition,
2. Need for Therapeutic Drug Monitoring,
3. Factors to be considered during the Therapeutic Drug Monitoring, and
4. Indian scenario for Therapeutic Drug Monitoring.
d) Medication Adherence :
1. Definition,
2. Causes of medication non-adherence,
3. Pharmacist role in the medication adherence, and
4. Monitoring of patient medication adherence.
e) Patient Medication History Interview :
1. Need for the patient medication history interview,
2. Medication interview forms.
f) Community Pharmacy Management :
1. Financial, materials, staff, and infrastructure requirements.
Unit 3.
a) Pharmacy and Therapeutic Committee :
1. Introduction
2. Organization, functions, Policies of the pharmacy and therapeutic committee in including drugs into formulary,
3. Inpatient and outpatient prescription,
4. Automatic stop order, and
5. Emergency drug list preparation.
b) Drug Information Services :
1. Drug and Poison information Centre,
2. Sources of drug information,
3. Computerized services, and
4. Storage and retrieval of information.
c) Patient Counseling :
1. Definition of patient counseling;
2. Steps involved in patient counseling, and
3. Special cases that require the pharmacist.
d) Education and Training Program in the Hospital :
1. Role of pharmacist in the education and training program,
2. Internal and external training program,
3. Services to the nursing homes/clinics,
4. Code of ethics for community pharmacy, and
5. Role of pharmacist in the interdepartmental communication and community health education.
e) Prescribed Medication Order and Communication Skills :
1. Role of Prescribed medication order - interpretation and legal requirements, and
2. Communication skills - communication with prescribers and patients.
Unit 4.
a) Budget Preparation and Implementation :
1. Budget preparation and implementation.
b) Clinical Pharmacy :
1. Introduction to Clinical Pharmacy,
2. Concept of clinical pharmacy,
3. Functions and responsibilities of clinical pharmacist,
4. Drug therapy monitoring - medication chart review, clinical review,
5. Pharmacist intervention,
6. Ward round participation,
7. Medication history and Pharmaceutical care.
8. Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern.
c) Over the Counter (OTC) Sales :
1. Introduction and sale of over the counter.
2. Rational use of common over the counter medications.
Unit 5.
a) Drug Store Management and Inventory Control :
1. Introduction
2. Organization of drug store
3. Types of materials stocked and storage conditions
4. Purchase and inventory control: principles
5. Purchase procedure
6. Purchase order
7. Procurement and stocking
8. Economic order quantity
9. Reorder quantity level
10. Methods used for the analysis of the drug expenditure.
b) Investigational use of drugs :
1. Introduction
2. Principals involved
3. Classification
4. Control
5. Identification
6. Role of hospital pharmacist
7. Advisory committee.
c) Interpretation of Clinical Laboratory Tests :
1. Introduction
2. Interpretation of Clinical Laboratory Tests Blood chemistry,
3. Hematology, and
4. Urinalysis
A book as per the latest syllabus given by Pharmacy Council of India (PCI) New Delhi
for B.Pharm students of all Indian Universities
