Therapeutic guidelines in hospital pharmacy

1. Vignan pharmacy college,vadlamudi 1
Under The Guidance of
Dr. G.Ramesh Pharm.D
Submitted to
Satheesh S Gottipati B.Pharm, M.S. C.I.P , R.Ph
Seminar Committee
Submitted By
B.Satyanand
14AB1T0004
IV Pharm.D

2. DEVELOPING THERAPEUTIC GUDELINES:
GUIDELINES FOR HOSPITAL FORMULARY:
• The governing bodies of hospital shall appoint a PTC composed of physicians
pharmacists which will prepare hospital formulary system.
• The medical staff in governing body shall sponsor &outline the purposes ,
organisations, function & scope of hospital formulary system.
• The PTC shall develop policies & procedures governing the hospital formulary
& medical staff adapt the policies& procedures subject to administrative
approval.
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3. • The policies & procedures shall afford guidance in approval selection, procurement,
storage, distribution, use, safety procedures
• Other matters related to drugs in the hospital & shall published in hospital
formulary.
• The hospital shall make it certain that the nurse panels / personnel’s are informed in
writing .
• Use of communication that their exist the formulary system in a hospital procedure
governing its functions.
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4. THERAPEUTIC GUIDELINES:
1. ORGANISATION
2. MAIN OBJECTIVES
3. MAIN FUNCTIONS
4. COMPOSITION/REQUIREMENTS
5. GUIDELINE CHARACTERISTICS
6. EXAMPLES
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5. 1. ORGANISATION:
• Mainly works for the non-profit , financially self-supporting intellectually and
financially independent of government & pharmaceutical industry.
2. MAIN OBJECTIVES:
• To procedure , publish & sell the products & to promote quality use of medicine.
3. MAIN FUNCTIONS:
• To produce comparative disease based guidelines for therapy based on best
available evidence integrated with clinical experience
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6. 4. COMPOSITION/REQUIRMNETS:
• Administrators (3 members)
• Medical & pharmacy Editors (6 members)
• One person from IT (Information technology)
• Researcher (1 person)
• Evaluators
• Marketer (1 person)
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7. 5. GUIDELINES CHARACTERISTICS:
• Clinically oriented
• Arrangement according to clinical problems
• Clear & practical evidence
• Comprehensive / cover all common area of care
• Authorised & credible
• Experts independent interpretation of evidence
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8. • Example:
CONDITION
ACUTE CYSTITIS
eg E.coli
(enterococcus)
General Information
Urinary
Tract
Infections
Non-Pregnant women
Nitrofurantoin 200 mg
daily
Trimethoprim-300mg PO For
3days(or)
Amoxicillin 500
Nitrofurantoin 20mg PO x 3days
Drug Information
recommendations
If any
Contraindication
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9. References:
• A textbook of Hospital pharmacy by Ramesh K.Goyal
• https://www.tg.org.au/
• https://www.clinicalguidelines.gov.au/portal/2406/therapeutic-guidelines-antibiotic-version-15
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