hospital

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Advanced hospital pharmacy clerkship

• By shimelis Engida .GSR/6186/14

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Content

• Introduction
• Description of attachment area
• Services rendered in TASH pharmacy
• Observation and Discussion
• Monograph of heparin
• Contribution /Lesson learned during your stay
• Recommendations
• Summary
• References

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Introduction

• Hospital pharmacy is the health care service,
  which comprises the art, practice, and profession
  of choosing, preparing, storing, compounding, and
  dispensing medicines and medical devices,
  advising patients, doctors, nurses and other
  healthcare professionals on their safe, effective
  and efficient use
• Hospital pharmacy is a specialized field of
  pharmacy which forms an integrated part of
  patient health care in a health facility

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Cont.

• OPD Pharmacy Service Unit
• Inpatient Pharmacy Service Unit
• Emergency Pharmacy Service Unit
• Extemporaneous Compounding Unit
• Pharmaceutical Supply Management Unit
• Drug Information Service (DIS) Unit
• Clinical Pharmacy Services

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Description of attachment area

• Tikur Anbessa Specialized Hospital which is
  located in lideta sub city
• The College of Health Sciences (CHS), Addis Ababa
  University (AAU), is a professional health
  sciences college, established in 2009/10 by the
  reorganization of previously separate
  institutions of health under one umbrella.
• The CHS is comprised of four schools and one
  teaching hospital.

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Cont..

• The Tikur Anbessa Specialized Hospital (TASH) is
  the teaching hospital of the College.
• TASH is the largest specialized hospital in
  Ethiopia, with over 700 beds, and serves as a
  training centre for undergraduate and
  postgraduate medical students, dentists, nurses,
  midwives, pharmacists, medical laboratory
  technologists, radiology technologists, and
  others who shoulder the responsibilities to solve
  the health problems of the community and the
  country at large.

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Observation and Discussion

• I observe in TASH pharmacy there are different
  department of hospital pharmacy that are OPD
  pharmacy, In Patient, Emergency pharmacy, ART
  pharmacy.so during my stay in these department
  there are drug which are arranged
  pharmacologically and

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• Strength
• TASH pharmacy applies APTS and in all department
• All pharmacy is near by wards
• There is good documentation
• Well ventilated OPD ,ART and IP pharmacy room
  and full material such as shelf
• Narcotic and anti psychotic drug are in the
  locked cabinet
• The drug arranged professional manner
• good drug availability

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Cont.

• Weakness
• There is no compounding services
• Pharmacist does not give full and specific
  patient advice during dispensing
• There is no waiting area
• In the in patient pharmacy the arrangement of
  drug not oriented
• Emergency pharmacy are narrow and not ventilated
  room and substandard
• There is no counselling room
• Same pharmacist has ethical problem

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Monograph of heparin

• Generic name-heparin
• Brand name -
• Available dosage form -iv solution
• Strength of heparin -25000iu/5ml
• Mechanism of action -Heparin is a sulphated
  polysaccharide with a molecular weight range of
  3000 to 30 000 Da (mean, 15 000 Da). It produces
  its major anticoagulant effect by inactivating
  thrombin and activated factor X (factor Xa)
  through an antithrombin (AT)-dependent mechanism

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• Heparin is effective for prevention and treatment
  of venous thrombosis and pulmonary embolism (PE),
  for prevention of mural thrombosis after
  myocardial infarction (MI), and for treatment of
  patients with unstable angina and MI. Although
  heparin is used to prevent acute thrombosis after
  coronary thrombolysis, recent reports question
  the benefits of heparin in this setting when
  patients are also treated with aspirin.

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Summary and Recommendations
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