HOSPI LEC M4 (MIDTERMS)

Hospital formulary

it is continually revised compilation of pharmaceuticals that reflects the current clinical judgement of the medical staff

medical salesman

A Hospital formulary is useful to the medical staff since without this they would become dependent on the claims of the ______________

health formulary system

it is the method whereby the medical staff of an institution working through a PTC evaluates appraises or selects form among numerous available medicinal agents and dosage forms those that are considered most useful in patient care

provide the best possible treatment to the patient in lowest possible cost

to inform the physicians on the availability of medicines

serves as a valuable teaching tool to the internal residents and other healthcare professionals

promote safe intelligent and effective drug therapy

to avoid the use of brand and therapeutic duplication of drugs

to provide guidelines for procuring, prescribing, dispensing, and administration.

purpose of the hospital formulary (6)

title page

name and titles of the members of the PTC

table of contents

Information on hospital policies and procedures concerning drugs

product accepted for use at hospital

appendix

Composition of the formulary (6)

hospital medication use policies and procedures

drug product listing

medication use guidelines

(3) detailed part of the formulary

drug product listing

heart of the formulary

Drug product listing

the key element of the published formulary is the list of medication approved for use. This section includes both entries for each medication and indexes to facilitate use

alphabetical

alphabetical therapeutic class

combo

dosage forms

Formulary item entries can be arranged in (4) ways

Gen name

Dosage form

Formulation (API) if combined product

each drug entry must include the following information (3)

special precautions

pediatric or adult dose

cost information

additional info that may be added

generic name of drug items

therapeutic/ pharmacologic index

2 indexes of the formulary

Index

is a listing of all drug items within each therapeutic category, it is useful in ascertaining what therapeutic alternative exists for a given situation such as patient allergy to a particular drug

nutritional products approved

equivalent dosage tablets (prn meds, corticosteroids)

TPN formulas

pediatric dosages

potassium content of drugs or food

antidote list

advanced cardiac life support or emergency medications

metric conversion table

serum drug levels

standard conc. in IV sol.

Common equations used

Antibiograms

Drug dosing in renal or hepatic dysfunction

nonformulary drug request, ADR reports

Special information (14)

Formulary update, revision, and distribution

A process to continually update the formulary must be established such a process should include a method for making additions and deletions to the formulary. this process typically involves the submission of a request for formulary addition or deletion from the pharmacy or medical staff this request may be written or verbal.