Hospital Pharmacy

Farmácia Hospitalar

Curse code:9494527

Nadine de Jesus Pinto Ribeiro Ferrão Gonçalves

Learning outcomes of the curricular unit:

This CU aims to advance the student in the practice of hospital pharmacy, integrating skills with knowledge to enable the pharmacist to take responsibility for patients medicines management in the hospital care setting.
Other knowledges, abilities and skills to be acquired includes:

• Development of hospital pharmacy services
• Integration of concepts from studies of drug use, to apply to the selection of drugs, based on criteria of effectiveness, safety, and cost-effectiveness
• Awareness of the importance of collaborating in programs that have the purpose of detecting, reporting, recovery and prevention of adverse drug reactions
• Understanding and applying the principles of pharmacokinetics in individualizing dosage regimens
• Acquisition of necessary tools for the practice of pharmaceutical care: how to collect and interpret the patient's clinical history, interpretation of laboratory parameters and knowledge of the pharmacotherapy clinical guidelines
• Acquisition of a critical and analytical attitude to the detection and resolution of pharmacotherapeutic problems affecting each hospital patient

Syllabus:

1. Management of Hospital Pharmaceutical Services
   Human and logistical resources
   Activity areas
2. Selection of drugs
   Drug formularies
   Pharmacy and Therapeutics Committee
3. Drug Therapy Monitoring
   Pharmacist Interventions
   Medication-use evaluation
4. Management of Other Pharmaceutical Products: Medical devices and dressing material with therapeutic effect
5. Pharmacovigilance in hospital pharmacy
6. Risk management related to drugs
   LASA drugs and High Alert Medications
   Medication reconciliation
7. Clinical pharmacokinetics and Pharmacogenetics
8. Pharmaceutical Care in special populations
   Neonatology and Pediatrics
   Geriatrics
9. Pharmacist intervention in Surgery patients
   Pain and sedation / anesthesia
   Nosocomial infection
10. Pharmacist intervention in ICUs patients
    Fluid therapy and electrolyte balance
    Artificial nutrition
11. Oncological Pharmacy Activities
12. Pharmacist intervention in hospital outpatient
    HIV infection and its treatment
    HBV infection and its treatment

Suggested Bibliography:

• Bruton L, chabner B, Knoliman B (2011) Goodman & Gilman´s The Pharmacological basis of Therapeutics, 12th edition, McGraw-Hill
• Walker, R., Edwards, C. (2011). Clinical Pharmacy and Therapeutics. 5th ed., Churchill Livingstone
• Koda-Kimble MA, Young LY, Alldredge BK, Corelli RL, Guglielmo BJ, Kradjan WA, Williams BR (2009) Applied Therapeutics: The Clinical Use of Drugs. 9th ed., Lippincott Williams & Wilkins
• Sociedade Española de Farmacia Hospitalaria, Farmacia Hospitalaria, 2ª Ed., Glaxo
• Ministério da Saúde - Conselho Executivo da Farmácia Hospitalar: Manual da Farmácia Hospitalar, 2005, in http://www.infarmed.pt/portal/page/portal/INFARMED/PUBLICACOES/TEMATICOS/MANUAL_FARMACIA_HOSPITALAR