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Clinical pharmacy term is used to describe the activities and services of clinical pharmacists to optimize pharmaceutical care and proper use of medications for the purpose of optimal patients outcomes.
Clinical pharmacy services are not limited to certain areas but applies to all medical fields such as cardiology, infectious, ambulatory care, oncology, nephrology, internal medicine, …… It also covers in-patient and out-patient services
1- Knowledge about disease pathophysiology, laboratory data interpretation, disease management, pharmacokinetics, pharmacodynamics and drugs pharmacology.
2- To have skills about drug information resources, communication, how to design pharmaceutical care plan, patient monitoring, patient counseling, drug use evaluation, data presentation and research.
I- Drug related:
- If the drug is not yet in hospital formulary: clinical pharmacists will be responsible for drug evaluation and presentation to P&T Committee.
- Before prescribing the medications:
Clinical pharmacists provide information about institution formulary and availability, alternatives, drug information, drug related policies (e.g. if the drug is restricted, investigational)
Role of Clinical Pharmacist
- During prescribing the medications:
Clinical pharmacists provide services for prescription monitoring such as reviewing the prescribed drugs including proper drug choice for specific indication, dosage, frequency, duration, if there is a need for dose adjustment, suggest the proper drug for untreated indication, consider history of drug allergy, evaluate and manage adverse drug reactions, and possible drug interactions.
- After prescribing the medications: Clinical pharmacists design pharmaceutical care plan, identify problems, establish outcome goals, provide patient counseling, monitor pharmacokinetics and therapeutic drug level, report adverse drug reaction (ADRs), evaluate treatment outcome, and drug information to health care professionals.
II- Patient related:
Clinical pharmacists are responsible for:
- Drug use evaluation (DUE)
- Specific clinics services as diabetes, hypercholesterolemia clinics, and anticoagulant clinic
|Role of Clinical Pharmacist|
|Pharmaceutical Care Plan|