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HOSPITAL PHARMACY

Laboratory \ FIRST SEMESTER

TERMS, ABBREVIATIONS, AND DEFINITIONS


SYMBOLS AND ABBREVIATIONS NSAID Non-steroidal AntiInflammatory
Drugs
p.m. Afternoon / Evening
TERMS DESCRIPTION RE Retinol Equivalent
ACE Angiotensin-converting enzyme Resp. Soln. Respiratory Solution
ADR Adverse drug reaction Rx Prescription
AIDS Acquired Immunodeficieny lin. Liniment
Syndrome (SC Subcutaneous
a.m. Morning, before noon (SL) Sublingual; under the tongue
Amp Ampule sig. Signa / write on label
AV Atrioventricular Soln. Solution
BCG Bacille Calmette-Guérin spp. Species
BP Blood pressure SR Sustained Release
BSA Body surface area SSRI Selective Serotonin Reuptake
cap., caps Capsule(s) Inhibitor
CNS Central Nervous System supp. Suppository
comp. Compound susp. Suspension
cr., crm. Cream syr. Syrup
CR Controlled-release tab., tabs. Tablet(s)
CSF Cerebrospinal fluid TB Tuberculosis
D5NS D5NS - Glucose (dextrose) 5% top. Topical
in normal saline (0.9%) XDR-TB XDR-TB - Extensively Drug-
D5W Glucose (dextrose) 5% solution resistant Tuberculosis
DOTS Directly observed treatment,
short-course
DMARD Disease modifying agents in DEFINITIONS OF TERMS
rheumatoid disorders TERMS DESCRIPTION
DPI Dry powder inhaler Active Ingredient is that portion of a drug that has
EC Enteric-coated therapeutic properties.
ECG Electrocardiogram Antineoplastic means acting to prevent, inhibit
emuls. Emulsion or half development of a
EPS Extrapyramidal syndrome neoplasm (tumor). It is an agent
ER Extended Release with antineoplastic properties.
FC Film-coated Example: Oxalipatin (eloxatin) is
G Gram an antineoplastic used in the
GFR Glomerular Filtration Rate treatment of metastatic of colon
GI Gastrointestinal cancer.
gtt(s) Drop(s) Area Under the Curve (AUC) refers to the amount or extent of
h, hr. Hour drug absorption.
HAI Hospital-Acquired Infections Bin card I is a stock record form in which
HIV Human Immunodeficiency Virus information on receipts, prices,
issuances and balances of
HRT Hormone Replacement Therapy
stocks is recorded It is
(ID) Intradermal
maintained with each product in
(IM) Intramuscular the storage area as a duplicate
Inj. Injection record.
INR International Normalized Ratio Bioavailability refers to the rate and extent of
IU International Unit(s) availability of an active
(IV) Intravenous ingredient from a dosage form
L Liter as measured by the
LA Long-Acting concentration /time curve in the
lin. Liniment systemic circulation or its
lot. Lotion excretion in the urine.
MAOI Monoamine Oxidase Inhibitor Bioequivalence refers to two related drugs that
MDI Metered Dose Inhaler show comparable bioavailability
MDR-TB Multidrug-resistant tuberculosis and similar times to achieve
mEq Milliequivalent peak blood concentration.
Mg Milligram Biological products are viruses, sera, toxins, and
mL Milliliter analogous products used for the
Mmol Millimole prevention or cure of human
MR Modified release [includes CR, diseases.
ER, SR, LA] Clinical toxicology focuses on the effects of
nebul. Spray substances in patients caused
by accidental poisoning or

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Laboratory \ FIRST SEMESTER

TERMS, ABBREVIATIONS, AND DEFINITIONS


intentional overdoses of component of any articles
medications, drugs of abuse, specified in clauses (1), (2), or
household products or various (3) but do not include devices or
other chemicals. their components, parts or
Cold Chain Monitors are cards used to monitor the accessories.
temperature of vaccines during First Expiry First Out (FEFO) is a method of inventory
distribution. management in which products
Dangerous drugs refers to drugs included in the with the earliest expiry date are
list of Schedules annexed to the the first products issued,
1961 Single Convention on regardless of the order in which
Narcotic Drugs, as amended by they are received. This method
the 1972 protocol, and in the is more demanding than FIFO.
Schedules annexed to the 1971 First In First Out (FIFO) is a method of inventory
Single Convention on management in which the first
Psychotropic Substances as products received is the first
enumerated in the annexes products issued.
which are an integral part of the Generic Dispensing is dispensing the
Comprehensive Dangerous patient’s/buyer’s choice from
Drugs Act of 2002. among generic equivalents, i.e.
Device is an instrument, apparatus, or finished pharmaceutical
contrivances including their products having the same active
components, parts, and ingredient(s), same dosage
accessories intended for the form and same strength as the
cure, mitigation, treatment, or prescribed drug.
prevention of disease in man or Generic Prescribing means prescribing of drugs and
animals, or two (2) to affect the medicines using their generic
structure or any function of the name(s) or generic terminology.
body in man or animals. Generic Substitution means the act of dispensing a
Dispensing is the act by a validly registered different branded or unbranded
pharmacist of filling a drug product for the drug
prescription or doctor’s order o product prescribed (i.e. a
the patient’s chart pharmaceutical equivalent
Drug-Drug Interaction refers to the pharmacologic or distributed by a different
clinical response to the company).
administration of a drug Inventory refers to the total stock kept on
combination different from that hand at any storage point to
anticipated from the known protect against uncertainty,
effects of the two (2) agents permit bulk purchasing,
when given alone. minimize waiting time, increase
Drug Outlets are drugstores, hospital transportation efficiency, and
pharmacy and other business buffer against seasonal
establishment, which sells drugs fluctuations.
or medicines. Inventory Control is a method of supply
Drug Product or Medicine is a finished form that contains management that aims to
the active ingredient(s) provide sufficient stocks of
generally, but not necessarily in drugs at the lowest costs
association with inactive possible.
ingredients. Menu Card is a list of drug products in
Drugs are articles recognized in the generic names with brand
current official United States names, ( if any), and
Pharmacopoeia- National Drug corresponding selling prices,
Formulary (USP-NF), official which is posted outside the
Homeopathic Pharmacopoeia of dispensing area of the hospital
the United States, Official pharmacy. It should be readily
Philippine National Drug accessible to the
Formulary, or any supplement patient/consumer.
to any of them, and (2) articles Medication Error refers to any preventable event
intended for use to diagnosis, that may cause or lead to
cure, mitigation, treatment or inappropriate medication use or
prevention of disease in man or patient’s harm, while the
animals; and (3) articles (other medication is in the control of
than food) intended to affect the the health care professional,
structure or function of the body patient, or consumer.
of man or animals; and (4) Non-prescription or over the are drugs that may be
articles intended for use as a counter drug dispensed even without an

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TERMS, ABBREVIATIONS, AND DEFINITIONS


order of a validly registered Pharmacodynamics is the response following
physician, dentist, or administration of a drug is
veterinarian in duly licensed directly related to the
drug outlets. When dispensing concentration of the drug at the
OTC drugs without a doctor’s site of its action, which is a
prescription, it is the duty of the function of the dose,
pharmacist to provide the administered.
necessary information and Pharmacoeconomics refers to the scientific discipline
direction for use of the drug that compares the value of one
product pharmaceutical drug or drug
Overdose is an intentional toxic exposure therapy to another. It is also
either in the form of a suicide defined as “the description and
attempt or as an inadvertent analysis of the costs of drug
exposure secondary to therapy to healthcare systems
intentional drug abuse. and society.”
Pallet is a transportable flat storage Pharmacokinetics is defined as the quantitative
base with or without sides, items dependent changes of
designed to hold goods and to both the plasma drug
permit handling by mechanical concentration and the total
aids such as pallet trucks and amount of drug in the body,
forklifts. following the drug’s
Peak Plasma Drug is the plasma drug administration by various
Concentration (Cmax) concentration at Tmax that routes.
relates to the intensity of the Pharmacy is the branch of pharmacology
pharmacological response. that deals with the preparation,
Piggyback Infusions re solutions or dilutions given dispensing, and proper use of
through a secondary line. This drugs.
is used to administer doses of Pharmacotherapeutics refers to the study of the uses of
IV medications such as drugs in the treatment of
potassium or antibiotics. The disease.
primary line would be the Poison is any drug, active principle or
infusion directly connected to a preparation of the same capable
solution administration set going of destroying life or seriously
to the venous access. The endangering health when
piggyback is going through applied externally to the body or
another set which tubing will be introduced internally in
connected to the injection port moderate doses.
of the main line when piggyback Poisoning refers to accidental toxic
unit is hung on an IV pole of at exposure (e.g. the case of an
least 6 inches higher than the elderly patient who misreads a
primary container drug label) or unintentional (e.g.
Pharmaceutical care means the responsible provision the case of an inquisitive toddler
of pharmaco-therapy for the or a child who gives drugs to
purpose of achieving definite another child when ‘playing
outcomes that improve or doctor’’) or unawareness of the
maintains a patient’s quality of toxic pressure (e.g. he or she is
life. It is a collaborative process the victim of an intended
that aims to prevent or identify homicide)
and solve medicinal products Prescription means a written or electronic
and health related problems. order and instruction of a validly
This is a continuous quality registered physician, dentist or
improvement process for the veterinarian for the use of a
use of medicinal products. specific drug product for a
Pharmaceutical equivalence refers to medicinal products that specific patient or animal. For
contain the same active the purpose of these Rules and
ingredient(s) in the same Regulations, the doctor’s order
dosage forms that meets the on the patient’s chart for the use
same or comparable standards. of specific drug(s) shall be
Pharmaceutical equivalence considered a prescription.
does not necessarily imply Prescription or Ethical Drugs are drugs that can only be
bioequivalence as differences in dispensed upon a written order
the excipients and/or the of a validly registered physician,
manufacturing process can lead dentist or veterinarian.
to faster or slower dissolution Quality Assurance is an investigational function
and/or absorption. involves the auditing of quality

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Laboratory \ FIRST SEMESTER

TERMS, ABBREVIATIONS, AND DEFINITIONS


control procedure and systems ADE Adverse Drug
with suggestions for changes as Events/Experiences
needed. ALOBS Allotment and Obligation Slip
STAT Orders are defined as emergency AO Administrative
medications (needed only in life Officer/Administrative Order
threatening situations) and APP Annual Procurement Plan
written by the prescribing BAC Bids and Awards Committee
physician. The physician calls a BFAD Bureau of Food and Drugs
STAT order to the attention of BHFS Bureau of Health Facilities
the nurse so it can be taken off Service
the chart immediately. BnB Botika ng Barangay
Pharmacy can fill these orders BSA Body Surface Area
in five (5) minutes or less if the
BUR Budget Utilization Review
order is called down and ready
CAA Clean Air Act
for pick up.
CBA Cost Benefit Analysis
S-3 license is a license issued by PDEA to
CBO Community-based Organization
the pharmacists who sell,
procure, acquire, deal in or with CEA Cost Effectiveness Analysis
specified (a) dangerous drugs cGMP current Good Manufacturing
preparations or (b) drug Practice
preparations, in parenteral or CHD Center for Health Development
tablet or capsule form, CHED Commission on Higher
containing Table I controlled Education
chemicals as the only active CMA Cost Minimization Analysis
medicinal ingredient or CMPS Chief, Medical Professional
containing Table I controlled Service
chemical and therapeutically COA Commission on Audit
insignificant quantities of COE Current Operating Expenses
another active medicinal COH Chief of Hospital
ingredient. It covers activities CPR Certificate of Product
granted to S1 license holders. Registration
Stock card is a stock record form that CQI Continuous Quality
provides basic information for Improvement
inventory management by CRI Cross Reference Index
recording all transactions for an CSC Civil Service Commission
item including receipts, issues, CSR Central Supply Room
orders received and stock CUA Cost Utility Analysis
losses. DD Dangerous Drugs
Therapeutic equivalence means two similar drugs have DepEd Department of Education
comparable efficacy and safety. DIS Drug Information Service
Therapeutic Index is the ratio of the dose that DO Department Order
produces toxicity to the dose
DPO Department Personnel Order
that produces critically desired
DOH Department of Health
or effective response in a
population of individuals. DR Delivery Room/Delivery Receipt
Time for Peak Plasma Drug relates to the rate constants for DTI Department of Trade and
Concentration (Tmax) systemic drug absorption and Industry
elimination. DUE Drug Utilization Evaluation
Toxicology is the study of poisons, their DUR Drug Utilization Review
actions, their detection, and the DV Disbursement Voucher
treatment of the conditions EO Executive Order
produced by them. ER Emergency Room
Wholesaler means and includes every FEFO First Expiry-First Out
person who acts as merchant, FIFO First In-First Out
broker, or agent, who sells or GAA General Appropriations Act
distributes for resale GOCC Government Owned and
pharmaceuticals, propriety Controlled Corporation
medicines or pharmaceutical HEMS Health Emergency Management
specialties. Staff
HEPA High Efficiency Particulate Air
HHRDB Health Human Resource
LIST OF ABBREVIATIONS Development Bureau
TERMS DESCRIPTION HOMIS Hospital Operations
AA Administrative Aide Management Information
ADR Adverse Drug Reaction System

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TERMS, ABBREVIATIONS, AND DEFINITIONS


ICC Infection Control Committee PTC Pharmacy and Therapeutics
ICT Infection Control Team Committee
ICU Intensive Care Unit PTR Professional Tax Receipt
ITHOMP Integrated Hospital Operations RA Republic Act
and Management Program RCATS Regional Committee on
IM Intramuscular Affiliation and Training of
IR Invoice Receipt Students
IV Intravenous RIS Requisition and Issue Slip
LFH Laminar Flow Hood RR Recovery Room
LTO License to Operate SAI Supplies Availability Inquiry
MIMS Medical Index of Medical SC Subcutaneous
Specialties SI Sales Invoice
MMD Materials Management Division SOP Standard Operating Procedures
MOA Memorandum of Agreement SPS Stock Position Sheet
MOOE Maintenance and other TPN Total Parenteral Nutrition
Operating Expenses TT Tetanus Toxoid
MSW Medical Social Worker TWG Technical Working Group
NCATS National Committee on UNICEF United Nations International
Affiliation and Training of Children Emergency Fund
Students USP United States Pharmacopeia
NCHFD National Center for Health WHO World Health Organization
Facilities Development WMR Waste Material Report
NFC National Formulary Committee
NF National Formulary
NGAS New Government Accounting COMMONLY USED ABBREVIATION IN PRESCRIPTIONS
System TERMS DESCRIPTION
NGO Non-Government Organizations aa of each
NHIP National Health Insurance ac before meals
Program a.d. right ear
NST Nutrition Support Team as left ear
OR Operating Room am morning
OTC Over-the-Counter amp ampoule
PACOP Philippine Association of au each ear
Colleges of Pharmacy bid twice a day
PAPPI Philippine Association of BP Blood Pressure
Pharmacists in Pharmaceutical BSA Body Surface Area
Inductry cap capsule
PCA Patient Controlled Analgesic dc discontinue medication
PDAF Priority Development dil dilute
Assistance Fund
disp dispense
PDEA Philippine Drug Enforcement
div divide
Agency
Dx diagnosis
PECs Precursor and Essential
g gram g gram
Chemicals
GI gastrointestinal
PES Performance Evaluation System
gr grain
PHIC Philippine Health Insurance
Corporation git drop
PITC Philippine International Trading h an hour
Corporation HCTZ hydrochlorothiazide
PNDF Philippine National Drug hs at bedtime
Formulary IU. international unit
PO Purchase Order IVP intravenous push
PPhA Philippine Pharmacists K Potassium
Association lin liniment
PPMP Project Procurement lot. lotion
Management Plan M mix
PR Purchase Request mcg microgram
PRC Professional Regulation mEq Milliequivalent
Commission mg Milligram
PS Procurement Service ml milliliter
PSHP Philippines Society of Hospital MS Morphine Sulfate
Pharmacists MTX Methotrexate
PTAHC Philippine Traditional and MVI Multivitamin
Alternative Health Care Na Sodium

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Laboratory \ FIRST SEMESTER

TERMS, ABBREVIATIONS, AND DEFINITIONS


NPO nothing by mouth (at) might night, nocte
NS Normal Saline every 4 hours every 4 hrs, 4 hourly, 4 hrly
od Right eye every 6 hours every 6 hrs, 6 hourly, 6 hrly
oint Ointment every 8 hours every 8 hrs, 8 hourly, 8 hrly
os Left eye once a week once a week and specify the
ou Each eye day in full, eg, once a week on
pm Afternoon/evening Tuesdays
po By mouth three times three times a week and specify
postop After surgery the exact days in full, e.g., three
prn When necessary/as needed times a week on Mondays,
q Every Wednesdays and Saturdays
qd Every day when required prn
qh Every hour Immediately stat
qad Every other day before food before food
qid Four times a day after food after food
SL sublingual with food with food
Sol Solution Routes of administration
Ss One-half epidural epidural
stat Immediately inhale, inhalation inhale, inhalation
supp Suppository intraarticular intraarticular
susp suspension intramuscular IM
sx Symptom intrathecal intrathecal
syr Syrup intranasal intranasal
tab Tablet intravenous IV
tbsp Tablespoonful irrigation irrigation
tid Three times a day left left
TMP-SMX Trimethoprim-sulfamethoxazole nebulised NEB
naso-gastric NG
oral PO
TERMS AND ABBREVIATIONS percutaneous enteral PEG
gastrostomy
• Objectives per vagina PV
o In order to promote patient safety through clear and
per rectum PR
unambiguous prescribing of medicines, this topic establishes
peripherally inserted central PICC
the following:
catheter
o principles for consistent prescribing terminology
a set of approved terms and acceptable abbreviations night right
a list of error-prone abbreviations, symbols and dose designations that subcutaneous subcut
have a history of causing error and must be avoided Sublingual subling
o knowledge on hospital formulary topical topical
Units of Measure and Concentrations
PRINCIPLES FOR CONSISTENT PRESCRIBING grarm(s) g
TERMINOLOGY International unit(s) International unitis)
Unit(s) Unit(s)
1. Use plain English - avoid jargon.
litre(s) L
2. Write in full - avoid using abbreviations wherever possible,
milligram(s) mg
including Latin abbreviations.
3. Print all text - especially drug names. milliliters) mL
4. Use generic drug names. Microgram(s) microgram, microg
5. Write drug names in full. percentage %
6. Do not use chemical names/symbols. millimole mmol
7. Dose - Use words or Hindu-Arabic numbers, metric system, do not Dose Forms
use trailing zeros capsule cap
8. Avoid fractions cream cream
9. Do not use symbols ear drops ear drops
10. Avoid acronyms or abbreviations for medical terms and procedure ear ointment ear ointment
names on orders or prescriptions eye drops eye drops
eye ointment Eye ointment
injection Inj
ACCEPTABLE TERMS AND ABBREVIATIONS metered dose inhaler metered dose inhaler, inhaler,
Intended Meaning Acceptable terms or MDI
abbreviation moisture mixture
Dose Frequency or Timing ointment ointment, oint
(in the) morning morning, mane pessary Press
(at) midday midday power Powder

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TERMS, ABBREVIATIONS, AND DEFINITIONS


suppository Supp • is a method whereby the medical staff of a hospital with the help
tablet tablet, tab of pharmacy and therapeutic committee selects and evaluates medical
Patent controlled analgesia PCA agents and their dosage forms which are considered to be most useful
in the patient care.

ERROR-PRONE ABBREVIATIONS, SYMBOLS AND DOSE PREPARATION OF HOSPITAL FORMULARY


1. Introductory information:
DESIGNATIONS TO BE AVOIDED
o Acknowledgement
Error-prone Abbreviation Intended Meaning o List of abbreviations
ua. mcg or ug microgram o Intended usage of the formulary manual.
BID or bid Twice daily 2. Basic information of the drug:
BT or bt Bedtime o Generic name
cc Cubic centimeters o Dosage form
D/C Discharge or discontinue o Strength Indications
e or E Ear or eye o Pharmacological action
gtt or gutte Drops o Precautions
HS Half-strength o Side effects
Hs At bedtime, hours of sleep o Frequency Instructions
IJ Injection o Drug interactions.
IN Intranasal 3. Supplementary information on each drug:
IT Intrathecal o Price Regulatory category
IU International units o Storage guidelines
IVI Intravenous injection o Patient counseling information
o Brand names
M morning
4. Prescribing and dispensing guidelines:
N Night
o Principles of prescription writing Name and address of the
Oc or Occ Eye ointment patient
Mist Mixture o Prescribed drug should be written in formulary terminology
o.d. or OD Once daily o strength of prescribed medication must be given in accepted
Qd or QD Every day metric system
pulv Powder o Correct dispending guidelines. Prevention and reporting of
Qhs Nightly at bedtime ADRs
Qh Every hour 5. General drug use advice:
qod or QOD Every other day o Use of IV additives. Prescribing in special situations
Q6PM etc Every evening at 6 pm o Poisoning and antidotes
SC Subcutaneous 6. Other components:
SL or S/L Sublingual o Formulas for various diagnostic stains
Ss Sliding scale (insulin) or half o Diagnostic aids
(apothecary) o Table of common Lab-values
SSRI or SSI Sliding scale regular insulin o Posological tables
Or sliding scale insulin o Index of the drugs included in the formulary Metric units indexes
TID Three times a day (by generic name, brand name, therapeutic category)
TIW Three times a week
i/D One daily REFERENCES
6/24 Every six hours
PHA6129 Lab Files:
1/7 For one day
½ Half - HOSPITAL-PHARMACY-ABBREVIATIONS-
I, ii, iii, iv (Roman numerals) 1,2,3,4 etc PNF8thED.pdf
Trailing zero after decimal 1 mg - HOSPITAL-PHARMACY-DEFINITIONS-AND-
point (eg. 1.0mg) ABBREVIATIONS-DOH-HOSPPHAR-MANAGEMENT-
No leading zero before a 0.5 mg MANUAL-2012-1
decimal point (eg. 5mg) - 01 Terms and Abbreviation Discussion-2.pdf
Large doses without properly 100, 000 units
places commas (eg. 1, 000, 000 untis
100000units, 1000000 units)
106 etc One million

HOSPITAL FORMULARY
• is a continuously revised compilation of pharmaceuticals
including important ancillary information that reflects the current clinical
judgement of the medical staff.

HOSPITAL FORMULARY SYSTEM

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