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Ehapter -1 Page No.-

-2Dhug dihibuliansn in ahospilaea


dhe bhyaital ions4 dufam
du

a
Itii
sloxagearain he hoshilal s Jthe

m
batients bedsiie

ar
Mhods odiug_disibution or
Ph in lalien
inpatin
duugoY
hea ousulems o ovdey Jym
dis penaing
undiyicluolrediption
LCompleteloAY,Slorh uslem
Combination_on &
mehod
) he Lnit dose
l

oxder slem
el

úndivicual bitsLIplionihep lfon


h_pbysition ls
mlien who, obtonndiuy- Om-
ndividagl by
any medlicolloy O)has hlal disensa
w

ng OLon_Lhayqri
re

antogs
ThoYides lhe inlxalion.o bhamauiat-
dociox,nuxiand hebiint.
dicaiian grder.s a dily
xeviuOLd
Ca

þhaymaÍsls

UHComplede log slochyilem.


nusing sialion_
Uaugs
Dsugs aIL lodaTihe
adminileyudbyo nuxs acondinq
ard
ad e
ohethr 0dtr oRe phyŠLan..

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Only Lom.monly tulecd druqsal slaped onthe

a
uanloas

m
Rdud
Mnimy m
in-lind OAipiion
Yiun_ of clu
ors
h dug a adily euailable ox acdminiilhalbmn
The dou

ar
l Ph
el

iLaalosiach du hgi mditalion lhaiou


D
Onhe nuYsing Slalion
t chaxud lo the aliint
at
aLLount
all time.
w
re

on-Chayaeoo loo och dugsihose medi.alio


haT o šlorhtd a1 th nuxiing sdalfon o
uxoal bolienis in the toad
on dhe bmienTalounl
odlxit charq
Ca

L3ombinalion oindliicdua cplfan_ondI suslim


Anc Comblelé loo iara sultm.-

he Lombinaiion sulems most_omm on ly used In


hospidalnouw dayand ia_madiiedo inlfdc the

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ust ounT dose Lmchc.alinoa OY MidiLalfon


LLpiion
incivicluq

a
uehe
oicrylim 0s Pimay mtanA dasonin
dtsptnsing
limitcdlooslocs

m
UHR

)nit bieSusitm.
medicetion
uhiuh a oudrd pathagd"

ar
-Tha haxqtcl in
handtd, adminaltnd_and
mullible singe daeUnii
pbly uCLentor ont Lqular do
Ph
aobleaioh o us
Handoas
poatien bhaymactuiial stviLe housz
utiye
he only dugs uuhith
l
aQreday and ae_haxg.edo
adminisied obim. tquiTtd
el

H dosJtS medizaion
lhe at
nune.
nuxsingstalign_whiuh_qlloos he
morelme. oy dirut balient taJ.
w

moreime medicatian e 07 allow bhamatiaj


lo sedue oHLml, Oa-
hua moye
do_chch_ o
toby ebhysilan o boiesslonal
re

promoi
n uiliadion
dnd non_Pio-RssionalDisonntl
ni Dose Dispensing {yatdux.
Ca

one cohich onlains


Single uni paLhat om.
on omplee.phaxtmlleulipal, dosa4 bhaima y
and aslondn qCtnaoiud
anck_also_dihenstd_gf h imt.

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Date
Cr liy
ashoule_bavt uno1m hdule or

a
he _hau
haiging o dxuas Hn_quijaole. ,

m
du aulg pcharasd qllcale4oifis
AEnlandifshoufd_he tp imind
polehaupial he nanialinluui1s

ar
hesbolkctes lon b (ale'goxsed under ifueiq
Syslemsfhe
AL ndusive o D aleial Ph xale
Chasas abau250 paient qesludied
hiY o saq
daily_cha4esodYu(s_and
bharmaLedital suiLes is taleulalee.
12) A Dot -incluive
l
ol.
el

gLY aiL mde oY dYugnaon ihe


w

3 Iheo-tsicna lee tonht.


re

Ihe eclusivepoessional telo metiall


opLiqtin4
xpensysincluding and OVLThEoc
tom.enseon but
dsug Gnd (on tainer
he s
aclal_Losto4
Ca

Bstah -tven_point
itu
sANal analsi
as Th
o0uplume
plume elalionh
1tlaoliond
s deljined
isdeljintd0s Ihe l ot whith shex is
ncithiyao OYOSS

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a
Cat-plu rale slm

m
Tt helps in adjuiment Lost luciuaion.
&Hexene
alyh
Ín_uxnLyNalut ingnlia quiemen

ar
ofasantas dod aipialondpalitnis
The Rot Apd
Ph
In his biot s faleulaled, ino bike la th
pen DsesCpiion
otient by d
l
el

Combutaized icin-
w

sovid Compuloraedonlinephaxmaryiinq-
1
ollooing inoYmaifon_i
re

-alient Mump Mumbey


Kug ideniiiralion

Tobl Dumbey o doses dispensed.


Ca

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Labelig |

the Lonuhtl

a
hbashilaphoxmoaythe
In haupilal bxLDAt
Oqng lhsall oltolai

m
he disphy
hospilals
PL
In-Osmolion_
on
abot_aiodui iisal nokntpat laaing
hebxodu
caxya label dh

ar
ahpataaggshould
ddpilad oxmolion.-
mxp bblingmmypxOidle insu |
10-0Y malion_on he&hL
Ph
Th batein o labul is as undtx
LNamet
2bsag Josm
3Sunq6
l
5.py alt
b.SpeLiat Diuon,iuquird.
el

DName hnomt 6
o fltnin sulB
dushaulde
a oayhat
be
tshauld
w

be egibla Ond Domineni


osaq0mhe he dosa4 oimands 'SOue
re

odminis aiion sould'appeadon labul


sbe nedlon In).
Shelh: Slunaih_a dng- sould be aian-
in mi sustm and whole Mumbeiu
Ca

l.h numbry
I t Shoulebu OsiHen alonq-
toiihmanulacluxu hom and, ad^uss
apiy doi h mdshlL
aluo b
shauld
menlioned on h
u lab
Sial disedilion Dedose us
6
iheshahe el
Jox uleanalue_ônly Nol hhdtt-

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huld be LO1len sDeial mlas on he label.

a
DRspenuing o unao Nmbalatosy oiuni

m
Ambulatoy,ienls ase hose sho hot ouuping
bids inhospital but ulfle

ar
h haupiial
h bulaios nlinl41 lhtmeluz 1eq1s a
he 4aifon cdunlu o hat hocbial
Ph
h oiOuslipA inslued n crs þinsing ou

nih a
he uaslalion, iht alunts a disd.d
iitulay d.balmen
hgbhysicdon iagoisihe
distasC u
l
A ion_alsihtin mdicalfon schdule-
alit odue lhe same pKsplion
el

bso
h pN Iuist
4hanuLitshoula alaz y N_aLauiion la
w

ninalt er01A
n a Dhasma eeds_any layialon_aboul
h plionhe houldenlathbe
re

Dhutrian lhouth noialeda p heblonl


he inasedu
insini 4u
h be tOunleg
o b oaxd_a lahll
Ca

bnlain#z And
n
healionSo hr
hSome on D nduc sd Dy him dlunMa

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Dato
heme)qtIxy(aStS_O h
ne imrdialoly

a
m
DOEmes4.tnL_OutpalLentApuan4LEn
Cstnsin p_emes4AntyB öxaLLHeni
taxeoYcondRan whiLh Oi Ieal_AY

ar
Lase
Dse BeclNec RmLxgen

DIKima lareAIN he_al inis alher hon


Ph
eme1gineiesoho iepart didly d
he oPDI imjoslLAYL
Relxal (ilenL d an of0
Dy hiallending medialLdenial aLlnionez
1one
Aoshetii 0qnacli Hxealment procedun.
l
el
w
re
Ca

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Doptmaing of Conalled ug Date

laatmpial ospitalsdanqxQus diyg lihe im n

a
aoYDhine nd6lhidne
dui JaioupupasloLonhoon h

m
Y
Led diug Kycholsbi
Mantoiis and
Lugahes and suchb_
sudahs
ase
Ht,195 0asaed
sthdule X_o u
tnitd in

ar
Subs 19uo.
ghd losmeii Hd mainlained_
StaxalYeqisisYLgis lth_shouldbebxoeduie
Ho eod ihem_and a(onialled
iUed issueo Ph ec
secdtue dhes ciugs.

-Medialsaheailend.erit OVTalubonsible
nonlihy ofconlolled diy4.
-hig bhamaT Ou Cnd
ubonsihle. or psopedibensin odug
l

=huplion o1 Mantol dzu4s hut lude


el

hebsoDE injoymalionR
lalblam
w

Hddxes
Dale
me
uon
and s h olhe dxua.
re

Co
ignalux o pKesibe x..
Douie o admi DLSSAalon
Ca

o
heMiplion giud qned
Medaa. by
ariliona (olalsoohatmithe palini
Duxchaspsug om_oulaid_phaima-
tan Nosol-diugs1om dh mma=

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Date
- Chaxats 0
NChasats nuntoli_and o Kycht bshi_u
depetds uon aheliy ial

a
Muurs on duly lounphusitallnaxoliz
nuxihgSdolion ta ihe
the KLLOd
Lhta

m
Nuasashould almaya minlain a_abey
Neloxg in tace dEoasidgeLlonlamLna 1n

ar
l Ph
el
w
re
Ca

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Ch-2 HOSPITAL FORMULARYY Page No.-

Haspitalomula Date

a
Dine HaspilaomulaiyDib ithLs &
Ane delelion rug
Hohlight ddiion
o hospilal omulay-

m
Ihe hoprtalpmulaxy, ,a lit
he olphaymoituliial

ar
aqistoiih 1t impbkiant, inDrmalion hith
he uINi_inital
mécicalStat
vieuos ohe
The hospiiaomulaiy sylen AsKlsin poLuYLng
Ph
pxesLibingdiDEnsingAnd adminNeXLnga diug_
und hAir _non-psiiary a J
opielay-
nomeSLbhent drugs have olh_ nmms
he main sponiBi y 6 ao maing muLal
iobhgimacyOndhea.þruilie(ommil.e
he tommifeeoha
l

CIlain__dxug and he
dion_about inulusion o-
bharaLit OA he
el

es bonsinild rLompulaliony oprodul_aind


Ce
w

INed o toxital amulaip


re

-he inuLa ing numbe 6 nw diugs mdnudacluid


And maplud by dug om.bani
he
Core
publicin qating passbla halth
ai lodet DossibleLos
Ca

phay maLeulital induxtly


IEasingLOmblexi U
unlouaxd
modin modainslent druas

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Admiage

a
gives mediLine in.oxma tian io sident
sta buxes ang. udene

m
imbxovhe4uality0SuYgnl@ and-
aRASLe_dis pen
n
eduush inyandony Cos ahedzug

ar
tumavLs the naliond Lombinations o

impovA adurxse dug XLaLion__managemeni

Conlen o
Ph
osmulas
Ihoain dbitiue osmuloy la
subly uselul inloxmalfonda iheu_bisCribes
od o_tonsol he ue o dxuqs.
l
el

Yplion toing an imposdani ition


omulaay th i an invaluable ad
e4usdoclos,
w

The imposlanit- insuelion ox sLiplfon


LOiHingart aslloas
re

Yupilon Should b Otenneailyand


Llailyolh xelevant_ inoxmalion ih
La)bme,aa t oheatin
Ca

dName ocuqs
Le
Liono paiitni in tle ar emJ.
Repo
Rebal lionoie Lleainstucio-
ovoiddispensng Rio

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L4 IeLiplion oniain nazoli suthalopi


h.baxaiibn muat þe ined byht

a
prLiber

m
imaIy odituiiv a
Inoamalian odauq produit approved by

ar
Hheapeuil
PTand ovide asiL
n4oYmation
iis n_oY mulaxy
nai o nam& Ph
basiL druq
Lommo.h, names &brand hamtj
hsaaoOxmsenathachaqing
-Keule administiadfon
Cost
l

bInd he_ hua sodut liiting-


el

Gtne name bídnd name


htnapeutit o þharmaLblbqita indtu.
w

Z||bloxmalion _an Hospilal folicis


polikis
ih
and hnoctdureqovening he
re

Laoous bolas and pxoLtduse ait amed


dxug ulggeOnd ex1ion on diugui
bnit ducuuon TC includin memberahf
Ca

onsibifnlisi_on
Onbimotion hospual tqulolion goveininf-

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3.peig Jno.noal ion 3axdingCiugdosage
chedulehes ialApsoye

a
abbxeuiaiion- and sheuia inamalion_abou

m
dxua-

ar
Hos
Oemiation_ bilal 01mulany and
Druq lüt
ox mulaiy Ph Urug lit
1 e hamotouoed qeneriL hamil olloued
onhydala
orm onsenth
binj6xmaliorn
gikoxmposalka
Hoxralo
l
2.blahed in LOnuenitniSine 0i4
el

S12e

3 aDadn loally s ehaeD (ouniyouuia


lina clinitian, pbav maaloqisl
w

tnd bhaxmaclsis
re

adion_or deleiion af|Hddition LOI deltiion o drug


dug toth qraler oth lase xqutníy-
tuenL
Ca

malion_prouided kcp ihei


5.ner?n_altorcdanse pharnaLoloqiea
s _toilhproperiits.
bal neds deSie

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Page No.

avanion_ad Kevision o omulary Dato

or delelon a aq-

a
drtten

m
daugpsocdluctlo bt manuaclund ba
The
nseatOmbany,1h lh a4oo.c 1coid
geIle Yom.poslion_uol_pe

ar
6bxEDaralion
Cons ide
he daugso ablsheddhr,peui liay
Con Ony addrd o heomulaiy
Ph
Subfp dhyg musf _be
he bhashacoloeia _iljona oxmulan esni i h
ht
he ubeclre di uq_bxpdu should uccie
habbxouall
hitoIicoualucDyne
local, eiolebhySicians tanonly
l
he byepaytion_ ot Ånouon tom bson
el

be add.d OimulaIY
esalbe
mullpleingdient
gdmi Hed
h Same herrpeulic
ingseciim
by ihe useDSingt
w

ahived.
DxeDAIalion
re
Ca

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Ch-3 THERAPEUTIC DRUG MONITORING PageNo.

Mine hexaptuiit dg moni oing TOL


the he vaaiouao Lonside Yed
TOD and hiqhljght he uxet

a
enanio În Indi* tToD

m
hSIhembruli dhuy onitoxing isuling ihat_
he dmoun o
measurL
H
Glain mtitins
in your bload ain

ar
dugs Lth _a nayothera jeuli uoicou
T done 0_mlle the amountl
SuL
mtcliine 0dYealaing boihsale.
Ph
oodeftet.
ox Om o lh useeulher mut be
eladions _blus dpse, blaumd or bloadcdug
cdug
Lonueniiation and phaymáLody namic
e
l
The Tom_Koss
el

Deciion lo sequut drug lev

Biologital samble-
w

lhe eaquesl
re

Laboxalo1y measuTLmenT

Rasult ammunitalion by laboalo


Ca

inital inlexbxelalion.

lhaxabuuiL manaqement.

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Q5laining maxímum beuneia ouflome a.


diug
herabybabbadpialedosing_ol

a
2.ovdirg meciical gdvoniog Dtduting h
chaneodaug loi Nbe diseseSlalo.

m
3.onioringo olhuior
nleni' haxactyislizg,dug inttaLfons.
nliYalians.
h ord lo iduet palitnWaxiabii

ar
4.iavicding- onuenLtnLe lo hJ
elonami
aliiniby byshoxlening4- ihei ospital lau.
Ph
aclos do be considrd uiny DM

0bsogt tqinendualíon_odu harapt


lafdosoq
l
C0sag_and uohen he
el

Hlive meiabalileImipnamine is bio:hdinsomtd


he aciivo me iabolkla dsiprumin.
1E{eit o digeaststales- live dizase & onqustiu
w

LAxdiac lailur
4 e osalsa n popaholbl
dug moniloxinq hium,
re

henloin dr alau plilin


Ee
eo44 bghant phenuoin And þhenoboa
bilont-
Ca

He diu mani1
MLdiine_ox samblinqio- 0M resuli
in ompaiible 6ih_daug cidminisitilian

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Date

Teconcheboasibilisoamedicalan
dexd Oy
Samping Y1Orshould be_oní
lein binding ordug tohiih ae_

a
Alderd
stongla bound o þlaumabsoleins
eduued albumin ltvlLmy

m
Chenyioin
highe _ton 0 unbound druyde
druea.
Kesa in

ar
Indian scemio o DM

ID0 a
Ph
inlsodued in_idlia in mid 192o,
or41040h
an years hoveSun
laL 20 ualtd
iill
no qaldioYy 4uidtlines
in indian haspidl.
dinicalhormaPacchlante O4 nliremedital
Nud Supboiand osson
,
l

Cnd and tommuni1y btnith' hi


el

haum couxseinilodued by
Lonsiuctivecollaboialion
should
he individualphaymausT ALudemi leadex
eadex
blu
blu
w

Adminislhalion 0 and
ainingand
Ond huilal
oimulaiion blus he uaulous
re

HLE'DEAenns in drug may 1ult in


b1andio dheamc
siqnifizant'varialion in bio auaabilily
Ca

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NpSliLaltansoTOMn_

a
a and
quiiemeni and

m
batients dose
lo_se.dit medkalion(ombliane_
SS dosingRqLMN
abb1obriatc.nAsKados
oasstss the minimunm ton Yecurod

ar
amainlain, he
txhibii ioy þexiod nmded_lo,
lo minimni He lime
dosage 4dumeni and a asstss he
Ph
lo dedily boisons he
severi oisonin4 n nlmkIqeny_hi
l
el
w
re
Ca

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Ch-6 COMMUNITY PHARMACY MANAGEMENT Page No0. -
led nöle Oh 1um
0dea maydtlaï
Dato

phax hcacem.tni.

a
Cammuniiypno macymanqemtnt_inpitAem_
aciues inuold in he O1gant2alan

m
all
and diuiRon,
ancd gtiling-peoble hea o
acomblih_dad qootdnd ohjli
phaimaY_enleisers

ar
inahtiol nmanagemenf

ST up_a ntw Communiy


Hinoninq isyequi ed
Ph
phomaLyIn order ls mainiain he
bhamaly
a mtdiuinet
he exenies
- Hmjor
sioch ind(oueY

maleing
bailt
ehcitnt
athievinghis abjecive
uiL o inancial yaIoLr-
is

mauan inebil0xiel_a YscYÝblipn


l
ha mn bytitii dugslhey- mulinuai
el

and
and buyinyeh oii.
Cash 4inancial sOuY 8
unpaaoinar
w

buchau land building, machineiy0nd


re

guipmtn].
pubuYhasee Als malexialpnd olhe maleial.
stach Ondsupbly
hain tain and
aSalat,lnqts
roclucs
and
xc
inctnla chaxgg
Ca

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Adouniing an inanial |lanag.emenI

a
sbetialtoanguageAsed oy
Jndi
Ncibuntingia
a

m
Commuh taling
inancialindorhai h
Ahiouah
tommumilalécdhiough
inoxmaiionis
hanfgl stalment

ar
inloxmaiion
nanctalL dalemtni piouIde
maaS and hey belies asseSh
dsion npliaiion ap uazious deifon
inantia
MuS
_ Mah Ph
ue hiinoxmdlioh a
ihey
ion mkt
ilyard tHeLiwly angqehei
ONGahiSafianL

aal manaqemen.
l

a0oxcinaiing
el

onaollng
blanninadienqonoll ing
amalerialond he
toaxdipaifnghehiulis
ikuniony1quixe
Conurned
mens
th
w

Siochig-
E|Cading
re

Ooubing he dugslox should hgue equlid-


spot oYoag dug ALth_
Ca

peiabiingahiingNenilton Ymalure
Masehah lola he Lapilal o an
enlaprise is inkied n n jaits

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Date U

une on_os1oclhi
malexials.
utulay suplyxgannalion
iablüh
ovide sevfe a the n_mos

a
RLOnomi
oiem
hobeidtniation oond ks0caion

m
utikialfoh oreaL
Eien
hyaicalSioching 0nd ithelaing maleaia.
MndYing and Spetdy MuLo

ar
Kwing slor a4ainJt dama4
Kecn_ogoodJ in
Slobing0 in_dug slone
Ph
manu.laLlu
HoXding dodo_bhahacalog1Lcal
HLoydin
adion
-Nibhobeiieal ojde
per old sdoca_and dole oupiy-
l
el

LoLalion eaedlores
Should_be af hlate
The ocalion ouiores
w

Lohere minimum mouemenfty


ani poroiio
H hey sonly Single plant
obe_bh
a
re

Y mony planLSualedto
hen i coble hauonesnlalis
1

sne lhat serbes alloduLiionabeyalions


Ca

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Page No..
Date

Oairgal Lodltunlion

a
ihe DOLRSSo igniny (ocde
he o

m
bay
humbrr Oy CodL Jg bo
maleria _pr RaIy URAenRralfan

ar
unnlag
dthiiAian otn
Jhelbs n eapMtitalcoliniin
hlbshbsin gaoupingheSIhiak jdtm lsg
Ph L
in
htlbs
esinhsheien o h malnaay
dupliLalan o lt
Jhelb. în avdiding
l
Meihads eLodiicalior
el

AphabaLaoxdey
nenopiL memd
.
methodlHuode
w

lumpto mehodLsequente suslenm


LomDinalronmthod_-
Locaion (oding-H
re

Jiud otaon
Randoxnocalion
Zona localion
Ca

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Dato
SRequïremernts-
Themin heJla,ng
spiimum
puzþpse
uifli20fo
is o o

a
ensuxedhe rouide
numah,
JOLalSali talion. o he

m
Der onal and
mploy
ng

ar
Umpoxlanee
up_q healb oghi2alfon
la helbg o
bull Beroyman ad
inohi hejob Ph
mp.loye Lan
Lan be
De
Saiisadion o Ve
he ganizalon
SingpouidesH inlo iqhT peason
in &ucling heoiqanizalion
Eploeesi
l
mas aluable asset ool an 0zqaniLaiion.
el

n asuciuse tquiYmeni.
mthoad
w

Spae layout blani layout


nd anc tquiminis varioLu ia
allocaiinmachine obexoalons in
produlio%_þiogus lo Deoxm Vaious
re

LonVtnitnt_ manner Yavicling-


be mo kient
ad
Loulbut o hiahqualy- and minimum (osi
Ca

1Slulion_o PharmaLy localian.

-The sile aailable mut b most Sadableone


Quailable in ihe i
Si ohe bhaimuyshould be at the (unia
Hh_populadion do
be ensure
suved lo anc alctssibildy

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Page No.
Date

onVenitnc

a
Hacor do ConiTdeY_

m
alaiion Chaxa idiisSuth as obulalion
S12 A100ih Yale
QU Oioninc hCom

ar
dislxibuYionpyuCiblion byingoLed
hasitianaaikbillasuch d humbrad upu
phySiuan
inúnting
O Suh_0s
Ph IqulYumtni a AOUiLL 6
und
2.a mists
Neat lean enuiomeni ap
nRad bu t and oiih su tnj sloxuge
aa
l
onnin4 moin jainecLodh S
Lasila iden H.ied bq ihe public
el

3.ui iui and lu


-ll_plaud shelsies ostosaat omdiinel
w

om oiluxeheoad1ih
Lthl unniu hed toansling aaolh able,Lho
re

- eige1ol6xSioxqge auil
quipmen eponted n schdule NA DLai
Ca

Compufer ànd Sotrop


Lunselliny oom tauipped oh neuence maltuio
ChabhKa mlib, alutomltthamomle1
Sleihaope alu..

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Ch5 PATIENT MEDICATION HISTORY INTERVIEW
Das.cribe paiien) mtdialion hisloy oLPate
ilesVrtO.
mtdicalion hulosyinlenitus

a
Haitni

m
Amedigalian biloKy ia drloiled ,aurale
anc omblal auOuni all Dauhed and
mtdicaiion.
tonxLbed comblele înloimaiion_apout Oalint

ar
xtuide piio
medicintshat ad aauh 'oy is uLIenilyahing
Nedox ox alint Ph Medizadfon Inleuius
Ihe aim_o mediLalion huloiynleuieu egaYclnq
dug use haf ay asit iouEY ala oV
ailn
A gaod medizaiion huloryshould entom_p0ss ll
l
Ladunlycind etnilyarbrcl, 1Ouudgs
el

aduia duq 3Laciioh includingDyprrin1iuiy


qiadion, an ou) iheLaunl Yniditalion U
=hinlotmaion qalhend (an bL utilh td
oth las
lo NEY mecicolinn hilory alan byYahu
w

od oice aqdilfonal ianailion


or SLtning odug ininautions,
appaopaiat
re

Ass3 aiini mditaiionomliant


o
ox
xamin ihentds o einors
mecdiraifon ddu_
vniingbusLaiblion and (onsequen t
Lac
hatkrn
Ca

A ullmdfzalfon hisdory idaniiaeni


heds ond ixplosha poinispruptuiiva o
llness and ii xatment

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(Date
atn Medicatfon ineILL om-

a
PATIENT MEDICATION HISTORY INTERVIEW FORM

m
Date:

NAME:T Birthdate

Last First MI

ar
Age: Sex: OF OM

|How did you hear about this clinic?

Describe briefly your present


Ph
symptoms:

Please list the names of other practitioners you have seen for this
l
problem:
el

Psychiatric Hospitalizations (include where,when, & for what


w

reason):
re

Have you ever had ECT? Have you had psychotherapy?

CURRENT MEDICATIONS
Ca

Drug allergies: ONo OYes To


Please list any medications that you are now taking. Include non-prescription medications &
vitamins or supplements:

Name of drug Dose (include strength & number of pills per day) How long
have you been taking this?

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a
m
PERSONAL HISTORY

Were there problems with your

ar
birth? (specify)

Where were your born &


raised?

What is your highest


education? degree
Ph
UHigh school USome college UCollege graduate UAdvance

Marital status: O Never maried OMarried ODivorced Separated


|
Widowed O
Partneredsgnificant other
l
What is your current or past occupation
el

Are you currently working?: Yes Hours/week- if not, are you retired disa
No sick leave?
w

Do you receive disability or SSI? Yes U No Ifyes, for what disability & how long?
re

Have you ever had legal problems? (specify

elgion.
Ca

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Ch-4 MEDICATION ADHERENCE Page No.

ophaxmacitin

a
Medfradion odheyentt deined by the uold heo lih
Osgani2alionasthe dtgiee oohith lhe

m
beson'sbe hov.our OYponds ih_lhe a4to
elonmtdalfonsom a healih_taiebiotder.

ar
The poatirnt (bn.lomantL ailbh_he povidu?
TRLOmmLndatian_toth 1espe o ming _do.sa.ge
Lancd rqutnty O mediçalion hhing duii
Hhe hACTibed lenglh Ph oim
aatoa ihat diming he hapeulft
su engso.m
tomein illneas
in apaiiuni
hxonic diseast.
l

Causes aMed icaiion Mn odhexent


el

LO -ltonomiL
Lach o amily d sorial supoy_
Laab a nahtia
w

YRsoLILLS
usy o ichedules
-Hfok osomtdicaiion.
re

Hth tave suam Ylatecd._


Ralaonshih doctor -otisnt.
Yoa
mediationciabion.
huapy laled.
Ca

LAmblnuly o medital_xtaimensdusaioh s waimens.


Lach
inereuS oihlesil.
mmdiale bnt
o
ihenaby and ealment_
COndiion ulal
-S mplom.a.

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|Page No.
Date N
Pntulal
Lahoo noiiualion,appiuhenaian_abauowihle

a
Lagh
advust side eis

m
Sxssanxily
m ainminiuth asuiaual,hiaiingad
anc iualloaine pxoblem
Cong hiliuE inpalr mint

ar
haimaLidaKole in med icoalon adherena.
har ma.iii tan Ph îmbiOMe medicalion odherece
baeheyan tan_aclually shatlhe _medicalion
thoiniand And yelae any in.lannmalion to_
Hh mtdicajion lf
-Edurade oin
P
hgovding _mecicalion adberenta
Aphax matii ton sduize to -þeLibus _on ik
l
simblilicaion 6 dug segimensandigntns
G acozs ohih mdy ton bui ioLoaYds
el

medicaion on adheentt
phavmouist tan_atshe mitil' hnounledat
ohedrug heapy anc ua
meditalian
w
re
Ca

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Shaieaits t imove ihe pharmacist-boT


lalonuhip.
andabb1oauhablo the bite

a
-Beitndlu
-move_¢bmmuniLalion_shill

m
nprouingbaleni tducolion
_explanalfon
-4ive cley undsianding
balnL
h-Chech heheaide tHe_ mens

ar
bnor he huopuli eqi
Simb
Samlanguagopolien
-Shahe
Danilar the hneiia
ec
Ph
1nadminidiscaiion
Invwlu mtni iiini
l
el
w
re
Ca

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