Hospital Formulary Overview

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Questions and Answers

Which class of drugs is primarily used to manage urinary bladder atony?

Prokinetics

Cholinergic Stimulants (correct)

Direct Smooth Muscle Relaxants

Anti-emetics

What is the primary action of proton pump inhibitors?

Inhibit gastric acid secretion (correct)

Increase gastric motility

Neutralize stomach acid

Enhance bile acid production

Which type of drug is primarily used to promote bowel movements?

Anti-flatulent

Cytoprotectors

H2 Antagonists

Laxative/Cathartics (correct)

What kind of agents are included in the 'Diagnostic Agents' category?

Radio contrast media Signup and view all the answers

Which of the following is classified as an anti-emetic?

Anti-cholinergics Signup and view all the answers

Prokinetic drugs are primarily indicated for which condition?

Gastroesophageal reflux disease (GERD) Signup and view all the answers

Which type of hormone is included under the category of adrenal corticosteroids?

Mineralocorticoids Signup and view all the answers

Which agents are primarily utilized as vasoconstrictors in ophthalmological preparations?

Myidriatics Signup and view all the answers

What is the maximum recommended dosage of Aspirin for anti-platelet therapy?

40-80 mg/day Signup and view all the answers

Which preparation of Ascorbic Acid is available as an effervescent tablet?

1 g effervescent tablet Signup and view all the answers

What is one of the precautions for using Aspirin in children below 12 years of age?

Associated with Reye Syndrome Signup and view all the answers

What is the oral dosage range for Aspirin when used for rheumatoid arthritis?

3-6 g/day in divided doses Signup and view all the answers

Which of the following is NOT a recommended precaution for Aspirin usage?

Safe for patients with gastric ulcers Signup and view all the answers

Which class of drugs is not classified under antibacterials?

Antifungals Signup and view all the answers

What type of agents are included under cardio-active agents?

Inotropic Agents Signup and view all the answers

Which drug is commonly used as an anti-malarial?

Anti-protozoals Signup and view all the answers

Which of the following is an example of a drug class that acts as an antihypertensive?

Beta Adrenoceptor Blockers Signup and view all the answers

In which category would you find drugs used for allergies?

Antihistamines Signup and view all the answers

Which of these classes includes drugs that suppress the immune system?

Cytotoxic Agents Signup and view all the answers

Which of the following is classified under drugs affecting the blood?

Anti-coagulants Signup and view all the answers

Which category includes drugs specifically used for the treatment of tuberculosis?

Anti-Tuberculosis Drugs Signup and view all the answers

What are the three main parts of the formulary?

Information on hospital policies, drug products listing, special information Signup and view all the answers

Which of the following items is NOT typically included in the Information on Hospital Policies and Procedures Concerning Drugs?

Marketing strategies for drugs Signup and view all the answers

How are formulary item entries commonly arranged?

Alphabetically by generic name with synonyms Signup and view all the answers

What is the heart of the formulary comprised of?

Drug product listings with detailed entries Signup and view all the answers

Which of the following is NOT a criterion for the admission or deletion of drugs in the formulary?

Drugs can only be from major pharmaceutical companies Signup and view all the answers

What type of information might be found in the Special Information section of a formulary?

List of hospital-approved abbreviations and antidote charts Signup and view all the answers

Which of the following criteria must a drug meet for inclusion in the formulary regarding its manufacturer?

Manufacturers must have recognized integrity and support research Signup and view all the answers

What is a key guideline concerning drug preparations for formulary admission?

Drugs with similar therapeutic values must use single entities Signup and view all the answers

What is the purpose of a hospital formulary?

To provide guidance on the most useful drug entities for patient care Signup and view all the answers

Which of the following factors has increased the need for hospital formularies?

The rise of competitive pricing tactics from pharmaceutical companies Signup and view all the answers

Which of the following is NOT part of the content provided by a hospital formulary?

Advertising materials from pharmaceutical companies Signup and view all the answers

Who is primarily responsible for evaluating and selecting drug products in a hospital formulary system?

The medical staff through the pharmacy and therapeutics committee Signup and view all the answers

What type of information is typically included in a drug dosing monograph from a formulary?

Detailed dosage guidelines and considerations for the drug Signup and view all the answers

What is a key characteristic of a formulary?

It is continually revised to reflect clinical judgment Signup and view all the answers

Which of the following best describes the term 'hospital formulary system'?

A process involving evaluation and selection of useful drug entities by medical staff Signup and view all the answers

How does the formulary assist in controlling drug costs in hospitals?

Through the selective approval of the most effective and economical drugs Signup and view all the answers

Study Notes

Hospital Formulary - Definition and Purpose

A continually revised compilation of pharmaceuticals and important information reflecting current clinical judgement of the medical staff
Reflects the current state of medical knowledge and practices for ensuring efficient and accurate drug treatment within the hospital setting
A method for providing a program of objective evaluation, resection, and use of medicinal agents by the hospital staff
Serves as a tool for assuring the quality of drug use and controlling its costs

Hospital Formulary System - Definition and Purpose

A method whereby the medical staff of an institution evaluates, appraises, and selects the most useful available drug entities and drug products for patient care
The selection of drugs in the formulary are routinely available from the pharmacy
Provides a framework for standardized drug therapy practice

Formulary Content and Organization

The formulary is divided into three main parts:

Part 1: Information on Hospital Policies and Procedures Concerning Drugs
- Provides information on categories of drugs, brief descriptions of each drug, regulations governing drug prescribing and dispensing, pharmacy operating procedures
Part 2: Drug Product Listing
- The heart of the formulary, containing a listing of formulary drugs with descriptive entries for each item
- May be arranged alphabetically by generic name, alphabetically within the therapeutic class, or a combination of both systems
Part 3: Special Information
- Contains information such as lists of hospital-approved abbreviations, poison antidote charts, and other pertinent information

Guiding Principles for Admission or Deletion of Drugs

The drugs must be of proven clinical value based upon experience
The drugs must be recognized by USP, NF or their supplement
The manufacturers of these drugs must have proven integrity and dependability as well as support for research activities
No preparations of secret composition will be considered or admitted to the formulary
No product of multiple composition shall be admitted if the same therapeutic value can be obtained through one drug entity

Drug Categories within the Formulary

Anti-infectives: Antibacterials, Antifungals, Antiparasitics, Antivirals
Immunologicals: Sera and Immunologicals, Vaccines
Cardiovascular Drugs: Cardio-Active Agents, Antihypertensives, Drugs for Blood Lipid Disorders, Antiplatelet Drugs, Drugs Used in Shock
Diuretics
Respiratory Drugs: Anti-asthma, Cough Suppressant, Mucolytic, Nasal Decongestant, Respiratory Stimulant
Anti-allergics: Antihistamines, Corticosteroids, Adrenergic Agent
Antineoplastics and Immunosuppressants: Cytotoxic Agents, Sex Hormones and Antagonist in Malignant Diseases, Immunosuppressants
Drugs Affecting the Blood: Anti-anemics, Anti-coagulants, Anti-platelet Drugs, Antifibrinolytic
Antidotes: General Antidote, Specific Antidotes
Gastrointestinal Drugs: Antacid, Anti-cholinergics, Anti-emetics, Anti-flatulent, Anti-motility, For Bile Acid Malabsorption, Cytoprotector, Digestant, Direct Smooth Muscle Relaxant, H2 Antagonists, Laxative/Cathartics, Prokinetic, Proton Pump Inhibitor
Cholinergic Stimulant: Urinary Bladder Atony
Hormones and Hormone Antagonists: Adrenal Corticosteroids, Anterior Pituitary Hormone, Posterior Pituitary Hormone, Sex Hormone and Antagonist, Thyroid Hormones and Anti-thyroid Drugs, Insulin and Other Anti-diabetic Agents
Drugs Acting on the Uterus: Oxytocics, Tocolytics (Uterine Relaxants)
Solutions Correcting Water Electrolytes, Acid-Base and Caloric Disturbances: Oral, Parenteral, Electrolyte or IV Additive Solutions, Alkalinizing Agent, Caloric Agents, Amino Acids, Crystalline, Peritoneal Dialysis Solution, Hemodialysis Solution, Plasma/Volume Expanders
Diagnostic Agents: Radio Contrast Media
Vitamins and Minerals: Vitamins, Minerals
Dermatologicals: Anti-infectives, Anti-inflammatory Drugs, Anti-seborrheic Agent, Astringent, Depigmenting Agent, Keratolytic, Local Anesthetics
Ophthalmological Preparations: Adjuvant to Surgery, Anti-infectives, Corticosteroids, Vasoconstrictors, Drugs for Glaucoma, Mydriatics, For Cataract, For Diabetic Neuropathy, Miscellaneous
Ear Preparations: Antiseptics with Corticosteroids, Anti-infectives and Antiseptics, Miscellaneous
Mouth/Throat Preparations
Topical Nasal Preparations
Antiseptics and Disinfectants

Example Drug Entries with Dosage Information

Ascorbic Acid (Vitamin C):
- Usual Dose: 100-200mg daily, orally or intravenously
- Preparation: 100mg, 250mg, 500mg tablets, 1g effervescent tablet, 100mg/5mL, 120mL syrup, 100mg/mL, 10mL drops, 60mg/0.6mL, 15mL drops, 250mg/mL, 2mL ampul
Aspirin (Acetylsalicylic Acid):
- Usual Dose: 65-130mg/kg/day in divided doses every 4-6 hours for anti-inflammatory/antirheumatic action
- Usual Dose: 3mg/kg/day (max 40-80mg/day) as anti-platelet
- Preparation: 80mg, 325mg tablets
- Precaution: Preferably taken with food, milk, or glassful of water, use with caution in patients with gastric ulcers, bleeding tendencies, hypoprothrombinemia, history of asthma, and during anti-coagulant therapy. Not recommended for routine antipyresis and analgesia in children below 12 years due to its association with Reye Syndrome during viral infections.

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Description

This quiz covers the definition, purpose, and organization of hospital formularies. It highlights the significance of formulary systems in evaluating and selecting pharmaceuticals to ensure effective patient care in a hospital setting. Understand the essential components that contribute to standardized drug therapy practices.