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MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Experiment 1
To study the hot air oven and study its different parts
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p) Ltd Delhi, page
no:473.
Theory: sterilization can be defined as a pharmaceutical
pharmaceutical process in which almost
99.9% of micro-organisms are removed from the Pharmaceutical products or
equipments by the application of a single or multiple techniques. An article would
be deemed sterile only
only when there is complete
complete absence of viable micro-organisms
micro-organisms
from it. The methods for sterilization can be divided in to three main categories.
I. Phys
Physic
ical
al metho
ethods
ds
Dry hear sterilization, moist heat sterization
Radiation sterilization
II. Chemic
Chemical
al methods
methods::
Sterilization by heating with bactericide
Gaseous sterilization
Hot air Oven (Dry heat sterilization): This process is suitable for heat-stable,
non-aqueous products,
products, powders as well glassware and metal equipments.
equipments. A
preparation to be sterilized
sterilized by dry heat is distributed in the final containers
containers which
are then either finally sealed or temporarily closed to exclude micro-organisms and
then heated so as to ensure that the entire contents of each container are maintained
for an effective combination of time and temperature to provide an adequate
assurance of sterility. Cycles of a minimum of 180º for not less than 30 minutes, a
minimum of 170º for not less than 1 hour or a minimum of 160º for not less than 2
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
hours may be employed but other combinations of time and temperature may be
necessary for certain preparations. Containers that have been temporarily closed
during the sterilisation procedure are then finally sealed using aseptic technique so
as to exclude micro-organisms.
Applications: Material/equipment(s)
Material/equipment(s) which is sterilized by dry heat include: Fixed
oils, glycerine, liquid paraffin, propylene glycol, glasswares, powders, surgical
instruments etc.
Disadvantages:
1. It requires
requires long
long heating
heating,, high temperat
temperature
ure and
and long exposur
exposure,
e, unsuitab
unsuitable
le for
thermolabile substances.
2. Moist medicaments,
medicaments, rubber and plastic articles
articles are
are destroyed by this
this method.
3. Preparations containing water, alcohol
alcohol or other volatile
volatile substances
substances cannot be
sterilized by this method.
4. It is unsuitable
unsuitable for surg
surgical
ical dressings
dressings
Experiment 2
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p) Ltd Delhi, page
no:478.
Theory: This process involving heating in an autoclave with saturated steam under
pressure should be used whenever possible for
for aqueous preparations
preparations and for
for
surgical materials. An aqueous product which is to be sterilized by this method is
distributed into suitable containers which are then sealed so as to exclude micro-
organisms. It is than exposed to saturated steam for a time sufficient to ensure that
the entire contents of each container are maintained for an effective combination of
time and temperature to ensure sterility.
Minimum
Holding
holding time
temperature (ºC)
(minutes)
115 to 118 30
121 to 124 15
126 to 129 10
134 to 138 3
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
perforated chamber
chamber of an autoclave. The water
water level is checked so that it should
not touch the bottom perforated metallic chamber.
chamber. The lid is closed with the help
of nuts and bolts. Autoclave is switched on and water is allowed to boil. Remove
the trapped air. Steam vent is then closed and pressure is allowed to rise up to 15
o
lb/sq inch and at this pressure saturated steam has a temperature of about 121 C.
The pressure is maintained for 30 min. the autoclave is switch off allowed to cool,
remove the steam and open it.
Applications:
Disadvantages:
1. It requires
requires high temperature
temperature and moisture, unsuitable for thermolabile
thermolabile
substances.
2. This method
method cannot
cannot be used
used for oily
oily injection
injections,
s, fats,
fats, powders,
powders, ointme
ointments
nts
because steam cannot
cannot penetrate them.
them.
3. Moist medicaments,
medicaments, rubber and plastic articles
articles are
are destroyed by this
this method.
4. Preparations containing water, alcohol
alcohol or other volatile
volatile substances
substances cannot be
sterilized by this method.
5. It is unsuitable
unsuitable for surg
surgical
ical dressings
dressings
4
LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Experiment 3
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p)
publications(p) Ltd Delhi, page
no:473.
5
LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Procedure:
I) Preparatio
Preparation
n of articles
articles before
before loading
loading in hot air oven:
oven:
a. Conical
Conical flask
flask should
should be thorough
thoroughly
ly washed
washed in followi
following
ng order
Acid wash (chromic acid), detergent wash, rinse with distilled
water followed by rinsing with alcohol.
o
b. Dry the container at 65 C
c. The flask
flask should
should be stopped
stopped with the
the help of cotton
cotton and
and a piece of
paper and with a thread.
thread.
Experiment 4
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p) Ltd Delhi, page
no:481.
Procedure:
I) Preparatio
Preparation
n of Mater
Material
ial for
for loading
loading in autocl
autoclave
ave
First weight 2.5 gm dextrose and make volume up to 50ml with water in conical
flask. Then flask used is plugged with non-absorbent cotton wool, and then it is
covered with brown paper, held by string.
Experiment 5
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Reference: Remington’s
Remington’s The Science & Practice of Pharmacy, Mack Publishing
Co. Easton, PA
1. Tip
Tip sea
seali
lin
ng
2. Pull
Pull sealin
sealing
g metho
method.
d.
Procedure:
1. Prepare sodium
sodium chloride
chloride solution by dissolving
dissolving 0.9 gm of sodium chloride
chloride in
100 ml of distilled water, filter it.
2. Transfer the sodium
sodium chloride solution
solution in to ampoules
ampoules with
with hypodermic
hypodermic
syringe.
3. Ampoule tip was melted
melted using Bunsen burner
burner with continuous rotation
rotation of
the ampoule.
4. When the glass was
was melted, the tip of
of the ampoule was stretched by using
forcep.
5. Now the
the sealing
sealing of ampoule
ampoule completed.
completed.
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Result: Filled, sealed and the labeled ampoules are submitted to laboratory.
Experiment 6
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Procedure:
Experiment 7
To prepare
prepare water for injection (2ml)
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p) Ltd Delhi, page
no:485.
Procedure:
1. Glass distillati
distillation
on unit
unit is used
used for preparing
preparing water
water for
for injectio
injection.
n.
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
2. The ampoules
ampoules and
and glassw
glassware
are to be
be used
used should
should be treated
treated with
with chromic
chromic acid,
acid,
followed by washing with purified water.
3. Switch
Switch on the
the distill
distillat
ation
ion unit.
unit.
4. Reject
Reject the first
first part
part of the distil
distillate.
late.
5. Collect
Collect the water
water for
for injection
injection in a receiver.
receiver.
6. Transfer
Transfer 2 ml of water
water for injection
injection in to an ampoule
ampoule with the
the help of
syringe.
7. Seal
Seal the ampou
ampoule
le immed
immediat
iately
ely..
8. Sterilize
Sterilize with
with in 12 hr of
of production
production,, label and submit.
submit.
Report: the water for injection was prepared, labeled and submitted to the
laboratory.
Experiment 8
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p) Ltd Delhi, page
no:479.
Procedure:
1. The rubber
rubber gloves
gloves require
require packing
packing in such a way that
that it should
should allow
allow the
steam penetration inside the fingers and all the surface of the gloves.
2. The gloves
gloves are lubricated
lubricated with talcum
talcum powder
powder or starch powder
powder before
before
sterilization.
3. The wrist
wrist are turned back so that
that the outside
outside need not be handled
handled when the
gloves are put on
4. Close
Close the lid of the
the autocla
autoclave,
ve, Remove
Remove the trappe
trapped
d air. Steam
Steam vent is then
closed and pressure is allowed to rise up to 15 lb/sq inch and at this pressure
o
saturated steam has a temperature of about 121 C. The pressure is
maintained for 30 min. the autoclave is switch off allowed to cool, remove
the steam and open it.
Precautions:
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
1. Don’t
Don’t open
open the
the lid imme
immedia
diatel
tely.
y.
2. While
While loading the
the autoclave,
autoclave, each
each article
article should
should be placed in such
such a way that
it should be exposed to the steam uniformly.
3. The complete
complete wrappi
wrappingng of the material
material is essent
essential
ial to avoid
avoid the
contamination by non-sterile factors.
Experiment 9
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p) Ltd Delhi, page
no:278.
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Theory: Prescription drug order is defined as a lawful order from a practitioner for
a drug or device for a specific patient, including orders derived for collaborated
Pharmacy practice that is communicated directly to a pharmacist,
pharmacist, in a licensed
pharmacy.
The terms prescription drug order, prescription order and prescription are one and
the same used interchangeably by health care workers and the public.
Prescriptions are most commonly used to describe drug orders for ambulatory
patients (out patients)
patients) who get their prescribed medications from
from retail pharmacies.
pharmacies.
1. D at e
2. Name, age, gender
gender and address
address of the patie
patient
nt
3. Supe
Supers rscr
crip
ipti
tion
on
4. Insc
Inscri
ript
ptio
ion
n
5. Subs
Subscr crip
ipti
tion
on
6. Sig
Signatu
naturra
7. Renewa
Renewall instru
instructi
ction
onss
8. Signature,
Signature, address
address and
and registration
registration number
number of the Physician
Physician
H O S H I AR
AR P U R M E D I C A L C E N T R E A L - M A D I NA
NA S T R E E T
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Ht:
Rx
P H E N O B AR
AR B I T O N E T A B L E T – 1 0 m g
# 30
S i g : 1 Ta
Ta b E a c h t . i . d . f o r 1 0 d ay
ay s
Refill: 0
R E G N o . _ _ __
_ _ _ __
__
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Experiment 10
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
pharmacy” Theory and Practical,6th edition, Birla publications(p) Ltd Delhi, page
no:485.
Theory:
Distillation ca n be defined
defined as
as a process
process or unit operation in which the separation
of two different liquids or the separation of impurities from a liquid can be done. It
is based on the boiling point and the volatility of the components present in the
mixture. When two liquids are mixed together, they may be miscible with each
other, such type of liquid mixture is known as binary mixture of liquid
Liquid boils when its vapor pressure is equal to atmospheric vapor pressure.
Simple distillation is conducted at its boiling point of the liquid. So higher the
volatility of liquid, better is the separation by simple distillation.
Applications of distillation:
distillation:
1. Simple distillation
distillation method
method is used for preparation of distilled water and this
can be used further for preparation of water for injection.
2. Volatile
Volatile and
and aromat
aromatic
ic water
water are
are prepare
prepared.
d.
3. Organi
Organicc solven
solvents
ts are
are purifi
purified
ed
4. Non volatile
volatile solids
solids are separat
separated
ed from the
the volatile
volatile liquids.
liquids.
Procedure:
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Precautions:
rd
1. The water
water should
should be filled
filled up
up to 2/3 volume of the flask.
2. The porcelai
porcelainn bits may
may be added as as antibump
antibumping
ing agents.
agents.
3. First
First some part
part of the distill
distillate
ate should
should be discar
discarded.
ded.
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Experiment 11
To find out the percentage variation in length and width of the given sample
of bandages.
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p) Ltd Delhi, page
no:490.
Theory: It is a strip
strip of plain
plain woven clot
cloth
h for wrapping and binding body parts. It
is available in continuous length which is used along with medicaments on
wounded surface. Fabric is woven from the staples of bleached white cotton having
cotton having no taste or odor. Cloth is free from defects of weaving.
Procedure:
V = A-100
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LAB MANUAL
MANUAL OF HOSPITAL
HOSPITAL PHARMACY
PHARMACY FOR PTU
PTU STUDENTS
STUDENTS
Experiment 12
Reference: Nand Pratibha, Khar Roop K “ A text book of hospital and clinical
th
pharmacy” Theory and Practical,6 edition, Birla publications(p) Ltd Delhi, page
no:489.
Identification test
Ignition test:
2. Cotton fibres are moistened with N/50 iodine and when dry, 80% w/w.
sulphuric acid is added, blue color is produced.
3. Absorbent cotton wool dissolve completely with uniform swelling in
ammonical copper oxide solution.
4. In sulphuric acid 80% w/w solution, it dissolves.
5. In cold sulphuric acid 60% w/w solution is insoluble.
6. In warm Hcl, it is insoluble.
7. It is insoluble in formic acid and phenol.
8. It is insoluble in acetone.
20