Ways on how to manage storage of pharmaceutical products in hospital pharmacy and storeroom:

What does FIFO means?

Controlled substances must be secured in a cabinet with lock conforming with RA 9502-Comprehensive Dangerous Drug Act.

Vaccines must be arranged according to type, expiry date, duration of storage and number of times they have been brought out to the field. Vaccines with the latest expiration date should be dispensed first.

Thermometers used in modified refrigerators must be calibrated:

Waste that does not pose any particular biological, chemical, radioactive or physical hazard. (example: papers, food packaging)

Waste contaminated with blood or with other bodily fluids, microbiological cultures or waste from patients with infections (ex: bandages, swabs and disposable medical devices)

Expired and contaminated drugs and vaccines are:

Cytotoxic wastes are waste containing substances with genotoxic properties, such as cytotoxic drugs used in cancer treatment and their metabolites.

Products contaminated by radionuclides including radioactive diagnostic material or radiotherapeutic materials are:

Used syringes and needles, disposable scalpels and blades are considered as:

Return to donor/manufacturer is the disposal method for all bulk waste pharmaceuticals including antineoplastic.

Expired controlled substances must be dispose by high temperature incineration (burning).

Syrups and IV fluids must be dispose by sewer method (an underground pipe or tunnel system for transporting sewage from hospitals and other institutions to treatment facilities or disposal).

Contents of Emergency cart includes:

Emergency drug used for managing asthma, COPD and apnea (involuntary cessation of breathing that occurs while asleep) in neonates:

10-50mg per dose; maximum of 400mg/day is recommended in the use of this medication to relieve allergic reactions:

Medication given for the treatment of status epilepticus (a single seizure lasting more than five minutes or two or more seizures within a five-minute period without the person returning to normal between them).

Medication given for cardiogenic shock at a maximum dose of 40mcg/kg/min.

Possible side effects of Heparin:

Mannitol is use to reduced raised intracranial pressure.

This medication is given for patients with supraventricular tachycardia (abnormally fast heartbeat) at an initial dose of 2.5mg-5mg with a maximum dose of 20mg/day.

Dextrose 50% is given for severe hypoglycemia at a dose of:

An emergency drug given for pulseless arrest at a dose of 1mg every 3-5minutes up to 0.2mg/kg:

An emergency drug given for pulseless ventricular tachycardia. Initial dose is given thru IV push then succeeding doses thru IV infusion 24 hours.

Morphine is an emergency drug given at a dose of 1-10mg/hr for moderate to severe pain.

Its maximum dose is 50mcg/kg/min:

A medication given to treat angina pectoris at a maximum dose of 20mg/hr:

Naloxone is given to treat _________overdose.