MINISTRY OF HEALTHCARE OF THE REPUBLIC OF UZBEKISTAN TASHKENT MEDICAL ACADEMY "CONFIRM" The pro-rector on study Prof........................... Teshaev O.R. «__» ___________________ 2011 Department: PHARMACOLOGY Subject: PHARMACOLOGY Technology of training on practical employment On a theme: FIRM MEDICINAL FORMS (educational-methodical course book for teachers and students of medical Universities) Tashkent – 2011 1 Composers: the senior lecturer of department of pharmacology ТМА Zaytseva O. A., the senior lecturer of department of pharmacology ТМА Makhsumov Sh. M. Methodical working out is confirmed: - At faculty meeting the report № from 2 20 Theme: FIRM MEDICINAL FORMS 1. 1. A place of carrying out of study, equipment. - Pharmacology department.; - The complete set of medicine, the State Pharmacopoeia, samples of prescription forms, slides. 2. Duration of studying of a theme Quantity of hours - 3 3. The employment purpose - To develop knowledge of classification of firm medicinal forms; - To yield concept about kinds of powders, constituences for powders; - To develop knowledge of tablets, a dragee and granules; - To develop general idea about new medicinal forms; - To acquaint students with features of a discharging of ointments, Pastas, Linimentums, suppository, powders, tablets, a dragee and granules. Tasks The student should know: Classification of firm medicinal forms; The characteristic of powders, tablets, dragee and granules; Features and means of a discharging of firm medicinal forms; Formulas for calculation of concentration and therapeutic doses for adults, children and elderly patients. Student should be able: To execute practical skills - to carry out of the task under the formula (to write out prescriptions on powders, tablets, a dragee and granules). 4. Motivation The doctor of any speciality should be able write out correctly prescriptions on aqueous solutions for injections, solutions for intravenous introduction, Solutio oleosa and suspensions, officinal solutions and neogalenicals drugs for injections, soft medicinal forms, to be able to calculate therapeutic doses for adults, children and elderly patients, to define solution strength. Therefore the knowledge of this theme is necessary for all doctors, especially general practitioners, pediatrists, neuropathologists, cardiologists, gynecologists, dermatoviderologists, to ophthalmologists, surgeons. 5. Intersubject and intrasubject communications Teaching of the yielded theme bases on knowledge students of bases of chemistry, Latin. The knowledge received during employment will be used at transit 3 of clinical disciplines by all of them, and also at the further studying of partitions of private pharmacology by all of them. 6. The content of study 6.1. A theoretical part FIRM MEDICINAL FORMS Powders EXAMPLE. To write out 20,0 smallest powders of streptocide, to prescribe for drawing to a wound. Rp.: Streptocidi subtillissimi 20,0 D.S. For drawing on a wound EXAMPLE. To write out 30,0 magnesium oxide. To prescribe on m of a teaspoon 3 times a day in 2 hours after meal. Rp.: Magnesii oxydi 30,0 D.S. By teaspoon 3 times a day in 2 hours after meal EXAMPLE. To write out 10 powders of Codeini phosphas on 0,025 with soda. To prescribe on 1 powder 3 times a day. Rp.: Codeini phosphatis 0,025 Natrii bicarbonatis 0,3 M.f. pulvis D.t.d. N. 10 S. By 1 powder 3 times a day EXAMPLE. To write out 10 powders of camphor grated on 0,15 in a waxen paper. To prescribe on 1 powder 3 times a day. Rp.: Camphorae tritae 0,15 D.t.d. N.10 in charta cerata S. By 1 powder 3 times a day EXAMPLE to Write out 100,0 complex lacritic powder and to prescribe on 1 teaspoon 3 times a day. Rp.: Pulveris Liquiritiae compositi 100,0 D.S. By 1 teaspoon 3 times a day 4 Sheaths EXAMPLE. To write out 10 powders of quinine of sulphate on 0,3 capsular gelatinous. To prescribe on 1 sheath 3 times a day. Rp.: Chinini sulfatis 0,3 D.t.d. N.10 in capsulis gelatinosis S. By 1 sheath 3 times a day Granules Rp.: Granulorum Natrii para-aminosalicylatis 100,0 D.S. By 1 teaspoon 3 times a day after meal Tablet EXAMPLE. To write out 10 tablets of Dimedrol on 0,03. To prescribe on 1 tablet 2 times a day. Rp.: Dimedroli 0,03 D.t.d. N. 10 in tabulettis S. By to 1 tablet 2 times a day EXAMPLE. To write out 10 tablets "Aeronum", to prescribe on 1 tablet 1-2 hours prior to flight. Rp.: Tabulettas “Aeronum” N. 10 D.S. By1 tablet 1-2 hours prior to flight Dragee EXAMPLE. To write out 20 dragees containing on 0,025 aminazine. To prescribe on 1 dragee 2 times a day. Rp.: Dragee Aminazini 0,025 D.t.d. N. 20 S. By 1 dragees 2 times a day Except all these firm medicinal forms exist also: To new medicinal forms concern - membranulae ophthalmicae EXAMPLE. To write out 30 ophthalmic Membranulas, containing Pilocarpinum a hydrochloride. To seat on 1 Membranula for edge of a lower eyelid of 1 times a day. Rp.: Membranulas ophthalmicas cum Pilocarpini hydrochlorido N. 30 D.S. To seat on 1 Membranula for lower eyelid edge daily 5 6.3. A practical part Performance of tasks under the formula - to write out prescriptions: 1. Analgini on 5 dg in powders. 2. Papaverine hydrochloride Md 2 sg and Themisalum Td 3 dg in powders. 3. Codeine pure Md 5 sg in tablets and powders. 4. Nitroglycerine by 5 dmg in tablets. 5. Riboflavin by 2 mg in a dragee. 6. Levomycetinum by 5 sg capsular. 1. THE DISCHARGING OF PRESCRIPTIONS ON FIRM MEDICINAL FORMS The purpose: Discharging of prescriptions on firm medicinal forms. Carried out stages (steps): № Action 1. 2. 3. 4. 5. 0 Completely correctly executed 10 0 30 0 20 0 10 0 30 0 100 Has not executed The indicating to the pharmacist (Recipe) List of the basic and auxiliary medical products which are a part of the written out medicine, with the dose indicating Indicating to the pharmacist about preparation of the medicinal form (M.f) Indicating to the pharmacist about quantity of a given drugs Indicating to the patient about a drug intake mean Total 7. Forms of control of knowledge, skills and abilities - The verbal; - The written; - Demonstration of the mastered practical skills. 6 8. Criteria of an estimation of monitoring № 1. 2. 3. 4. Progress In % Grade 96-100% A 91-95% A 86- 90% A 81-85% B Level of knowledge of the student The full right answer on questions on the characteristic of firm medicinal forms and means of their discharging. Sums up and makes decisions, creatively thinks, independently analyzes. Correctly solves problems on calculation of doses and concentration, with a full substantiation of the answer. Activly, creatively participates in discussion of a new theme, correctly makes decisions, sums up, analyzes. Prescriptions are written out competently, according to the medicinal form all possible means. The full right answer on questions on the characteristic of firm medicinal forms and means of their discharging. Creatively thinks, independently analyzes. Correctly solves problems on calculation of doses and concentration, with a full substantiation of the answer. Activly, creatively participates in discussion of a new theme, correctly makes decisions. Prescriptions are written out according to the medicinal form all possible means, but there is 1 grammatical error. The supplied questions after the characteristic and means of a discharging of firm medicinal forms are shined completely, but there are 1-2 discrepancies in the answer. Independently analyzes. Discrepancies at problem solving on calculation of doses and concentration, but at the correct approach. Activly participates in discussion of a new theme, makes correct decisions. Prescriptions are written out according to the medicinal form all possible means, but there are 1-2 grammatical errors. The supplied questions after the characteristic and means of a discharging of firm medicinal forms are shined completely, but there are 2-3 discrepancies, errors. Puts into practice, perceives a question short, tells confidently, has exact representations. Problems on calculation of doses and concentration are solved correctly, but an answer substantiation insufficiently full. Activly participates in discussion of a new theme, correctly makes decisions. Prescriptions are written out according to the medicinal form all possible means, but there are 2-3 7 5. 6. 7. 8. 9. 10. 76-80% B 71-75% B 66-70% C 60-65% C 55-60% C 50-54% D grammatical errors. Correct, but incomplete illumination of a question. The student knows definitions, but not completely yields the characteristic (1-2). Perceives a question short, tells confidently, has exact representations. Activly participates in discussion of a new theme. At problem solving on calculation of doses and concentration makes mistakes at calculation, but at a right approach. Prescriptions are written out according to the medicinal form all possible means, but there are 3-4 grammatical errors. Correct, but incomplete illumination of a question. The student knows definitions, but not completely yields the characteristic (3-4). Perceives a question short, tells confidently, has exact representations. At problem solving on calculation of doses and concentration makes mistakes at calculation, but at a right approach. Prescriptions are written out according to the medicinal form all possible means, but there are 3-4 rasping grammatical errors. The right answer on half of supplied questions. The student knows definitions, but is confused in Latin names, features of preparation of medicinal forms. Perceives a question short, tells confidently, has exact representations only on theme individual questions. Problems on calculation of doses and concentration are solved truly, but there is a spelling error of doses. Prescriptions are written out by all possible means, but there are 1-2 grammatical errors and errors in the form of a prescription discharging. The right answer on half of supplied questions. Errors in definitions, it is confused in Latin names. Tells uncertainly, has exact representations only on theme individual questions. Commits errors at problem solving on calculation of doses and concentration. Prescriptions are written out not by all possible means, there are 2-3 grammatical errors and errors in the form of a prescription discharging. The answer with errors on half of supplied questions. The student makes mistakes in definitions, is confused in Latin names. Tells uncertainly, has particulate representations on a theme. Problems on calculation of doses and concentration are solved with appreciable errors. Prescriptions are written out not by all possible means, there are 3-4 grammatical errors and errors in the form of a prescription discharging. The right answer on 1/3 supplied questions. The student does not know definitions, badly understands means of a discharging of prescriptions, is confused 8 11. 12. 13. 14. 46-49% D 41-45% D 36-40% E 31-35% E in definitions, Latin names. Problems on calculation of doses and concentration are solved incorrectly at the irregular approach. Prescriptions are written out improperly, there are dose spelling errors. The right answer on 1/4 supplied questions. The student does not know definitions, badly understands means of a discharging of prescriptions, is confused in features of preparation of the yielded medicinal forms, Latin names. Problems on calculation of doses and concentration are solved incorrectly at the irregular approach. Prescriptions are written out improperly, there are dose spelling errors, grammatical errors. Illumination of 1/5 supplied questions, and that with errors. The student does not know characteristics of the yielded medicinal forms, badly understands means of a discharging of prescriptions, is confused in definitions, Latin names. Problems on calculation of doses and concentration are solved incorrectly at the irregular approach, with an irregular writing of doses. Prescriptions are written out improperly, there are dose spelling errors, rasping grammatical errors. Illumination of 1/10 parts of questions, and that at the incorrect approach. The student does not know characteristics of the yielded medicinal forms, badly understands means of a discharging of prescriptions, is confused in definitions, Latin names. Problems on calculation of doses and concentration are solved incorrectly at the irregular approach, with an irregular writing of doses. All prescriptions are written out improperly with appreciable errors. On questions does not yield answers. Does not know definitions, means of a discharging of prescriptions. Is not able to calculate a dose and concentration. Is not able to write out prescriptions on firm medicinal forms. 9. Chronological card of study № 1 Activity stages Activity forms Parenthesis of the teacher (theme substantiation) Duration in minute (135) 5 9 2 4 Finding-out of initial knowledge of students, discussion and explanation of a theme of practical activity with granting to students of visual aids and a summer residence of explanatories to them Discussion summarising Poll, explanation 100 5 5 Finding-out of degree of achievement of the purpose of study on the basis of the mastered theoretical knowledge both by results of practical work and with the counting of it an assessment of activity of bunch Oral poll, written poll, check of results of practical work. Oral poll, written poll, check of results of practical work. 20 6 The conclusion of the teacher on the yielded activity. An assessment of knowledge of students on 100 mark system and its announcement. A summer residence of the task for following activity(the complete set of questions) The information, questions for selfcontained preparation 5 10. Control questions 1. What medicinal forms fall into with the firm? 2. What is the powder? 3. What distinguish kinds of powders? 4. How powders in prescriptions leave? 5. What is the tablet? 6. How tablets leave? 7. What is the sheath? 8. What kinds of sheaths happen? 9. How sheaths leave? 10. What is the dragee? 11. How dragees leave? 12. What is the granules? 10 13. How granules leave? 14. What new medicinal forms exist? Performance of tasks under the formula - to write out prescriptions: 1. Analgini on 5 dg in powders. 2. Papaverine hydrochloride Md 2 sg and Themisalum Td 3 dg in powders. 3. Codeine pure Md 5 sg in tablets and powders. 4. Nitroglycerine by 5 dmg in tablets. 5. Riboflavin by 2 mg in a dragee. 6. Levomycetinum by 5 sg capsular. 11. The recommended literature Basic 1. Kharkevich D.A. Pharmacology. -M: Medicine, 2005, 2010. 2. Kharkevich D.A. The general recipe. - М: Medicine, 1982. 3. Kharkevich D.A.Management to a practical training on pharmacology. - М: Medicine, 1988. 4. Azizova S.S. Pharmacology. - Tashkent: Ibn-Sino, 2000, 2002, 2006. Additional 5. Mashkovsky M.D.Drugs. Directory. - М: Medicine, 2001, 2005. 6. A directory of Vidal. - М, 2008, 2009. 7. Makhsumov M. N, Malikov M.M. Pharmakology. - Tashkent: Ibn-Sino, 1997. 8. Каcung B.G.Bazic and clinical pharmacology. - St.-Petersburg - Moscow. 1998. 9. Khakimov Z.Z., Azimov M.M., Zaytseva O.A., Radzhapova Sh.Z. The general recipe Toshkent, 2005. 10. The general medical practice. Clinical references and a pharmacological directory. Under the editorship of I.P.Denisov. Yu.L. Shevchenko. F.G.Nazyrova. - М: GEOTARMEDIA, 2005. 11.://www.cibis.ru/catalogue/pharmacology_pharmacy_toxicology/a/sites/ 52185.html;://medvedev-ma.narod.ru/farmakologia/0.htm; 12. http://max.1gb.ru/farm/; 13. //nmu-student.narod.ru/farmacology; 14. //shop.medicinform.net/showtov.asp?FND=&Cat_id=298696; 15. //www.ronl.ru/formakologiya/; ://www.evrocet.ru/cshop/book-18921; 16. //www.vsma.ac.ru/~pharm/; ://WWW.JEDI.RU/book-189216-115.html. 11 12