2013 tadulako prescrpton analyss

7/30/2019 2013 Tadulako Prescrpton analyss

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GUIDE OF PRACTICAL WORK

MEDICAL PHARMACY DEPARTMENT

BLOCK 22

MODUL NAME

1. Nosocomial Infection

2. Tropical Medicine

3. TB Control Program

4. Substances Abuse


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MEDICAL PHARMACY DEPARTMENT

FACULTY OF MEDICINE

UNIVERSITAS GADJAH MADA

RULES AND REGULATIONS GOVERNING LABORATORY WORK

IN THE DEPARTMENT OF MEDICAL PHARMACY

FACULTY OF MEDICINE, UNIVERSITAS GADJAH MADA

1. In the laboratory of Medical Pharmacy Department, the students have to wear

laboratory coats and shoes, and are not allowed to wear sandals.

2. It is imperative that students be in the laboratory in time. Those who arrive 15

minutes after the due time are denied permission into the laboratory

3. Before a session, the students will receive assignments to be prepared for the

following session.

4. After taking part in the three sessions, the students will have to sit for an exam, the

time for which will be announced later.

5. The total grade a student will get comprises 50% for the exam and 50% for

laboratory report.


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PRESCRIPTION ANALYSIS

AIM:

After doing the activity it is expected that students knowledge about prescription

writing increases and student are able to think critically to any prescription which they read

and analyze.

RESUME OF THEORY

Until now it is still found that a prescription is illegible and not written completely.

Health Ministerial Regulation No 26/1981 article 10 regulates that a prescription must be

written legibly and comprehensively. Minister of Health Decree No 280/1981 article 2regulates that a prescription must contain

name, address and practice license number of doctor (Doctors identity)

date when a prescription written (Superscription)

name/composition and amount or strength of the drug (Inscription)

R/.(an abbreviation forRecipe) symbol on the left side of the prescription

form (Superscription)

Signature/Initial/Initials

Patients name (or patients identity consisting of name, age, body weight)

Besides those, a complete prescription also contains subscription (the direction to

the pharmacist, usually consisting of a short sentence such as make a cream, dispense

10 capcules) and signatura (the direction to the patients).

Therefore, it is necessary to provide the student how to write a good prescription by

giving some samples of doctors prescription to be read and analyzed. After doing it, it is

expected that they will write a complete, right, and rational prescription in the future.

TOOL AND MATERIAL

- Samples of doctors prescription

- Transparent plastics

- OHP


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PROCEDURE

Method

Students are divided into some groups (3-4 persons/group). One week before this

session, each group will receive assignments to be prepared for this session. The

assignment is a doctors prescription to be analyzed by using the following criteria below.

The students have to make a repot of the assignment and submit it one day before the

practical work. On D-day the student present the short report written on transparent plastic

and discuss it with other groups.


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FORM OF PRESCRIPTION ANALYSIS

A. Completeness of a prescription

Complete

(yes/no)

Right/legible

(yes/no)

Explanation

Doctors Identity

Superscription R1/.

R2/.

R3/.

etc.

Inscription R1/.

R2/.

R3/.

etc.

Subscription R1/.

R2/.

R3/.

etc.

Signa (Signatura) R1/.

R2/.

R3/.

etc.

Doctors signature R1/.

R2/.

R3/.

etc.

Patients Identity


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B. Prescription form

1. Type of prescriptions

R1/.

R2/.

R3/. etc.

2. Magistral form (present/none)

If there is magistral form, explain using the criteria:

Ingredients The name of active

medicinal agent

Effects/Functions

Remedium Cardinale(principal drugs)

Remedium Adjuvant

(adjuvant)

Corrigens

Constituents/vehicle

3. Official form (present/none)

If there is official form, explain composition and effects of the medicine

4. Special form (present/none)

If there is special form, explain the content and effect of the medicine

5. Narcotic drugs (present/none)

Name :

Write the drug in a prescription.

B. 1 Dosage regimen (dosage, route of administration, frequency, time of

administration, and duration of treatment)

2. Drug Interaction (present/none)

C. Pharmaceutical dosage form selected by the doctor

(Explain specification of available dosage form, advantages and disadvantages of

the pharmaceutical dosage form)


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D. Diagnose

Base on the medicines written in the prescription, what is/are the possibility of

patients diagnose?

E. 1. Conclusion and advice (advices which have to be given to the patient relating to

the disease)

2. Write the right and rational prescribing in a prescription form.

After they analyze the prescriptions, they present and discuss them with other groups.

Each group presents:

1. Original doctors prescription

2. The calculation of drug doses for this patient

3. The right and rational prescribing according to your opinion

Example:

1. Look at the original doctors prescription below

dr. Mrichi Mary

Sip : 007/2000

Home: Pratice site :

Jl.Angsa 20 Jl.Anggrek 70

Yogyakarta Yogyakarta

Yogyakarta, 10 Juni 2007

R/. Erythromycin mg 200

Sacch.lactis q.s.

m.f.l.a.pulv.d.t.d.No XII

S.3.d.d.pulv.

________________________

Pro : Nila

Age : 1 year old


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2. In that prescription, we do not find body weight of the patient, so we look for it

from weight for age table. From it, we obtain that the body weight of a-year-old

child is 8 kilograms. References show that erythromycin dosage is 30 -50 mg/kg

body weight/day in four-divided dose. So,

Doses of erythromycin for Nila is 8 x (30 50) mg/day

or 240-400 mg/day

or 60 100 mg/dose

In prescription above we also find that signa is not complete. The doctor didnt

write how many package or medicine and when the medicine must be taken by the patient.

So, you have to complete the signa as prescription below.

3. The right and rational prescribing for Nila is :

dr. Mrichi Mary

SIP : 007/2000

Home: Practice site :

Jl.Angsa 20 Jl.Anggrek 70

Yogyakarta Yogyakarta

Yogyakarta, 10 Juni 2007

R/. Erythromycin mg 100

Sacch.lactis q.s.

m.f.l.a.pulv.d.t.d.No XII

S.3.d.d.pulv.I p.c.

________________________

Pro : Nila

Age : 1 year old (10 kg)

Location : Medical Pharmacy Department, Medical Faculty Gadjah Mada University

Duration : 1 x 120 minutes


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REPORT

The students have to submit the report to laboratory of Medical Pharmacy one day before

the practical work.

EVALUATION

Presentation and report

REFERENCES

Goodman and Gilman, 2001, The Pharmaceutical Basis of Therapeutics, Ed.8th,

Macmillan Publishing Company, New York

Hoover, J.E., 2002, Remingtons Pharmaceutical Sciences, Ed.15th, Mack PublishingCompany, Pennsylvania

ISFI, 2007. ISO Indonesia (Informasi Spesialite Obat Indonesia),

Sri Suharmi, 2002, Resep Dokter dan Proses Preskripsi yang Benar dan Rasional, Bagian

Farmasi Kedokteran Fakultas Kedokteran UGM, Yogyakarta


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COMMONLY USED LATINS ABBREVIATIONS

IN PRESCRIPTIONS AND MEDICATION ORDER

Abbreviation Latin English Indonesia

a.c Ante coenam Before meal Sebelum makana.d Auris dextra Right ear Telinga kanan

ad ad To, up to Sampai, hingga

add. adde add tambahkan

aa ana Of each Masing-masing

aq. aqua water air

a.s Auris sinistra Left ear Telinga kiri

Amp. ampule Ampul

b.d.d. bis de die Twice a day Dua kali sehari

c. cum with dengan

C cochlear Tablespoon (15 ml) Sendok makancap. capsulae capsule kapsul

CITO cito immediately segera

Col.Or. Collutio oris mouthwash Kumur-kumur

Cth. Cochlear these Teaspoon (5 ml) Sendok teh

cum cum with dengan

da da give berikan

dil. dilutus diluted Encerkan

disp. dispense Berikan

d.t.d. Da tales doses Berikan sebanyak dosis

tersebut

et et and danfl flask botol

f.l.a Fac lege artis make legal

preparation

Buatlah menurut cara

semestinya

g gramma gram Gram

gr granum grain grain

gtt(s) guttae a drop(s) tetes

gut aur Guttae auriculares ear drop Tetes telinga

Gut nas Guttae nasalae nose drop Tetes hidung

Gutt.opht. Guttae ophthalmic eye drop Tetes mata

h hora hour jamhaust. haustus take all medicines in

once

Sekali teguk

h.s. Hora somni at bedtime Pada waktu hendak tidur

in in into Ke dalam

iter iterati refill diulangi

lag lagenum bottle botol

m. misce mix Campur atau racik

m et v Mane et vespere morning and afternoon Pagi dan sore

mg. milligram milligram milligram

mist mistura a mixture campuran

ml. millitra milliliter milliliter


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liq liquor a solution larutan

No. numero to the number of sejumlah

o.d. Oculus dexter right eye Mata kanan

o.6.h Omni 6 hora every six hours Tiap 6 jam

o.s. Oculus sinister left eye Mata kiriprae before before Sebelum

p.c Post coenam after meals Setelah makan

p.r.n Pro re nata according to need Bila perlu

pro pro for untuk

pulv.adsp. Pulvis adspersorius powder Bedak tabur

q quaque every setiap

q4h Quaque quarta hora every 4 hours Setiap 4 jam

q.d.d. Quarta de die four times a day Empat kali sehari

q.s. Quantum satis,

quantum sufficient

a sufficient quantity,

as much asnecessary

secukupnya

R/. Recipe take ambil

s.d.d. Semel de die once a day Sekali sehari

S. signa sign, write tandai

s.i.m.m Signa in mane

medicus

Serahkan pada dokter

S.u.c. Signa usus cognitus Aturan pakai sudah

diketahui

s.u.p. Signa usus proprius Untuk dipakai sendiri

Susp. suspensio suspension suspensi

syr syrupus a syrup sirupt.d.d. Ter de die three times a day Tiga kali sehari

Tab. tabletta tablet tablet

Tab.vag. tablet vaginal Tablet vaginal

Tinc. tinctura a tincture tinctur

2013 tadulako prescrpton analyss

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