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
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