S Gio Dc V o To TPHCM

CNG HA X HI CH NGHA VIT NAM

TRNG TRUNG CP NGH QUANG TRUNG
C LP T DO HNH PHC

BO CO KT QU THC TP TT
NGHIP
KHA 2 (2009-2011)
TI : HOAT NG TAI KHOA DC BNH
VIN QUN 11
Gio Vin Hng Dn : DSTC. Trn Ngoc An
C. Nguyn Hng Th
Hc Sinh Thc Hin : Huynh Thi Kim Thuyn
L Thi Mai Thi
Thai Minh Tm
L Hng Tn
Pham Hu Toan

Lp: D2B5
Khoa: DC

Ngnh:
DC SI TC
Nin Kha: 2009-2011
Thnh Ph H Ch Minh, Thng ../2011

1.LI M U VA CAM N
Theo nh gi ca t chc y t th gii (WHO), cng nghip dc Vit Nam mc
ang pht trin. Vit Nam c cng nghip dc ni a, nhng a s phi nhp
khu nguyn vt liu, do nhn nhn mt cch khch quan c th ni rng cng
nghip dc Vit Nam vn mc pht trin trung bnh - thp( theo bo co Dc
2010) .
Ngnh dc VN chia lm 2 nhm l : Tn dc v ng dc .
Trong nhng nm gn y, Vit Nam ngy cng gia tng vic chi tiu v dch v y
t, c bit l chi tiu cho dc phm. Hin nay, nguyn vt liu sn xut dc trong
nc phi nhp khu t nc ngoi cho nn gi nguyn vt liu u vo tng do
gi thnh dc phm cng tng ng k v vy dc phm c xp vo danh mc
hng ha thc hin bnh n gi ca Chnh ph.
Trnh k thut, cng ngh sn xut thuc ang c u t v pht trin c quy
m. Trong s 174 c s sn xut tn dc,c 59 c s t tiu chun GMP (thc hnh
tt sn xut thuc) cc doanh nghip hin nay ang nng cp cc dy chuyn hin i
theo tiu chun quc t ( s liu nm 2010 )
Ngoi vic sn xut thuc ra th vic bn thuc, t vn s dng thuc iu tr cho
ngi bnh cng l mt khu rt quan trng. Ngi bn thuc phi c nhng kin
thc, am hiu su v thuc c th gip ngi mua thuc s dng thuc hp l, ng
cch, c th t c hiu qu iu tr cao trong khi dng thuc.
Em c n thc tp ti cc ni t tiu chun c s t tiu chun GSP (Thc
hnh tt bo qun thuc ), GPP ( thc hnh tt qun l nh thuc ) khoa Dc bnh
vin qun 11.
Nhng nm gn y, nn kinh t - x hi pht trin, mc sng ca ngi dn c
nng cao, chi tiu cho tin thuc hng nm tng ln. Vi li th v dn s ng v tr,
Vit Nam l mt th trng tiu th tim nng i vi cc doanh nghip sn xut thuc
trong nc cng nh a quc gia v vy ngnh dc ng 1 vai tr rt quan trng trong
qu trnh pht trin t nc.
Vic cho sinh vin i thc tp ti cc c s v Dc s gip cho sinh vin nm
c nhng k nng, kin thc m mnh c hc trn lp, gip sinh vin trao ri
kinh nghim thc tin ca mnh, ng thi cng gip cho sinh vin nhn thc c
cng vic hin ti cng nh sau ny ca mnh khi tt nghip v tr thnh mt ngun
nhn lc c trnh phc v cho ngnh dc Vit Nam .
C th ni khng c thnh cng no m khng c s tri nghim thc t, s tm ti
sng to ca mi ngi s gp phn mang li s thnh cng chung cho c tp th.

Trong sut thi gian hc tp ti khoa Dc ,thuc chng trnh o to TCCN h

chnh quy trng Trung Cp Quang Trung , em nhn c rt nhiu s h tr t nh
trng, i ng ging vin , cn b vn phng v cc bn cng kha .
Li u tin em xin chn thnh cm n cc ging vin nhit tnh ging dy ,
trang b cho em kin thc c bn vng chi,cc nhn vin cn b vn phng tn tnh ch
dn v em xin cm n nh trng to iu kin tt nht cho em c tip cn vi
thc t qua chuyn thc tp mt tun ti khoa dc bnh vin qun 11 t kt hp
vi kin thc l thuyt hc trn lp vn dng trong sut qu trnh thc tp gp
phn gip em hon thin tt k nng ngh v c hai mt l thuyt v thc hnh mt
cch trn vn nht !
Xin cm n bnh vin qun 11 cho em c hi n thc tp ti c s. Ti y ,
nh s dn dt ca cc anh/ch gip em n li l thuyt bng nhng cu hi thc t,
nm bt c quy m hot ng ca bnh vin y cng chnh l c hi cho em tip
cn thc tin , vn dng ly thuyt v gii p c nhng thc mc v ngh Dc,
ng thi bit thm c rt nhiu iu b ch cho mnh . Bnh vin to iu kin
cho em c thc tp , hc hi , quan st cng nh tham gia vo mt s cng vic
l iu c bit quan trng v rt c ch cho mt sinh vin sp ra trng nh em , em
xin cm n rt nhiu !
Bn cnh , hon thnh tt qu trnh thc tp va qua em xin cm n c ao
Duy Kim Nga , c Trn Ngoc An v giao vin hng dn Nguyn Hng Th dn
dt c lp chng em i thc tp , qun l gi gic v dn d tn tnh trong sut qu
trnh bnh vin .
Cm n tt c cc bn hc cng kha nhit tnh gip , chia s kinh nghim v
nhng kin thc qu bu gip mnh hon thnh tt kha hc.
Mc d em c gng hon thin bi bo co vi tt c s n lc ca bn thn, nhng
chc chn khng trnh khi nhng thiu st, em knh mong cc thy c ch bo.
Mt ln na em xin gi ti mi ngi li cm n chn thnh nht !

MUC LUC
....................................................................................................................................1
1.LI M U VA CAM N...................................................................................2
MUC LUC..................................................................................................................4
2.S T CHC NHN S KHOA DC.......................................................5
3. CHC NNG , NHIM V VA HOT NG CA KHOA DC:................6
4. BO QUN THUC.............................................................................................7
4.1. Nguyn tc chung:...............................................................................................7
4.2. Nguyn tc bo qun c th:................................................................................7
5. CC KHU CNG TC TRONG KHOA...........................................................8
5.1. T CP PHAT THUC NGOAI VIN BHYT:.................................................8
5.2. T KHO CHN VA KHO CP PHAT THUC NI VIN.............................9
5.2.1 Kho chn:...........................................................................................................9
5.2.2.Kho cp pht ni vin :....................................................................................10
5.3. T NH THUC..............................................................................................11
5.3.1. Hot ng ca nh thuc:...............................................................................11
5.3.2. 10 tn bit dc thng gp nha thuc:.....................................................12
6.MT S THUC (TN BIT DC)................................................................13
6.1. AGUMENTIN...................................................................................................13
6.2. CIPROFLOXACIN 0.3 %.................................................................................14
6.3. ALAXAN...........................................................................................................15
6.4. MELOXICAM...................................................................................................15
6.5. HAPACOL Si..................................................................................................17
6.6. CLORPHENIRAMIN 4mg................................................................................18
6.7. PREDNISOLONE ............................................................................................19

2.S T CHC NHN S KHOA

DC
Trng Khoa Dc
DSCK1. o Duy Kim Ng
Ph Khoa Dc
DSTC. Trn Ngc An

T Vi Tnh

T Nh Thuc

Phng
V

DSTC. Quyn
DSTC. Li , Thnh

Kho chn
DSTC. Lan
(Th kho)

T Kho

T Cung Tiu

T Thng K
Dc Chnh

T Thng Tin Thuc

Dc Lm Sng

DSTC. An
DSTC. Cm

DSTC. An
DSTC. Cm
DSTC. An
DSTC. Cm
DSTC. Loan
DSTC. n
DSTC. Quyn
DT. Dung
DSTC. Ngt

Kho GN-HTT
DSTC.Ngt
(Th kho)
Kho cp pht ni tr
DSTC.Ngt
(Th kho)
Kho cp pht ngoi
vin BHYT
DSTC. Loan (T trng)
DSTC. ng (Th Kho)
DSTC. n
DSTC. Dung
DSTC. Thng
DSTC. Tn

3. CHC NNG , NHIM V VA HOT NG CA

KHOA DC:
Theo di nhu cu s dng thuc, ha cht v y c (sau y gi
tt l thuc) ca cc khoa phng ti bnh vin trong thng, d
ton v lp k hoch s lng v chng loi cc thuc ha cht y
c cho cc thng tip theo.
L c quan tham mu cho Gim c trong vic qun l chi ph
cng nh s dng thuc ha cht y c hp l an ton.
Kim tra v tham gia kim tra vic s dng thuc ha cht
y c hp l; an ton; hiu qu v kinh t trong bnh vin.
Bo qun tt thuc, ha cht v y c ng nh yu cu ca nh
sn xut cng nh cc quy ch chuyn mn; m bo cht lng
ca thuc, ha cht v y c s dng trong bnh vin. Thc hin
kim k nh k hng thng v hn dng, s lng xut, nhp, tn
ca cc thuc ha cht v y c ti khoa dc. Lp bo co tnh
hnh s dng cc loi thuc, ha cht v y c ca tng khoa phng
chuyn phng ti v lm c s quyt ton.
Cp pht v a thuc n tn tay bnh nhn ni tr v bo
him ngoi tr hng ngy.
Kim tra, theo di nh k iu kin bo qun, s lng, cht
lng, hn dng cc loi ha cht, y c v thuc ti cc t thuc
trc ca cc khoa lm sng, cn lm sng c bin php x l
kp thi.
Thc hnh dc lm sng: tham gia t vn, gp s dng
thuc trong iu tr theo phng chm ng ngi, ng bnh,
ng dng dng, ng liu dng, ng thi gian dng v ng
khong cch gia cc liu. Tham gia hi chn vi cc khoa phng
bn khi c yu cu. Tham gia bnh bnh n trong cc bui sinh
hot khoa hc cng nh kim tho t vong. Gim st v hng
dn bnh nhn phng trnh tc dng c hi ca thuc (ADR), lp
bo co gi v b Y t.
Tham gia hi ng Thuc v iu tr; thc hin thng tin
thuc trong bnh vin, gp phn to ra ngun thng tin khch
quan, khoa hc phi thng mi.

4. BO QUN THUC
4.1. Nguyn tc chung:
-

Theo di nhit , m mc trong kho thuc v cc bin php chng

nng m kp thi.
Kho thuc phi c nhit k m k v ghi chp s liu hng ngy.
Nhit di 25oC
m di 70%
p dng phng php thng hi thong gi bng my ht m my
iu ha.
Trnh tc ng ca nh sng, kho cha thuc phi dng mu en hoc
ng dn ca ngn cn nh sng trc tip.
Thuc, ha cht, dng c phi c kim sot, kim nghim khi nhp
xut nh k phi kim tra cht lng v theo ng hn dng.
Kho thuc phi sch s khng c su b, mi mt, chut. Nu c
phi tm cch tiu dit.
Nn c ni x l hng km cht lng.
Cm mang thc n vo kho.
C ch v sinh khu vc kho, ni lm vic.
Thuc, ha cht, y c phi c bao b ng gi sch s v thun tin
cho vic di chuyn (bao b ng gi cho thuc c phi ng quy
nh).
Khng dng bao b ng gi ca loi thuc ny cho loi thuc khc
nht l thuc c tnh tng k v c.
Thuc, ha cht phi c nhan ng quy nh, quy ch, thuc cn
hng dn bo qun phi c thm t hng dn km theo.
Thuc km, mt phm cht phi ring c bn ghi hng km, mt
phm cht ch x l (x l theo kt qu kim nghim phn loi cht
lng, khi x l phi lp hi ng x l ng quy nh)

4.2. Nguyn tc bo qun c th:

i vi thuc ha cht thng:
- Bo qun theo ng quy nh, yu cu v tnh cht ring ca tng
loi.
- Trnh m mc cho tng vin, chy nc cho tng loi vin nang, vin
bao ng.
- Thng xuyn theo di hin tng bin cht, i mu vi cc thuc
trn.
i vi ha cht c thuc c:
- kho ring xa kho thuc khc v nh .

Nu lng it t ring, ngn ring hoc khu vc tch bit ring

vi thuc dng thng thng.
Bao b ng gi phi m bo, nt kn, vi chai l, khng dng ht
phi hy.
D tr mua, giao nhn ng gi phi chp hnh nh quy ch thuc
c.
Cm mang la ngun gy la gn kho cha.
Trang b bnh cha chy.
Cm chung thuc ha cht d chy n vi cc cht d chy n
khc.

5. CC KHU CNG TC TRONG KHOA

5.1. T CP PHAT THUC NGOAI VIN BHYT:
T cp phat ngoai vin BHYT gm co 5 khu: Nhn toa thuc, Giam inh
toa, Soan toa, Kim tra thuc, Phat thuc cho bnh nhn.
Nhn toa thuc: ni se nhn toa thuc va the BHYT cua bnh nhn
theo s th t va chuyn qua bn giam inh toa.
Giam inh toa( vai tro quan trong trong khu kim tra): tai y
dc si chuyn mn se kim tra s tng ky gia cac thuc, ham
lng va s lng thuc a c bac si k trong toa thuc iu
chinh khi co thiu sot. Toa thuc se c a n ni soan thuc.
Soan thuc: thng thng se co t 2 n 3 dc si se soan thuc
theo toa a c giam inh theo s th t ghi trn toa(soan theo s
th t t nho n ln). Thuc soan xong se c t tai ni tin
hanh khu kim tra.
Kin tra thuc: dc si chuyn mn se kim tra s lng va ham
lng thuc a c soan. Tai y thuc c ong goi cn thn
theo tng phn cua mi bnh nhn.
Phat thuc cho bnh nhn: la ni thuc se c phat theo s th t
cung vi toa thuc va the BHYT cua bnh nhn. Bnh nhn kim
tra thuc trc khi v.
Bn canh o sinh vin thc tp con c hng dn 10 tn bit dc
thng gp tai phong soan thuc BHYT nh:
Aspirin 81mg
Paracetamol
Ibuprofen
Hapacol sui

Prednisolone
Glucon
Smecta
B complex C
Vashasan MR
Natural vitamin E

5.2. T KHO CHN VA KHO CP PHAT THUC NI

VIN
5.2.1 Kho chn:
Hoat ng cua kho chn gm co cac khu: Nhn hang, Kim hang, Nhp hang va
Xut hang.
Kho chn, trng kho phi l dc s, gip trng khoa lm d tr mua thuc, ha
cht, vt dng y t tiu hao, phi nm vng tnh hnh tn kho, cp pht thuc cho
cc kho pht l v bung pha ch.
Sau khi c t cung tiu va t kho theo doi, thng bao lng hang mua va dung
trong 1 thang, tn kho chn trong 1 thang, san phm sp ht hang trn thc t va
trn phn mm(ct xut-tn), cac san phm cn mua se c t hang mua va giao
n kho chn cua bnh vin.
Mi ngun thuc trong bnh vin: mua, vin tr u phi kim nhp.
- Thuc mua v trong 24 gi phi kim nhp hng nguyn ai nguyn kin,
trong vng mt tun l phi tin hnh kim nhp ton b.
- Vic kim nhp tin hnh i chiu ha n, phiu bo vi s lng thc t:
hng sn xut, quy cch ng gi hm lng, s lng, ni sn xut, s ng k,
s kim sot, hn dng v nguyn nhn h hao, tha thiu.
- Bin bn kim nhp gm cc ni dung trn v c ch k xac nhn.
- Hng nguyn ai, nguyn kin b thiu phi thng bo cho c s cung cp
b sung.
- Thuc c bng A-B, thuc gy nghin phi lm bin bn kim nhp ring
theo quy ch thuc c.

- Cc l thuc nhp c tc dng sinh hc mnh phi c giy bo l sn xut v

hn dng km theo.
Hang hoa sau khi c kim tra se sp xp vao kho va theo doi qua phn mm
s dung tai kho chn
Hng ha trong kho c cp pht theo nguyn tc FEFO v FIFO
"FEFO" (First Expire Date First Out) l "hng c thi hn ht trc th xut
trc"
FIFO (First In First Out) l hng nhp trc th xut trc
-

Kho phi c thit k theo ng quy nh chuyn mn theo tng

chng loi, bo m cao ro, thong mt, v sinh sch s, nh
sng, phng tin bo qun v an ton chng mt trm.
- Vic sp xp trong kho phi bo m ngn np, c gi, k; xp
theo chng loi.
Thuc, ha cht, dc liu, bng bng y c sp xp trong kho theo yu
cu: d thy, d ly, d tm.
Phi m bo chng m chng mi mt khng nh hng n vic thong
hi, thong gi. Phi sp xp hng trn k, bc gi t thuc phi cch xa
tng v trn.
Thun tin cho kim tra, vn chuyn, cp pht.
Mi loi thuc sp xp theo tng dng (tim, vin, bt, m, nc,).
Mi loi sp xp theo th t A,B,C hoc theo m (nh Q 05/BYT).
Dc liu c sp xp theo ngun gc, ng vt, thc vt, khong vt.
Phi m bo cp pht hp l, tng loi phi sp xp theo hn dng, thi
gian sn xut, l sn xut.
- Phi thc hin 5 chng:
Nhm ln.
Qu hn.
Mi, mt, chut, gin.
Trm cp.
Thm ha (chy n, ngp lt).
- Thuc c A-B, thuc hng tm thn, thuc gy nghin phi c
bo qun cn thn trong t ring c kha v c dc s chuyn mn qun
l.

5.2.2.Kho cp pht ni vin :

Hot ng ti kho cp pht ni vin gm c cc khu : Nhn hng t kho chn,
Kim hng, Nhp hng, Xut hng.
V t chc chia thnh kho chnh v kho cp pht l:
Kho cp pht l: cp pht cho cc khoa iu tr, khoa cn lm sng, khoa
khm bnh.

10

Thuc pha ch trong bnh vin phi bn giao cho kho cp pht l,
trng hp hai c s xa nhau, s cp pht ngay ti phng pha ch.
Phiu lnh thuc ghi sai hoc phi thay thuc sau khi c kin ca
dc s khoa dc, bc s iu tr sa li v k xc nhn vo phiu.
Phiu lnh thuc phi c trng khoa dc hoc dc s c y
nhim duyt v k tn.
Nhp phiu lnh thuc vo phn mm.
In phiu xut hng km bng gi cho khoa phng.
Son thuc c lit k trong phiu lnh. Cc loi thuc bt, thuc
nc phi c ng gi thnh liu nh cho tng ngi bnh; cc
loi thuc c bng A-B, thuc gy nghin dng bt, nc phi do
dc s t ng gi thnh liu nh.
Trc khi giao thuc dc s phi thc hin 3 kim tra, 3 i chiu
theo quy ch s dng thuc.
i giao thuc cho khoa phng, kim tra thuc vi khoa phng v k
nhn vo s k nhn ca cc khoa phng.

5.3. T NH THUC
5.3.1. Hot ng ca nh thuc:
a. Mua thuc (ngun thuc ca bnh vin):
- Mua t cng ty dc hp php.
- Thuc phi c php lu hnh, bao b cn nguyn vn v c ha n
chng t hp l chng minh ngun gc thuc.
- Khi nhp thuc phi kim tra hn dng, thng tin trn nhn, cht lng
thuc v kim sot thng xuyn trong qu trnh bo qun.
b. Bn thuc:
- Bn ng thuc, ng gi.
- Bn ng toa, ng s lng m ngi mua cn.
Bn ng thuc ghi trong n. Khi pht hin c sai phm hoc
nh hng n sc khe ngi bnh, phi thng bo li cho ngi
k n bit.
Gii thch r cho ngi mua, t chi khi n thuc c sai st
hoc nghi vn, v khng nhm mc ch cha bnh.
Dc s i hc c quyn thay th thuc bng mt thuc khc
c cng hot cht, dng bo ch, cng liu lng khi c s ng
ca ngi mua.
Hng dn ngi mua v cch s dng thuc v nhc nh
thc hin ng n thuc.
Bn thuc gy nghin, phi vo s, lu n thuc bn chnh.

11

- T vn v cch s dng thuc, cc loi thuc cho ngi mua thuc.

Bn ng thuc ghi trong n. Khi pht hin c sai phm hoc nh
hng n sc khe ngi bnh, phi thng bo li cho ngi k
n bit.
Gii thch r cho ngi mua, t chi khi n thuc c sai st hoc
nghi vn, v khng nhm mc ch cha bnh.
Dc s i hc c quyn thay th thuc bng mt thuc khc c
cng hot cht, dng bo ch, cng liu lng khi c s ng ca
ngi mua.
Hng dn ngi mua v cch s dng thuc v nhc nh thc
hin ng n thuc.
Bn thuc gy nghin, phi vo s, lu n thuc bn chnh.
T vn bnh nhn chn loi thuc c gi tr hp l, nht l
ngi ngho. Khng thng tin, qung co thuc tri quy nh,
khng khuyn khch mua thuc nhiu hn mc cn thit.

5.3.2. 10 tn bit dc thng gp nha thuc:

-

Diclofenac
Cetirizin
Amoxicilin
Chloramphenicol
Nifedipin
Ketoconazol
Cimetidin
Neomycin (sulfat)
Diazepam
Paracetamo

12

6.MT S THUC (TN BIT DC)

6.1. AGUMENTIN
Thnh phn:
Amoxicillin
Clavulanate
Ch nh:
- Vim amidal, vim tai gia, vim ph qun cp & mn, vim phi, vim bng
quang, vim niu o, vim b thn.
- Mn nht, p xe, nhim khun vt thng, vim ty xng. p xe rng.
Nhim khun sn ph khoa, bng.
Chng ch nh:
Qu mn vi penicillin & cephalosporin. Ph n c thai 3 thng u.
Ch phng:
Bnh nhn ri lon chc nng gan, suy thn.
Tng tc thuc:
Thuc khng ng. Thuc ung nga thai.
Tc dng ngoi :
Tiu chy, ngoi ban, nga.
- t gp: tng bch cu i toan, bun nn, nn, vim da, vng da mt, tng men
gan.
- Him gp: phn v, ph Quincke, gim nh tiu cu, gim bch cu, thiu mu
tn huyt, vim i trng gi mc, hi chng Stevens-Johnson, ban a dng,
vim da trc vy, hoi t biu b nhim c, vim thn k.

13

6.2. CIPROFLOXACIN 0.3 %

Thnh phn: Ciprofloxacin

Ch nh:
-

Mt: vim kt mc, vim gic mc, vim

kt gic mc, lot gic mc, vim m mt,
vim tuyn Meibomius cp, vim ti l do
vi khun nhy cm vi Ciprofloxacin.
Phng nga trc khi m mt, iu tr
nhim khun sau phu thut mt.

Tai: vim tai ngoi, vim tai gia cp, vim tai gia c n mn tnh v phng
nga trong phu thut tai nh phu thut xng chm.

Chng ch nh:
-

Qu mn vi quinolone.

Ch phng:
-

ph n c thai, cho con b v tr em <1.

14

6.3. ALAXAN
Thnh Phn: Mi vin Ibuprofen 200 mg, Paracetamol 325 mg
Ch nh: Gim cn au t nh n trung bnh do nguyn nhn c xng nh
au c, vim khp, thp khp, bong gn, vim
bao hot dch, vim gn, au lng hay nhc u
do au na u, au rng, au kinh. Gim au
hu phu sau nh rng & cc phu thut nh.
Liu Dng: 1-2 vin x 3 ln/ngy.
Chng Ch nh: Ngi c hi chng polyp
mi, tin s ph mch & phn ng co tht ph
qun khi dng aspirin hay NSAID khc.
Thn Trng: Lot d dy t trng, bnh gan,
suy chc nng thn, tim mt b & ri lon ng
mu ni sinh.
Phn ng C Hi: Ri lon tiu ha, nh hng
ln h TKTW, ni mn.
Tng Tc Thuc: Coumarin, thuc khng ng
mu, aspirin, furosemide, thiazide, lithium.

6.4. MELOXICAM

15

Thnh phn:
Meloxicam 7,5mg
Ch nh:
iu tr triu chng vim khp dng
thp, vim xng khp, vim t sng
dng thp & cc tnh trng vim & au khc.
Chng ch nh:
Qu mn vi thnh phn thuc. Tin s hen, ph mch, m ay khi dng aspirin.
Lot d dy t trng. Suy gan, suy thn nng. Tr < 15 tui. Ph n c thai hoc
cho con b.
Tng tc thuc:
- Lithium, methotrexat.
- Thuc trnh thai.
- Thuc li tiu.
- Thuc tr tng HA, cyclosporin.
Tc dng ph:
- Kh tiu, bun nn, au bng, to bn, y hi, tiu chy.
- Him: vim thc qun, lot d dy t trng, xut huyt tiu ho, thng, vim
rut kt.
Ch phng:
Tin s bnh ng tiu ha. ang dng chng ng. Ngi cao tui.

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6.5. HAPACOL Si

Chi inh
iu tr cc triu chng au nhc v/hoc st trong cc trng hp sau:
Cm lnh, cm cm, au u, au c - xng, bong gn, au khp, au lng, au
rng, au bng kinh, au do chn thng, au thn kinh,
Do nhim khun ng h hp trn: au tai, au hng, vim mi xoang do nhim
khun hay do thi tit,
Sau phu thut nha khoa, nh rng, ct amian.
Chng chi inh
Qu mn vi paracetamol. Ngi bnh thiu mu, c bnh tim, phi, thn. Cc
trng hp: thiu ht glucose - 6 - phosphat dehydrogenase; suy chc nng gan.
Thn trong
Ung nhiu ru c th gy tng c tnh vi gan ca paracetamol, nn trnh hoc
hn ch ung ru.
Thuc c cha 192mg ion natri, cn trng i vi ngi king mui.
Tng tac thuc
Dng chung thuc khng ng (warfarin) lm tng tc dng ca thuc khng ng.
Cc thuc chng co git, isoniazid c th lm tng nguy c c i vi gan ca
paracetamol.
Tac dung phu
Him gp phn ng d ng. C th gy suy gan (do hy t bo gan) khi dng liu
cao, ko di.
Bun nn, nn, gim bch cu, thiu mu, c vi thn khi dng di ngy. Thng
bo cho bc s nhng tc dng khng mong mun gp phi khi s dng thuc.
Cach dung
Ha tan vin thuc trong lng nc tu thch n khi ht si bt. Khong cch
gia 2 ln ung phi hn 4 gi v khng ung qu 8 vin/ngy.
Ngi ln v tr em > 12 tui: ung 1 vin/ln.
au nhiu: ngi ln c th ung 2 vin/ln.
* Trng hp bnh nhn suy thn nng ( thanh thi creatinin < 10 ml/pht),
khong cch gia cc liu ung phi t nht l 8 gi. Hoc theo ch dn ca Thy
thuc.

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Han dung
24 thng k t ngy sn xut.
Bao quan
Ni kh mt, trnh nh sng.

6.6. CLORPHENIRAMIN 4mg

Thnh Phn
-Clorpheniramin maleat 4mg.
Ch nh:
-Tr s mi, ht hi, nga mi, nga c
hng, nga do cc trng hp d ng
khc ng h hp trn.
Chng Ch nh:
-Qu mn vi Clorpheniramin hoc bt
c thnh phn no ca ch phm.
-Ngi bnh ang cn hen cp.
-Ngi bnh c triu chng ph i
tuyn tin lit.
-Glcm gc hp.
-Ph n c thai v cho con b, tr s sinh v tr thiu thng.
-Ngi bnh dng thuc c ch monoamin oxidase (MAO) trong vng 14 ngy,
tnh n thi im iu tr bng clorpheniramin v tnh cht chng tit acetylcholin
ca clorpheniramin b tng ln bi cc cht c ch MAO.
Tc Dng Khng Mong Mun :
-Tc dng an thn rt khc nhau t ng g nh n ng su, kh ming, chng mt
v gy kch thch xy ra khi iu tr ngt qung. Tuy nhin, hu ht ngi bnh chu
ng c cc phn ng ph khi iu tr lin tc, c bit nu tng liu t t.
Thn Trng:
-Thn trng ngi ph i tuyn tin lit, tc ng niu, tc mn v t trng v
ngi bnh nhc c, ngi b bnh tc nghn phi, ngi cao tui hay tr em
nh.
-Khng nn dng cng lc vi ru v cc thuc an thn khc.
Thuc c th gy ng g, chng mt, hoa mt, nhn m v suy gim tm thn vn
ng trong mt s ngi bnh v c th nh hng nghim trng n kh nng li
xe hoc vn hnh my mc.
-Trnh dng cho ngi bnh b tng nhn p nh b glcm.

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6.7. PREDNISOLONE

Dng bo ch: Vin nn

Thnh phn: Prednisolone
Hm lng: 5mg
Ch nh:
Vim a khp dng thp cp & mn, vim quanh khp, vim ct sng cng khp,
thp khp, thp tim. Bnh Addison, suy thng thn cp, hi chng thng thnsinh dc. Hen ph qun, cc bnh l d ng cp & mn. Vim gan, hn m gan, h
ng huyt, hi chng thn h, mt bch cu ht, mt s dng leukemia, Hodgkin,
xut huyt gim tiu cu, thiu mu tn huyt. Lupus , pemphigus, hng ban
quanh ng mch, eczema, nga, vim da trc vy, vy nn. Vim mt ng cm,
mt s dng vim kt mc. Vim gic mc, lot gic mc, vim mng mt, vim
mng mt th mi, vim mng mch nho.
Chng ch nh:
Lot t trng, long xng, bnh tm thn kinh nng.
Tc dng ph:
Tng tit K, gi Na & gy ph.
Ch phng:
Ph n c thai.
Liu lng:
Ngi ln: 5 - 60 mg/ngy dng liu n hoc chia nhiu ln. t cp bnh x
cng ri rc 200 mg/ngy x 1 tun, sau 80 mg cch ngy trong 1 thng. Tr em:
500 mcg - 2 g/kg chia 3-4 ln. Suy thng thn 140 mcg/kg chia 3 ln.

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NHN XT, NH GI CA N V HNG

DN THC TP
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TPHCM, Ngay Thang Nm 2011

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NHN XT, NH GI CA GIO VIN

HNG DN THC TP
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TPHCM ,Ngay Thang Nm 2011

CHN THANH CAM N

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