B GIO DC V O TO

TRNG I HC NGUYN TT THNH

KHOA DC

BO CO THC TP TT NGHIP
NH THUC THANH HIN
Sinh vin thc tp: Tn Khnh Trm
Lp :11TDSP21
MSSV:3111000167
Kha hc: 2011-2013

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TP.H CH MINH NM 2012

Bo co thc tp

MC LC

LI M U
Thuc l mt sn phm thit yu trong cuc sng con ngi,
thuc l phng tin phng bnh v cha bnh khng th thiu trong
cng tc y t. Thuc tt v s dng ng cch s gip lm bnh mau
khi, nu thuc khng m bo cht lng, s dng sai s lm cho
ta khng khi bnh m cn c th gy nhng tc hi cho ngi s
dng, thm ch c th gy t vong cho ngi s dng thuc. V vy
ta cn c nhng quy nh, ni qun l, bo qun, phn phi m
bo cht lng thuc tt nht khi n tay ngi s dng.
Nh thuc Hiu thuc l mt trong nhng ni bo qun, bn l
thuc, a thuc ti tay ngi s dng. V ngi dc s c vai tr
quan trng trong vic t vn hng dn cho ngi s dng thuc v
gip a thuc ti tay ngi dn.
Thi gian thc tp nh thuc l khong thi gian gip em hiu
c vai tr ca ngi dc s trung cp trong nh thuc. Mt phn
hiu c cch b tr sp xp thuc nh thuc, bit c cch bo

Bo co thc tp

qun thuc v pht trin c kh nng giao tip t vn hng

dn cho nhng ngi s dng bit c cch s dng thuc mt
cch an ton v hp l, nm r c cc quy nh, nguyn tc tiu
chun trong ngnh.

I. Tng quan v c s thc tp:

1. Tng quan v Nh thuc Hiu thuc:
Nh thuc Thanh Hin: 194/13 Bch ng, phng 24, qun
Bnh Thnh
- Tng s nhn vin trong nh thuc l: 3
- Dc s ph trch: DS. L Nguyt Hoa
2. Vai tr ca Dc s trung cp ti Nh thuc Hiu thuc:
- Bn l v phn phi thuc theo s ch dn ca dc s i hc.
- Sp xp cc loi thuc theo nhm dc l.
- T vn hng dn ngi mua s dng thuc ng cch v hp
l.
II. Kt qu thc tp:
1. Cc hnh thc bn l thuc, a bn m c s bn l
thuc, phm vi hot ng:
- Nh thuc c m ti tt c a phng trn c nc. Phm
vi hot ng ca nh thuc c bn l thuc thnh phm, pha ch
thuc theo n.

Bo co thc tp

- Quy thuc c m ti a bn huyn x ca cc huyn ngoi

thnh, ngoi th i vi cc tnh, thnh ph trc thuc trung ng.
i vi a bn qun, phng ca thnh ph, th x cha c 1
nh thuc phc v 2000 dn, trong nm 2007 S y t tnh xem xt
vic t chc mi quy thuc, sau ty tnh hnh a phng c vn
bn bo co B y t xem xt, quyt nh vic tip tc gia hn
hoc m thm cc quy thuc. Cc c s bn l thuc do dc s
trung hc l ngi qun l chuyn mn c trc ngy 01/06/2003
ang hot ng cc qun, phng ca thnh ph, th x, nu cha
dc s i hc chuyn thnh nh thuc nhng p ng cc
iu kin v c s thit b theo quy nh v iu kin i vi c s
bn l th c tip tc gia hn ti ht ngy 31/12/2010 Phm vi
hot ng ca quy thuc l c bn l thuc thnh phm.
- i l bn thuc ca doanh nghip c bn ti a bn
huyn x ca cc huyn ngoi thnh, ngoi th i vi cc tnh,
thnh ph trc thuc trung ng. Cc c s bn l thuc thuc
doanh nghip thuc cc tnh vng cao, vng su, c gia hn
n ht ngy 31/12/2005 theo Thng t s 09/2004/TT-BYT, nu
cha dc s i hc, dc s trung hc chuyn thnh nh
thuc hoc quy thuc nhng p ng cc iu kin v c s thit b
theo quy nh v iu kin i vi c s bn l thuc th c tip
tc gia hn ti ht ngy 31/12/2010. Phm vi hot ng ca i l
bn thuc l c bn l thuc thnh phm theo danh mc thuc
thit yu.

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- T thuc ca trm y t c m ti a bn cc x ca cc
huyn ngoi thnh ph, ngoi th x i vi cc tnh, thnh ph trc
thuc trung ng. Phm vi hot .ng ca t thuc ca trm y t
c bn l thuc thnh phm theo danh mc thuc thit yu s
dng cho tuyn y t cp x.
Lu : cc c s bn l thuc khng c bn nguyn liu lm
thuc.
2. iu kin kinh doanh thuc:
- iu kin cp giy chng nhn iu kin kinh doanh
thuc: c s vt cht k thut v nhn s phi c trnh chuyn
mn cn thit cho hnh thc hiu thuc nh thuc. Ngi qun l
chuyn mn v dc c cp chng ch hnh ngh dc ph
hp vi hnh thc kinh doanh nh thuc.
- iu kin cp chng ch hnh ngh dc: c vn bng,
chng ch chuyn mn ph hp vi tng hnh thc kinh doanh
thuc. qua thc hnh t nht 2 nm n 5 nm ti c s dc hp
php i vi tng hnh thc kinh doanh. C o c ngh nghip v
sc khe hnh ngh dc.
- Giy chng nhn iu kin kinh doanh thuc c thi hn
hiu lc l 5 nm k t ngy cp. Thi gian gia hn ti a c php
ca giy l 5 nm.
- Giy chng nhn hnh ngh dc c thi hn hiu lc l 5
nm k t ngy cp, thi gian gia hn ca giy c php ti a l 5
nm,khng hn ch s ln gia hn.
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3. Cc tiu chun ca nh thuc cha t chun GPP v t

chun GPP
Nh
thuc
tiu

Cha t chun GPP

t chun GPP

chun
- Ngi ph trch hoc ch - Ngi ph trch hoc ch
c s bn l thuc phi c c s bn l thuc phi c
chng ch hnh ngh dc chng ch hnh ngh dc
(phi l dc s i hc).

(phi l dc s i hc).

- Nhn vin phi c vn - Nhn lc phi thch hp v

bng chuyn mn v dc p ng quy m hot ng.
Nhn
s

v thi gian thc hnh - Nhn vin phi c vn bng

ngh nghip ph hp, chuyn mn v dc v thi
sc khe khng bi bnh gian thc hnh ngh nghip
truyn nhim, khng b k ph hp, sc khe khng
lut cnh co tr ln c bi bnh truyn nhim, khng
lin quan n chuyn mn b k lut cnh co tr ln c
y dc.
lin quan n chuyn mn y

Xy

dc.
- Ring bit, cao ro, - Ring bit, cao ro, thong

dng

thong mt, an ton, cch mt, an ton, cch xa ngun

Bo co thc tp

xa ngun nhim, xy nhim, xy dng chc chn

thit

dng chc chn c trn v c trn v tng, nn d lm

tng, nn nh sng.
-

Din

tch

ni

v sinh v nh sng.

bn - Din tch ni bn thuc

thuc ph hp vi quy m t 10m2 tr ln, ph hp vi

kinh doanh, c khu vc quy m kinh doanh, c khu
trng by bo qun, giao vc trng by bo qun, giao
tip khch hng. Ni ra tip khch hng. C phng ra
tay dnh cho ngi bn l thuc, phng pha ch
Din

thuc, khu vc dnh cho t thuc theo n (nu c) phi

tch

vn khch hng v gh t chun quy nh, ni ra

ngi ch. C khu vc dnh tay dnh cho ngi bn
ring cho nhng sn phm thuc, khu vc dnh cho t
khng phi l thuc.

vn khch hng v gh ngi

ch. C khu vc dnh ring
cho nhng sn phm khng
phi l thuc.

Thit

- trang thit b bo - thit b bo qun thuc,

b bo qun thuc, trnh nhng trnh c nhng nh hng

qun nh hng bt li.
bt li i vi thuc.
thuc
- Cng phi c t, quy, k - T, quy, gi, k chc chn,
chc chn, tr nhn, d v trn nhn, d v sinh, thun
sinh, thun tin cho by tin cho by bn, bo qun v
bn, bo qun v m bo m bo thm m.
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thm m.

- Phi c nhit m k, c h

- Ni bn thuc phi thng thng gi v chiu

thong mt.
sng.
- Phi c ti liu hng - Phi c ti liu hng
dn s dng thuc, cc quy dn s dng thuc, cc quy
ch dc hin hnh.

ch dc hin hnh.

- Phi c h s, s sch v - Phi c h s, s sch v

hot ng kinh doanh mua hot ng kinh doanh thuc,
bn thuc.

gm s sch hoc my tnh

H s, - Xy dng v thc hin c phn mm qun l thuc

s
cc quy trnh thao tc tn tr, h s, s sch lu d
sch, chun cho tt c quy trnh liu v bnh nhn,v hot
ti liu chuyn mn.
ng mua bn thuc, pha ch
chuy
thuc. Cc h s, s sch
-Cc h s, s sch phi
n mn
phi lu tr trong thi gian t
lu tr trong thi gian t
nht l 1 nm k t khi thuc
nht l 1 nm k t khi
ht hn dng. Xy dng v
thuc ht hn dng.
thc hin cc quy trnh thao
tc chun cho tt c quy trnh
chuyn mn.

4. Hot ng ch yu ca c s bn l thuc:

Bo co thc tp

a. Mua thuc:
- Ngun mua phi l c s kinh doanh thuc 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.
- thuc trong danh mc thuc thit yu dng cho tuyn C.
b. Bn thuc:
- Bn ng thuc, ng gi.
- Bn ng toa, ng s lng m ngi mua cn.
- T vn v cch s dng thuc, cc loi thuc cho ngi mua
thuc.
c. Cc bc c bn ca bn thuc:
- Hi ngi mua v bnh v thuc m ngi mua yu cu.
- T vn v la chn thuc, cch dng thuc, hng dn cch s
dng thuc bng li v vit ln bao b ng gi thuc trong trng
hp khng c n thuc km theo.
- Cung cp cc thuc ph hp. Kim tra i chiu thuc bn ra
vi toa thuc khi giao thuc cho bnh nhn v tn thuc, hm lng,
s lng, chng loi, cht lng thuc bng cm quan.
d. Cc quy nh v t vn cho ngi mua thuc:
- T vn ng n, m bo hiu qu iu tr.
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- Ch t vn, cung cp thng tin v loi thuc khng bn theo

n.
- Trng hp cn c s chn on ca bc s, phi t vn cho
bnh nhn i khm bc s vi chuyn khoa thch hp hoc vi bc s
iu tr.
- 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.
e. Bn thuc theo n:
- Ngi bn thuc theo on phi c trnh chuyn mn ph
hp vi quy nh ca B Y T.
- Phi bn ng thuc ghi trong n. Khi pht hin c sai phm
hoc nh hng n sc khe ngi bnh, ngi bn l phi thng
bo li cho ngi k n bit.
- Phi gii thch r cho ngi mua v c quyn t chi bn
thuc theo n trong cc trng hp n thuc khng hp l, n
thuc c sai st hoc nghi vn, n thuc k 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.

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-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.
f. Bo qun thuc:
- Thuc c sp xp theo nhm tc dng dc l.
- Bo qun thuc theo yu cu ghi trn nhn thuc.
- Thuc k n c by bn v bo qun ti khu vc ring c
ghi r Thuc k n hoc trong cng mt khu vc phi sp xp
ring cc thuc bn theo n, trnh gy nhm ln
5. Yu cu i vi ngi bn l trong ngnh dc:
a. i vi ngi lm vic trong c s bn l thuc:
- C thi ha nh, lch s khi tip xc vi ngi mua thuc,
bnh nhn.
- T vn thng tin cn thit v cch dng thuc cho ngi mua
hoc bnh nhn nhm m bo s dng thuc hp l, an ton v
hiu qu.
- Gi b mt cc thng tin ca ngi bnh.
- Trang phc o blu trng, sch s, gn gng, c eo bin ghi r
h tn, chc nh.
- Thc hin ng cc quy ch dc, t nguyn tun th o c
hnh ngh dc.
- Tham gia cc lp o to, cp nhn kin thc chuyn mn v
php lut y t.
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b. i vi ngi qun l chuyn mn hoc ch c s bn l:

- Phi thng xuyn c mt trong thi gian hot ng v chu
trch nhim trc ph lut v mi mt hot ng ca c s, khi vng
mt phi y quyn cho nhn vin c trnh chuyn mn tng
ng tr ln iu hnh theo quy nh.
- Trc tip tham gia vic bn cc thuc phi k toa, t vn cho
ngi mua.
- Lin h vi bc s k n trong cc trng hp cn thit.
- Thng xuyn cp nht cc kin thc chuyn mn, vn bn
quy phm php lut v hnh ngh dc v khng ngng nng cao
cht lng dch v cung ng thuc.
- o to, hng dn cc nhn vin v chuyn mn cng nh
o c hnh ngh dc.
- Cng tc vi y t c s, cung cp thuc thit yu, tham gia
truyn thng gio dc v thuc cho cng ng v cc hot ng
khc.
- Theo di v thng bo cho c quan y t v cc tc dng khng
mong mun ca thuc.
c. Cc hot ng i vi thuc b khiu ni hoc thu hi:
- Phi c h thng lu gi cc thng tin, thng bo v thuc
khiu ni, thuc khng c php lu hnh, thuc phi thu hi.
- C thng bo thu hi cho khch hng. Kim tra v trc tip thu
hi, bit tr cc thuc phi thu hi ch x l.

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Bo co thc tp

- C h s ghi r v vic khiu ni v bin php gii quyt.

- Nu hy thuc phi c bin bn theo quy ch qun l cht
lng thuc.
- C bo co cc cp theo quy nh.
6. Danh mc thuc c php kinh doanh ti Hiu thuc
Nh thuc.
Kem bi da Pesancort.

Hot cht - hm lng: Betamethasone valeat 0.1%; Acid

Fusidic 2%.
Ch nh: iu tr vim da, lichen, chm.
Quy cch: Hp 1 tube 5g - 10g kem.

Kem bi ngoi da Gentri-sone.

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Thnh

phn:

Betamethasone

dipropionate

0.64mg,

Clotrimazole 10mg, Gentamicin sulfate 1mg.

Ch nh: Vim da, d ng da, bng 1, vt t cn trng,
vim da bi nhim, vim da do nm.
Cch s dng: Bi thuc ln vng tn thng 1 hoc vi
ln/ngy.
ng gi: Tup 10g .
Thuc nh mt, mi Efticol

Cng thc: Natri clorid 0,09g. T dc: Kali sorbat, Nc ct

pha tim.
Ch nh: Dng nh v bm ra mt hng ngy. Dng thch
hp cho tr s sinh v ngi ln.
Chng ch nh: Cha c ti liu nghin cu

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Bo co thc tp

Tng tc thuc: Cha c ti liu nghin cu

Vin nn bao phim Cefucap 250

Thnh phn:
- Mi vin nn bao phim cha:
- Cefuroxim Axetil USP tng ng Cefuroxim

500mg

Ch nh:
- Nhim trng ng h hp trn
- Nhim khun tai mi hng, c bit l vim tai gia, vim
xoang, vim midale, vim hu.
- Nhim trng ng h hp di nh vim ph qun, cn kch
pht a vim ph qun mn..,
- Nhim khun da v m mm.
- Nhim trng ng tit niu khng bin chng nh vim bng
quang, u o, vim thn-b thn do lu cAu (nhm khng sn xuat
snicillinase).
Chng chi nh:
- Chng chi nh bnh nhn c tin s d ng vi
cephalosporin hoc cc khng sinh nhm beta-lactam.
Vim si EFFERALGAN 500mg.

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Thnh phn: Paracetamol: 500mg

Ch nh: iu tr triu chng cc cn au va v nh, cc trng
thi st.
Chng ch nh:
- Mn cm vi thuc v suy t bo gan.
- Ngi thiu mu nhiu ln, c bnh tim, phi, thn hoc gan.
Ngi thiu ht men G6PD.
Tng tc thuc: Trnh ung ru khi dng thuc, khng dng
chung vi cc thuc khc c cha Paracetamol.

Thuc aulakan.

Cng thc: Cao bch qu 40mg

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Bo co thc tp

Ch nh:
- Cc triu chng suy gim tr nng ca ngi ln tui (cc ri
lon v ch , tr nh . . .).
- iu tr triu chng au cch hi ca bnh tc ng mch chi
di mn tnh (giai on II).
- Ci thin hi chng Raynaud. c ngh trong vi hi
chng c th do nguyn nhn thiu mu cc b nh: chng mt,
tai, gim thnh lc, suy vng mc.
Chng ch nh:
- Mn cm vi bt c thnh phn no ca thuc.

Thuc Panadol Extra.

Ch nh: Nhanh chng & hiu qu gim cc cn au d di

nh: au u, au na u, au bng kinh, au hng, au c xng,
st & au sau khi tim vaccin, au sau nh rng hoc sau cc th
thut nha khoa, au rng, au do vim xng khp. H st nhanh.
Chng ch nh: Qu mn cm vi thnh phn thuc, suy gan
thn.
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Bo co thc tp

Vin nn Youngil Captopril

Thnh phn: Captopril

Ch nh: Tng huyt p, suy tim khng p ng vi n tr liu
thuc li tiu digitalis.
Chng ch nh: Qu mn vi captopril. Tr < 15 tui. Ph n
c thai v cho con b.
Vin bao ng Neurobion.

Ch nh: Dng cho cc trng hp thiu Vitamin nhm B, au

u, tr em suy nhc chm ln.
Chng ch nh: Qu mn vi thnh phn thuc. Phi hp vi
Levodopa.
Thuc Cadifixim.

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Bo co thc tp

Thnh phn:
- Mi gi 1,5g cha
- Cefixim khan (dng Cefixim trihydrat) 100 mg
Ch nh:
- CADIFIXIM c s dng trong cc trng hp nhim vi
khun nhy cm vi thuc
- Nhim trng ng h hp - Nhim khun tai mi hng, c
bit l vim tai gia do Haemophilus influenzae (nhng chng c
hoc khng c tit beta- lactamase), Moraxella catarrhalis v S.
pyogenes.
- Nhim trng ng h hp di nh vim ph qun do
Streptococcus pneumoniae v Haemophilus influenzae (nhng
chng c hoc khng c tit beta- lactamase).
- Vim hng v vim amidan.
- Nhim trng ng tit niu, nh vim bng quang, niu o,
vim thn-b thn khng bin chng do Escherichia coli v Proteus
mirabilis.
- Bnh lu do Neisseria gonorrhoeae.
- Bnh thng hn.

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Bo co thc tp

Thn trng: Thn trng khi ch nh cho bnh nhn c tin s d

ng vi penicillin v c hin tng d ng cho gia penicillin v
cc cephalosporin vi t l khong 10%.
Tc dng ph
- CADIFIXIM c dung np tt, cc tc dng ph thng nh v
c th hi phc sau khi ngng dng thuc.

Thuc Glucofine 500mg.

Thnh phn: Mi vin nn bao phim cha: Metformin

hydrochlorid (tng ng Metformin base 390 mg) 500 mg.
T dc va 1 vin nn bao phim.
Ch nh:
- iu tr bnh i tho ng khng ph thuc insulin (typ II):
n tr liu, khi khng th iu tr tng glucose huyt bng ch
n n thun.
- C th dng metformin ng thi vi mt sulfonylur khi ch
n v khi dng metformin hoc sulfonylur n thun khng c
hiu qu kim sot glucose huyt mt cch y .
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Bo co thc tp

Chng ch nh:
- Qu mn vi metformin v cc thnh phn khc.
- Ngi bnh c trng thi d ha cp tnh, nhim khun, chn
thng (phi c iu tr i tho ng bng insulin).
- Gim chc nng thn do bnh thn, hoc ri lon chc nng
thn (creatinin huyt thanh 1,5 mg/decilt nam gii, hoc 1,4
mg/decilt ph n), hoc c th do nhng tnh trng bnh l nh
try tim mch, nhi mu c tim cp tnh v nhim khun huyt gy
nn.
Vin bao ng NEO-CODION.

- Thnh phn: Codeine camphosulfonate, Sulfoguaiacol, Soft

extract of grindelia.
- Ch nh: Lm du cn ho khan v ho kch ng ngi ln.
- Chng ch nh: Qu mn vi thnh phn thuc. Ph n c thai
v cho con b. Ho do hen suyn. Suy h hp. Khng dng kt hp
vi ru.
- Tng tc thuc: Khng phi hp vi ru, nalbuphin,
bupremorphin, pentazocin. Cn thn khi phi hp vi cht c ch
TKTW, dn cht khc ca morphin.

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Bo co thc tp

- Tc dng ph: C th gy to bn, bun ng, chng mt, bun

nn, nn. Him gp: c ch h hp, co tht ph qun, d ng da.

Vin nn NifeHEXAL retard.

Thnh Phn: Nifedipine.

Ch nh:
- iu tr bnh tim do mch vnh nh: au tht ngc n nh
mn tnh, au tht ngc lc ngh k c au tht ngc do co tht
mch (au tht ngc Prinzmetal) cng nh au tht ngc khng
n nh, au tht ngc sau nhi mu c tim.
- iu tr cao huyt p.
Chng Ch nh: Qu mn cm vi nifedipine, sc do tim mch,
hp ng mch ch nng. Ph n c thai & cho con b.

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Bo co thc tp

Thuc Paracetamol codein.

Hot cht:
- Paracetamol, Codeine phosphate
Ch nh:
- Cc cn au va phi hoc d di hoc khng p ng vi
cc thuc gim au ngoi bin khc.
Chng ch nh:
- Tr em di 15 kg. Tiu phenylcetone (do c aspartam).
- Lin quan n paracetamol: qu mn cm vi paracetamol;
suy chc nng gan.
- Lin quan n codeine: qu mn cm vi codeine; suy h hp.

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Bo co thc tp

Thuc bt Acemuc.

Thnh phn:
- Acetylcystein: 200mg
- Aspartam
Ch nh:
- iu tr cc ri lon v h hp: ph qun v xoang nht l
trong cc bnh ph qun cp tnh : vim ph qun cp v giai on
cp ca bnh ph qun - phi mn tnh.
Chng ch nh: Phenylceton niu.

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Bo co thc tp

Thuc nh mt MAXITROL.

Thnh Phn
- Mi ml hn dch nh mt: Dexamethasone 1 mg, neomycin 3.5
mg, polymyxin B sulfate 6,000 IU.
- Mi g thuc m tra mt: Dexamethasone 1 mg, neomycin 3.5
mg, polymyxin B sulfate 6,000 IU.
Ch nh: Vim nhim mt thng thng m cn phi hp c
khng sinh v khng vim.
Chng Ch nh: Vim gic mc nng do H. simplex, Vaccinia,
Varicella & cc virus khc. Nhim khun mt do Mycobacterium,
nhim nm. Sau khi ly d vt gic mc khng bin chng.

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Bo co thc tp

Thuc Tragutan.

Tnh cht:
- Vin nang mm Tragutan c hot cht khng khun ng h
hp, h st.
- Thuc ho c hiu qu cao v tc thi, lm du cc cn ho v
cc triu chng kh chu ca cm cm, do kt hp tnh st khun, h
st ca Eucalyptol, tnh cha ho, cm mo ca gng, tn v tc dng
st khun ca menthol.
- Thuc khng gy bun ng v khng c cha cc dn cht ca
nha phin.
Ch nh:
- St trng ng h hp, lm du cn au hng.
- Tr cc chng ho.
Chng ch nh:
- Khng dng trong cc trng hp: ho do suyn, tr em di 2
tui.
Vin nn Bisolvon.

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Bo co thc tp

Thnh phn: Bromhexine

Hm lng: 8mg
Ch nh: Bnh ng h hp tng tit m & kh long m
nh vim ph qun cp & mn, cc dng bnh phi tc nghn mn,
vim h hp mn, bi phi, gin ph qun.
Chng ch nh: Qu mn vi thnh phn thuc. Ph n c thai
(chng ch nh tng i).

Thuc Caditadin.

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Bo co thc tp

Thnh phn: Loratadin 10mg.

T dc: Tinh bt bp, Lactose, Colloidal silicon dioxyd,
Magnesi stearat, Hydroxypropylmethyl cellulose, Titan dioxyd,
Talc, Polyethylen glycol 6000, Ethanol 96%, Nc RO.
Ch nh:
CADITADIN c ch nh iu tr cc triu chng lin quan
n vim mi d ng (ht hi, chy nc mi, nga mi), vim kt
mc d ng v cc biu hin d ng khc c lin quan n histamine
nh ni my ay mn tnh, cc d ng ngai da.
c k hng dn s dng trc khi dng. Nu cn bit thm
thng tin, xin hi kin bc s.

Vin bao phim Diclofen.

29

Bo co thc tp

Thnh phn: Diclofenac

Hm lng: 50mg
Ch nh: iu tr ngn hn: vim au sau chn thng hoc sau
phu thut, cc tnh trng vim khp cp v mn k c cn gout cp,
vim khp ct sng c, cn migraine, cn au bng kinh & cc tnh
trng vim au cp tnh trong sn ph khoa, rng hm mt, tai mi
hng.
Chng ch nh: Lot d dy t trng, nhy cm vi diclofenac
hay NSAID khc.

7. Toa thuc:
- Vim hng:
+ Vercef 350mg, 10 vin. Ngy 2 ln, mi ln 1 vin.
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Bo co thc tp

+ Efferalgan 500mg, 15 vin. Ngy 3 ln, mi ln 1 vin.

+ Rebacord, 15 vin. Ngy 3 ln, mi ln 1 vin.
+ Dextromethorphan, 10 vin. Ngy 2 ln, mi ln 1 vin.
+ Polaramin 2mg, 10 vin. Ngy 2 ln, mi ln 1 vin.
+ Pecaldex 10ml. Ngy 1 ln, mi ln 1 ng.
- Vim xoang:
+ Voltaren 75mg.
+ Lenmital 100mg, 14 vin. Ngy ung 2 ln, mi ln 1 vin.
+ Anflamin, 21 vin. Ngy 3 ln, mi ln 1 vin.
+ Mg B6, 21 vin. Ngy 3 ln, mi ln 1 vin.
- Vim da do cn trng:
+ Pesancort, 1 tup. Ngy bi 2 ln, sng 1 ln, chiu 1 ln.
+ B.B.Cin 500mg, 14 vin. Ngy 2 ln, mi ln 1 vin.
+ Elcet, 10 vin. Ngy 1 ln, mi ln 1 vin vo bui sng.
- Vim kt mc cp:
+ Maxitrol coll 5ml, 1 chai. Ngy nh 8 ln, mi ln 2 git.
+ Diclofenac 50mg, 10 vin. Ngy 2 ln, mi ln 1 vin.
- Vim ph qun mn n thun:
+ Canoxine 200mg, 14 vin. Ngy 2 ln, mi ln 1 vin.
+ Flenlaxo 60mg, 14 vin. Ngy 2 ln, mi ln 1 vin.
+ Eramux 50mg, 14 vin. Ngy 2 ln, mi ln 1 vin.

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Bo co thc tp

- Chn thng sng ti:

+ a Choay, 12 vin. Ngy 3ln, mi ln 2 vin.
+ Pamesic, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Ospexin, 6 vin. Ngy 3 ln, mi ln 1 vin.
- Nhc mi:
+ Diclofenac 50mg, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Decontractyl, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Diantavic, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ 3B, 6 vin. Ngy 3 ln, mi ln 1 vin.
- Cm s mi, ho m:
+ Ciprofloxacin, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Pamesic, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Terpincodein-F. Ngy 3 ln, mi ln 1 vin.
+ Geribon, 6 vin. Ngy 3 ln, mi ln 1 vin.

- Ho m ngi ln:
+ Lincomycin, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Metronidazol, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Prednisone, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Terpincodein-F, 6 vin. Ngy 3 ln, mi ln 1 vin.

32

Bo co thc tp

+ Shinosol, 6 vin. Ngy 3 ln, mi ln 1 vin.

- D ng:
+ Prednisone, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Sagofen, 12 vin. Ngy 3 ln, mi ln 2 vin.
+ Tendigama, 12 vin. Ngy 3 ln, mi ln 2 vin.
+ Cezil, 4 vin. Ngy 2 ln, mi ln 2 vin.

8. Hng dn s dng thuc:

- Nguyn Vn An, 17 tui Nam Hc sinh Vim kt mc.
+ Maxitrol coll 5ml c tc dng phi hp khng sinh v khng
vim. Cch dng: ngy nh 8 ln, mi ln 3 n 5 git.
+ Diclofenac 50 c tc dng khng vim. Cch dng: ngy 2
ln, mi ln 1 vin.

- Trng, 28 tui Nam Cng nhn Vim da do cn trng.

+ Kem bi Pesancort c tc dng khng khun (c corticoid ti
ch) iu tr vim khun ngoi da. Ngy bi 2 ln, trnh s dng lu
di trn vng da mt.
+ B.B.CIN 500mg c tc dng khng sinh. Ngy ung 2 ln,
mi ln 1 vin.

33

Bo co thc tp

+ Elcet c tc dng chng d ng, gim nga. Ngy dng 1 ln

vo bui sng.

KT LUN
Mc d vn cn mt s tn ti nh: sinh vin khng c tip
xc vi thuc nhiu, vn cn mt s thc mc v vic phi hp
thuc v bn thuc. Song qua thi gian i thc tp gip em nm
r c tc dng ca cc hot cht, cch sp xp thuc theo nhm
dc l, tc dng ca cc loi thuc v cch phi hp cc dng
thuc vi nhau trong vic iu tr bnh. ng thi em cng c
hiu thm v cch bn thuc, cch giao tip vi ngi mua, bit
thm nhiu bit dc ang lu hnh ngoi th trng, qua em
34

Bo co thc tp

c trang b thm nhiu kin thc v thuc, bit dc, cc hot

cht, cc dng bo ch ca thuc v cch ng x vi mi ngi.
Thit thy, cn phi cho sinh vin tip xc vi thuc nhiu hn na
hc hi thm nhiu kin thc thc tin v c nhng gii p cho
nhng khc mc v vic phi hp thuc v bn thuc. Gip cho sinh
vin c hnh trang hon thin v tri thc lm tt cng vic trong
tng lai.
Trn y l ton b kt qu thc tp ca c nhn em sau mt
thi gian thc tp ti nh thuc. Trong qu trnh thc tp cng nh
thc hin bo co, c th c nhng sai st, rt mong nhn c s
ng gp kin ca qu thy c bi bo co c hon chnh
hn. Em xin chn thnh cm n !!!

35