Professional Documents
Culture Documents
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
Bo co thc tp
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
Bo co thc tp
Bo co thc tp
- 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.
6
Bo co thc tp
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).
Xy
dc.
- Ring bit, cao ro, - Ring bit, cao ro, thong
dng
Bo co thc tp
thit
tng, nn nh sng.
-
Din
tch
ni
v sinh v nh sng.
tch
Thit
Bo co thc tp
thm m.
- Phi c nhit m k, c h
ch dc hin hnh.
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.
10
Bo co thc tp
11
Bo co thc tp
Bo co thc tp
13
Bo co thc tp
14
Bo co thc tp
Thnh
phn:
Betamethasone
dipropionate
0.64mg,
15
Bo co thc tp
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.
16
Bo co thc tp
Thuc aulakan.
17
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.
Bo co thc tp
19
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.
20
Bo co thc tp
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.
22
Bo co thc tp
23
Bo co thc tp
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.
24
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.
25
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.
26
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.
27
Bo co thc tp
Thuc Caditadin.
28
Bo co thc tp
29
Bo co thc tp
7. Toa thuc:
- Vim hng:
+ Vercef 350mg, 10 vin. Ngy 2 ln, mi ln 1 vin.
30
Bo co thc tp
31
Bo co thc tp
- 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
33
Bo co thc tp
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
35