You are on page 1of 5

PHN TCH N THUC

( n thuc thu thp ti mt s phng khm bnh)




N THUC S 1
Bnh nhn nam, 43 tui
Chn on: Vim ph qun th hen
iu tr:
- Erythromycin 0,25g x 6 vin/ngy Ung chia 2 ln x 7 ngy.
- Theophylin 0,1g x 4 vin/ngy Ung chia 2 ln x 7 ngy
Cu hi:
1. Vi khun no thng gy vim ph qun? Khng sinh la chn hp l cha? Nu
cha xut chn khng sinh no?
2. C tng tc thuc khi dng ng thi hai thuc trn khng? Hu qu? Cch khc
phc?


N THUC S 2
Bnh nhn n, 64 tui
Chn on: Vim ng tit niu do nhim khun, x gan c chng (c hi chng
hong n)
iu tr:
- Peflacin 400mg x 2 ng Truyn tnh mch chm, 2 ln/ngy
(pha trong 250ml dung dch
glucose 5%)
- Methionin 0,25g x 4 vin Ung 2 ln/ngy
Cu hi:
1. Peflacin thn trng khi dng cho i tng no? Dng peflacin cho ngi bnh ny
c hp l khng?
2. C th chn mt thuc nhm cephalosporin iu tr cho ngi bnh ny c
khng? Li ch?
3. Methionin ch nh trong trng hp no?


N THUC S 3
Bnh nhn n, 12 tui
Chn on: Vim ng tit niu
iu tr:
- Peflacin 400mg x 1 vin x 2 ln/ngy x 10 ngy
Cu hi:
1. Thuc nhm fluoroquinolon chng ch nh cho la tui no? Ti sao?
2. La chn khng sinh hp l hn cho ngi bnh ny?
N THUC S 4
Bnh nhn n, 61 tui
Chn on: Vim thu di phi phi, trn bnh nhn c hi chng thn h
iu tr:
- Gentamicin 80mg x 2 ng/ngy chia 2 ln (tim bp) x 7 ngy
- Cefuroxim 1g x 2 l/ngy chia 2 ln (tim TM chm) x 7
ngy
Cu hi:
1. Bnh v la chn thuc iu tr?
2. Liu thuc c hp l khng? Cn lm thm xt nghim g?


N THUC S 5
Bnh nhn n, 31 tui
Chn on: Mn m trn bnh nhn c thiu mu thiu st
iu tr:
- Tetracyclin 0,25g x 6 vin x 7 ngy Ung 2 ln/ngy
- Vitamin C 0,1g x 5 vin x 20 ngy Ung 1 ln/ngy
- Siderfol x 2 vin x 20 ngy Ung 2 ln/ngy
Cu hi:
1. Thnh phn ca Siderfol? Ch nh vitamin C hp l hay khng?
2. Tc nhn no trong n lm gim hp thu tetracyclin?
3. Tc nhn thng gy nhim trng trn da l g? C th chn khng sinh no khc
iu tr tt hn?


N THUC S 6
Bnh nhn nam, 17 tui
Chn on: Vim li rng
iu tr:
- Vitamin C 0,1g x 5 vin x 10 ngy Ung 1 ln/ngy
- Ampicilin 0,5g x 4 vin x 7 ngy Ung 2 ln/ngy
Cu hi:
1. Vi khun no thng gy nhim khun rng ming? Ampicilin hp thu qua ng
tiu ha bao nhiu %? Nn la chn khng sinh no iu tr vim li?
2. Ch nh ca vitamin C hp l hay khng? Ti sao?

N THUC S 7
Bnh nhn nam, 56 tui
Chn on: Tng huyt p trn bnh nhn c lot hnh t trng
iu tr:
- Adalat 10mg x 3 vin x 10 ngy Ung 3 ln/ngy
- Cimetidin 200mg x 5 vin x 10 ngy Ung 3 ln/ngy
- Actapulgite x 2 gi x 20 ngy Ung 2 ln/ngy
(mi
gi pha vi 1 cc nc)
Cu hi:
1. C tng tc no xy ra khi dng ng thi ba thuc trn? Cch khc phc?
2. Hng dn ngi bnh cch ung thuc?


N THUC S 8
Bnh nhn n, 34 tui
Chn on: Luput ban h thng c suy tim I
iu tr:
- Digoxin 0,25mg x 2 vin Ung chia 2 ln/ngy
- Prednisolon 5mg x 8 vin Ung chia 2 ln/ngy
Cu hi:
1. Ch g khi dng hai thuc trn?
2. Cn theo di g khi ngi bnh dng hai thuc trn?


N THUC S 9
Bnh nhn nam, 67 tui
Chn on: D ng ampicilin trn bnh nhn nhi mu c tim trc vch ngy th 15
iu tr:
- Astemizol 10mg x 1 vin x 2 ngy
- Prednisolon 5mg x 8 vin/ngy x 5 ngy (ung bui sng)
- Fraxiparin 0,3ml x 1 l/ngy x 5 ngy (tim di da)
- Maalox x 2 vin/ngy x 5 ngy chia lm 2 ln (nhai trc
ba n)
Cu hi:
1. C nguy c g khi dng ng thi cc thuc trn? Cch khc phc?
2. S dng Maalox c hp l khng?
3. Hng dn ngi bnh dng thuc ng cch?




N THUC S 10
B N., 34 tui
Chn on: Vim mi d ng c bi nhim
iu tr:
- Erythromycin 0,25 g 6 vin/ ngy x 7 ngy Ung 2 ln/ ngy
- Astemizol 10 mg 1 vin/ngy x 4 ngy Ung
Cu hi:
1. Nhn xt g khi s dng hai thuc trn iu tr.
2. Liu v khong cch a thuc hp l cha?

You might also like