S GIO DC V O TO

TRNG TRUNG CP BCH KHOA BNH DNG

KHOA DC

BO CO THC TP
THC T TI NH THUC
L Hong

Sinh vin thc hin: L TH TR

Lp
MSSV
GVHD

BNH DUNG
Nm 2013

: 01TD04
: 01TD04656
: BS.V VN KIM

MC LC
Ni dung bo co

Trang

PHN I: GII THIU CHUNG V N V THC TP.........................8

1. Tn v a ch n v thc tp................................................................8
2. Nhim v v quy m ca t chc...........................................................8
3. Chc nng v nhim v ca Dc s trung cp ti c s........................10
PHN II: BO CO KT QU THC TP THC T.........................11
1. Cc hnh thc bn l thuc.....................................................................11
2. iu kin kinh doanh thuc....................................................................11
3. So snh iu kin ca c s thc tp vi................................................12
4. Cc hot ng ch yu ca mt c s bn l thuc................................13
5. Yu cu i vi ngi bn l thuc........................................................15
6. Danh mc thuc c php kinh doanh ti Nh thuc...........................16
7. Hot ng hng dn s dng thuc......................................................22
8. Mt s nhn thuc ca Nh thuc..........................................................26
PHN III: KT LUN KIN NGH...................................................

LI M U
Qua 2 nm hc tp trng TC Bch khoa Bnh Dng, c s gip ca
nh trng, em tri qua 2 t thc t 2 c s , l nh thuc v Bnh vin .
Trong Nh thuc l ni thc tp v cng quan trng, bi v Nh thuc l ni gip
em c iu kin tip xc trc tip vi thuc, trc tip t vn v bn thuc cho bnh
nhn, v hc hi kinh nghim ca dc s i hc ngi trc tip qun l nh thuc
.V th, Nh thuc l ni to iu kin thun li, quan trng em sau ny tt nghip
ra trng lm vic trong chuyn ngnh ca mnh.
Thuc l mt sn phm cn thit nh hng trc tip n sc khe con ngi.
Mt ngi Dc s bit cch bn thuc, bit cch phi hp thuc v bit cch t vn
s dng thuc cho bnh nhn th bnh nhn s khi bnh. Ngc li, nu ngi Dc
s bn thuc khng ng cch ,khng hc hi kinh nghim ca nhng th h i
trc ,khng nm bt c nguyn tc s dng thuc . th bnh nhn s khng khi
bnh,v cn cn nh hng ti sc khe ,kinh ph ca ngi bnh .C th ni vai tr
ca ngi Dc s trong Nh thuc l rt quan trng, quyt nh sinh mng con ngi,
cho nn ngi Dc s cn phi nm vng nhng kin thc cn thit v thuc cho
chuyn ngnh ca mnh. V vy, trc khi tt nghip ra trng, chng ta cn phi tri
qua cc t thc tp cc c s khc nhau, c bit l Nh thuc.
Bi Bo Co Thc Tp Nh thuc l mt quyn tm tt li qu trnh hc tp
nh trng v Nh thuc. Vi nhng kin thc cn hn ch nn bi Bo Co khng
th trnh khi nhng thiu st, em rt mong nhn c s thng cm v ng gp
kin ca cc qu thy c.

LI CM N
Trong khong thi gian thc tp Nh thuc L Hong, em thy mnh l ngi
thc s may mn v c c s gip tn tnh v chia s kinh nghim bn thuc ca
ch THU nhn vin v c HA dc s i hc qun l Nh thuc. V cng nh qu
c, ch m em c c nhng kin thc cn thit cho ring mnhv cng l hnh trang
chun b cho em trong bc ng tng lai cho s nghip .Em v cng bit n qu
c ,ch gip em trong thi gian qua. Em xin chn thnh cm n qu c ,ch v
xin knh chc qu c ,ch sc khe v thnh t.
Em xin trn trng cm n!

Nhn Xt Ca n V Thc Tp
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BNH DNG , Ngy 24 thng 09 nm 2013
n v thc tp
(K tn, xc nhn)

Nhn Xt Ca Gio Vin Hng Dn

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BNH DNG , Ngy 24 thng 09 nm 2013
Gio vin hng dn
(K tn, xc nhn)

PHN I: GII THIU CHUNG V N V THC TP

1. Tn v a ch n v thc tp
Nh thuc L Hong
102 ng Nam Cao -Phng Tn ph -Qun 9 -TPHCM
2. Nhim v v quy m ca t chc:
2.1. Nhim v
_

Lp k hoch mua thuc,kim sot cht lng thuc m bo s

lng, cht lng p ng cho nhu cu iu tr bnh.

_

theo di vic bn l thuc theo n v khng theo n ,nhu cu iu tr

bnh v cc nhu cu khc.

_

Bo qun thuc theo ng nguyn tc thc hnh tt nh thuc (Gpp)

Thc hin cng tc t vn khch hng v iu tr bnh , tham gia cnh

gic dc
_

Tham gia theo di, qun l kinh ph s dng thuc

Qun l hot ng ca Nh thuc theo ng quy nh

Trch nhim ca ch nh thuc:

L nh thuc t nhn, nn mi hot ng ca nh thuc u do dc s

iu hnh, ch dn v chu trch nhim trc php lut v :

_

Cht lng thuc

Phng php kinh doanh

Thc hin ch qun l thuc theo ch thuc bn theo n v khng

bn theo n.
_

Lp k hoch s dng thuc

Bo m cc loi thuc thit yu

Thc hin ngha v np thu theo quy nh ca php lut.

2.2. Quy m t chc

2.2.1. C s vt cht
_

Nh thuc khang trang, sng sa trang tr p mt v v sinh sch s

C quy t chc chn trnh by sp xp thuc v cc trang thit b

bo qun thuc nh my lnh ,nhit k ,m k , cn sc khe, phc v khch hng.

Cc thuc c sp xp trong t, ngn ko, theo nhm thuc k n v

khng k n, theo ngun ngoi nhp. m bo 3 d: D ly, d thy, d kim

tra v theo nguyn tc thuc ht hn trc xut trc.
_

Ni quy nh thuc v bng nin yt ga bn l theo quy nh

T in tra cu cc loi thuc tn dc

Bo co nh k cc loi s sch hng thng, qu, nm

2.2.2. Ch s sch, bo co, kim tra:

_

Tnh hnh kinh doanh nh thuc c th hin r rng trn s sch v

c cp nht thng xuyn :

_

S theo di lng thuc mua vo

S theo di hng ngy

S theo di nhng mc hng no khch hng mua khng c n tin

cho vic t hng

_

S theo di xut nhp kho theo di s lng hng.

2.2.3. Cch trng by v phn loi thuc trong nh thuc:

thun li cho vic bn thuc v giao tip vi khch hng, nh thuc t pha
ngoi mt quy bn hnh ch L c chiu cao khong 1,2m giao dch, pha bn trong
quy l tng hc sp xp thuc theo tng nhm rt d dng cho vic bn thuc. Pha
ngoi l 2 t knh ln t nhng thuc dng ngoi cng nh thuc ng y.
Thuc c chia lm 2 nhm: Thuc k toa v thuc khng k toa
2.2.4. Bo qun thuc:
_

Cht lng thuc tt hay xu iu nh hng trc tip n sc khe

con ngi, tnh mng v tin ca x hi. V vy, vic bo qun nhm gi vng cht
lng thuc y l mt nhim v khng th thiu c ca nhng ngi lm cng
tc dc.
_

Cc loi thuc c sp xp ngn np, gn gng v m bo 3 d:

D thy

D ly

D kim tra

ng thi cng m bo 5 chng :

Chng m nng

Chng mi mt, nm mc
8

Chng chy n

Chng qu hn dng

Chng nhm ln, v, mt mt.

2.3. Chc nng v nhim v ca dc s trung cp ti c s:

_

Thc hin quy trnh bn thuc theo s hng dn ca dc

s ph trch, t vn cho khch hng v cch s dng thuc v cch phng nga
bnh, gii p mi thc mc ca khch hng, theo di v phn hi tnh hnh s dng
thuc ca khch hng.
_

Sp xp, bo qun thuc theo yu cu ca Nh thuc.

Tham gia dn v sinh Nh thuc.

PHN II: BO CO KT QU THC TP THC T

1. Cc hnh thc bn l thuc, a bn m c s bn l thuc, phm vi hot
ng
Nh thuc: Do Dc s i hc ng tn ph trch.
c m ti a bn tt c cc a phng trn c nc. Phm vi hot ng ca
Nh thuc l c bn l thuc thnh phm v pha ch thuc theo n.
Quy thuc: Do Dc s i hc hoc Dc s Trung hc ng tn ph trch.
c m ti a bn huyn, x ca cc huyn ngoi thnh, ngoi th i vi cc
tnh, thnh ph trc thuc trung ng. Phm vi hot ng ca Quy thuc l c bn
l thuc thnh phm.
i l thuc ca doanh nghip: Do ngi c trnh chuyn mn t Dc t
tr ln ng tn ph trch.
c m ti a bn cc huyn, x ca cc huyn ngoi thnh, ngoi th ca cc
tnh, thnh ph trc thuc trung ng. Phm vi hot ng ca i l thuc ca doanh
nghip l c bn l thuc thnh phm theo doanh mc thuc thit yu.
T thuc ca Trm y t: Do ngi c trnh chuyn mn t Dc t tr ln
ng tn ph trch.
c m ti a bn cc x ca cc huyn ngoi thnh ph, ngoi th x i ca
cc tnh, thnh ph trc thuc trung ng. Phm vi hot ng ca t thuc l 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 ha dc lm thuc.
2. iu kin kinh doanh thuc
Cc loi giy php cn thit iu kin kinh doanh hnh thc Nh thuc, Quy
thuc.
Chng ch hnh ngh dc:
_

c cp cho c nhn ng k hnh ngh dc, do Gim c S Y t

cp v c hiu lc 5 nm k t ngy k.
_

Ngi c cp Chng ch hnh ngh dc phi c cc iu kin sau

y:

C vn bng, chng ch chuyn mn ph hp vi yu cu ca tng hnh

thc kinh doanh thuc.

qua thc hnh ngh nghip t nht t 2 nm n 5 nm ti c s dc

hp php i vi tng hnh thc kinh doanh.

C o c ngh nghip.

C y sc khe.

Giy ng k kinh doanh

Nh thuc t nhn phi c Giy chng nhn ng k kinh doanh dc phm (do
Phng ng k kinh doanh S K hoch v u t cp tnh cp) v c S Y t,
thnh ph trc thuc trung ng cp Giy chng nhn iu kin hnh ngh bn l
thuc.
Giy chng nhn t GPP
Theo quy nh mi nht ca B Y t v GPP, t 2/2011, cc Nh thuc khng t
chun GPP ch c bn l thuc thuc danh mc thuc khng k n v ch hot
ng n ht 31/12/2011.
Giy chng nhn t chun GPP c thi hn 3 nm
t chun GPP, ch Nh thuc phi c chng ch hnh ngh dc v c mt ti
ca hng thuc trong thi gian hot ng; Nh thuc phi c din tch ti thiu t
10m2, c t a im c nh; c thit b bo qun thuc
Giy chng nhn iu kin kinh doanh thuc
c cp cho c s kinh doanh thuc, do Gim c S Y t v c hiu lc 5 nm
k t ngy k.
C s kinh doanh c cp Giy chng nhn iu kin kinh doanh thuc phi
c cc iu kin sau y:
_

C s vt cht, k thut v nhn s c trnh chuyn mn cn thit

cho tng hnh thc kinh doanh thuc.

_

Ngi qun l chuyn mn v dc c cp Chng ch hnh ngh

dc ph hp vi hnh thc kinh doanh.

3. So snh iu kin ca c s thc tp vi ni dung quy nh ca GPP
Nh thuc L hong l c s thc tp t chun GPP. Nh vy iu kin ca
c s thc tp tng ng vi ni dung quy nh ca GPP. Di y l iu kin ca
c s thc tp v cng l ni dung quy nh ca GPP.
3.1. V nhn s:

11

Ngi ph trch hoc ch Nh thuc phi c chng ch hnh ngh

dc (Dc s i hc).
_

Nhn lc thch hp v p ng quy m hot ng.

Nhn vin c vn bng chuyn mn v dc v thi gian thc hnh

ngh nghip ph hp, sc khe, khng b bnh truyn nhim, khng b k lut t
cnh co tr ln c lin quan n chuyn mn y dc.
3.2. V din tch xy dng v thit k, b tr cc v tr trong Nh thuc:
_

Din tch ti thiu 10 m2 (Din tch c s thc tp - Nh thuc L

Hong l 12m2, ph hp vi quy m kinh doanh), c khu vc trng by bo qun,

giao tip khch hng, c ni ra tay dnh cho ngi bn thuc, khu vc dnh ring
cho t vn khch hng v gh ngi ch, c khu vc dnh ring cho nhng sn phm
khng phi l thuc.
_

a im c nh ring bit, cao ro, thong mt, an ton, cch xa

ngun nhim, xy dng chc chn c trn ngn bi, nn d lm v sinh v nh

sng
3.3. Thit b bo qun thuc
_

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

bt li i vi thuc.
_

Nh thuc c t, quy, gi, k chc chn, trn nhn, d v sinh, thun

tin cho by bn, bo qun v m bo thm m, c nhit m k ,my iu ha, c

h thng thng gi v chiu sng.
3.4. H s, s sch, ti liu chuyn mn
_

Nh thuc c ti liu hng dn s dng thuc v cc quy ch c

hin hnh.
_

C h s, s sch lin quan n hot ng kinh doanh thuc, gm s

sch v my tnh, c phn mm qun l thuc tn tr, h s, s sch lu d liu v

bnh nhn, v hot ng mua bn thuc, pha ch thuc.
_

Cc h s s sch phi lu tr t nht l 1 nm k t khi thuc ht hn

dng.
_

Xy dng v thc hin cc quy trnh thao tc chun cho tt c quy trnh

chuyn mn.
4. Cc hot ng ch yu ca mt c s bn l thuc
1

4.1. Mua thuc

_

Ngun thuc c mua ti c s kinh doanh thuc hp php.

C h s theo di, la chn cc nh cung cp c uy tn, m bo cht

lng thuc trong qu trnh kinh doanh.

_

Ch mua cc thuc c php lu hnh. Thuc mua cn nguyn vn v

c y bao gi ca nh sn xut, nhn ng quy nh theo quy ch hin hnh. C

ha n, chng t hp l ca thuc mua v.
_

Khi nhp thuc, nhn vin nh thuc kim tra hn dng, kim tra cc

thng tin trn nhn thuc theo quy ch ghi nhn, kim tra cht lng v c kim sot
trong qu trnh bo qun.
_

Nh thuc phi c thuc thuc Danh mc thuc thit yu dng cho

tuyn C trong Danh mc thuc thit yu Vit Nam do S Y t a phng quy nh.
4.2. Bn thuc
Cc bc c bn trong hot ng bn thuc, bao gm:
_

Nhn vin nh thuc hi ngi mua nhng cu hi c lin quan n

bnh, n thuc m ngi mua yu cu.

_

Ngi bn l thuc t vn cho ngi mua v la chn thuc, cch dng

thuc, hng dn cch s dng thuc bng li ni. Trng hp khng c n thuc
km theo, ngi bn l phi hng dn s dng thuc thm bng cch vit tay hoc
nh my, in gn ln bao gi.
_

Nhn vin nh thuc cung cp cc thuc ph hp, kim tra i chiu

thuc bn ra v nhn thuc, cm quan v cht lng, s lng, chng loi thuc.
4.3. Cc quy nh v t vn cho ngi mua
_

Ngi mua thuc cn nhn c s t vn ng n, m bo hiu qu

iu tr v ph hp vi nhu cu, nguyn vng.

_

Nhn vin nh thuc phi xc nh r trng hp no cn c t vn

ca ngi c chuyn mn ph hp vi loi thuc cung cp t vn cho ngi mua

thng tin v thuc, gi c v la chn cc thuc khng cn k n.
_

i vi ngi bnh cn phi c chn on ca thy thuc mi c th

dng thuc, ngi bn l cn phi t vn bnh nhn ti khm thy thuc chuyn
mn thch hp hoc bc s iu tr.

i vi ngi mua thuc cha cn thit phi dng thuc, nhn vin bn

thuc cn gii thch r cho h hiu v t chm sc, t theo di triu chng bnh.
_

i vi bnh nhn ngho, khng kh nng chi tr th ngi bn l

cn t vn la chn loi thuc c gi c hp l, m bo iu tr bnh v gim ti

mc thp nht kh nng chi ph.
_

Khng c tin hnh cc hot ng thng tin, qung co thuc ti ni

bn thuc tri vi quy nh v thng tin qung co thuc, khng khuyn khch ngi
mua coi thuc l hng ha thng thng v khng khuyn khch ngi mua mua
thuc nhiu hn cn thit.
4.4. Bn thuc theo n
_

Khi bn cc thuc theo n phi c s tham gia trc tip ca ngi bn

l c trnh chuyn mn ph hp v tun th theo cc quy nh, quy ch hin hnh

ca B Y t v bn thuc theo n.
_

Ngi bn l phi bn theo ng n thuc. Trng hp pht hin n

thuc khng r rng v tn thuc, nng , hm lng, s lng hoc c sai phm
v php l, chuyn mn hoc nh hng n sc khe ngi bnh, ngi bn l phi
thng bo li cho ngi k n bit.
_

Ngi bn l gii thch 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.
_

Ngi bn l l ngi 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.
_

Ngi bn l hng dn ngi mua v cch s dng thuc, nhc nh

thc hin ng n thuc.

_

Sau khi bn thuc gy nghin, nhn vin nh thuc phi vo s, lu

n thuc bn chnh.
4.5. Bo qun thuc
_

Thuc c bo qun theo yu cu ghi trn nhn thuc.

Thuc c sp xp theo tc dng dc l.

Cc thuc k n nu c by bn v bo qun ti khu vc ring c

ghi r Thuc k n hoc trong cng mt khu vc phi ring cc thuc bn

theo n. Vic sp xp m bo s thun tin, trnh nhm ln.
5. Yu cu i vi ngi bn l thuc
5.1. i vi ngi lm vic trong c s bn l thuc
_

C thi ha nh, lch s khi tip xc vi ngi mua thuc.

Hng dn, gii thch, cung cp thng tin v li khuyn ng n v

cch dng thuc cho ngi mua hoc bnh nhn v c cc t vn cn thit nhm
m bo s dng thuc hp l, an ton v hiu qu.
_

Gi b mt cc thng tin v ngi bnh trong qu trnh hnh ngh nh

bnh tt, cc thng tin ngi bnh yu cu.

_

Trang phc o Blouse trng, sch s, gn gng v phi eo bn tn.

Thc hin ng cc quy ch dc, t nguyn tun th o c hnh

ngh dc.
_

Thng xuyn tham gia cc lp o to, cp nht kin thc chuyn

mn v php lut Y t..

5.2. i vi ngi qun l chuyn mn hoc ch c s bn thuc:
_

Phi thng xuyn c mt trong lc hot ng

Trc tip tham gia vic bn cc thuc k n, t vn cho ngi mua

thuc.
_

o to hng dn cc nhn vin ti c s bn l.

Theo di v thng tin cho c quan Y t v tc dng c hi ca thuc.

6. Danh mc thuc c php kinh doanh ti Nh thuc (k tn 30 loi thuc

km hnh chp hoc bao b)
THUC KHNG SINH
Cefalexin 500 mg

Amoxicillin 500 mg

Lincomycin 500 mg

Ampicillin 500 mg

THUC GIM AU KHNG VIM

Paracetamol 500 mg

Hapacol (Paracetamol 500mg,

Fencecod (Ibuprofen 200mg, Codein 8 mg)

Dozoltac (Paracetamol 325 mg,

Codein phosphat 30mg)

Clorpheniramin 4 mg)

THUC TIU HA
TV Omeprazol (Omeprazole)

Domperidon

Smecta (Diosmectite 3g)

No spa (Drotaverine)

Ercefuryl (Nifuroxazide 200mg)

Bisacodyl 5mg

Oresol (Gi 27,9g, gm c:

Sodium chloride, Potassium chloride,

Sorbitol 5 g

Sodium citrate)
1

Duphalac (Lactulose 10g/15ml)

Sagofene (Natri thiosulfat)

THUC CHA HO HEN

Amproxol

Bromhexin 8mg

Tragutan (Eucaluptol 100mg, Tinh du tn 0,18mg,

Tinh du gng 0,5mg, Menthol 0,5mg)

THUC THAY TH HORMON

Metformin 500mg

Mifestad 10 (Mifepristone 10mg)

THUC CHA BNH NGOI DA

Nc Oxy gi 10 th tch 3%

Maxgel (Betametasone,

(Hydrogen peroxyl 30ml)

Clotrimazole, Gentamicin)

Kem ngh Ery (Tinh cht ngh,Erythromycin)

THUC CHA MT, TAI MI HNG

Neocin (Neomycin sulfat 5ml/ 25mg)

Efticol (Natri clorid 10ml/ 0,9%)

Nostravin (Xylometazoline 8ml)

Coldi b (Oxymetazoline 15ml)

THUC KHNG HISTAMIN H1

Nautamine (Diphenhydramine 90mg)

Loratadin 10mg

Cetirizin 10mg

VITAMIN V KHONG CHT

Vitamin C (Acid ascorbic 1000mg)

Vitamin B1 (Thiamin 50mg, 250mg)

Vitamin E 400 (Tocoferol 400 mg)

Vitamin B6 (Pyridoxine 250mg).

7. Hot ng hng dn s dng thuc

Bnh nhn 1:
H tn: phm Th H
Tui: 64
Gii tnh: N
a ch: 128, Nam cao , P.Tn Ph, Q.9
Chn on: Vim ph qun
1) Amoxicilin 500mg

x 15 vin

Ung ngy 3 ln,mi ln mt vin

2) Paracetamol 500mg

x 15 vin

Ung ngy 3 ln ,mi ln 1 vin

3) chymotripsin

x 20 vin

Ung ngy 2 ln,mi ln 2 vin

4) Salbutamol 2mg x 30 vin
Ung ngy 3 ln, mi ln 2 vin
5) Mg B6

x 10 vin

Ung ngy 2 ln ,mi ln 1 vin

Gii thich:
1) Amoxicillin: Khng sinh c tc dng tr nhim trng h hp
2) Paracetamol: H nhit, gim au
3) chymotripsin: Thuc khng vim dng men
4) Salbutamol: Gin ph qun
5) Mg B6: Vitamin Khong cht.
Bnh nhn 2:
H tn ngi bnh: L anh Ti
Tui: 56
Gii tnh: Nam
Ngh nghip: bun bn
a ch: 159, ng cu xy , P.Tn Ph, Q.9
Chn on: Cao huyt p, tiu ng.
1) Amlodipin 5mg x 20 vin
Ung ngy 2 ln ,mi ln 1 vin
2) Metformin 850mg

x 20 vin

Ung ngy 2 ln ,mi ln 1 vin

3) Vitamin C 500mg x

10 vin

Ung ngy 2 ln ,mi ln 1 vin

4) Paracetamol 500mg x 15 vin
Ung ngy 3 ln ,mi ln 1 vin
Gii thch:
1) Amlodipin: iu tr tng huyt p
2) Metformin: iu tr tiu ng
3) Vitamin C: Tng cng sc khng c th
4) Paracetamol: H nhit, gim au.

Bnh nhn 5:
H tn: Nguyn Hng Hnh
Tui: 55
Gii tnh: N
a ch: 120 Nam cao ,Tn Ph Qun 9
Chn on: Ri lon tin nh
1) Cinnarizin 25 mg x 15 vin
Ung ngy 3 ln ,mi ln 1 vin
2) Paracetamol 500 mg

x 15 vin

Ung ngy 3 ln ,mi ln 1 vin

3) Mg B6 x 10 vin
Ung ngy 2 ln ,mi ln 1 vin
Gii thch:
1) Cinnarizin: Tr ri lon tin nh
2) Paracetamol: H nhit, gim au.
3) Mg B6: Tng tc dng gim au.
8. Mt s nhn thuc ca Nh thuc
THUC GIM AU KHNG VIM

ALAXAN
Thnh phn:
Mi vin nn cha:
Ibuprofen...............................................200 mg
Paracetamol...........................................325 mg
Ch nh:
_

Gim cc cn au c xng nh n trung bnh nh au c, au vai,

au lng, cng c bp tay hoc bp chn, cng c c, vim khp, thp khp, vim
bao hot dch, bong gn, vim gan.
_

Gim nhc u v cng thng tinh thn, au bng kinh, nhc rng, au

sau nh rng v tiu phu.

Liu lng v cch dng:

Ging nh cc thuc khng vim khng steroid khc, nn dng ibuprofen +
paracetamol liu thp nht trong thi gian ngn nht m c hiu qu tt.
_

Ngi ln v tr t 12 tui tr ln: ung 1 vin mi 6 gi khi cn, hoc

ung theo hng dn ca bc s.

_

Khng dng nhiu hn liu hng dn.

Khng dng qu 10 ngy nu khng c s hng dn ca bc s.

Chng ch nh:
Bnh nhn d ng vi paracetamol, ibuprofen, aspirin, cc khng vim khng steroid
khc, tin s t qu, nhi mu c tim, tng huyt p khng c kim sot, suy tim
sung huyt, c thai hoc cho con b, lot tiu ha tin trin, bnh gan thn nng, hen
hoc co tht ph qun, ri lon chy mu.

IPALZAC
Cng thc:
Acid mefenamic....................................250 mg
T dc (Tinh bt sn: 80 mg, Talc: 12 mg, Magnesi
stearat: 8 mg).
Ch nh:
_

au kinh v rong kinh, au nhc c th v au vim thn kinh t nh

n tng i nng.
_

Nhc u, au na u, au do chn thng, sau sanh, hu phu, au

rng v st sau bt k tnh trang vim no.

Liu dng: Ung sau ba n
_

Ngi ln: 2 vin x 3 ln/ngy.

Tr em: Theo s ch nh ca bc s, liu trung bnh 5 mg/kg cn

nng/24 gi.
Thn trng:
Lot d dy t trng cp
Tc dng ph:
_

Ri lon tiu ha, ni mn da, m ay, chng mt, trm cm, gim bch

cu thong qua
2

Lm nng hn cc cn hen, co git c ln

THUC KHNG SINH

LINCOMYCIN
Thnh phn: Mi vin nang cha:
Lincomycin hydrochloride BP tng ng vi
Lincomycin 500 mg
Ch nh:
iu tr nhng nhim khun do cc chun a kh Gram dng nhy cm vi thuc
(nh lin cu, ph cu, t cu) hoc do cc khun k kh nhy cm nh nhim khun
ng h hp trn v di, nhim khun da v m mm, nhim khun xng khp,
nhim khun huyt v vim mng trong tim.
Liu lng v cch dng:
Ung thuc t nht 1 gi trc khi n.
_

Ngi ln: Nhim khun cha tht nghim trng, ung mi ln 500

mg, cch qung 8 gi. Nhim khun nghim trng mi ln 500 mg cch qung 6 gi.
_

Tr em: Mi ln 30 mg/kg th trng, cch qung 6-8 gi, ty thuc

tm trng ca nhim khun.

Ch thch: Nu nhim lin cu lm tan mu, phi duy tr dng lincomycin t nht 10
ngy, gim kh nng c th st a khp hoc vim tiu cu thn tip theo.
Chng ch nh:
Ngi bnh trc y c mn cm vi Lincomycin.

AMOXICILIN 500 mg
Cng thc: cho 1 vin
Amoxicillin...........................................500 mg
T dc va .....................................1 vin
Ch nh:
_

Nhim khun ng h hp trn.

Nhim khun ng h hp di do lin

cu khun, ph cu khun, t cu khun. khng tit penicilinase v H.influenzae.

2

Nhim khun ng tit niu khng bin chng.

Bnh lu.

Nhim khun ng mt.

Nhim khun da, c do lin cu khun, t cu khun, E.coli nhy cm

vi Amoxicilin.
Chng ch nh:
Ngi bnh c tin s d ng vi bt k loi Penicilin no v Cephalosporin.
THUC KHNG HISTAMIN H1

CHLORPHENIRAMINE 4 mg
Cng thc:
Chlorpheniramine maleate....................4 mg
T dc va .....................................1 vin
Ch nh:
_

Vim mi d ng ma v quanh

nm.
_

Nhng triu chng d ng khc.

My ay, vim mi vn mch do histamine, vim kt mc d ng, vim

da tip xc, ph mch, ph Quinke, d ng thc n, phn ng huyt thanh.

_

Cn trng t.

Nga ngi bnh b si hoc thy u.

Cch dng:
_

Ngi ln v tr em trn 12 tui: 1 vin, mi 4-6 gi. Ti a 6

vin/ngy.
_

Tr em t 6-12 tui: 1/2 vin, mi 4-6 gi. Ti a 3 vin/ngy.

Tr em t 2- di 6 tui: 1/4 vin, mi 4-6 gi. Ti a 1 vin/ngy.

Tr em di 2 tui: dng theo ch dn ca bc s.

Chng ch nh:
_

Mn cm vi mt trong cc thnh phn ca thuc.

Ngi bnh ang cn hen cp, ph i tuyn tin lit.

Glaucoma gc hp.

Tc c bng quang.
2

Lot d dy cht, tc mn v- t trng.

Tr em di 1 thng tui v tr sinh thiu thng.

Bnh nhn hay ang dng cc thuc c ch monoaminoxydase

(IMAO) trong vng 2 tun trc

FEXO 60
Thnh phn:
Fexofenadin hydoclorid........................60 mg
T dc va .....................................1 vin
Ch nh:
_

Vim mi d ng (ht hi, chy mi,

nga mi/vm hng, nga//chy nc mt,

nght mi).
_

My ay v cn mn tnh.

Cch dng v liu dng: Khng dng cho tr em di 12 tui.

Ngi ln v tr em trn 12 tui: Ung 1 vin mi ln, ngy 2 ln.

Trn bnh nhn gim chc nng thn: Ung 1 vin mi ngy.

Hoc theo hng dn ca thy thuc.

Chng ch nh:
_

Bnh nhn c tin s Khng dng cho tr em di 12 tui.

Ngi ln v tr em trn 12 tui: Ung 1 vin mi ln, ngy 2 ln.

Trn bnh nhn gim chc nng thn: Ung 1 vin mi ngy.

Hoc theo hng dn ca thy thuc.

Chng ch nh:
_

Bnh nhn c tin s d ng vi bt c thnh phn no ca thuc.

Tr em di 12 tui.

Ph n c thai v cho con b.

THUC H HP

EUCAPHOR
Thnh phn:
Eucalyptol.............................................100 mg
2

Camphor................................................12 mg
Guaiacol................................................12 mg
T dc v............................................1 vin nang mm
Ch nh:
Tr ho, st trng ng h hp, lm long m. Dng trong trng hp ho do cm lnh,
cm cm, nhim trng ng h hp.
Liu dng:
_

Ngi ln v tr em 15 tui: 1-2 vin/ln, ngy 2-3 ln.

Tr em di 15 tui: dng theo s ch dn ca thy thuc.

Thn trng: Khi s dng Eucaphor cho tr em di 15 tui.

Chng ch nh:
_

Khng dng cho tr em di 5 tui.

Ngi mn cm vi mt trong cc thnh phn no ca thuc.

Tc dng ph:
Hin cha pht hin c tc dng khng mong mun ca thuc.

METHORFAR 15
Cng thc:
Dextromethorphan hydrobromid...........15 mg
T dc va .....................................1 vin
Ch nh:
_

iu tr triu chng ho do hng v ph

qun b kch thch khi cm lnh thng thng hoc

khi ht phi cht kch thch gy ho.
_

Ho mn tnh khng c m.

Liu dng v cch dng:

_

Tr em t 2-6 tui: ung vin, 6-8 gi/ln, ti a 2 vin/24 gi.

Tr em t 6-12 tui: ung 1 vin, 6-8 gi/ln, ti a 4 vin/24 gi.

Ngi ln v tr em trn 12 tui: ung 2 vin, 6-8 gi, ti a 8 vin/24

gi.
Chng ch nh:
2

D ng vi mt trong cc thnh phn ca thuc.

Ngi ang s dng thuc c ch MAO.

Tr em di 2 tui.

MITUX
Cng thc:
Acetylcystein......................................... 200 mg
T dc va .....................................1 gi
Ch nh:
iu tr cc ri lon v tit dch ca nim mc ng
h hp trong cc bnh vim ph qun, vim kh ph
qun, vim ph qun phi cp v mn tnh, vim mi, vim thanh qun, vim xoang,
vim tai gia tit dch.
Chng ch nh:
_

Mn cm vi Acetylcystein.

Tr em di 2 tui.

Thn trng:
Thn trng khi dng cho ph n c thai, bnh nhn b lot d dy- t trng, b hen
suyn.
THUC TIM MCH
VASTAREL

MR

Thnh phn:
Trimetazidine dihydrochloride..............35 mg
Ch nh:
Thuc ny c khuyn ngh dng :
_

iu tr d phng cc cn au tht

ngc.

iu tr triu chng ph tr chng chng mt v tai.

iu tr b tr trong trng hp ri lon th gic c ngun gc tun

hon.
Chng ch nh:
_

Khng dng Vastarel MR nu d ng vi bt c thnh phn no ca

thuc.
_

Thuc khng c khuyn ngh dng trong sut thi gian cho con b.

AMLODIPIN STADA 5 mg
Thnh phn:
Mi vin nang cha:
Amlodipin (besylat)..............................5 mg
T dc va .....................................1 vin
Ch nh:
_

Amlodipin c dng ring l hay

kt

hp vi cc thuc chng tng huyt p khc

iu tr tng huyt p.
_

Amlodipin cng c dng iu tr au tht ngc kiu Prinzmetal v

au tht ngc n nh mn tnh. Thuc c th dng mt mnh hay kt hp vi cc

thuc chng au tht ngc khc.
Liu lng v cch dng:
Amlodipin STADA 5 mg c dng bng ng ung v khng ph thuc vo ba
n.
Liu lng:
Tng huyt p:
_ Ngi ln: Liu khi u thng thng ca amlodipin l 2,5- 5 mg x 1 ln/ngy.
Ngi gi v nhng ngi gy yu nn dng liu khi u 2,5 mg x 1 ln/ngy. Liu
dng tip theo nn iu chnh ty thuc vo huyt p v thanh thi ca bnh
nhn, nhng khng qu 10 mg x 1 ln/ngy. Liu duy tr thng thng iu tr
tng huyt p ngi ln l 5-10 mg x 1 ln/ngy.
_ Tr em t 6 tui tr ln: Liu thng dng c hiu qu ca amlodipin l 2,5- 5 mg x
1 ln/ngy.
3

au tht ngc:
iu tr au tht ngc kiu Prinzmetal hay au tht ngc n nh mn tnh, liu
thng dng cho ngi ln l 5-10 mg x 1 ln/ngy. Ngi gi nn dng liu thp
hn, 5 mg x 1 ln/ngy. Liu duy tr l 10 mg mi ngy.
Chng ch nh:
Bnh nhn qu mn vi amlodipin, bt c thuc chn knh calci khc hay bt c thnh
phn no ca thuc
THUC TIU HA

SAGOFENE
Cng thc: Cho mt vin bao ng:
Natri Thiosulfat.....................................0,330 g
T dc va .....................................1 vin
Ch nh:
_

Cc chng d ng tiu ha: Bun nn, co tht bng, to bn.

Bnh ngoi da: Ni m ay, eczema, nga.

Bnh mn tnh ng h hp.

Ng c kim loi nng: Bismuth, thy ngn, arsen.

Chng ch nh:
Khng dng trong cc trng hp c tin cn d ng vi mt trong cc thnh phn ca
thuc, c bit l vi lu hunh v cc sulfite.

STOMAFAR
Thnh phn:
Aluminum hydroxide, magnesium hydroxide.
Ch

nh:

iu tr ngn hn v di hn cc chng lot ng tiu ha

v gim do tng tit acid, tng vn ng d dy, rut b kch
3

ng & co tht, y hi kh tiu, vim d dy, chua, vim t trng, vim thc qun,
thot v khe, ch n khng thch hp, nhim c alcool, au sau phu thut, cng c
tc dng gim au bng tr em.
Chng ch nh:
Glaucoma gc ng. Tc kt rut, hp mn v.

THUC THAY TH HORMON

DIAMICRON

MR

Thnh phn:
_

Hot cht: Mt vin cha 30 mg

gliclazide di dng bo ch phng thch duy tr.

_

T dc: Calcium hydrogen

phosphate dehydrate, maltodextrin, hypromellose,

magnesium stearate, andydrous colloidal silica.
Ch nh:
Diamicron MR c dng iu tr mt dng i tho ng (typ2) ngi ln, khi
ch dinh dng, th dc v gim cn n thun khng t c mc ng
huyt bnh thng.
Chng ch nh:
_

D ng vi gliclazide hay vi mt trong cc t dc ca thnh phm,

vi thuc khc cng nhm sulphonylurea, hoc vi cc thuc c lin quan khc
(Sulphonamide h ng huyt).
_

i tho ng ph thuc insulin (typ1).

C nhim ceton v c ng trong nc tiu, tin hn m hay hn m

do i tho ng.
_

Suy gan hoc suy thn nng.

ang dng cc thuc iu tr nm.

Thi k cho con b.

3

POSTOP
Thnh phn:
Levonorgestrel......................................0,75 mg
T dc va .....................................1 vin
Ch nh:
Postop l thuc trnh thai khn cp, c th trnh th
thai nu dng thuc trong vng 72 gi sau cuc giao
hp khng c bo v.
Cch dng v liu dng:
Thuc ch dng cho nhng trng hp trnh thai khn cp, khng c dng thng
xuyn. Postop c th c dng bt c lc no trong chu k kinh. Nu nn trong vng
2 gi sau khi dng thuc, phi ung li thuc. Dng thuc liu cao c th gy nam tnh
ha thai nhi n.
_

Nn ung vin u tin trong vng 48 gi (thay v sau 48 gi v khng

mun hn 72 gi) sau khi giao hp (v hiu qu ca thuc s gim nu dng thuc
mun hn 48 gi).
_

Ung thm 1 vin na cch 12 gi sau khi ung vin u.

Chng ch nh:
Qu mn vi levonorgestrel hoc vi cc thnh phn ca thuc. Mang thai hoc nghi
mang thai. Chy mu m o bt thng khng chn on c nguyn nhn. Vim
tc tnh mch hoc bnh huyt khi tc mch th hot ng. Bnh gan cp tnh, u gan
lnh hoc c tnh. Carcinom v hoc c tin s bnh . Vng da hoc nga dai dng
trong ln c thai trc.

VITAMIN V KHONG CHT

FATIG
Thnh phn nh tnh v nh lng:
Magnesi gluconat..................................0,426 g
Calci glycerophosphat...........................0,456 g
Cho mt ng 10 ml
3

Mt ng c cha:
Phosphor nguyn t:..............................67 mg (2.17 mmol)
Calci nguyn t:....................................87,3 mg (2.17 mmol)
Magnesi nguyn t:...............................25 mg (1.03 mmol)
Ch nh:
_

Thuc ny c dng iu tr suy nhc chc nng.

Chng ch nh:
_

D ng vi mt trong cc thnh phn ca dung dch, c bit l vi

parabens.
_

Nng calci tng bt thng trong mu hoc trong nc tiu.

C cn calci trong m.

ang theo ch n king ng fructose (v thuc ny c cha

sorbitol v sucrose).
_

Tr di 6 tui.

Ni chung thuc ny khng c ung kt hp cng vi KAYEXALATE, tr khi c

ch nh ca thy thuc.

VITAMIN E 400
Cng thc: Mi vin nang mm cha:
Alpha tocopherol acetate.......................400 mg
T dc va .....................................1 vin
Cng dng:
Vitamin E phi hp vi selenium v vitamin C lm thuc chng oxy ha t bo nh
cc bnh kh da, nm da. Cc ch nh khc nh sy thai ti din, v sinh, nhim c
thai nghn, x va ng mch, bnh mch vnhPhng thiu vitamin E trong cc
trng hp bnh thn kinh c nh gim phn x, lit c mt, bnh vng mc nhim
sc t, thoi ha si trc thn kinh, tr em thiu vitamin E c th dn n x nang
tuyn ty hoc km hp thu m do teo ng dn mt hoc thiu betaliypoprotein
huyt, tr s sinh thiu thng rt nh cn khi .

THUC C TC DNG I VI MU
3

ADOFEX
Cng thc: Mi vin nang Adofex c cha:
Ion st....................................................60,0 mg
Vitamin B6............................................3,0 mg
Vitamin B12..........................................15,0 mcg
Acid Folic.............................................1,5 mg
T dc: Natri benzoat, Lactose, Parafin lng va 1 vin.
Ch nh: Adofex c ch nh s dng cho cc trng hp thiu mu thiu st do
cc nguyn nhn sau:
_

Ph n thiu mu khi mang thai, rong kinh hay ph thai.

Nhng bnh nhn thiu mu do thiu n gy suy nhc ton thn, do

nhim giun mc, lot d dy, bnh tr.

_

Nhng bnh nhn thiu sau phu thut, sau chn thng v ang trong

thi k dng bnh.

Chng ch nh:
_

Bnh gan nhim st.

Bnh thiu mu huyt tn.

Bnh a hng cu

Bnh nhn b u c tnh.

Bnh nhn mn cm vi bt c thnh phn no ca thuc.

ACID FOLIC
Thnh phn: Folic acid 5 mg
Ch nh:
Thiu mu hng cu do thiu acid folic, suy dinh
dng, ph n trong thi gian mang thai v cho
b.
Chng ch nh:
Thiu mu tn huyt, a hng cu.

con

PHN III: KT LUN - KIN NGH

Qua 2 nm hc tp trng TC Bch khoa Bnh Dng, em hc tp c
nhiu kin thc hu ch cho ring mnh. l nhng kin thc c bn nht m nhng
ngi hc trong chuyn ngnh Dc cn phi c. ng thi, em cng nng cao v hc
hi thm nhiu kin thc mi m sau ny khi tt nghip ra trng c kin thc
cng tc ngh nghip. Mt trong nhng kin thc cn thit cho chuyn ngnh Dc l
o c v lng tm ngh nghip. Nh Bc H dy: Lng y nh t mu,
ngha l ta cn phi tn tm tn lc lm vic ht mnh v ngi bnh, xem ngi bnh
nh l ngi thn ca mnh.
Sut khong thi gian thc tp Nh thuc L Hong, di s tn tnh gip
ca qu c ,ch , em hc tp c nhiu kin thc nh cch bn thuc, cch sp
xp, bo qun thuc, cch t vn thuc cho ngi bnh V em cng gip v
chia s cho qu c mt s cng vic nh trn. Tuy nhin, thi gian thc tp cn ngn
v kin thc ca em cn hn ch nn em khng th trnh khi nhng sai st trong qu
trnh thc tp. Em rt mong nhn c s thng cm ca qu c v mong c to iu
kin cho em thc tp nhiu hn.

Bnh nhn 3:
H tn bnh nhn: L Dim Phng
Tui : 27
Gii tnh: n
a chi :86 Nam cao P Tn Ph ,Q.9
Chun on:Vim kt mc
1.Ciprofloxacin 5mg x 01 l.
Nh mt nga 6 ln
2.Vitamin B3 x 10 vin
ung ngy 2 ln, mi ln 1 vin
3.Natriclorua
x 2 l.3
Ra mt ngy 3 ln.
4.Vitamin A
x 10 vin
Ung ngy 2 ln , mi ln 1 vin.
Bnh nhn 4:
Tn bnh nhn :Hong anh Tun
Tui :43
Gii tnh: nam
Chn on:au c
1. Ibaneuron Extra x 10 vin
Ung ngy 2 ln , mi ln 1 vin
2. tiphenesin x15 vin
Ung ngy 3 ln , mi ln 1 vin
3. magazine 5mg (tiloxen) x10 vin
Ung ngy 2 ln, mi ln 1 vin
4.xenxunel 200mg x15 vin
Ung ngy 3 ln ,mi ln 1 vin