Professional Documents
Culture Documents
KHNG SINH
Nhm phn nhm nhn dng tn thuc
Penicillin M
Phn nhm
Penicillin
Penicillin A
Lactam
(nhm an ton cho
PNCT)
TH1
Phn nhm
Cephalosporin
TH2
TH3
Macrolid
(nhm an ton, la
chn u tay cho
PNCTnhng ung
rt ng)
Cyclin
(trnh dng chung vi
thuc c kim loi a
ha tr hay thc phm
sa)
ui mycin &
thromycin dng ung
ui -cyclin
Oxacillin
Amoxicillin,
Ampicillin,
Amoxcicillin + Acid
clavulanic (a.clavulanic
c ch men lactamase ph hy
khng sinh nn tng
hot tnh)
Cefalexin
Cefadroxil
Cefaclor,
Cefuroxim
Ceftriaxone
Cefotaxim
(nh test phn ng d
ng di da)
Thin nhin:
- Erythromycin
- Spiramycin
Bn tng hp:
- Azithromycin
- Roxithromycin
- Clarithromycin
Tetracyclin
Doxycyclin
C
Nhim Gr (+), S.aureus (t cu vng)
cn nhy vi methicillin (MSSA)
Nhim trng cc loi
TDP
CC
- Mn cm
- Suy thn
- RLTH
- D ng
- Vim gan mt khi dng
Erythromycin dng mui
estolat.
- Mn cm
- X gan, suy gan, vim
gan
- Mn cm
- TE < 8 tui
- PNCT v cho con b
- Suy thn nng (do kh
thi tr)
TH Dc l - Lp 12CDSL04 Trang 1
Phenicol
ui - phenicol
Lincosamid
Aminosid
ui mycin/mycyn
dng tim IM, IV
Quinolon ng tiu
Fluoroquinolon
Cloramphenicol
Lincomycin
Clindamycin
Neomycin
Streptomycin
Kanamycin
Tobramycin
Gentamycin
Acid nalidixic
ui -floxacin
1. Norfloxacin
2. Ofloxacin
2. Ciprofloxacin
- Nhy cm AS
- Nu thuc gn ht date,
Doxycyclin bin tnh thnh
dng gy c thn
- RLTH r rt
- Gy hi chng xm TE <
6 thng (do gan khng phn
gii)
- Bin lon Hexheimer (do
dng liu cao khi iu tr
thng hn, ph thng hn,
vi trng phng thch ni c
t nhiu) trng hp ny
dng liu tng dn
- Suy ty, thiu mu bt sn
- RLTH dn n vim rut kt
mng gi (do bi nhim
Clostridium diffiale to lp
mng gi bm ln i trng)
- Gim BC
Nh mt:
- Kch ng ti ch
Dng tim:
- Tn thng thn kinh thnh
gic (dng cho TE nhiu hn
2 tun ic)
- Suy thn (hoi t ng thn)
- Nhc c h hp
- D sc phn v
- RLTHl
- Thn kinh: nhc u, chng
mt
- Tn thng s pht trin
sn khp, gn achilles
- Nhy cm nh sng
- Thiu men G6PD thiu
- Mn cm
- TE < 6 thng
- Suy ty
- PNCT v cho con b
- Suy gan, thn nng
- Mn cm
- CC tng i cho
PNCT, PNCT b st rt
vn c th dng
Lincosamid
- Vim i trng
- Mn cm
- BN c bnh v thnh gic
(thn kinh s 6)
- Suy h hp, hen suyn
- Suy thn
- PNCT v cho con b
- Mn cm
- Ngi thiu men G6PD
+
- K huyt thp
- PNCT, cho con b
- TE v thnh nin (i khi
TE nhim trng nng: x
nang ha phi dng ngn
TH Dc l - Lp 12CDSL04 Trang 2
2. Levofloxacin
mu tn huyt
- Mt s gy ri lon in tm
, ko di sng QT lon
nhp
hn c)
TH Dc l - Lp 12CDSL04 Trang 3
HORMON
Nhm
Thuc
C
- Dng b sung hormon gip trong: suy gip,
nhc gip
- Bnh gip sau phu thut cng gip
TDP
Triu chng cng gip: mt ng, st cn,
da nng, nhp tim nhanh, bt rt, tiu chy\
Levothyroxin
Khng gip
Carbimazole
Propylthiouracil
Sulfonylure
Gliclazide
Glypurid
Chlopropamide (c in)
- H ng huyt qu mc
- Vim gan
- D ng ban
Biguanid
Metformin
CC
- Mn cm
- Suy gan
- Suy ty xng, ri lon to mu
- PNCT (Carbimazole)
- Mn cm
- Tiu ng type 1 v thai k
- Suy gan, suy thn
- Mn cm
- Tiu ng type 1 v thai k
- BN c nguy c nhim a.lactic:
suy gan, suy thn, suy tim, suy
h hp
- Nghin ru: gy tng tc
thuc try tim
- Mn cm
- Tiu ng type 1 v thai k
- Suy gan
- Suy tim xung huyt tin trin
- Mn cm
- Tiu ng type 1 v thai k
- Suy gan, x gan
- BN b km hp thu v tc nghn
rut
- D ng, ni m ay
- Vim gan
- Gim bch cu, tiu cu, rng tc
Tiu ng type 2
Thiazolidinedion
Pioglitazon
c ch -glucosidase
Acarbose
Glucocorticoids
Prednison
Dexamethasone
Triamcinolon
- Cng gip
- Tin s tim mch
- Lot DDTT
- Suy gim min dch: lao, nm,
chch vaccin
- Tiu ng nng, long xng
nng, tng HA, ri lon tm thn
TH Dc l - Lp 12CDSL04 Trang 4
Androgen
Testosterone
Estrogen + Progestin
Ethinyl estradiol +
Levonogestrel
Ethinyl estradiol +
Desogestrel
Progestin
Mifepristone
Anti-progestin
- Ung th v n ng
- Ung th tin lit tuyn
- PNCT v cho con b
- Tr em cha dy th
- Thn trng tim mch
- Mn cm
- PNCT v cho con b
- Migrain
- Ung th v
- Tim mch
- Suy gan
- Rong kinh
- Mn cm
- Thai trn 7 tun hay thai ngoi
t cung
- Suy thng thn, tim mch
TH Dc l - Lp 12CDSL04 Trang 5
VITAMIN
Vitamin
Vit A (retinol)
Vit D (calciferol)
C
- Qung g, kh mt
- Mn trng c, vy nn
- Tr ci xng, long xng
- H calci huyt
- Chng oxy ha, bo v t bo
- Sy thai
- Bnh mch vnh
- Cm mu: nga xut huyt trong phu thut, sinh n, chn
thng, bng huyt\
- i khng vi warfarin, heparin
TDP
- Liu cao: kh mi, nim mc
- Tng p lc ni s
- Chn n
- Qui thai
- Tng calci huyt, ri lon in gii, tng HA
- Sn thn
CC
- Mn cm
- Ri lon hp thu lipid
- Dng chung vi du khong nhun trng
Mn cm
- Mn cm
- Chm ng mu do thiu vit K
Sc phn v
Mn cm
- Tr bnh Scorbut
- Tng cng h min dch
Vit B1 (thiamin)
- Tr bnh t ph Beri-Beri
- Vim dy thn kinh do ru
RLTH, d ng
Mn cm
- Lot DDTT
- Gin mch: bng, h HA, tim nhanh
- Mn cm
- Lot DDTT
- HA thp
- Suy gan nng
RLTH, d ng
Vit B6 (pyridoxin)
- RLTH, d ng (him)
- Liu cao ko di gy ri lon thn kinh ngoi
bin
Vit E (tocoferol)
Vit B8 (biotin)
Mn cm
RLTH, d ng
- Mn cm
- Tha Fe trong c th: gan nhim st, a hng
cu
- Mn cm
TH Dc l - Lp 12CDSL04 Trang 6
B1 + B6 + B12
Sap multi
Magnesium B6
d dy\)
- Vim dy thn kinh
- Tng cng min dch BN suy nhc
Vim dy thn kinh
Tng cng min dch
Co git do thiu Mg
Mn cm
TH Dc l - Lp 12CDSL04 Trang 7
Chn knh Ca
2+
(CCB)
Li tiu thiazid
Thuc
Thuc nhm DHP
(dihydropyridin):
Nifedipin
Amlodipin
Felodipin
Captopril
Elanapril
Perinopril
Losartan
Telmisartan
Atenolol
Bisoprolol
Metoprolol
Propanolol
Nadolol
Timolol
Acebutolol (liu thp ch vn)
Indapamid
TDP
CC
- Tr tng HA
- D phng TN
- Hi chng Raynaud (thiu mu u chi)
- H HA mnh
- Nhc u, chng mt, bun nn,
bng mt, ph mt c chn, tim
nhanh
- HA thp
- Sc tim suy tim
- Thn trng cho PNCT
- H HA liu u
- Ho khan (tc dng ny s c
dung np sau vi thng s dng)
- Ph mch do d ng
+
- Tng ion K huyt
- Suy thn cp
Ging ACEI nhng t ho khan v ph
mch hn
- Mn cm
- PNCT
- Hp ng mch thn 2 bn
- Tin s ph mch d ng
+
- Tng K huyt
- V niu
- Tng HA
- D phng TN
- Chng lon nhp
- Dng sau NMCT nga bin chng tim
nhanh
- Mn cm sulfamid
- BN b gim th tch mu
- No gan, gout
- PNCT v cho con b
- V niu
- Tng HA
- Ph do suy tim sung huyt, x gan
Li tiu quai
Furosemid
Li tiu c ch carbonic
anhydrase
Acetazolamid
- Tng nhn p
- Chng ng kinh
- Tr ph
TH Dc l - Lp 12CDSL04 Trang 8
Statin
Simvastatin
Lovastatin
Actorvastatin
Fibrate
Fenofibrate
Glycosid tr tim
Digoxin
- Bun nn
+
- Tng K huyt
- Tn thng TK th gic: m mu,
s nh sng
Trimetazidin (Vastarel*)
D phng TN
RLTH v d ng
Nitrat hu c
Lit giao cm TW
(kch thch receptor 2 trn trung tm
vn mch)
- Tng p lc ni s
- Tt HA t th
- Tim nhanh
- Nhc u, bng, ph mt c
chn
- Bun ng, trm cm
- Kh ming, to bn
- Tt HA t th
- Tim chm
- Lit dng
- Vim gan
- C th gy thiu mu tiu huyt
Nitroglycerin
- Phng v iu tr TN
- Tr tng HA kch pht
Methyldopa
- Lot DDTT
- Gin mch: bng, h HA, tim
nhanh
- Lot DDTT
- Khi pht hen suyn
- D ng
- D chy mu, kh ng mu
- Dng cho tr em st siu vi gy hi
chng Reye
- Gy chy mu
- au DD
NSAIDs
Aspirin 81mg
Chng kt tp tiu cu
Clopidogrel
- Mn cm
- Tr em nh
- Suy gan
- PNCT v cho con b
Ging statin, thm:
BN b si mt
- Block tim 2 & 3
+
- K huyt thp
- Lon nhp tht nng
- Tim qu chm
- Mn cm, PNCT
Mn cm, PNCT
- BN b bnh v no
- HA thp
- Suy tim cp
- Thiu mu nng
- Trm cm
- Suy gan
- U ty thng thn
- BN ang dng IMAO hay levodopa
- Mn cm
- Lot DDTT
- HA thp
- Suy gan nng
- Lot DDTT
- Hen suyn
- Mn cm
- C a d chy mu
- TE st siu vi
- Mn cm
- Lot DD
TH Dc l - Lp 12CDSL04 Trang 9
- D ng
Cng giao cm
Chn knh Na
Adrenalin
Lidocain
- D ng, sc phn v
- Tt HA
- Nhc u, chut rt
TH Dc l - Lp 12CDSL04 Trang 10
TIU HA
Nhm
Antacid
Thuc
Al(OH)3 + MgCO3
Al2(PO4)3
Al(OH)3 + Mg (OH)2
Attapulgite
Simethicone
Bismuth subcitrate
C
- Lot DDTT
- chua, nng rt d dy
Ph bt, chng y hi, h tr lot DDTT
- Lot DDTT
- Phi hp iu tr H.pylori
Bo v nim mc
Sucrafat
c ch bm proton
Rabeprazole
Pantoprazole
Esomeprazole
Omeprazole
Lansoprazole
Famotidin
Ranitidin
Nizatidin
Lot DDTT
- Lot DDTT
- Tro ngc d dy thc qun
- Hi chng Zollinger-Ellison
Prostaglandin BTH
Lansoprazole + Clarithromycin +
Tinidazol (Flamokit *)
Misoprostol
Anti dopamin
Domperidon
- Chng nn
- Tr tiu ha, y bng, kh tiu
Mebendazole
Albendazole
Benzimidazole
- To bn
- Phn v li mu xm en
- To bn
- Mt phosphor huyt long xng
- Gim s hp thu cc thuc khc
- y bng, kh tiu
- D ng
- y bng, kh tiu
- D ng
- Tc dng khng androgen : gy v to,
teo tinh hon, bt lc, n gii : ri lon
kinh nguyt
Cimetidin
CC
- D ng : pht ban
- y bng, kh tiu
Khng histamin H2
H.pylori KIT
TDP
- Mn cm
- Suy thn
- Mn cm
- Thn trng PNCT 3 thng u
- Mn cm
- Thn trng PNCT
- Thn trng cho TE trc tui dy
th
- Thn trng vi phi hp cc thuc
dng chung (do c ch men gan)
RLTH, ming ng
Mn cm
PNCT
- Xut huyt tiu ha
- Nn sau phu thut
- PNCT v cho con b
- Thn trng cho TE
- Mn cm
- PNCT
- Thn trong TE < 2 tui
- RLTH
- D ng
- RLTH
TH Dc l - Lp 12CDSL04 Trang 11
lng rut
Sulfaguanidin
Sulfamid
Sulfamethoxazole + Trimethoprim
Metronidazole
5-nitroimidazole
Tinidazole
Lactulose
Glycerin
Sorbitol
Natri picosulfat
Bisacodyl
Khng nhu ng
Loperamid
Berberin
Men vi sinh
Lactobacilus acidophylus
Dn xut Iodoquinon
- D ng
- c ch ty xng gim BC
- L amip rut, m
- Tr trng roi trichomonas hay giardia
- Tr vi khun k kh: H.pylori, Clostridium
difficile\
- To bn
- No gan
- To bn
- Chun b phu thut vng bng\
Tiu chy cp v mn do khng nhim
khun
- L trc khun, l amip
- Tiu chy
Lp li cn bng h vi khun ng rut:
tiu chy, to bn
Tr chn gi amip trong rut
- RLTH
- Liu cao: nhc u, chng mt
- RLTH
- Liu cao: nhc u, chng mt
- Gim BC, ri lon qu trnh to mu
- au bng, tiu chy
- Dng bm: gy kch ng ti ch
(glycerin)
- To bn
- Bun ng, kh ming
Co tht c trn t cung
- Mn cm
- PNCT
- Suy thn nng
- Mn cm
- Thiu mu
- Suy ty xng
- Suy gan, suy thn
- Thiu men G6PD
- PNCT v cho con b
- Mn cm
- Thn trng PNCT v cho con b
- Ru bia (b hi chng antabuse)
- Mn cm
- Thn trng PNCT v cho con b
- Ru bia (b hi chng antabuse)
- Suy ty
- Mn cm
- au bng cha r nguyn nhn
- Tc rut
- Xut huyt tiu ha
- Mn cm
- Tr em
- Ngi vim i trng, lit rut
- Mn cm
- PNCT
Nn, d ng
Mn cm
- Mn cm
- Cng gip
- Thn trng TE < 2 tui
TH Dc l - Lp 12CDSL04 Trang 12
Thuc
Miconazole
Grisefulvin
Ketoconazole
Clotrimazole
Nystatin
Nystatin
Tr nm candida da v nim mc
Tr nm candida rut
Grisefulvin
Tr nm da, nm mng, nm tc
Khng nm dng t
Acyclovir
Khng virus
Lamivudine
Kch ng
Ethambutol
Isoniazid
iu tr cc th lao
Khng lao
Pyranizamid
Rifampicin
CC
Tr cc loi nm ngoi da
Khng nm ung
Fluconazole
Ketoconazole
Itraconazole
Metronidazole +
Cloramphenicol +
Dexamethason +
Nystatin
TDP
iu tr cc th lao v phong
Mn cm
Bun nn
- Bun nn
- Nhy cm AS
- Cm ng enzym gan
- Nn, d ng
- Dng lu khng androgen
- c ch enzym gan
- Mn cm
- Suy gan
- PNCT
- Mn cm
- PNCT
Kch ng
- Mn cm
- Suy gan, suy thn
- Vim gan
- Vim dy thn kinh th gic
- Vim gan
- Vim dy thn kinh ngoi bin (phi dng km vit B6)
- Vim gan
- Tng acid uric
- Vim gan
- Nhum cc dch tit trong c th
- Mn cm
- Suy gan
- PNCT
TH Dc l - Lp 12CDSL04 Trang 13
Khng histamin H1 c
in
Flunarizine
Cinnarizine
Alimemazine
- D ng
- au na u
- Ri lon tin nh
D ng, ho khan, mt ng
- Mn cm
- Nghin ru
Mn cm
- Mn cm
- Glaucom
- Ph i tin lit tuyn
- TE < 12 tui (Fexofenadin)
Khng histamin H1 th
h mi
Fexofenadin
Cetirizin
Loratandin
Nhc u, kh ming
Diclofenac
Meloxicam
Acid mefenamic
Celecoxib
Piroxicam
Aceclofenac
- Lot DDTT
- RLTH
- Co tht ph qun
- Mn cm
- Lot DDTT
- Hen suyn
- PNCT
Seratiopeptidase
Chymotrypsin
- Khng vim
- Chng ph n
- Tan mu bm
Nn, d ng
Mn cm
TH Dc l - Lp 12CDSL04 Trang 14