Professional Documents
Culture Documents
: 09TDS56
M s sinh vin
: 3109001579
NI DUNG
IM TI A
o c
Tc phong
Chuyn cn
NI DUNG BI BO CO
Hnh thc
Ni dung
TNG CNG
10
IM THC
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Tp H Ch Minh
Ngy thng .nm.
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Tp H Ch Minh
Ngy thng .nm.
Tn n v : Trm y t phng 8
1.2
Ph Nhun
1.2/. Nhim v v quy m t chc :
BS L Ngc nh
Ph trch chng trnh tim chng , chng trnh phng chng suy dinh dng
Ph trch cng tc v sinh an ton thc phm , v sinh ngoi cnh , v sinh mi
trng .
-
Qun l chng trnh qun l bnh lao , tm thm , HIV /AIDS, st rt.
Cng tc qun l thuc bo him y t , thuc hng tm thn , thuc st rt, thuc
Ch d tr , bo co thuc , lp th kho,
Hot ng kt hp iu tr ng ty y
nh 0.2 ln / 1 nm /1 ngi
- Pht hin v chuyn ngay ngi c triu chng nghi lao dn phng khm lao Qun
- Thc hin lnh iu tr ca T chng lao Qun v gim st vic dng thuc chng
lao ca ngi bnh bng cch nh du vo phiu iu tr c kim sot
- Tuyn truyn GDSK v bnh lao trong cng ng 4 ln /nm
- Theo di kim tra vic tim phng lao bng BCG cho tr s sinh
- Trng trm y t phng ch chu trch nhim qun l, vng gia bnh nhn lao
1thng/ 1 ln c th hin trn phiu gim st bnh nhn (yu cu BN ung thuc
iu tr lao ng liu ) thuc lao c cp min ph.
* Tuyn truyn vn ng ngi dn bit cch phng chng bnh phong
* Bit cch pht hin, bit cn phn ng v bit cch chm sc - iu tr l o
* BN c khm v iu tr ti c s y t chuyn mn, thuc iu tr c cp pht
min ph
con
-
10
- Mc tiu : Gim t l mc, t vong do st rt, khng c dch xy ra, kim sot
c s ngi i n vng c st rt lu hnh
- Ni dung :
* D tr y c s thuc iu tr
* Qun l v xc minh cc trng hp st rt c k sinh trng (+)
* Thc hin TTGD v phng chng st rt : 4 cuc/ nm. Hng dn ngi
dn bit cch phng chng mui t, bit cch pht hin sm bnh , s dng
thuc st rt liu t iu tr khi i vo vng c st rt lu hnh
* 100% BN c st v c lin quan n yu t dch t st rt u phi n
TYT th mu , phn u thc hin 7 lam/ thng
* Khuyn co BN st rt nn th mu li ln 2 sau khi iu tr y 1 liu
thuc st rt, nhng ngi thng xuyn vo vng st rt lu hnh nn n
TYT khm v xt nghim mu khi ln cn st
* Lp s theo di, bo qun, bo co y vo ngy 25 hng thng
* BN b nhim P.Vivax phi c iu tr chng ti pht xa bng Primaquine
sau khi ct cn st
11
1.3.3 K hoch :
- Tham mu cho ng y, UBND, Mt trn T Quc xy dng k hoch hot ng y
t 2011 da trn nn 10 chun quc gia v Trm y t
1.3.4 Thnh tch :
- Cui nm 2010 : Trm Y t Phng 8 c S Y t TP. HCM v phc tra
v cng nhn Trm t 10 chun quc gia v Trm y t.
1.4. Chc nng v nhim v ca dc s ti c s
- Tip n bnh nhn
- Ghi cc n thuc
- Cp pht thuc cho bnh nhn
- Hng dn BN cch dng thuc theo n ca bc s
- Sp xp, bo qun thuc, kim tra s sch
- Dn dp v sinh quy thuc ti Trm
12
PHN 2
KT QU THC TP
1. K hoch cung ng thuc v kinh ph mua thuc
TN THUC
N
V
N
GI
S
LNG
THNH
TIN
Hn
dng
Phenobarbital 100mg
vin
95
1200
114,000
02/08/13
Aminazine 25mg
vin
55
1000
55.000
05/10/12
Carbatol 200mg
vin
405
300
121,500
31/05/14
Haloperidol 2mg
vin
500
200
10,000
10/05/13
Qun l dc
Trng trm
13
TH KHO
Tn thuc/ Ha cht/ Vt dng y t tiu hao : CHLORPROMAZINE
Hm lng/ Nng / Quy cch :
25mg
M vch :
n v :
Vin
S Chng
T
Ngy
Thng
(1)
20/04/11
Nhp
Xut
(2)
(3)
S Lng
Din Gii
(4)
9/05/11
43
Xut
Cn
(5)
(6)
(7)
(8)
126
L:061109
05/10/12
1000
20/05/11
S l Hn
dng
Nhp
Tn thng trc
04/05/11
M s:
1126
330
Tn cui thng
796
Bo co thuc tm thn :
n
V
Tn
Thng
Trc
Nhp
Trong
Thng
Dng
Trong
Thng
Tn
Cui
Thng
D
Tr
Thng
Ti
Chlorpromazine 25mg
Vin
126
1000
330
796
500
Levomepromazine 25mg
Vin
Haloperidol 2mg
Vin
40
Risperidone 2mg
Vin
28
Phenobarbital 100mg
vin
179
Carbamazepine 200mg
S
T
T
Tn thuc v
hm lng ( mg )
Olanzapin 10mg
200
Vin 65
Vin
45
14
200
60
180
28
200
1200
420
959
400
300
120
245
100
15
30
50
Ghi
Ch
STT Bit dc
VTNN
vin
ming
vin
26 Yeltu 7.5mg
vin
33 Mexcold 150mg
Tydol Sachet Powder
34 150mg
gi
gi
41 Acemol A 325mg
vin
42 Tydol 325mg
vin
gi
43 Mexcold 500mg
vin
48 Hapacol codein si
vin
53 Pyme Ditavic
vin
55 Piantawic
vin
61 Allopurinol 300mg
vin
63 Dochicin 1mg
vin
69 Asist 500mg
vin
70 Lubrijoint 500mg
74 Medo 21
vin
vin
15
n
gi
T Tn
T
n
g
Tng n
D
u nhp xut cui TR
12
243.
14
00
7,000.
00
595.
00
800.
00
1,050.
00
1,250.
00
1,208.
00
85.
00
270.
00
231.
00
1,700.
00
1,021.
00
300.
00
525.
00
960.
00
2,500.
00
2,450.
00
1,199.
241
15
125
116
200
12
150
300
78
222
50
50
144
90
54
82
122
8
151
300
200
5
1,
1
700
593
108
000
90
56
34
100
145 200
223
122
118
10
108
60
60
500
1,
95
91
960
900
155
000
75 Opetrysin
Serratiopeptidase Stada
77 10mg
vin
78 Doren 10mg
vin
79 Clorpheniramin 4mg
vin
80 Allerfar 4mg
vin
vin
83 Cinarizin 25mg
vin
89 Lonlor 10mg
vin
90 Loratadin 10mg
vin
00
1,000.
00
400.
00
378.
00
39.
90
48.
00
238.
00
200.
00
800.
00
500.
00
709.
00
vin
vin
91
34
500
476
58
800
400
259
141
500
284
73
147
1
57
300
147
300
100
30
70
80
570
635
15
383
130
500
10
1
33
8
480
16
- Atropin 0.25 mg
- Ventoline 5 mg
- Glucose 5 % 500ml
17
- Nifedipin 20mg
- Captoril 25mg
18
Atenolon 50mg
- Diazepam 5mg
19
- Seduxen 10mg/2ml
Paracetamol codein
20
- Acemol E 100mg
Chlorpheramin 4mg
21
02 ng
2. Nc ct 10ml
: 02 ng
3. Hydrocortisone 100mg
: 02 ng
TN THUC HM LNG
N
V
S
LNG
XUT
X
vin
vin
vin
ci
ci
30
80
16
30
30
VN
VN
VN
VN
VN
HN
DNG
THUC ST RT
1
2
3
4
5
Chloroquine 250mg
Primaquin phosphat 13.2mg
CV Artecan
Lam knh
Blood lancet
12/2011
6/2012
10/2013
THUC KHHG
1
2
Microgynon ED
St sulfat acid folic
vin
vin
10/2012
19/05/2012
vin
02/08/2013
1
Phenobarital 100mg
THUC THNG
1
Aminazin 25mg
2
Levomepromazin 25mg
3
Haloperidol 2mg
4
Sperifar 2mg
5
Ozapine 10mg
6
Carbatol 200mg
vin
vin
vin
vin
vin
vin
22
VN
VN
VN
VN
n
n
05/10/2012
13/01/2013
10/05/2013
26/05/2013
08/09/2012
31/05/2014
4mg
PARACETAMOL
500mg
VITAMIN B6 ( Pyridoxine
250mg
Hydrocloride )
VITAMIN B1 (Thiamin nitrat )
250mg
5mg
50mg
METRONIDAZOL
250mg
300mg
SMECTA ( Diosmectite )
3g
ACETYLCYSTEIN
200mg
TYDOL ( Paracetamol)
150mg
TYDOL (Paracetamol)
80mg
SALBUTAMOL
2mg
MEKOZETEL ( Albendazol )
400mg
EFFERAGAN ( Paracetamol )
80mg
PREDNISOLON
5mg
Efticol
0.9%
PARACETAMOL
500mg
23
Theo tc dng dc l
Theo vn A-B-C
Theo nguyn tc : d thy , d ly , d kim tra
Ti Trm y t khng c thuc c bng A-B, ch dng cc loi thuc gim c
nh : thuc hng tm thn .thuc k hoch ha gia nh , thuc st rt nhng
c ring tng t v c sp sp gn gng.
2.2.2. Trnh by thuc
Cephalexin 500mg
Glonacin 3 M.I.U (spiramycin)
- Metronidazol 250mg (Metronidazol 250mg)
- Travinat (cefuroxime 500mg)
- Ayclovir (acyclovir 800mg)
Thuc gim au, h st:
-
Thuc d ng
-
Thuc b , vitamin
-
Tiu ng
-
+ Cao huyt p
-
Tr giun sn:
Zentel (albendazol)
Fugacar (mebendazol)
Thuc ho long m:
-
Salbumol 2mg
Theostat LP 100mg, 300mg
Forgast
Maalox (Aluminium hydroxyde 400mg)
25
Cimetidin 300mg
Trimafort suspension (Gel Nhm hydroxide, magnesi hydroxide, Simethicone)
Smecta (Dioctahedral smectite.)
Varogel suspension (Aluminium hydroxide gel)
Helinzole (Omeprazol 20mg)
Nexium 40mg (Esomeprazole)
Thuc li tiu:
2.3.
Furosemid 40mg
Hypothiazid 25mg
Quy trnh cp pht thuc
BS khm v k n
Dc s qun l toa , pht thuc
Thc hin kim tra (3 tra , 3 i)
Giao thuc cho bnh nhn v hng dn cch s dng thuc
Dn d nu thy c tc dng ph ca thuc , ngng thuc ngay , n bnh vin
hay c s y t gn nht
26
D ng vi thuc : Laroscorbine
Nng , hm lng 500mg x 6 ng , ngy dng 1 ng tim tnh mch chm
Din bin : bnh nhn ht hong , da nim xanh , huyt p thp.
Cch khc phc v bin php hn ch :
- Cch khc phc : ngng lp tc loi thuc ang tim , cho bnh nhn, nm ngh
u thp chn cao.
- Thuc chng shock phn v: Adrenalin 1% tim tnh mch
- Bin php hn ch : thng bo cho bnh nhn bit loi thuc ang dng c
phn ng ph , ghi vo s khm bnh ca bnh nhn bng bt , bnh nhn d
ng vi Laroscorbine ng tim
3.1 n thuc ti trm y t phng
27
n thuc s 1
-
M s th: GD7790600904270
Tc dng ca thuc :
1/ Trimetazidin 20mg
30 vin
Ngy ung 2 ln , mi ln 1 vin
2/Atorlip 20mg
Ngy ung 1 ln , mi ln 1 vin
3/ Kim Tin Tho 60 vin
Ngy ung 2 ln , mi ln 2 vin
1/ Trimetazidin 20mg : Phng cn au tht ngc.
2/Atorlip 20mg: Ri lon m mu v lm gim t vong cc bnh tim mch.
3/ Kim Tin Tho: si mt, li tiu.
Nhn xt:
n thuc ca bc s ng vi bnh RL m mu Thiu mu c tim Si thn.
28
n thuc s 2
-
M s th : TQ 7972130004709
Ch nh thuc :
1/ Doroxil 500mg TV (Cephadroxil)
20 vin
15 vin
10 vin
10 vin
Tc dng ca thuc :
1/ Doroxil 500mg TV (Cephadroxil): Nhim trng ng h hp trn: nhim trng tai
mi hng nh vim tai gia, vim xoang, vim amidan v vim hng hu.
2/ Serratiopeptidase 10mg: Vim xoang, polyb mi, vim tai gia, vim hng.
3/ Dopalgan 500mg: Gim au nhanh cc triu chng au nhc v kh chu.
4/ Loratadin 10mg: Gim cc triu chng nh ht hi s mi v nga.
Nhn xt: n thuc ca bc s ng vi bnh Vim xoang mi.
29
n thuc s 3
-
M s th HC 7790904400031
a ch: TT YTDP
Ch nh thuc :
1/ Meloxicam 7.5mg
Ngy ung 2 ln , mi ln 1 vin(sau n)
2/ Dorotyl 250mg (Mephenesin)
Ngy ung 3 ln , mi ln 1 vin ( sau n)
3/ Scanneuron (B1, B6, B12)
Ngy ung 3 ln , mi ln 1 vin
4/ Omeprazole 20mg
Ngy ung 2 ln, mi ln 1 vin
20 vin
20 vin
20 vin
20 vin
Tc dng ca thuc:
1/ Meloxicam 7.5mg: iu tr hi chng vim au xng khp.
2/ Dorotyl 250mg (Mephenesin): Bnh l thoi ho ct sng v cc ri lon t th
ct sng: vo c, au tht lng, au lng, cc tnh trng co tht c km theo.
3/ Scanneuron: CAc hi chng thiu VITAMIN B v suy nhc.
4/ Omeprazole 20mg: Tro ngc dch d dy - thc qun, lot d dy t trng, hi
chng zollinger Ellison.
Nhn xt: n thuc ca bc s ng vi bnh Hi chng c vai.
30
n thuc s 4
-
M s th : GD 7790900901904
Ch nh thuc :
1/ Amlodipin 5mg
Ngy ung 1 ln , mi ln vin
2/ Bisocar 5mg ( Bisoprolol)
Ngy ung 2 ln, mi ln vin
3/ Nitrotad 2.5mg
Ngy ung 2 ln mi ln 1 vin
4/ Atorlip 10mg
Ngy un 1 ln,mi ln 1 vin
5/ hot huyt dng no
Ngy ung 2 ln, mi ln 1 vin
15 vin
15 vin
30 vin
15 vin
30 vin
Tc dng ca thuc :
1/ Amlodipin 5mg: Tr cao huyt p, phng nga cn au tht ngc.
2/ Bisocar 5mg: Tng huyt p, au tht ngc, suy tim.
3/ Nitrotad 2.5mg: iu tr cao huyt p, cn au tht ngc.
4/ Atorlip 10mg: Ri lon lipit mu.
5/ Hot huyt dng no: Hi chng tin nh ; au u, hoa mt chng mt, suy mch
vnh, suy gim tr nh.
Nhn xt: n thuc ca bc s ng vi bnh cao huyt p, RL lipit m mu.
31
n thuc s 5
-
M s th : HC 779090440134
a ch: TTYTDP
Ch nh thuc :
1/ Cotrim 960mg
Ngy ung 2 ln , mi ln 1 vin
2/ Carbogast
Ngy ung 2 ln , mi ln 1 vin
3/ Subtyl
Ngy ung 2 ln, mi ln 2 vin
4/ Orerol
1 gi pha mt lt nc ung.
10 vin
10 vin
20 vin
06 gi
Tc dng ca thuc:
1/ Cotrim 960mg: L trc khun, nhim trng ng tiu ha.
2/ Carbogast: Tr cc chng bnh v d dy v ng rut: snh hi, chua d acid,
vim d dy.
3/ Subtyl: Phng v tr tiu chy, ri lon tiu ha sau khi s dng khng sinh.
4/ Orerol: Phng v iu tr mt in gii v nc trong a chy cp t nh n va.
Nhn xt: n thuc ca bc s ng vi bnh Ri lon tiu ha.
32
n thuc s 5
-
M s th : HC 7790901400021
a ch: THCS Ng my
Ch nh thuc :
1/ Amoxicillin 500mg
Ngy ung 2 ln , mi ln 1 vin
2/ Prednisolon 5mg
Ngy ung 2 ln , mi ln 1 vin
3/ Dopalgan 500mg ( Paracetamol)
Ngy ung 2 ln, mi ln 2 vin
4/ Bromhexin 8mg
Ngy ung 2 ln , mi ln 1 vin
10 vin
10 vin
10 vin
10 gi
Tc dng ca thuc:
1/Amoxicillin 500mg: Nhim trng h hp tai mi hng, rng ming, tiu ha, sinh dc
v gan mt.
2/ Prednisolone 5mg: iu tr vim xng khp
3/ Dopalgan 500mg ( Paracetamol): gim au, h st do cm cm.
4/ Bromhexin 8mg: Ch nh ng h hp nh vim hng, tng tit m v kh long
m.
Nhn xt: n thuc ca bc s ng vi bnh Vim hng, au c tay tri(t)
33
Thin ng mn (Asparagus
cochinchinensis )
B phn dng : r c
Cng dng:cha ho m,vim ph
qun
34
Da cn (Catharanthus roseus)
B phn dng : r, l
Cng dng : cha huyt p , i tho
ng
L du tm (Morus alba)
B phn dng: l
Cng dung : tr cao huyt p ,mt ng
35
36
Cc tn (Pluchea)
B phn dng : ton cy , tr r
Cng dng : th huyt , cm ho dai
dng do vim kh qun
Qu (Cinnamomum)
B phn dng : v thn , v cnh
Cng dung : cha tay lnh , au bng
H th (Fallopia multiflora)
B phn dng : thn r
Cng dng : thp khp , au nhc gn
ct
M (Plantago asiatica)
B phn dng : ton cy tr gc r
Cng dng : cha li tiu , thanh
nhit , si niu
a bp (Ficus elastica)
B phn dng : moraceae
Cng dng: phi hp vi du kh qua
lm h dng trong mu
Ru mo (Orthosiphon aristatus)
B phn dng : ton cy
Cng dng: tr si thn, si mt , st
ban
40
Tn dy l (Plectranthus amboinicus)
B phn dng : c cy
Cng dng : cha au bng , au u ,
gim st
41
Si t (Wedelia calendulacea)
B phn dng : c cy b r
Cng dng : tr l lot , tr rm sy ,
st rt
Bn h (Typhonium trilobatum )
B phn dng : c
Cng dng : ho nhiu , tc ngc
42
Phn 3
KT LUN - KIN NGH
3.1. Kt lun
Trong sut qu trnh thc tp c s y t phng 8 cc nhn vin trm to mi
iu kin tt nht em tip xc vi cc loi thuc , xem qua cc bo co lu tn tr
trm xem quy trnh cp pht thuc em c th tm hiu v lm tt nhim v ca
mnh
Nhng k nng thc hnh c hc hi
Cch hng dn s dng thuc
Cch sp xp , bo qun thuc , cp pht thuc cho bnh nhn
Cch kim tra s sch
Nhng kinh nghim c tch ly
Cch lm vic ti tram y t
Kh nng t vn , cp pht hng dn s dng thuc cho bnh nhn
Bit c phong cch lm vic ti trm y t
3.2. Kin ngh
Do thi gian thc tp ngn nn em cha nm c nhiu v quy trnh lm vic y .
Em mong nh trng s to iu kin cho em c thc tp nhiu hn chng em hiu
r hn v quy trnh v gip em c kin thc hn trong chuyn ngnh.
44