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PHN 1 GI THIU CHUNG V N V THC TP


1.1./Tn n v v a ch n thc tp ..........................................................................8
1.2/.Nhim v quy m t chc .......................................................................................8
1.3/.Ch tiu , k koch v thnh tch hot ng ..............................................................9
1. 3.1./Cng tc dc .....................................................................................................9
1. 3.2/.Cc ch tiu :
* V sinh an ton thc phm...............................................................................9
* Tim chng m rng........................................................................................9
* Chng trnh v sinh ngoi cnh......................................................................9
* Chng trnh k hoch ha gia nh................................................................9
* Chng trnh phng chng suy dinh dng.....................................................9
* Cng tc khm cha bnh v kt hp iu tr ng ty y...............................10
* Chng trnh phng chng Vitamin A ..........................................................10
* Cng tc phng chng Lao, Phong.................................................................10
*Chng trnh phng chng bu c................................................................10
*Cng tc phng chng HIV/AIDS...................................................................10
*Cng tc phng chng st xut huyt..............................................................11
1.3.3./ K hoch...........................................................................................................12
1. 3.4/. Thnh tch.........................................................................................................12
1.4./ Chc nng v nhim v ca dc s trung cp ti c s .........................................12
PHN 2 KT QU THC TP ....................................................................................13
2. 1/ K hoch cung ng thuc v kinh ph mua thuc ...................................................13
2. 1.1/.D tr , xut nhp , nhp v tn thuc ...............................................................13
2. 1.2./Cc loi s sch .................................................................................................16
2.2/.Sp xp , trnh by quy trnh cp thuc ....................................................................17
2.2.1/ cc loi thuc cp cu ..................................................................................17
2.2.2/ Thuc cc chng trnh y t khc (chng trnh v tn thuc ) ....................22
2. 2.3./Sp xp v trnh by thuc ..........................................................................24
2.2.4/Sp xp thuc................................................................................................. 24
2.2.5/Trnh by thuc .............................................................................................24
1

2.2.6/.Quy trnh cp pht thuc.............................................................................. 26


2.3.Tham gia hng dn s dng thuc an ton .............................................................26
2.4.Theo di thng k hin tng phn ng c hi ca thuc .........................................27
3.1.n thuc ti trm y t...............................................................................................27
4.1.Vn thuc nam .......................................................................................................34
PHN 3. KT LUN- KIN NGH ..............................................................................44
3.1.Kt lun ..........................................................................................................44
3.2.Kin ngh .......................................................................................................44

CNG HA X HI CH NGHA VIT NAM


c lp- T do- Hnh Phc

BNG CHM IM THC TP TT NGHIP


H v tn sinh vin: NGUYN TH THANH THU
Lp

: 09TDS56

M s sinh vin

: 3109001579

Cn B trc tip hng dn ti c s: YS DNG TH NH NGUYT


Giao Vin B mn PT nhm thc tp: HUNH TN
Thi gian thc tp:T ngy: 14 thng 02 nm 2011
n ngy: 08 thng 03 nm 2011
STT

NI DUNG

IM TI A

THI HC TP CA SINH VIN

o c

Tc phong

Chuyn cn

NI DUNG BI BO CO

Hnh thc

Ni dung

TNG CNG

10

IM THC

( Sinh vin t> 60% s im mi t t thc tp)


XC NHN CA C S THC TP
(K tn- ng du)

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Tp H Ch Minh
Ngy thng .nm.

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Tp H Ch Minh
Ngy thng .nm.

Nn kinh t nc ta ang chuyn sang hot ng theo c ch th trng c s qun l ca


nh nc. Trong s nghip i mi kinh t i hi nhng ngi tham gia k inh doanh phi
nhanh chng tip cn vi nhng thay i v cnh tranh khc lit ca th trng, Mi bin
ng ca th trng u c nh hng trc tip hoc gin tip n cc nghnh kinh doanh
ni chung v kinh doanh thuc ni ring, Bi thuc cng ch l mt loi hng ho nh tt c
cc loi hng ho khc c by bn trn th trng nn hot ng kinh doanh thuc cng
phi tun theo quy lut cnh tranh ca th trng tn ti v pht trin. Hn bao gi ht
thuc l mt trong nhng yu cu quan trng trong s nghip bo v chm sc sc kho
cho nhn dn nn vic cung cp y v s lng l trch nhim ca nghnh y t ni
chung, trong cc bnh vin, trung tm y t, trm y t, nh thuc, hiu thuc ng vai tr
quan trng, Cng t i hi mi bnh vin, trung tm y t, trm y t, nh thuc, hiu thuc
phi c kin thc, c trnh chuyn mn cung ng v t vn, p ng cc yu cu
ca nhn dn. Nhn bit c tm quan trng sau mt thi gian thc tp b ch ti Trm Y
T Phng 8 Qun Ph Nhun di s bo ban nhit tnh ca cc c, v cc ch cng vi
s du dt ca thy c trng Cao ng Nguyn Tt Thnh, gip em vng tin em
hon thnh bi bo co thc tp em xin chn thnh cm n s gip qu bu gip
em hon thnh tt bi bo co ny!

Trong thi gian hc tp trng Cao ng Nguyn Tt Thnh em nhn c s dy d


tn tnh ca cc thy c em c hnh trang bc vo ngh. Sau thi gian em
c i thc tp ti trm y t phng 8 Qun Ph Nhun tip xc v hc hi t thc
t vn dng nhng g hc trng vo cng vic thc t, vn dng nhng g hc
trng vo cng vic thc t.
Vi s ch dn nhit tnh ca ch v cc c t rm y t gip em thm vng nhng kin
thc hc v c kinh nghim trong thc t , vi nhng kin thc hc hi nh bit th
no l cung ng thuc, t chc cp pht thuc, tim chng hng thng..
Tuy thi gian ch c hai tun ti trm y t nhng i vi em tht c ngha, v gip em
cng c thm c nhiu kin thc b ch trong thc t v nay cng l nhng kin thc
gip em vng tin hn khi bc vo ngh. Mt khc em cn bit c tm quan trng ca
nghnh dc cng nh vai tr ca ngi dc s.
Qua bi bo co ny cn nhiu thiu st em rt mong c c ch trm y t phng 8
Qun Ph Nhun cng cc thy c khoa dc trng Cao ng Nguyn Tt Thnh ch
bo v ng gp kin cho em bi bo co tt hn.
Em xin chn thnh cm n!

PHN 1 : GII THIU CHUNG V N V THC TP


1.1/Tn v a ch n v thc tp
1.1

Tn n v : Trm y t phng 8

1.2

a ch n v thc tp : 223 Nguyn Trng Tuyn , phng 8 , Qun

Ph Nhun
1.2/. Nhim v v quy m t chc :

BNG PHN CNG NHIM V

BS L Ngc nh

H tr cng tc khm cha bnh ti trm , hng tun vo ngy th 2 , th 3 , th 5

H tr cng tc truyn thng gio dc sc khe


YS Dng Th nh Nguyt

Chi trch nhim v cc hot ng 10 tiu chun quc gia v y t trc ng y , y


ban nhn dn v Ban Gim c TTYTDP Ph Nhun

Xy dng k hoch qu , thng , nm , bo co tng hp

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.

Ph trch cng tc phng chng dch bnh ti a phng

Ph trch cng tc truyn thng GDSK

Thc hin nhim v chuyn mn

NHS Trn Th Uyn Nga

Ph trch chng trnh chm sc sc khe sinh sn , KHHGD

Chng trnh phng ly nhim HIV t m sang con

H tr cng tc tim chng , truyn thng GDSK , sc khe tr em

H tr cng tc phng chng dch

Thc hin cng tc chuyn mn

DT Phm Thanh Xun

Ph trch qun l cng tc dc chnh

Qun l trang thit b vt t y t , ti sn c nh .

H tr cng tc phng dch , tim chng ti trm

Qun l mng li y t t nhn


8

Ph trch cng tc th qu , bo co cng vic ti chnh ca trm.

YS. ng nh Tun: Ph trch ng y


1.3. /Ch tiu , k hoch thnh tch hot ng
1. 3.1/. Cng tc dc

Thc hin theo quy ch dc chnh : 3 tra , 3 i , 5 chng


-

Cng tc qun l thuc bo him y t , thuc hng tm thn , thuc st rt, thuc

nga thai (thuc k hoch ha gia nh ).


-

Ch d tr , bo co thuc , lp th kho,

Kim tra k n thuc ph hp vi tng loi bnh chn on

n thuc phi nghi y phn hnh chnh

Tn thuc phi ghi r rng hm lng , s lng thuc , ch hn s dng

thuc , khng nn thuc ht hn nu gn ht hn phi bo co v lp bin bn x l (nu


thuc ht hn phi hy , gn ht hn phi i thuc mi ti khoa dc bnh vin )
-

Thc hin ch kim k thuc hng thng


1.3.2. Cng tc truyn thng gio dc sc khe

V sinh an ton thc phm

Tng s qun n c qun l l 30 qun , tng s qun c cp giy iu kin

l 10 qun , khng c trng hp ng c thc phm xy ra


-

Ch tiu kim tra qun n t > 80%

Tim chng m rng

Ch tiu tr < 1 tui tim chng phng 8 bnh tr em t > 95%

Chng trnh v sinh ngoi cnh

- T l h s dng nc sch phi t 100%


- Nh v sinh t hoi : t 100%, cc h dn phi thu ngi rc 100%

Ch tiu v k hoch ha gia nh

T l pht trin dn s t 0.28%

Chng trnh phng chng suy dinh dng

Tr SDD hin c 7/456 t l 1,53%

T l qun l tr di 2 tui t 98% (tr c cn o hng thng , tim chng y

8 bnh : lao , bch hu , ho g , un vn , vim gan siu vi B vim mng no m , si,


bi lit)

Hot ng kt hp iu tr ng ty y

t t l 20 % theo quy nh ca B Y t , khm cha bnh y hc c truyn kt hp

vi y hc hin i (ng Ty y kt hp)


-

T l khm cha bnh ti trm so vi tng s dn 0.5 % vt ch tiu do b y t quy

nh 0.2 ln / 1 nm /1 ngi

Chng trnh phng chng Vitamin A

- Thc hin 2 t/ nm ( thng 6, thng 12)


- T l phi t trn 90% cho tr t 6 thng n 36 thng
- Tr SDD, Khng b m trong nhng thng u, tr b kh gic mc.

Chng trnh phng chng lao, phong

- 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

Chng trnh phng chng bu c

-T l ngi dn s dng mui iot t 90%


-S ca hng bn l s mui c 6 ca hng

Cng tc phng chng HIV/AIDS

Tng cng cng tc thng tin gio dc

Chng trnh gim thiu tc hi d phng ly nhim HIV t m sang

con
-

Ph bin cc vn bn php lut ca ng Nh nc v chng trnh

phng chng HIV/AIDS.

10

Tip cn gio dc cc i tng nhm gip h thay i hnh vi , cung

ng cc dch v k hoch ha gia nh , kim tim min ph


Chng trnh chm sc h tr cho ngi b ly nhim

Chng trnh gim st HIV

Cng tc phng chng st trt

- 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

Phng chng St xut huyt

y mnh cng tc TTGDSK cho nhn dn khng dch ln xy ra trong


a bn , tng cng cng tc gim st, pht hin v kim sot dch bnh
Phi hp tt vi TTYTDP Qun, Bnh vin, Phng Y t trong cng tc
phng chng dch, m bo thc hin y v kp thi ch thng k
bo co v cng tc phng chng dch theo qui nh
Gim t l mc, cht st xut huyt, hn ch pht sinh dch
T chc tt 3 t chin dch dit lng qung

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

1.1. D tr , xut , nhp v tn thuc


Vic lp d tr bit c lng thuc xut nhp tn nhm m bo lng thuc
cp pht
D tr
- Lp d tr tt c cc thuc ca cc chng trnh
- Da vo s thuc dng trong thng m ph trch dc ca trm thng
k
- Sau khi thng k s c bo co ln khoa dc ca bnh vin

BIN BN KIM NHP THUC BHYT THNG 05/2011


Ngy 04 thng 05 nm 2011
HI NG KIM NHP GM :
1. Trng trm : YS. Dng Th nh Nguyt
2. Qun l dc : DT. Phm Th Thanh Xun
Nhp ca khoa dc TTYTDP Qun
Chng t s : 27,43 ngy 22 thng 04 nm 2011
S
T
T

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

Nhp trong thng


4 n

Xut

Cn

(5)

(6)

(7)

(8)

126

L:061109
05/10/12

1000

Xut trong thng

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

BO CO XUT NHP TN THUC BHYT T5/2011

STT Bit dc

VTNN

1 Diclefenac Stada 50mg

vin

2 Pacific Ketoprofen 30mg

ming

24 Meloxicam Stada 7.5mg

vin

26 Yeltu 7.5mg

vin

33 Mexcold 150mg
Tydol Sachet Powder
34 150mg

gi

35 Hapacol Infants F 150mg

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

82 Cetirizin Stada 10mg

vin

83 Cinarizin 25mg

vin

89 Lonlor 10mg

vin

90 Loratadin 10mg

vin

105 Mebendazol 500mg

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

1.2. Cc loi s sch (ni dung v mc ch s dng )


Trong chng trnh KHHG
Thuc nga thai :
- Ideal
- Exluton (m cho con b)
Vng trnh thai :
- Vng ML 375
- Tcu 380
Thuc ung sau khi t vng
- Doxycyclin 100mg
- Nospa 40mg
B m mang thai c cp vin st trong sut thi k mang thai (c s qun l)
S qun l bo thuc BHYT
S qun l thuc st rt
S xut nhp thuc hng tm thn
- Ni dung : thng k lng thuc dng trong ngy , tng hp bo co thng
- Mc ch : bit c s lng thuc c nhp xut hng ngy
- S thng k
- Ni dung : thng k thuc pht ra trong tng thng , tng nm cp pht
thuc cho bnh nhn
- Mc ch : nhm bit c lng thuc tn c k hoch lp d tr

16

2. Sp xp , trnh by , quy trnh cp thuc


2.1. K tn cc loi thuc cp cu , thuc chng shock , thuc thit yu , thuc

bo him y t (mi loi 20 thuc)


2.1.1. Tn cc loi thuc cp cu

- Atropin 0.25 mg

- Ventoline 5 mg

- Glucose 5 % 500ml

17

- Lactac ringer 500ml

- Nifedipin 20mg

- Captoril 25mg

18

Atenolon 50mg

- Isosorbide dinitrate 100mg

- Diazepam 5mg

19

- Seduxen 10mg/2ml

Efferalgan 500mg ( Paracetamol)

Paracetamol codein

20

- Acemol E 100mg

Chlorpheramin 4mg

Dofopam 40mg (Alverin citrat )

21

2.1.2. C S THUC DNG C HP CHNG SHOCK

1. Adrenaline 1mg 1ml

02 ng

2. Nc ct 10ml

: 02 ng

3. Hydrocortisone 100mg

: 02 ng

4. Bm kim tim v khun


10 ml : 02 ci
1 ml : 02 ci
5. Phng tin kh trng ( Bng , bng , cn gc )
6. Dy ga-r
7. Pht cp cu shock phn v .
2.2. Thuc cc chng trnh y t khc (tn chng trnh v tn thuc ) :

DANH MC THUC THUC CC CHNG TRNH Y T KHC


STT

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

THUC TM THN- HNG THN

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

Danh mc thuc thit yu :


CHLORPPHENIRAMINE

4mg

PARACETAMOL

500mg

VITAMIN B6 ( Pyridoxine

250mg

Hydrocloride )
VITAMIN B1 (Thiamin nitrat )

250mg

THEMAXTENE ( Alimemazin tartrat


)
VIFAREN ( Diclofenac natri )

5mg
50mg

METRONIDAZOL

250mg

MAGNESI B6 ( Magnesi lactate


dihydrat + Pyridoxin )
CIMETIDIN

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

THUC M D.E.P ( Diethyl phtalat


95% )
SUPERTON ( Vitamin, khoang
cht )
VASELINE

23

2.2 Sp xp v trnh by thuc


2.2.1. Sp xp thuc
-

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

Thuc khng sinh :

Cephalexin 500mg
Glonacin 3 M.I.U (spiramycin)
- Metronidazol 250mg (Metronidazol 250mg)
- Travinat (cefuroxime 500mg)
- Ayclovir (acyclovir 800mg)
Thuc gim au, h st:
-

Alphachymotrypsine choay (Chymotrypsine)


- Panadol (paracetamol 250mg)
- Hapacol codein (paracetamol 500mg, codein phosphat 8mg)
- Efferalgan (paracetamol 500mg)
Khng vim:
-

Predni solon 5mg


Seratidaz (serratiopeptidase 10mg)
Norflux 90mg
Solupred 4mg, 16mg, 20mg

Thuc d ng
-

Clorpheniramin 4mg (Chlorpheniramine)


Clanoz (loratadin 10mg)
Cedesfarmin (Betamethasone 0.25mg, Dexchlorpheniramine maleate 2mg)
Dopola (Dexchlorpheniramine 2mg)
Vacopola (Dexchlorpheniramin 6mg)

Thuc mt , mi, tai


-

Cloraxin 0.4% (Chloramphenicol 0.04g)


Efticol (nacl 0.09g)
Neodex (Dexamethasone 25mg, Neomycin 5.5mg)
Povidine ( Povidone Iodine 2g )
Natri clorid (natri clorid 90mg)
24

Osla ( natri clorid 0.033mg)

Thuc b , vitamin
-

Zoscal (Calci hydrophosphat , Calci carbonat , Vitamin A,D )


Myvita (vitamin nhm B , E, C, km, ng)
Vitamin C 1000 (acid ascorbic 1000mg)
C- calci (acid ascorbic , calci carbonat)
Luxy cal- D (calcium carbonate , vitamin D3)
Calcium- D (calcium gluconat , vitamin D3)

Tiu ng
-

Diamicron MR (Gliclazide) 30mg


Gliclazic 80mg
Glucofast ( Met formin) 500mg, 850mg, 1g

+ Cao huyt p
-

Nifedipin (nifedipin) 10mg


Taratril 5 mg
Czartan 50
Nifehexal 20mg
Amlodipin 5mg

Tr giun sn:

Zentel (albendazol)
Fugacar (mebendazol)

Thuc ho long m:
-

Eugica (tinh du trm , menthol , tinh du tn , tinh u gng )


Acemuc 100mg
Mucomyst (acetylcystein) 200mg
E xomuc (acetylcystein) 200mg
Codatux syrup

+ Thuc gin ph qun:


-

Salbumol 2mg
Theostat LP 100mg, 300mg

Thuc d dy tiu ha:

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)

An thn kinh tho dc:

Mimosa ( bnh vi , sen l , lc tin , vng nem l, trinh n)


Night queen (bnh vi, sen l, lc tin , l vng nem , trinh n )
Good night (melatonin , cao tm sen )

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

2.3/Tham gia hng dn s dng thuc hp l an ton


2.4.

Tham gia hng dn s dng thuc an ton v hp l


-

S dng thuc hp l , an ton theo quy ch


- Bc s hocY s ph trch chng trnh tm thn k n theo tn bit dc lnh
ca chng trnh
- Nhn vin dc pht thuc theo ng tn thuc c k n , n thuc phi
c ch k nhn ca bnh nhn
- So snh thuc iu tr vi chun on : s lng , liu dng ph hp vi tng
loi bnh
Ging nhau : mc ch iu tr cha bnh
Khc nhau :
Thuc iu tr : xc nh r nguyn nhn gy bnh nn vic dng thuc thng t
hiu qu cao , chnh xc , an ton cho ngi bnh
Thuc chun on : do cha xc nh r nguyn nhn gy bnh m ch nghi ng nn
vic dng thuc t t kt qu iu tr

26

2.4/Theo di thng k hin tng phn ng c hi ca thuc

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
-

H tn ngi bnh : L Mnh Hng

Nm sinh : 1955 (Nam)

M s th: GD7790600904270

a ch:125/26 Nguyn trng tuyn. Qun ph nhun.

Chn on : RL m mu Thiu mu c tim Si thn

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
-

H tn ngi bnh : Trng Th Ngc Nga

M s th : TQ 7972130004709

a ch: Nguyn trng tuyn, Q PN

Chn on : Vim xoang mi

Nm sinh : 1963 (N)

Ch nh thuc :
1/ Doroxil 500mg TV (Cephadroxil)

Ngy ung 2 ln , mi ln 1 vin


2/ Serratiopeptidase 10mg

Ngy ung 3 ln , mi ln 1 vin


3/ Dopalgan 500mg

Ngy ung 2 ln , mi ln 1 vin


4/ Loratadin 10mg

Ngy ung 2 ln, mi ln 1 vin

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
-

H tn ngi bnh : Nguyn Ha Thun

M s th HC 7790904400031

a ch: TT YTDP

Chun on : Hi chng c vai

Nm sinh : 1979 (Nam)

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
-

H tn ngi bnh : Phm Vn Minh

M s th : GD 7790900901904

a ch: 9/2 Nguyn Trng Tuyn Q PN

Chn on : cao huyt p , RL lipid mu

Nm sinh: 1932 (Nam)

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
-

H tn ngi bnh : ng nh Tun

M s th : HC 779090440134

a ch: TTYTDP

Chun on : Ri lon tiu ha

Nm sinh : 1962 (Nam)

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
-

H tn ngi bnh : Nguyn Th Kim Phng

M s th : HC 7790901400021

a ch: THCS Ng my

Chun on : Vim hng, au c tay tri(t)

Nm sinh : 1967 (N)

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

4.1 / Vn thuc nam


Do din tch trm y t khng m bo trng cc loi thuc nam. Tuy nhin trm c
trng by cc hnh nh ca cc loi cy thuc nam m bo c 40 cy thuc nam c t
gc gio dc truyn thng gio dc sc khe , m bo khi ngi dn n tm hiu v cng
dng cch dng ca cy thuc nam s y .

Cc loi cy thuc nam

Thin ng mn (Asparagus
cochinchinensis )
B phn dng : r c
Cng dng:cha ho m,vim ph
qun

Lc tin (Passiflora foetida)


B phn dng : dy , l , hoa
Cng dng : thanh nhit gii c

34

Da cn (Catharanthus roseus)
B phn dng : r, l
Cng dng : cha huyt p , i tho
ng

Cy gip c (Houttuynia cordata)


B phn dng: ton cy
Cng dng : thanh nhit, gii cm

L du tm (Morus alba)
B phn dng: l
Cng dung : tr cao huyt p ,mt ng

Ct toi b (Drynaria fortunei)


B phn dng : thn r
Cng dng : cha bong gn, au lng,
thp khp

35

Ngh vng (Turmeric)


B phn dng : c
Cng dng cha vim lot d dy vim
gan

M lng (Paederia foetida L)


B phn dng : l
Cng dng: cha au d dy, tiu chy

Cy trinh n (Mimosa pudica L)


B phn dng : thn r , dy l
Cng dng : cha au nhc xng ,
thp khp

Thy xng b (Acorus calamus L)


B phn dng : thn r
Cng dng : kch thch tiu ha v li
tiu

36

Cc tn (Pluchea)
B phn dng : ton cy , tr r
Cng dng : th huyt , cm ho dai
dng do vim kh qun

S qun t (Quisqualis indica L)


B phn dng: ht
Cng dng : tr giun , cam tch

Qu (Cinnamomum)
B phn dng : v thn , v cnh
Cng dung : cha tay lnh , au bng

Hoa he (Sophora Japonica L)


B phn dng : n hoa
Cng dng : phng s va ng mch
37

Dip h chu (Phyllanthus urinaria L)


B phn dng : ton cy
Cng dng: tiu c, st trng , tan ,
iu kinh

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

Kim ngn (Lonicera japonica)


B phn dng : hoa cnh v l
Cng dng : thanh nhit , li thp ,
gii c, li tiu
38

Cc hoa (Chrysanthemum indicum L)


B phn dng : cm hoa n
Cng dng : cha cm lnh , nhc
u , m mt

Trc b dip (Biota orientalis)


B phn dng : l cnh
Cng dng : tr ho g , chy mu cam ,
quai b , rng tc

Cy c mc (Eclipta alba Hassk)


B phn dng : ton cy
Cng dng : cm mu , dit khun ,
tiu vim, dng da

Gng (Zingiber officinale)


B phn dng : thn r
Cng dng : cha cm cm bng
lnh , n ung khng tiu
39

Mung tru (Zingiber officinale)


B phn dng : l
Cng dng cha hc lo , bnh herpet
vng

Ngi cu (Artemisia vulgaris)


B phn dng : ton cy
Cng dng : cha chy mu cam, l ra
mu ,nn , au bng, au dy thn kinh

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

Kim tin tho


(Desmodiumstyracifolium)
B phn dng : thn , cnh v l
Cng dng: li mt , thng tiu tin ,
cha si thn , si mt

Hng nhu ta (Ocimum tenuiflorum)


B phn dng : ton cy tr r
Cng dng : cha au bng , au u ,
gim st

Mch mn (Ophiopogon japonicus)


B phn dng : r c
Cng dng : cha ho, long m, vim
ph qun , to bn

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

Tho quyt minh (Cassia tora L)


B phn dng : ht
Cng dng : li tiu v i tin , ho
nhun trng , cao huyt p , nhc u

Bn h (Typhonium trilobatum )
B phn dng : c
Cng dng : ho nhiu , tc ngc

Cam tha t (Scoparia dulcis L.)


B phn dng : r hoc thn r
Cng dng : thanh nhit , gim nga ,
cm tiu chy , cm st ho

42

C tranh (Imperata cylindrica )


B phn dng : thn r
Cng dng : cha tiu but , tiu dt ,
tiu ra mu , st nng

X can (Belamcanda chinensis Lem)


B phn dng : thn r
Cng dng : ho m vim hng

Chi t (Gardenia jasminoides Ellis)


B phn dng : qu phi kh
Cng dng : gii nhit , li mt , cm
mu

Nhn (Dimocarpus longan Lour)


B phn dng : cm qu
Cng dng : cha mt ng , hay qun ,
m hi trm
43

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

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