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LI M U
Trong thi gian thc tp ti Nha Thuoc KIM CHI, em a co c
hoi tiep can vi thc tien va van dung ly thuyet a
hoc vao cong viec thc te e hoan thanh bai thu
hoach nay.
e co ket qua nh vay, ben canh s ho tr cua
gia nh va ban be, em xin chan thanh cam n Anh Ch
tai Nha Thuoc KIM CHI a tao ieu kien cho em thc
tap. Cac Anh Ch a ch bao em nhng kinh nghiem
cung nh nhng kien thc trong qua trnh thc tap. Em
xin cam n cac Thay co Trng Trung Cap Quang Trunq
a day do em tan tnh nhng bai hoc quy gia trong
suot 2 nam qua. Cong n cua cac Thay Co em khong
bao gi dam quen, ch biet co gang hoc tap va van
dung kien thc ap dung trong cuoc song mot cach tot
nhat. at biet la Dc S NGUYN KIM CHI a tan tnh
hng dan em trong qua trnh lam bai bao cao nay.
Em khong biet noi g hn ch biet knh chuc cac Anh
Ch, DS NGUYN KIM CHI tai Nha Thuoc KIM CHI, Quy Thay
Co Trng Trung Cap Quang Trung c nhieu Sc
Khoe Hanh Phuc Thanh Cong.
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TRANG 1
MC LC
Li cm n...............................................................................................................Trang 3
Nhn xt ca n v thc tp.................................................................................Trang 4
Nhn xt ca gio vin............................................................................................Trang 5
S lc v nh thuc ni thc tp..........................................................................Trang 6
Ni dung v thi gian thc tp...............................................................................Trang 7
Mc ch thc tp ti nh thuc............................................................................Trang 8
Lm d tr...............................................................................................................Trang 9 10
Nhu cu thuc..........................................................................................................Trang 11
T liu tham kho...................................................................................................Trang 12
Mt s thuc km hnh nh....................................................................................Trang 13
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TRANG 2
Mt s n thuc ....................................................................................................Trang 54
Li kt......................................................................................................................Trang 55
S lc v nh thuc ni em thc tp
-
Nh thuc c cp giy php hnh ngh v giy php kinh doanh, c iu kin, c s
php l hnh ngh Dc t nhn.
a ch nh thuc :
Ngha v ca nh thuc: phi thc hin ng quy ch chuyn mn, c cc s sch ghi chp
theo quy nh ( s mua bn thuc c, thuc hng tm thn, s theo di hn dng, s bn theo
n ) v thc hin cc chng trnh thuc ch yu a phng.
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Khi ngi tiu dng mun mua sn phm mi th nh thuc cung cp thng tin bng cc t bm
qung co ca trnh dc vin v dng thuc mi cho ngi mua.
Thuc c bo m nhit thch hp, chng nh sng, chng mi mt, chng hng v,
chng m t, chng chy n. Thuc c A, B, thuc hng tm thn phi c bo qun ring
trong t c kha chc chn.
Thi giao tip phi n cn, nim n, tn tnh v chu o em li s an tm v tin tng
cho ngi n mua thuc.
MC CH THC TP NH THUC
Nhm to iu kin cho hc vin lm quen vi cc dng thuc, tm hiu v thuc, cch sp
xp thuc theo tng nhm thuc hay v tr thuc trong nh thuc, cc phng php bc thuc v
chia liu cho thch hp. Nng cao trnh hiu bit v chuyn mn nghip v, nhn thc ng
trch nhim ca ngi thy thuc thc hin Lng y nh t mu.
Chp hnh nghim chnh cc quy ch, ch chuyn mn nh: ch 3tra, 3i kp thi
ngn chn cc hin tng nhm ln thuc, v ch mt s xut nh cng gy nguy him n tnh
mng con ngi. Do , cc hc vin cn phi chp hnh ng cc quy nh ca nh thuc trong
thi gian thc tp v ph gip mt s cng vic tin li cho vic hc hi thm kin thc. Nm
vng cc thng tin v thuc hng dn cho mi ngi cch s dng v bo qun thuc hp l an
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ton. chnh l hnh trang tt nht bc vo i phc v cho nhn dn nhng trc ht l
vt qua k thi tt nghip sp ti.
Lm d tr thuc
CC LOI S SCH.
Thc hin theo quy nh ca S Y T v B Y T, nh thuc c cc loi s nh sau :
-
S bn thuc.
S thuc c A, B.
S theo di hn dng.
S thanh tra.
Tn Thuc
S lng
n gi
Thnh tin
STT
Tn
thuc
n v
tnh
S lng
Xut
Nhp
Tn
Da vo s
ny ghi vo s
xut nhp thuc
2) S xut nhp thuc : s ny cho php qun l lng thuc xut nhp v tn..
Tn
thuc
S lng
n v
tnh
n
gi
Thnh
tin
B cn tn ti li ng hn k bo co vi s y t.
3) S bn thuc c A, B :
Ngy
Tn
thuc
S S
lng
n v
tnh
Xut
Nhp
Tn
4) S theo
di xut nhp v tn :
5) S theo di hn dng.
Da vo s ny bit hn dng ca tng thuc nh c phng php phn phi hoc nhp hng
c tt.
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6) S thanh tra :
Theo nh k hoc t xut, s y t kim tra nh thuc v vic thc hin cc quy nh ca s y t.
S ny c s y t ph duyt hoc ghi ni dung vi phm v cch x pht bao gm cc ni dung :
-
Hn
dng
xa
hn
2011
10
11
12
Nhu cu thuc
-L nhng thuc nm tronh danh mc thuc thit yu, ch yu phc v cho tuyn C.
- Nhng thuc ny p ng c nhu cu thc t chm sc ban u ca nhn dn..
- Lun c sn, v s lng, a dng v dng bo ch, m bo cht lng, m bo cht lng,
gi c ph hp.
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TRANG 8
STT
TN THUC
HM
QUY CCH
SL
SL
NG GI
Vin
XUT
Panadol
LNG
500mg
NHP
1
2
3
Efferangan
Ampicillin
500mg
500mg
Vin si
Vin
Amoxcillin
500mg
Vin
Aspirin500mg
500mg
Vin
Doxycylin
100mg
Vin
TN
3 tra:
3 i :
Mt s n thuc thng gp
a) Vim hng cp ( ung trong 05 ngy )
Cefalexine 500mg
x 15 vin
Klion 250mg
x 15 vin
Prednisolone
x 10 vin
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TRANG 9
Panadol 500mg
x 15 vin
Cefalexin 500mg
x 15 vin
Terpin codein
x 15 vin
Vitamin 3B
Perdnisolon 5mg
x 15 vin
x 15 vin
Phosphalugel
x 15 gi
Spasmonavine
x 10 vin
Famotidin
x 10 vin
Loratadin 10mg
x 09 vin
Ngy ung 3 ln mi ln 1
vin
Prednisolon 5 mg
Bar
x 18 vin
Vitamin C
x 09 vin
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TRANG 10
x 09 vin
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TRANG 11
Panadol Extra
Thanh phan:
Paracetamol 500mg cafein 65mg
Ch nh:
Gim cc cn au nh v cn au do: nhc u, nhc rng, au
nhc c, vim xoang, au nhc do thp khp, cm lnh thng
thng
Chng ch nh:
Qu mn vi cc thnh phn ca thuc.
Ph n c thai hoc ang cho con b. Khng dng hn 10 ngy e gim au hoc lu
hn 3 ngy h st tr khi c s hng dn ca bc s.
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Ch phng:
Ti khm khi st ko di hoc nng hn hoc xut hin ban hay sng.
Tc dng ngoi :
- Dng liu cao ko di, c th gy suy t bo gan. Ni mn da & phn ng d ng khc.
- Mt ng, mt mi, bn chn, bun nn, i, kch ng d dy.
Liu lng:
- Ngi ln: 1-2 vin mi 6 gi khi cc triu chng ko di, khng dng qu 8
vin/ngy.
- Tr < 12 tui: s dng theo ch dn ca bc s.
HAPACOL
Thnh phn: paracetamol
Ch nh: H st, gim au.
Chng ch nh: qu mn vi paracetamol, suy gan.
Tc dng ph: him gp d ng.
Efferalgan Vitamin C
Thnh phn: Paracetamol, Vitamin C
Ch nh:
iu tr cc triu chng au nhc hoc st trong cc
trng hp:
- Cm lnh, cm cm, au u, au c - xng, bong
gn, au khp.
- Nhim khun ng h hp trn: au tai, au hng,
vim mi xoang do nhim khun hay do thi tit.
- Sau phu thut ct amian, nh rng, mc rng, nhc rng.
Chng ch nh:
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Efferalgan 500mg
Thnh phn: Acetaminophen 500mg
Ch nh: st cao, nhc u au mnh my, au dy
thn kinh ,thp khp, au gn,au c
Tc dng ph: dng liu cao,ko di trn 2 tun c
th gy tn thng gan
Chng ch nh: bnh nhn suy gan thn.
Diclofenac
Thnh phn: Diclofenac natri
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TRANG 14
Ch nh:
Cac tnh trang viem khp cap va man,viem khp cot song
co
Cac tnh trang au cap trong san phu khoa,rang ham mat,tai
-mui -hong
Chng ch nh:
Lot d dy - t trng, nhy cm vi diclofenac hay NSAID khc.
Tc dng ngoi :
Ri lon tiu ho, nhc u, hoa mt, chng mt, ni mn, tng men gan thong qua.
Liu lng:
Ngi ln 50 - 150 mg/ngy, chia 2 - 3 ln. au bng kinh hoc cn migraine c th tng
n 200 mg/ngy.
MELOXICAM
Thnh phn: Meloxicam
Ch nh:
- iu tr triu chng vim khp dng thp, vim xng khp, vim t sng dng thp &
cc tnh trng vim & au khc.
Chng ch nh:
- Qu mn vi thnh phn thuc.
- Tin s hen, ph mch, m ay khi dng
aspirin.
- Lot d dy t trng.
- Suy gan, suy thn nng.
- Tr < 15 tui.
- Ph n c thai hoc cho con b.
Tc dng ph:
- Kh tiu, bun nn, au bng, to bn,
y hi, tiu chy.
- Him: vim thc qun, lot d dy t trng, xut huyt tiu ho, thng, vim rut kt.
Ch phng:
- Tin s bnh ng tiu ha.
- ang dng chng ng.
- Ngi cao tui.
Liu lng:
- Vim khp dng thp & vim t sng cng khp 15 mg/ngy, ty theo p ng, c th
gim cn 7,5 mg/ngy.
- Vim xng khp 7,5 mg/ngy, khi cn tng ln 15 mg/ngy. Liu ti a 15 mg/ngy
ASPIRIN 81
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Ngi c bnh a chy mu, gim tiu cu, lot d dy t trng, suy tim, suy gan thn.
Tc dng ph
Bun nn, nn, kh tiu, lot d dy rut. mt mi, ban, my ay, yu c, kh th, sc phn v.
DI-ANTALVIC
Thnh phn
Dextroproxyphen hydroclorid 30mg
Paracetamol 400mg
Ch nh
Tr chng au trung bnh v nng khng gim khi
dng aspirin hay paracetamol n thun.
Chng ch nh:
_
Tr di 15 tui.
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TRANG 17
Nautamine-90 mg
Thnh phn
Diacefylline Diphenhydramine 90mg
Ch nh
Dung cho ngi ln va tre em tren 2
tuoi e phong nga va ieu tr say tau
xe
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TRANG 18
Chng ch nh
Mn cm vi cc thuc khng histamin. Glaucom, kh tiu do tuyn tin lit. Tr di 2
tui.
Ch phng
Thuc c th gy ng g, nng hn khi ung ru. C thai: nn dng ngn hn, vi ngy;
dng qu nhiu vo cui thai k s c hi cho thai. Khng dng khi cho con b.
Tc dng ngoi
Ni mn , ph Quincke, sc phn v. Ng g, thiu tnh to, chng mt (thng thy
ngi gi). Kh ming.
Liu lng
Ngi ln v tr >12 tui. 1-1,5 vin, 6-12 tui, 1 vin, 2-6 tui. 1/4-1/2 vin. Dng 1/2
gi trc khi khi hnh, lp li nu cn sau t nht 6 gi.
Cetirizin 10mg
Thnh phn: Cetirizine 10mg.
Ch nh
Vim mi d ng theo ma, vim mi d ng quanh
nm & m ay t pht mn tnh nh ht hi, s mi,
xut tit vng mi sau, mt & chy nc mt, nga
& pht ban.
Chng ch nh
Qu mn vi thnh phn thuc.
Tc dng ph
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Telfast HD
Thnh phn: Fexofenadine hydrochloride
Ch nh:
Cc triu chng do vim mi d ng theo ma & ni m
ay t pht mn tnh: ht hi, chy nc mi, nga mi,
mt nga , chy nc mt.
Chng ch nh:
Qu mn vi thnh phn thuc.
Tc dng ph:
Nhc u, bun ng, bun nn, chong vng & mt mi.
Ch phng:
Ph n c thai & cho con b, tr < 6 tui.
Clorpheniramin 4mg
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Tiofene
Thnh phn: Sodium thiosulfate
Ch nh:
- D ng da: chm, m ay, nga.
- D ng tiu ha, ri lon tiu ha, iu tr to bn.
- Vim mn tnh ng h hp: vim mi, vim mi
hng.
- Gii d ng, thng mt, gii c, dng nh thuc
gii c trong mt vi trng hp nhim c.
Chng ch nh:
Qu mn vi thnh phn thuc, c bit l lu hunh.
Tc dng ph:
Tiu chy, au bng (khi dng liu cao). Nguy c d ng
Ch phng:
Ph n c thai & cho con b.
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Liu lng:
Ngi ln: 4-8 vin/ngy, chia 2-3 ln. Ung trong ba n.
Mekoferrat
Thnh phn: St Fumarat
Ch nh:
- ieu tr va d phong cac
loai thieu mau do thieu
sat,can bo sung sat
- Cc trng hp tng nhu cu to mu:
ph n mang thai, cho con b, thiu dinh
dng, sau khi m, giai on hi phc
sau bnh nng.
Chng ch nh:
- Tin s mn cm vi cc thnh phn ca thuc.
- Bnh gan nhim st.
- Thiu mu huyt tn.
- Bnh a hng cu.
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Ch phng:
- Ngi c lng st trong mu bnh thng trnh dng thuc ko di.
- Ngng thuc nu khng dung np.
Tc dng ngoi :
- i khi c ri lon tiu ha: bun nn, au bng trn, to bn hoc tiu chy.
- Phn c th en do thuc.
Liu lng:
Liu dng theo ch nh ca bc s hoc dng liu trung bnh cho ngi ln l:
- iu tr: 3 - 4 vin/ngy, ti a l 6 vin/ngy.
- D phng: 1 vin/ngy.
- Ung sau khi n.
Neo - codion
Thnh phn: Codeine camphosulfonate, Sulfoguaiacol, Soft extract of grindelia
Ch nh:
Lm du cn ho khan v ho kch ng ngi ln.
Chng ch nh:
-
Tc dng ph:
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C th gy to bn, bun ng, chng mt, bun nn, nn. Him gp: c ch h hp, co
tht ph qun, d ng da.
Ch phng:
Khng dng iu tr ho m. Cn thn trong tng p lc ni s. Ngi li xe & vn
hnh my mc.
Liu lng:
Ngi ln: 1 vin/ln x 3 ln/ngy, khng qu 4 ln/ngy. Ngi gi hoc bnh nhn suy
gan: 1 vin/ln, 1-2 ln/ngy. iu tr phi ngn ngy.
Acodine
Thnh
Natri benzoat
Codein monohydrat
Ch
nh: Thuoc ho
Chng ch nh:
Ho do suyn, suy h hp.
Ch phng:
Tng p lc ni s. C nguy c gy
b.
Tc dng ngoi :
Him & nh: to bo, ng g, chng mt, bun nn, co tht ph qun, phn ng d ng
da & c ch h hp.
Liu lng:
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Exomuc 200mg
Thnh phn: N-Acetylcysteine
Ch nh:
Tiu nhy trong cc bnh ph qun-phi cp & mn tnh
km theo tng tit cht nhy
Chng ch nh:
Qu mn vi acetylcystein hoc mt trong cc thnh
phn thuc.
Tc dng ph:
Rt him: ri lon tiu ha, vim ming, tai.
Ch phng
Ph n c thai & cho con b, tr < 2 tui khng dng.
Recotus
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Salbutamol 2mg
Thnh phn: Salbutamol
Ch nh:
Gim co tht ph qun trong cc dng hen ph
qun, trong vim ph qun & kh ph thng.
Chng ch nh:
Qu mn vi thnh phn thuc.
Tc dng ph:
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Bisolvon 4mg/5ml
Thnh phn: Bromhexine
Ch nh:
Bnh ng h hp tng tit m & kh long m nh vim ph
qun cp & mn, cc dng bnh phi tc nghn mn, vim h hp
mn, bi phi, gin ph qun.
Chng ch nh
Qu mn vi thnh phn thuc. Ph n c thai (chng ch nh
tng i).
Tc dng ph:
Bun nn thong qua
Ch phng:
Bnh nhn lot d dy.
EUGICA
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Thnh phn
Eucalyptol........... 100 mg
Menthol.............. 0,5 mg
Tinh du tn......... 0,18 mg
Tinh du gng........ 0,5 mg
Ch nh
Dng iu tr cc chng ho, au hng, s mi,
cm cm.
St trng ng h hp.
Lm long nim dch, lm du ho.
Chng ch nh:
Qu mn vi mt trong cc thnh phn ca thuc. Khng dng cho tr em di 2 tui.
Tc dng ph:
C bo co rng dng menthol liu ln qua ng tiu ho c th c au bng, nn i, chng mt,
bun ng.
Thng bo cho bc s nhng tc dng khng mong mun gp phi khi s dng thuc.
THERALENE
Ch nh:
- Mt ng tr em v ngi ln.
- Nn tr em.
- Ho khan v m.
- D ng h hp.
- Sng ru cp.
Chng ch nh:
- Qu mn vi 1 trong cc thnh phn ca thuc.
- Suy gan, thn nng.
- ng kinh, bnh Parkinson.
- Thiu nng tuyn gip, y ty thng thn, nhc c, ph i tuyn tin lit.
- Tr > 2 tui.
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Tc dng ph:
- Mt mi, u oi, au u, chng mt nh.
- Kh ming, m c.
KHANG SINH
Augmentin 500mg/125mg
Thnh phn: Amoxicilline
Clavulanic acid
Ch nh:
- Vim amian, vim xoang, vim tai
gia, vim ph qun cp & mn, vim
phi, vim bng quang, vim niu o,
vim b thn.
- Mn nht, p xe, nhim khun vt
thng, vim ty xng. p xe rng. Nhim khun sn ph khoa, bng.
Chng ch nh:
Qu mn vi penicillin & cephalosporin. Ph n c thai 3 thng u.
Tng tc thuc:
Thuc khng ng. Thuc ung nga thai.
Tc dng ph:
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Erythromycin-250.000 IU
Thnh phn:Erythromycin ethyl succinat
Ch nh:
Nhiem trung ng ho hap,da- mo
mem,tai mui hong,sinh duc,nao mo
cau
Chng ch nh:
Qu mn vi thnh phn thuc
Tc dng ngoi :
Vng da mt, bun nn, nn, tiu chy.
Liu lng:
Ung: 1-2g/24h chia 4-6 ln. Tr em: 20-40mg/kg/24h. Nh nhi: 40-80mg/kg/24h.
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Amoxicillin 500mg
Thnh phn: Amoxicilline 500mg.
Ch nh:
Nhim trng h hp, tai mi hng, rng ming,
sinh dc, tiu ha & gan mt.
Chng ch nh:
D ng vi penicillin. Nhim virus thuc nhm
Herpes, nht l bnh tng bch cu n nhn
nhim khun.
Tc dng ph:
Ni my ay, tng bch cu a acid, ph Quincke, kh th, him khi gp sc phn v.
Bun nn, ma, tiu chy, nhim nm Candida.
Liu lng:Ngi ln: ung 1 vin/ln, ngy 3 ln, mi ln cch nhau 6 gi.
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- iu tr thng hn.
- D phng nhim trng phu thut.
Chng ch nh:
-Qu mn vi cephalosporin.
Tc dng ph:
Ri lon tiu ho, nhc u, ni mn, m ay, nga, st, au khp. gim tiu cu, gim
bch cu, tng bch cu i toan, thay i chc nng gan, thn.
Ch phng:
- Qu mn vi penicillin, ngi suy thn, tin s bnh d dy - rut, bnh i trng.
- Ph n c thai & cho con b, tr di 6 thng tui khng dng.
Liu lng:
- Ngi ln & tr > 12 tui: 50 - 100 mg x 2 ln/ngy, c th tng ln 200 mg x 2
ln/ngy.
-
Nhim khun ng tiu do lu liu duy nht 400 mg. Suy thn: gim liu.
Ciprofloxacin 500mg
Thnh phn: Ciprofloxacin 500mg
Ch nh:
Nhim khun h hp, tai mi hng, thn hoc
ng niu, sinh dc k c bnh lu, tiu ha, ng
mt, xng khp, m mm, sn ph khoa, nhim
trng mu, vim mng no, vim phc mc, nhim
trng mt.
Chng ch nh:
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Doxycyclin-100mg
Thnh phn: Doxycyclin
Ch nh:
Nhiem khuan do vi khuan nhay
cam gay ra ng ho
hap,tiet nieu ,da , mo
mem,ng tieu hoa.
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TRANG 33
Chng ch nh:
- Qu mn cm vi khng sinh nhm cycline hay bt k thnh phn no ca thuc.
- Tr em di 8 tui.
- Ph n c thai hay cho con b.
Tc dng ngoi :
-
Ri lon tiu ha nh bun nn, nn ma v tiu chy hay vim li, vim ming v
vim trc trng, tuy nhin him khi cn phi ngng thuc.
- Rt him thy trng hp vim v lot thc qun khi dng dng vin nang
Doxycyclin.
- C s gia tng SGOT hay SGPT, thiu mu, gim bch cu trung tnh,tng bch
cu a eosine, gim bch cu hay gia tng BUN Bnh nhn suy gan.
OFLOXACIN
Thnh phn: Ofloxacin.200mg
Ch nh:
_
Vim ph qun.
Vim phi.
Vim i trng.
Vim da v m mm,
Chng ch nh:
_
Mm cm vi Ofloxacin, cc Quinolon
Tr em di 15 tui.
Tc dng ph:
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TRANG 34
khc.
ERYTHROMYCIN
Thnh phn: Erythromycin 250mg, 500mg.
Ch nh:
_
sinh dc.
Chng ch nh:
_
Tc dng ph:
_ i khi xy ra bun nn, nn, au bng.
Maalox
Thnh phn:
Nhm hydroxyd:400mg
Magnesi hydroxyd:
Ch nh:
- Vim d dy
- Thot v hong
- Kh tiu
- Lot d dyt trng.
Chng ch nh:
- Suy thn nng.
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TRANG 35
400mg
Ch phng:
Khi dng thuc lu di, cn hi kin bc s.
Trng hp bnh tiu ng, cn lu n lng ng saccarose l 150gr/vin.
Tc dng ngoi :
Mt phosphor khi dng liu cao hoc di ngy.
Liu lng:
Ngm hoc nhi 1 n 2 vin sau ba n v khi c cn au (hay kh chu)
Cimetidine-300mg
Ch nh:
ieu tr viem loet da day,ta
trang,tang tiet dch v.
Chng ch nh:
Mn cm vi cimetidine. Ph n c thai v
cho con b.
Tng tc thuc:
Khng dng chung vi phenytoin,
theophylline v warfarin.
Tc dng ngoi :Him khi xy ra tiu chy, mt mi, mn .
Omeprazol-20mg
Thnh phn:Omeprazole 20mg
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Ch nh:
- ieu tr va d phong tai phat loet da day,viem thc quan
trao ngc.
- iu tr di hn bnh l tng tit d dy trong hi chng Zollinger-Ellison.
Chng ch nh:
Qu mn vi thuc.
Ch phng:
Ph n c thai & cho con b. Cn loi tr bnh c tnh trong trng hp nghi ng lot d
dy.
Tc dng ngoi :
Bun nn, nn, tiu chy, to bn & y hi.
Liu lng:
- Lot t trng 20 mg/ngy x 2-4 tun.
- Lot d dy & vim thc qun tro ngc 20 mg/ngy x 4-8 tun.
- Hi chng Zollinger-Ellison 60 mg/ngy.
- D phng ti pht lot d dy, t trng 20-40 mg/ngy.
Phosphalugel-12,38g/gi
Thnh phn: Aluminium phosphat 20% gel:
12.38g
Ch nh:
Thuc c s dng trong cn au bng rt
v tnh trng kh chi do acid gy ra d dy
v thc qun.
Chng ch nh:
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Duphalac-10g/15ml
Thnh phn: Lactulose: 10g/15ml
Ch nh:
ieu tr tao bon,benh tr,hau
phauket trang/hau mon,benh
ly nao do gan.
Chng ch nh:
Qu mn vi thnh phn thuc, Bnh galactose
mu, tc nghn rut.
Tc dng ngoi :
y hi. Khi dng liu cao hn liu ch nh c
th xy ra au bng, tiu chy.
Sucrafat-1g
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Bisacodyl
Thnh phn: Bisacodyl 5mg
Ch nh:
Tao bon,ieu tr trc va sau
phau thuat.
Chng ch nh:
- Vim kt trng.
- Hi chng au bng khng r nguyn nhn.
Ch phng:
- Tiu chy hay au bng. Ta dc khng dng khi b cn kch pht tr, nt hu mn hoc
vim trc kt trng chy mu.
- Ph n c thai & cho con b.
Liu lng:
- Vin 10 mg x 1 ln vo bui ti.
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Actapulgite-3g
Thnh phn: Mormoiron attapulgite 3g
Ch nh:
- Giam cac trieu chng tieu chay
- Ci thin c ca phn v gim co tht trong
vim ng tiu ha cp tnh, chng tiu chy do "l
nc", bnh l do trc khun v ng c thc n do
vi khun.
- iu tr cc triu chng tiu chy c hiu v khng c hiu.
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- iu tr: Vim i trng cp & mn tnh km tiu chy, chng bng, Vim lot i
trng.
Chng ch nh:
Khng nn s dng thuc cho nhng bnh nhn c thng tn hp ng tiu ha.
Ch phng:
- Khng nn s dng thuc nu c st hoc tr di 3 tui tr khi c ch nh ca bc s.
- Nn thn trng vi bnh nhn trn 60 tui v hay gp tnh trng mt nc & to bn
nhm tui ny.
- Ngng s dng thuc khi xut hin to bn, chng bng hoc tc rut.
- Bnh nhn tiu chy cn c b dch v cc cht in gii theo nhu cu.
Tng tc thuc:
Attapulgite lm gim hp thu ca mt s thuc nh cc mui nhm, penicillamine v
tetracycline. Do , ch dng attapulgite trc hoc sau khi s dng cc loi thuc khc t
nht trn 2 gi.
Tc dng ngoi :
Attapulgite ni chung c dung np tt trong liu iu tr. Cc tc dng ngoi c th
gp l nn i, to bn, chng bng.
Liu lng:
- Ngi ln 2 - 3 gi/ngy.
- Tr em > 10 kg th trng: 2 gi/ngy, < 10 kg th trng 1 gi/ngy.
Smecta-3 g
Thnh phn: Diosmectite: 3g
Ch nh:
- Tiu chy cp v mn , nht l tr em.
Ch phng:
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Phi b nc nu cn.
Tc dng ngoi :
C th gy ra hoc lm tng to bn nhng rt him, iu tr vn c th tip tc vi liu
lng gim thng bo cho bc s nhng tc dng ph gp phi khi s dng thuc.
Liu lng:
Tr em: Di mt tui gi mi ngy .
T 1 n 2 tui: 1 n 2 gi mi ngy.
Trn 2 tui: 2 n 3 gi mi ngy.
Sulfaganin 500mg
Thnh phn: Sulfaguanidin: 500mg.
Ch nh:
- Viem da day,ruot non cap va man
tnh
- L trc khuan.
- Tieu chay do nhiem khuan hoac
ngo oc thc an.
Antibio Granules-75mg
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Liu lng:.
- Tiu chy: 4-8g mi ngy
- To bn: 6g mi ngy
- Ri lon ng rut do dng khng sinh:
- Phng nga: 2 gi mi ngy
- iu tr: 4-8 gi mi ngy cho n khi ht triu chng.
Tng tc thuc:
Khng nn dng chung vi Tetracycline v Antibio c th ngn cn s hp thu
Tetracycline.
Berberin-100mg
Thnh phn: Berberin: 100mg
Ch nh:
- Tieu chay
- Tr hoi chng l do trc trung,viem
ruot
Chng ch nh:
Ph n c thai.
Tc dng ngoi :
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To bn
Liu lng:
- Ngi ln: 4-6 vin 50 mg hoc 1-2 vin 100 mg/ln x 2 ln/ngy.
- Tr em: ty theo tui: 1/2-3 vin 50 mg/ln x 2 ln/ngy.
Metronidazol
Thnh phn: Metronidazole
Ch nh:
- Nhiem Trichomonas ng tiet niei
sinh duc nam& n
- Nhim Giardia lambia v nhim amib.
- Vim lot ming.
- Phng nga nhim khun do vi khun k kh.
- Phng nga sau phu thut ng tiu ha v
phu thut ph khoa.
Chng ch nh:
Ph n c thai 3 thng u khi & cho con b.
Ch phng:
Cn gim liu khi x gan, nghin ru, ri lon chc nng thn nng.
Tng tc thuc:
Thuc chng ng mu loi coumarin. Khng dng vi Sulfiram. King ru.
Tc dng ngoi :
Nhc u, bun nn, kh ming, ng ming, tiu chy.
Liu lng:
Ung vo trong hoc sau ba n vi mt t nc:
- Nhim khun k kh t dng 7 ngy: Ngi ln: 30 - 40 mg/kg/ngy, chia 4 ln; Tr em:
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Zentel-200mg
Thnh phn: Albendazole: 200mg
Ch nh:
Diet giun san,giun kim,giun
moc,giun toc,giun ln
Nhiem Giardia
Chng ch nh:
- Ph n c thai hoc nghi c thai.
- Bnh nhn c bnh s d ng vi thuc
(albendazole hoc cc cht tham gia).
Tc dng ngoi :
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FUGACAR 500mg
Ch nh: Giun
a, tc, mc, ln
Chng ch
nh:
- Mn cm
- PNCT
- Tr em < 2
tui
Tc dng ph:
- au bng, tiu chy thong qua
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Vastarel MR-35 mg
Thnh phn: Trimetazidine dihydrochloride
35mg
Ch nh:
- iu tr d phng cc cn au tht ngc
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Furosemid 40mg
Thnh phn: Furosemide 40mg.
Ch nh:
Tng huyt p, ph.
Chng ch nh:
V niu.
Tc dng ph:
Mt cn bng nc & in gii, kh
ming, kht nc, yu sc, ng lm,
chng mt, bn chn, au hoc co rt c, mt mi c, h huyt p, nc tiu t, nhp tim
nhanh hoc lon nhp, bun nn & nn.
Ch phng:
- X gan c trng.
- Hn m gan & trong tnh trng tiu hy cht in gii.
- Ph n cho con b.
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Liu lng:
-
BENH NGOAI DA
Flucinar-0,25mg/g
Thnh phn: Fluocinolone
Ch nh:
Dung trong trng hp viem ,nga
va d ng da
Viem da than kinh,chng nga san
va viem da d ng do hoa chat
,my pham.
Chng ch nh:
Qu mn vi Fluocinolone Acetonide. Khng nn dng trong bnh lao da, nhim nm, virt da, vim da c m. Khng dng trong nhn khoa.
Tc dng ngoi :
Tc dng ngoi khi dng ti ch him xy ra. Khi nhy cm vi thuc th ngng dng.
Thng bo cho bc s nhng tc dng khng mong mun gp phi khi dng thuc.
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Liu lng:
Thoa mt lp mng ln vng nhim ca da 2-3 ln trong mt ngy, thoa nh nhng.
Ketoconazol-2%
Thnh phn: Ketoconazol
Ch nh:
- Nhiem nam ngoai da do Dermatophyte
nh nam than ,nam ben,nam ban
tay,nam ban chan.
Nhien Candida da &lang ben
- Vim da tit b.
Chng ch nh:
Qu mn vi thnh phn ca thuc, v khng dng mt.
Tc dng ngoi :
Kch ng da, nng rt.
Liu lng:
- Nhim nm da thoa 1 ln/ngy.
- Vim da tit b thoa 2 ln/ngy.
- Thi gian dng thuc trung bnh: lang ben: 2 - 3 tun
- Nhim Candida da: 2 -3 tun
nm bn: 2 - 4 tun, nm thn: 3 - 4 tun, nm chn: 4 - 6 tun, vim da tit b: 2 - 4 tun
Griseofulvin
Thnh phn: Griseofulvin
Ch nh:
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Liu lng:
Kem bi 2 - 4 ln/ngy trong 1 - 6 tun ty theo bnh trng.
VITAMIN VA THUOC BO
Berocca
Ch nh:
Dung e phong nga va bo sung
cac vitamin tan trong nc nh:met
moi,bt rt kho chu,mat ngu
c bit p ng nhu cu gia tng cc vitamin tan trong
nc cc i tng hoc tnh trng sau:
- Lao ng chn tay nng, stress ko di.
- Nhim trng ko di v st.
- Bnh l ng rut, ct d dy, nghin ru.
- iu tr h tr trong cc bnh l nng hoc mn tnh.
Chng ch nh:
- D ng khi ang dng Berocca Calcium v Magnesium th khng nn tip tc dng.
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- Suy gim chc nng thn hoc si ng niu, bn khng nn dng Berocca Calcium v
Magnesium.
Tc dng ngoi :
- Lng d ca cc vitamin nhm B, vitamin C, canxi v magi s c nhanh chng o thi qua
nc tiu.
- Nc tiu chuyn sang mu vng sau khi dng thuc l do vitamin B2 c mu vng, thi ra trong
nc tiu
Liu lng:
Dung 1 n 2 vin si bt mi ngy hoc theo hng dn ca bc s.
Enervon - C filmcap-500mg
Ch nh:
- Cung cp cho c th cc vitamin khi khng p ng
nhu cu ca c th do n ung km hay thc n khng
y vitamin nh trong tui thanh nin, ngi gi,
ngi nghin ru, ngi n king, ngi tiu ng v
ngi ang trong thi k dng bnh.
- Gip phng v iu tr tnh trng thiu vitamin nh
trong bnh thiu mu, bnh beri-beri, bnh Scorbut, bnh Pellagra, trong hoc sau khi x tr, v
trong iu tr lu di bng khng sinh v thuc khng lao.
Chng ch nh:
Mn cm vi bt c thnh phn no ca thuc. Tr em di 4 tui.
Liu lng:
Mi ngy mt vin hoc theo ch dn ca bc s
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Moriamin Forte
Ch nh:
- Duy tr sc khoe va hoi phuc khi met
moi
Pharmaton
Ch nh:
- Dung cho nhng tnh trang kiet
sc,met moi,cam giac yeu va
giam kha nang tap trung
- Dng cho trng hp dinh dng mt cn bng hoc
thiu ht, thi gian dng bnh, cng nh lm tng
sc khng chung.
- D phng v iu trv cc triu chng lien quan n tui tc, thiu vitamin v khng
cht ngi ln tui.
Chng ch nh:
- Suy thn
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Bidizym
Thnh phn:
Vitamin B1 2,5mg
Vitamin B2 2,5mg
Vitamin B6 0,75mg
Vitamin B5 0.5mg
Vitamin B12 1,5mg
Vitamin PP 12,5mg
Vitamin C
20mg
Ch nh:
Nga v tr cc bnh do thiu vitamin, chng ci xng, suy dinh dng cho tr em.
THUC NH MT
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DAITICOL:
Thnh phn: Mi 5 mL Diphenhydramine HCl 5 mg, Zn
sulfate 5 mg.
Ch nh:
Dng trong cc trng hp: mt, xn mt, mi mt, nga
mt, cay mt do c sch bo nhiu. lm vic nhiu trn my vi
tnh; lm du mt, mt mt, gi mt c lnh mnh.
V ROHTO
Thnh phn:
Panthenol 0,100%
Potassium L-Aspartate 1,000%
Pyridoxine HCl (vitamin B6) 0,050%
Dipotassium Glycyrrhi 0,100%
Naphazoline HCl zinate 0,003%
Neostigmine Methylsulfate 0,005%
EYELIGHT
Thnh phn:
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OSLA
Thnh phn: Sodium chloride 15ml
Ch nh:
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Nhn xt ca n v thc tp
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TP H Ch Minh, ngy
thng
nm 2011
K tn
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TP H Ch Minh, ngy
nm 2011
K tn
L
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thng
I KET
Qua thi gian thc tap tai nha thuoc em cang thay ro Vai Tro
cua ngi Dc S trong viec cham soc sc khoe cong ong. Vai
Tro o can c anh gia cao va tran trong, viec ap ng
nhng nhu cau cua ngi benh da tren tinh than giup thong
cam va chnh xac, giup benh nhan mau khoi benh va tranh moi
sai sot trong cap phat thuoc, giup benh nhan ieu tr nhng trieu
chng benh thong thng khong can phai i kham Bac S.
- Nh cong lao cua Thay Co Trng Trung Cap Quang Trung ma
em co nhng kien thc c ban e tiep xuc vi thc te, qua o
em thay mnh con phai hoc hoi nhieu nhieu hn na, phai van
dung ly thuyet i vao i song thc te mot cach hieu qua chac
chan.
- Cang i sau vao tha te mi thay Thuoc co rat nhieu Biet
Dc do nhieu hang san xuat mnh phai oc ky hoat chat Thuoc
phai nam ro thong tin ve Thuoc mi ap dung cho benh nhan
c.
- Hoc khong cha u con phai tham khao them nhieu Thong Tin
Ve Thuoc, tm toi cac sach bao khoa hoc, cap nhat thong tin mi
nhat khong e mnh lac hau.
- Phai luyen tap nhng Ky Nang Quan Sat, Giao Tiep va lang
nghe benh nhan ieu nay rat quan trong trong viec thu thap nhng
thong tin can thiet nham ban thuoc thch hp.
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