S GIO DC V O TO THNH PH H CH MINH

TRNG CAO NG KINH T K THUT MIN NAM

KHOA DC

BO CO
THC TP TT NGHIP
NH THUC S 5

SVTH: PHM TH HNG ANH

Lp: 05TCDS3
MSSV: 2005080077

THNH PH H CH MINH
Nm 2014

MC LC
Ni dung bo co

Trang

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

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

LI M U
Qua 2 nm hc tp trng Cao ng Kinh T K Thut Min Nam, c s
gip ca nh trng, em tri qua 3 t thc t 3 c s l Trm y t, Bnh
vin v Nh Thuc. 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 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, c bit l
Nh thuc.
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 th bnh nhn s khng khi 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
Sut khong thi gian thc tp Nh thuc S 5, em thy mnh l ngi thc
s may mn v c c qu c tn tnh gip v chia s kinh nghim bn thuc
trong Nh thuc. V cng nh qu c m em c c nhng kin thc cn thit cho
ring mnh. Em v cng bit n qu c gip em trong thi gian qua. Em xin
chn thnh cm n qu c v xin chc qu c sc khe v thnh t.
Mt ln na em xin chn thnh cm n n cc qu thy c trng Cao ng
Kinh T K Thut Min Nam gip em trong thi gian qua v to iu kin
thun li em c mt mi trng hc tp tt. Em xin chc nh trng ngy cng
pht trin, cc qu thy c di do sc khe hon thnh nhim v dy hc ca
mnh.
Em xin trn trng cm n!

Nhn Xt Ca n V Thc Tp
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TP. HCM, Ngy.. thng.. nm 2014
n v thc tp
(K tn, xc nhn)

Nhn Xt Ca Gio Vin Hng Dn

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TP. HCM, Ngy..thng..nm 2014
Gio vin hng dn
(K tn, xc nhn)

CNG HA X HI CH NGHA VIT NAM

c lp- T do- Hnh phc

BNG CHM IM THC T TT NGHIP

H v Tn sinh vin : Trn Th Lnh
Lp

: 10TP03

M s sinh vin

: 31100465

Tn c s thc tp thc t

: Nh thuc Thin n

Tn cn b trc tip hng dn ti c s : Ng Thanh Hng

Tn gio vin hng dn

Thi gian thc tp:

T ngy 02 thng 04 nm 2012
n ngy 28 thng 04 nm 2012
STT

NI DUNG

IM TI A

THI HC TP CA SINH VIN

o dc

Tc phong

Chuyn cn

NI DUNG BI BO CO

Hnh thc

Ni dung

IM T

TNG CNG
(Sinh vin phi t >60 % s im mi t yu cu)
XC NHN CA C S THC TP
(K tn, ng du)

PHN I: GII THIU CHUNG V N V THC TP

1. Tn v a ch n v thc tp
Nh thuc Thin n
268/7 Phan Vn Hn, KP6, Tn Thi Nht, Q.12, TP. HCM
(Dc s ph trch: Ng Thanh Hng).
2. Nhim v v quy m ca t chc:
2.1. Nhim v
_ Lp k hoch cung ng thuc m bo s lng, cht lng cho nhu cu iu tr
bnh.
_ Qun l, theo di vic bn l thuc theo nhu cu iu tr bnh v cc nhu cu khc.
_ Bo qun thuc theo ng nguyn tc thc hnh tt bo qun thuc (GSP)
_ Thc hin cng tc t vn s dng thuc, 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 bo qun thuc, 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.
9

_ Ni quy nh thuc v bng gi 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 ni v thuc ngoi.
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
Chng chy n
Chng qu hn dng
Chng nhm ln, v, mt mt.
10

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.

11

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.
12

 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 Thin n 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:
_ 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.
13

_ 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 Thin n l 12m 2,
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, 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
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.
14

_ Khi nhp thuc, ngi bn l 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:
_ Ngi bn l 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.
_ Ngi bn l 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.
_ Ngi bn l 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

15

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.

16

_ 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

17

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)

No spa (Drotaverine)

18

Domperidon

Smecta (Diosmectite 3g)

Ercefuryl (Nifuroxazide 200mg)

Bisacodyl 5mg

Oresol (Gi 27,9g, gm c:

Sodium chloride, Potassium chloride,

Sorbitol 5 g

Sodium citrate)

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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)

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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)

21

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

22

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
dn s dng thuc
Bnh nhn 1:
H tn: Nguyn Th Hoa
Tui: 36
Gii tnh: N
Ngh nghip: Cng nhn
a ch: KP6A, P. Tn Thi Nht, Q.12
Chn on: Vim a khp
1) Diclofenac 50mg 15 vin
1 vin x 3 ln/ngy
2) Paracetamol 500mg

15 vin

1 vin x 3 ln/ngy
3) Vitamin B1 250mg

10 vin

1 vin x 2 ln/ngy
4) Vitamin A-D

10 vin

1 vin x 2 ln/ngy
Gii thch:

23

hng

1) Diclofenac: Gim au khng vim khng steroid, gim au trong cc trng hp

au xng v c
2) Peracetamol v Diclofenac: hip lc tc dng gim au
3) Vitamin B1: Chng mt mi, tng tc dng gim au khp
4) Vitamin A-D: c tc dng lm xng khp khe mnh.
Bnh nhn 2:
H tn: T Thanh Ngc
Tui: 64
Gii tnh: Nam
Ngh nghip: Bun bn
a ch: KP2, P. Tn Thi Nht, Q.12
Chn on: Vim ph qun
1) Amoxicilin 500mg

15 vin

1 vin x 3 ln/ngy
2) Paracetamol 500mg

15 vin

1 vin x 3 ln/ngy
3) chymotripsin

20 vin

2 vin x 2 ln/ngy
4) Salbutamol 2mg

30 vin

2 vin x 3 ln/ngy
5) Mg B6
1 vin x 2 ln/ngy
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 3:
24

H tn ngi bnh: L Vn Chu

Tui: 56
Gii tnh: Nam
Ngh nghip: Sa xe my
a ch: KP7, Tn Thi Nht, Q.12
Chn on: Cao huyt p, tiu ng.
1) Amlodipin 5mg 20 vin
1 vin x 2 ln/ngy
2) Metformin 850mg

20 vin

1 vin x 2 ln/ngy
3) Vitamin C 500mg10 vin
1 vin x 2 ln/ngy
4) Paracetamol 500mg

15 vin

1 vin x 3 ln/ngy
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 4:
H tn: Trn Minh
Tui: 37
Gii tnh: Nam
Ngh nghip: Cng nhn
a ch: KP7, P. TTN, Q.12
Chn on: Vim h hp trn
1) Cefalexin 500 mg15 vin
1 vin/ln x 3 ln/ngy.
2) Seratiopeptidase 15 vin
1 vin/ln x 3 ln/ngy.
3) Paracetamol 500 mg

15 vin

1 vin/ln x 3 ln/ngy.
25

4) Bromhexin 8 mg
1 vin/ln x 3 ln/ngy.
Gii thch:
1) Khng sinh Cefalexin c tc dng dit khun.
2) Seratiopeptidase: Khng vim.
3) Paracetamol: H nhit, gim au.
4) Bromhexin: Tr vim ph qun, vim h hp mn, bnh phi tt nghn mn, gin
ph qun
Bnh nhn 5:
H tn: Nguyn Th i
Tui: 60
Gii tnh: N
Ngh nghip: Bun bn
a ch: KP5, P. TTN, Q. !2
Chn on: Ri lon tin nh
1) Cinnarizin 25 mg 15 vin
1 vin/ln x 3 ln/ngy.
2) Paracetamol 500 mg

15 vin

1 vin/ln x 3 ln/ngy.
3) Mg B6

10 vin

1 vin/ln x 2 ln/ngy.
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

26

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.

IBUPARAVIC
27

Cng thc:
Paracetamol...........................................300 mg
Ibuprofen...............................................200 mg
Cafein....................................................20 mg
T dc v.............................................1 vin
Ch nh:
Dng trong cc trng hp au nhc nh nhc u, nhc rng, au bng khi c kinh,
au na u, au nhc thn kinh, vim au khp sau phu thut, thp khp.
Liu dng:
_ Ngi ln: mi ln ung 1-2 vin, ngy 3 ln.
_ Tr em: theo s hng dn ca thy thuc.
Chng ch nh:
_ Ri lon tm trong chc nng gan hay thn.
_ Triu chng thiu mu tan huyt bm sinh, ri lon chuyn ha Porphyrin gan cp
tnh.
_ D ng vi thnh phn ca thuc.
_ Khng dng cho tr s sinh, khng dng trong thai k.
Tc dng ph:
_ Ri lon tiu ha: bun nn, i ma, kh tiu, au d dy, au thng v
_ Phn ng qu mn: da, h h hp, ph.
Thng bo cho bc s bit nhng tc dng khng mong mun gp phi khi s dng
thuc.
Tng tc thuc:
_ Dng ng thi ibuprofen vi cc thuc chng ng loi coumarin c th lm tng
nguy c xut huyt.
_ Dng km vi acid salicylic c th h thp nng ibuprofen trong mu v lm
gim hot tnh khng vim.
_ Dng lu di paracetamol vi liu cao c th lm tng tc ng gim prothrombin
huyt ca thuc chng ng mu.

PANADOL
28

VIN SI
Thnh phn:
Paracetamol...........................................500 mg
T dc v.............................................1 vin
Ch nh:
_ iu tr cn au t nh n va bao gm:
au u, au na u, au bng kinh, au hng, au c xng khp, st v au sau
tim phng, au sau cc th thut nha khoa/nh rng, au rng, au trong vim khp
mn tnh.
_ H st
Liu lng v cch dng:
Ngi ln, tr em t 12 tui tr ln:
_ Ha tan 1-2 vin trong t nht na cc nc cho mi 4-6 gi nu cn.
_ Khng ngh dng cho tr em di 12 tui.
_ Khong cch ti thiu dng liu lp li: 4 gi.
_ Liu dng hng ngy ti a cho ngi ln: 4000 mg/ngy (8 vin/ngy).
_ Khng nn s dng vi cc thuc khc c cha paracetamol.
_ Khng dng qu liu ch nh.
Chng ch nh:
Chng ch nh dng PANADOL vin si cho nhng bnh nhn c tin s qu mn
vi paracetamol hoc bt c thnh phn no ca thuc.
Thn trng v cnh bo c bit:
_ xa tm tay tr em.
_ Nu cc triu chng cn dai dng, hi kin bc s.
_ Mi vin thuc PANADOL vin si cha 427 mg Natri, do vy khng dng
PANADOL vin si cho bnh nhn king mui.
Tc dng ph:
_ Da v cc phn ph: Nhy cm, pht ban da/my ay, ph mch.
_ H thng h hp: Lm nng thm bnh co tht ph qun c bit n nhng
bnh nhn nhy cm vi aspirin v cc thuc chng vim khc.
_ H to mu: Lon th tng.

DECOLGEN Ace
29

Cng thc:
Mi vin cha:
Acetaminophen.....................................500 mg
T dc v.............................................1 vin
Ch nh:
_ Decolgen Ace rt hu hiu trong iu tr cc chng nhc u do cng thng, stress,
au na u, mt ng, vim xoang v do thi tit.
_ Decolgen Ace hiu qu trong iu tr cc chng au nh au rng, au bng kinh,
au c, au dy thn kinh, thp khp, vim khp v au c xng.
_ Decolgen Ace cng rt hiu qu trong h st.
Liu dng:
Cho nhng trng hp nh:
_ Tr em trn 6 tui...............................1/2 vin
_ Ngi ln

1 vin

Cho nhng trng hp t trung bnh n nng:

_ Tr em trn 6 tui...............................1 vin
_ Ngi ln

2 vin

Ung Decolgen Ace 3 hoc 4 ln mt ngy, nn ung sau khi n.

Tc dng ph:
Acetaminophen tng ng khng c liu iu tr. Phn ng ngoi da gm ban sn
nga v m ay him khi c ghi nhn.
Chng ch nh:
Mn cm vi thuc hoc suy thn.
Lu : Nn s dng theo liu ngh v qu liu nghim trong c th gy c tnh trn
gan mt s bnh nhn.

IPALZAC
Cng thc:
30

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
_ Lm nng hn cc cn hen, co git c ln.
Tng tc thuc:
Trnh dng phi hp vi 1 loi thuc loi thuc chng vim khng phi steroid khc,
v tng nguy c lot d dy v chy mu ng tiu ha.

THUC KHNG SINH

LINCOMYCIN
Thnh phn: Mi vin nang cha:
31

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.
Tc dng ph:
_ Tiu ha: Bun nn, kh chu vng bng, tiu chy ko di v khi ung c th vim
thc qun..
_ Huyt hc: Gim bch cu trung tnh, gim bch cu, mt bch cu ht v ban xut
huyt gim tiu cu.
_ Phn ng qu mn cm: Ph thn kinh mch, bnh huyt thanh v phn v, gp
mt s ngi qu nhy cm vi penicillin.
_ Him: Ban a dng c khi ging hi chng Steven-Johnson.
_ Da v mng nhy: Nga, pht ban ngoi da, m ay, vim m o, him gp vim da
phng mun nc v trc mng.
_ Gan: Vng da, test chc nng gan bt thng.

DOVOCIN 500mg
Thnh phn:
Levofloxacin hemihydrat tng ng Levofloxacin.............500 mg
T dc va ......................................................................1 vin
32

Ch nh: iu tr cc trng hp nhim khun do cc vi khun nhy cm vi

Levofloxacin:
_ Vim xoang cp
_ Nhim khun h hp: vim ph qun cp v mn, vim phi, p xe phi
_ Nhim khun ng tiu c v khng c bin chng
_ Vim thn-b thn
_ Nhim khun da v cu trc da.
Chng ch nh:
_ Qu mn vi Levofloxacin hoc cc quinolone khc hoc cc thnh phn ca thuc
_ Tin s co git, ng kinh
_ Bnh nhn au gn c lin quan n vic s dng fluoroquinolone
_ Ph n ang mang thai v cho con b
_ Tr em hoc thanh thiu nin ang trong thi k tng trng (di 18 tui).
Tng tc thuc: Dng cch 2 gi vi cc ion kim loi, thuc khng acid cha
Magne, nhm, sucralfate do c th lm gim hp thu Levofloxacin.
_ Ngng co git no c th gim ng k khi dng Levofloxacin vi Theophyllin,
Fenbufen, NSAID.
_ Nn thn trong khi dng chung levofloxacin vi nhng thuc nh hng s bi tit
ng thn nh probenecid v cimetidine, c bit l trn bnh nhn suy thn.
_ Dng Levofloxacin chung vi thuc khng Vitamin K (warfarin) lm ko di thi
gian ng mu.
Tc dng ph:
Thng gp: Bun nn, tiu chy, tng enzyme gan.
t gp: Chn n, i ma, kh tiu, au bng, ni mn, nga, nhc u, chng mt,
bun ng, mt ng, tng bilirubin v creatinine huyt thanh, tng bch cu i toan v
gim bch cu.
Ngoi ra cn c mt s tc dng ph him gp khc.
Cch dng v liu dng: Dng ung
Cch dng: Dng ung trong hoc ngoi ba n.
Ngi ln c chc nng thn bnh thng (thanh thi creatinine > 50 ml/pht):
_ Vim xoang cp: ung 500 mg x 1 ln/ngy, trong 10-14 ngy.

33

_ t kch pht cp ca vim ph qun mn: ung 500 mg x 1 ln/ngy, trong 7-10
ngy.
_ Vim phi mc phi trong cng ng: ung 500 mg x 1-2 ln/ngy, trong 7-14
ngy.
Ngi ln b suy thn (thanh thi creatinine 50 ml/pht):
_ thanh thi creatinine t 50-20 ml/pht: liu u 500 mg, liu sau 250 mg
mi 12 gi hoc 24 gi.
_ thanh thi creatinine t 19-10 ml/pht: liu u 500 mg, liu sau 125 mg
mi 12 gi hoc 24 gi.
_ thanh thi creatinine di 10 ml/pht: liu u 500 mg, liu sau 125 mg
mi 24 gi.

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.
_ 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.
Tng tc thuc:
_ Hp thu Amoxicilin khng b nh hng bi thc n trong d dy, do c th ung
trc hoc sau ba n.
_ Nifedipin lm tng hp thu Amoxicilin.
_ Khi dng Alopurinol cng Amoxicilin s lm tng kh nng pht ban ca
Amoxicilin.
34

_ C th c s i khng gia cht dit khun Amoxicilin v cc cht km khun nh:

Cloramphenicol, Tetracyclin.
Tc dng ph:
Thng gp, ADR > 1/100
Ngoi ban (3-10%), thng xut hin chm, sau 7 ngy iu tr.
t gp, 1/1000 < ADR < 1/100
_ Tiu ha: Bun nn, nn, tiu chy.
_ Phn ng qu mn: Ban , ban dt sn v my ay, c bit l hi chng StevensJohnson.
Him gp, ADR < 1/1000
_ Gan: Tng nh SGOT
_ Thn kinh trung ng: Kch ng, vt v, lo lng, mt ng, l ln, thay i ng x
v/ hoc chng mt.
_ Mu: Thiu mu, gim tiu cu, ban xut huyt gim tiu cu, tng bch cu a
eosin, gim bch cu, mt bch cu ht.
Liu dng v cch dng: Ung thuc trc ba n 30 pht hoc sau ba n 2 gi.
_ Ngi ln v tr em t 12 tui tr ln: ung 1-2 vin/ln, cch 8 gi 1 ln.
_ Tr em di 12 tui nn dng dng bo ch c hm lng nh hn.
_ Liu cao hn, ung liu duy nht hoc trong cc t ngn, c dng trong mt vi
bnh:
_ iu tr p xe quanh rng: ung 6 vin/ln, nhc li mt ln na sau 8 gi.
_ iu tr nhim khun cp ng tit niu khng bin chng: ung 6 vin/ln,
nhc li mt ln na sau 10-12 gi.
_ Dng phc liu cao 6 vin/ln, 2 ln/ngy cho ngi bnh nhim khun ng h
hp nng hoc ti pht.
_ i vi ngi suy thn, phi gim liu theo h s thanh thi Creatinin:
_ Cl creatinin < 10 ml/pht: 500 mg/24 gi.
_ Cl creatinin > 10 ml/pht: 500 mg/12 gi.
THUC KHNG HISTAMIN H1

CHLORPHENIRAMINE 4 mg
Cng thc:
35

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.
_ 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 .
Tc dng ph:
Bun ng, an thn, kh ming, chng mt, bun nn.
Tng tc thuc:
_ Cc thuc c ch monoaminoxydase lm ko di v tng tc dng chng tit
Acetylcholin ca thuc khng histamin.
_ Ru, cc ch phm cha cn hoc cc thuc an thn gy ng c th tng tc dng
c ch h thn kinh trung ng ca Chlorpheniramine.
_ Chlorpheniramine c ch chuyn ha Phenytoin v c th dn n ng c
Phenytoin.
36

THERALENE 5mg
Thnh phn:
Alimemazin...........................................5 mg
T dc v............................................1 vin
Ch nh:
_ Dng trong trng hp thnh thong b mt ng (v d i xa) v/hoc thong qua (v
d khi c mt bin c cm xc).
_ Trong iu tr triu chng i vi cc biu hin d ng nh:
Vim mi (v d: vim mi theo ma, vim mi khng theo ma,),
Vim kt mc (vim mt),
Ni m ay.
_ gim ho khan v ho do kch ng, c bit l khi ho v chiu hoc v m.
Chng ch nh:
_ Tin s d ng vi thuc khng Histamin,
_ Tr em di 6 tui,
_ Tin s mt bch cu ht vi cc phenothiazin khc.
_ Kh tiu do nguyn nhn tuyn tin lit hoc nguyn nhn khc,
_ Mt s th bnh glocom (tng nhn p).
_ Thng thng khng nn dng thuc ny trong cc trng hp sau y, tr khi c s
ch nh ca bc s:
_ Trong 3 thng u thai k
_ Trong thi gian nui con bng sa m
_ Dng kt hp vi sultopride.
Tng tc thuc:
Cc phi hp khng nn dng:
Ru
_ Ru lm tng tc dng an thn ca thuc khng Histamin. nh hng bt li trn
s s tnh to c th gy nguy him khi li xe v vn hnh my mc.
_ Trnh dng cc thc ung c cn v nhng thuc c cha cn.
Sultopride

37

_ Nguy c dn n ri lon nhp thp, c bit l xon nh, do tng cng tc dng
in sinh l.
Liu dng:
Theo hng dn k toa ca bc s, thng thng:
Khng histamine, chng ho
Ung lp li nhiu ln trong ngy trong trng hp c nhu cu, nhng khng qu 4 ln
trong ngy.
_ Ngi ln: 1-2 vin mi ln.
_ Tr em trn 6 tui (tc 20 kg): 0,125 n 0,25 mg/kg/ln, tc -1 vin mi ln.
Tc dng trn gic ng
Ung 1 ln lc i ng.
_ Ngi ln: 5 n 20 mg, tc 1 n 4 vin.
_ Tr em trn 6 tui: 0,25 n 0,5 mg/kg, tc:
Tr em t 20 n 40 kg (6 n 10 tui): 1 vin.
Tr em t 40 n 50 kg (10 n 15 tui): 2 vin.
Cch dng:
Dng ng ung.
Ung vin thuc vi mt t nc.
Thi gian ung thuc
V thuc c tc dng gy bun ng, tt nht nn bt u iu tr cc biu hin d ng
vo bui ti.
Thi gian iu tr
Ch nn iu tr triu chng ngn ngy (vi ngy). Nu tr ho, ch nn dng thuc vo
nhng lc b ho.
Tc dng khng mong mun v bt li:
Mt s tc dng cn ngng iu tr ngay v hi kin ca bc s:
_ Phn ng d ng
Ni mn ngoi da ( da, eczema, ban xut huyt, ni m ay).
Ph Quinke (ni m ay km sng ph mt v c c th gy kh th).
Sc phn v.
_ Hin tng da mn cm vi nh nng.
38

_ Gim bch cu nghim trng trong mu c th biu hin bng s xut hin hoc ti
din st i km c hoc khng i km vi cc du hiu nhim khun.
_ Gim tiu cu mt cch bt thng trong mu c th biu hin bng chy mu cam
hoc chy mu li.
_ Mt s tc dng khc thng gp hn:
_ Bun ng, gim tnh to r rt hn trong giai on bt u iu tr.
_ Ri lon tr nh hoc s tp trung, chng mt (hay gp ngi nh).
_ Mt phi hp vn ng, run.
_ L ln, o gic.
_ Kh ming, ri lon th gic, b tiu, to bn, hi hp, h huyt p.

FANOZO
Thnh phn:
Fexofenadin hydroclorid.......................60 mg
T dc va .....................................1 vin
Ch nh iu tr:
_ Lm gim cc triu chng do vim mi d ng

ngi ln v tr em 12 tui nh ht hi, chy

nc mi, nga mi, nga vm ming v hng,

mt

nga v chy nc mt.

_ iu tr cc triu chng m ay t pht mn tnh ngi ln v tr em 12 tui.
Liu lng v cch dng:
_ Ngi ln v tr em 12 tui: ung mi ln 1 vin, ngy 2 ln hoc ung mi ln
2 vin, ngy 1 ln.
_ Liu khi u cho ngi suy thn l ung liu duy nht 60mg mi ngy.
Chng ch nh:
Qu mn vi bt c thnh phn no ca thuc.
Tng tc thuc:
_ Fexofenadin khng qua chuyn ha gan ha gan nn khng tng tc vi cc
thuc khc qua c ch gan. Dng phi hp fexofenadin hydroclorid vi
erythromycin hoc ketoconazol lm tng nng trong huyt tng ca
39

fexofenadin gp 2-3 ln. Tuy nhin s gia tng ny khng nh hng khong QT
v khng gy gia tng tc dng ph so vi cc thuc trn khi dng ring l.
_ Fexofenadin khng nh hng trn dc ng hc ca erythromycin v
ketoconazol.
_ Khng c tng tc gia fexofenadin v omeprazol. Tuy nhin, nu ung thuc
khng acid c cha gel hydroxyd nhm v magi trc khi ung fexofenadin
hydroclorid 15 pht s gy gim sinh kh dng ca fexofenadin, do gn kt thuc
ng tiu ha. Nn ung fexofenadin hydroclorid cch xa 2 gi i vi cc thuc
khng acid c cha gel nhm hay magi.
Tc dng ph:
Ch yu l nhc u, bun ng, bun nn, l v mt mi. T l tc dng ph ny
tng ng t l tc dng ph khi dng placebo.

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.
40

_ Tr em di 12 tui.
_ Ph n c thai v cho con b.
Thn trng:
Thn trng khi dng thuc vi bnh nhn suy thn.
Tc dng ph:
_ Thng gp: Cm cm, bun nn, bun ng, kh tiu, mt mi, au lng, vim
xoang, chng mt.
_ t gp: Mt ng, cng thng thn kinh, ri lon gic ng hoc bnh hoang tng.
_ Him gp: Ni mn, my ay, nga, phn ng d ng vi cc biu hin nh ph
mch, tc ngc, kh th, mt v phn v ton thn. C th gy ra ri lon nhp
tim.
X l: Ngng s dng thuc khi gp cc phn ng d ng vi thuc.
Tng tc thuc:
_ Dng ng thi thuc vi ketoconazol hoc erythromycin s lm tng nng thuc
trong huyt tng.
_ Khng nn ung thuc gn thi im ung cc thuc khng acid cha nhm v
magnesi.
_ Nn dng thuc v cc thuc khng acid cha nhm v magnesi cch nhau t nht 2
gi.
THUC H HP

TOPRALSIN
Thnh phn:
Oxomemazin hydroclorid tng ng oxomemazin.....1,65 mg
Guaifenesin.................................................................33,3 mg
Paracetamol.................................................................33,3 mg
Natri benzoat...............................................................33,3 mg
T dc va ...........................................................1 vin
Ch nh:
iu tr triu chng ho khan, c bit ho nhiu v m (ho do d ng v kch ng).
Cch dng v liu dng: Nn iu tr ngn hn trong vi ngy.
_ Ngi ln: Ung 2-6 vin/ngy, chia lm 2-3 ln.
_ Tr em: Dng theo s ch dn ca thy thuc.
41

Chng ch nh:
Bnh nhn suy h hp, suy gan.
Thn trng:
_ Khng ung ru trong thi gian iu tr.
_ Lu ngi li xe v vn hnh my mc v nguy c gy bun ng
_ Ph n trong nhng thng u ca thai k v thi k cho con b.
Tc dng ph:
_ Bun ng, tng qunh cht tit ph qun, kh ming, to bn, b tiu, chng mt,
ban .
_ Him khi gp cc ri lon tiu ha: chn n, bun nn, i ma, tiu chy.
_ Rt him gp: Lon vn ng mun do s dng ko di thuc khng histamine thuc
nhm phenotiazin, gim bch cu v mt bch cu ht, hin tng kch thch tr
em v tr cn b.
Tng tc thuc:
Khng dng thuc vi Zidovudin, levodopa, guanethidin v cc cht cng h. Thn
trng khi dng thuc vi mui, oxyd, v hydroxyd ca Mg, Al, Ca. Mt s phi hp
khc cng cn lu : cc thuc h huyt p, atropin, v cc cht c tc dng atropinic,
cc thuc gy trm cm h thn kinh.

MUXYSTINE
Cng thc:
Mi gi thuc cm cha 200 mg acetylcystein v
cc t dc va (ng trng, natri clorid,
acid tartaric, cht to mi).
Ch nh:
iu tr cc ri lon v tit dch ca nim mc
ng h hp (ph qun v xoang), vim ph qun cp tnh v giai on sm ca vim
ph qun mn tnh.
Chng ch nh:
_ Mn cm vi acetylcystein
_ Bnh nhn lot d dy- t trng
_ Phenylceton niu
_ Tr em di 2 tui.
42

Tc dng khng mong mun:

Liu cao c th gy ra cc ri lon v d dy- rut (au d dy, bun nn v tiu chy).
Nu cc triu chng ny xy ra th phi gim liu dng.
Tng tc thuc:
Mt s khng sinh nh amphotericin, ampicillin natri, erythromycin lactobionat v
tetracycline hoc l tng k vi acetylcystein hoc l khng c hot tnh trong hn
hp vi acetylcystein/
Liu lng v cch dng:
Ngi ln v tr em trn 7 tui: 1 gi x 3 ln/ngy.
Tr em t 2-7 tui: 1 gi x 2 ln/ngy.
Ha tan cm trong na ly nc khi ung.

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

43

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:
_ D ng vi mt trong cc thnh phn ca thuc.
_ Ngi ang s dng thuc c ch MAO.
_ Tr em di 2 tui.
Tng tc thuc:
_ Dng ng thi vi thuc c ch thn kinh trung ng c th tng cng tc dng
c ch thn kinh trung ng ca nhng thuc ny hoc ca Dextromethorphan.
_ Quinidin lm tng cc tc dng khng mong mun ca Dextromethorphan.
Tc dng ph:
_ Rt him gy bun ng, ri lon tiu ha.
_ C th b mt mi, chng mt, nhp tim nhanh, ni m ay nhng him gp.

44

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.
Tng tc thuc:
Vic kt hp thuc iu ha cht nhy v cc thuc ho v/hoc lm kh dch tit m
l khng hp l.
Tc dng ph:
Him gp: ri lon tiu ha (au d dy, bun nn, tiu chy).
Thng bo cho bc s nhng tc dng khng mong mun gp phi khi s dng thuc.
Liu dng v cch dng:
_ Tr em t 2 n 6 tui: 1 gi x 2 ln/ngy.
_ Tr em trn 6 tui v ngi ln: 1 gi x 3 ln/ngy.
Hoc theo ch dn ca thy thuc.

45

THUC TIM MCH

Nifehexal retard
Vin nn phng thch ko di
Hot cht: Nifedipine
Ch nh: NifeHEXAL retard c dng trong cc
trng hp:
_ Tng huyt p.
_ au tht ngc n nh mn tnh (au do gng sc).
_ au tht ngc do co mch (au kiu Prinzmetal, au tht ngc bin i).
Chng ch nh:
_ Mn cm vi Nifedipine hay bt c thnh phn no ca thuc
_ Shock
_ Hp van tim
_ C cc triu chng sau khi ngh ngi (au v co tht vng ngc) km vi thiu cung
cp oxy ti c tim (au tht ngc)
_ B t qu trong vng 4 tun qua
_ ang dng cc thuc cha rifampicin (thuc chng lao)
_ C thai v cho con b.
Lu c bit khi dng NifeHEXAL retard:
iu tr vi NifeHEXAL retard cn nh k kim tra nu:
_ Huyt p thp (huyt p tm thu < 90 mmHg)
_ Suy tim sung huyt
_ Thm tch mu km theo tng huyt p v gim th tch tun hon, v c th xy ra
tt huyt p nng.
Liu dng:
Nu khng c ch dn no khc ca bc s, liu thng thng nh sau:
Bnh mch vnh, cao huyt p:
1 vin/ln x 2 ln/ngy (tng ng 40 mg/ngy).
Cch dng:
_ Dng ng ung.

46

_ Dng vin thuc vi lng nc va (mt cc nc, khng dng cng nc

bi) sau ba n, nn dng vo bui sng v bui ti, nu c th hy dng vo cng
mt thi im trong ngy.
Tc dng ph:
Nhng tc dng ph c th xy ra:
Hay gp:
_ au u, c bit khi mi iu tr.
_ Gi nc nh ph chn do gin mch mu (ph ngoi bin), c bit khi mi iu
tr.
Thng gp:
_ Chng mt, hoa mt, mt mi
_ nh trng ngc
_ Nn
_ bng mt, ban , sng au tay v chn, c bit khi bt u iu tr.
Ngoi ra cn c cc tc dng ph khc t gp v him gp.
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

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.
Cnh bo v thn trng:
Khng dng thuc ny iu tr gim au trong cn au tht ngc hoc iu tr khi
u cho au tht ngc khng n nh. Khng dng iu tr nhi mu c tim.
Trong trng hp c cn au tht ngc phi thng bo cho bc s. C th phi lm mt
s xt nghim v vic iu tr c th phi iu chnh.
47

Liu lng v cch dng:

ng ung
Liu lng thng dng l 1 vin mt ln vo bui sng v bui ti. Ung vin bao
dng phng thch mi ny vi mt cc nc vo ba n.
Tc dng ph:
_ Ri lon d dy-rut (bun nn, nn ma) him gp.
_ Run, co cng, kh c ng: rt him gp. Tc dng ph ny s mt i nu ngng
iu tr.

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.
48

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.
Tc dng ph:
Thng gp: Ph c chn, bng, au u, ban da v mt mi.
t gp: Tim mch, h thn kinh trung ng v ngoi vi, tiu ha, ton thn, h c
xng, tm thn, h h hp, da v cc phn ph,
Cc tc dng ph khc: Nhi mu c tim v au tht ngc.
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.
Thn trng:
_ Trng hp ch n king mui hoc t mui, phi tnh n nng Natri c trong
mt vin bao l 61,16 mg.
49

_ Trng hp mang thai v ang cho con b phi hi kin ca Bc s.

Tc dng khng mong mun:
_ Nguy c tiu chy hoc au bng liu cao. Trng hp ny nn ngng iu tr v
hi kin ca bc s.
_ Cc sulfite c th gy hay lm tng hn s co tht ph qun ngi b bnh suyn
(kh th cp tnh).
Liu dng:
Ngi ln ung mi ln 2-4 vin, ngy 2 ln vo gia ba n.
Ung lin tc 10 ngy.

PEPSANE
Thnh phn:
Guaiazulene...........................................0,004 g
Dimeticone............................................3 g
Ch nh:
Thuc ny c ch nh trong iu tr au d dy.
Chng ch nh: Khng c
Tng tc thuc:
Nhm trnh cc tng tc c th xy ra gia nhiu thuc, cn bo cho bc s hoc
dc s bit mi iu tr khc ang theo.
Liu lng v cch dng:
NG UNG
Ung trc tip, 1 n 2 gi, 2 n 3 ln mi ngy vo lc au.
Tc dng ph v kh chu:
Thng bo cho bc s nhng tc dng khng mong mun gp phi khi s dng thuc.

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
50

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.
Tng tc thuc:
Khng dng vi Tetracyclin.
Tc dng ph:
i khi: mt mi, bun nn, nhc u.
Ch phng:
Bnh nhn suy mch vnh, suy tim hoc ph i tin lit tuyn.
Liu lng:
_ Lot ng tiu ha v vim d dy: 2-4 vin mi 4 gi.
_ Tng tit acid d dy: 1-2 vin sau khi n hay khi cn.
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).
51

_ 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.
Liu lng v cch dng:
Liu lng:
_ Liu thng dng hng ngy l t 1 n 4 vin (ti a 120 mg), mi ngy ung 1 ln
duy nht vo thi im n sng. Liu dng ph thuc vo p ng iu tr.
_ Nu khi tr bng liu php phi hp gia Diamicron MR vi metformine, thuc c
ch alpha glucosidase hoc insulin, bc s s quyt nh liu ph hp cho tng loi
thuc
Hy bo ngay cho bc s hoc dc s nu cm thy Diamicron MR qu mnh hoc
cha mnh trong vic kim sot ng huyt.
Phng php v ng dng:
_ Dng ng ung.
_ Phi nut c vin thuc. Khng c nhai vin thuc.
_ Ung thuc vi mt cc nc vo thi im n sng.
_ Lun phi ung thuc sau khi n sng.
Tc dng ngoi :
_ Ph bin nht l h ng huyt.
_ Ri lon v gan, da, mu, tiu ha, mt.

MIFESTAD 10
Thnh phn:
Mi vin nn cha:
Mifepriston............................................10 mg
T dc va .....................................1 vin
Ch nh:
Mifestad 10 c ch nh cho nhng trng
hp trnh thai khn cp trong vng 120 gi sau ln giao hp khng c bo v.
Liu lng v cch dng:
52

Mifestad 10 c dng bng ng ung.

Ung 1 vin Mifestad 10 trong vng 120 gi sau khi giao hp. Tuy nhin, dng cng
sm hiu qu cng cao.
Chng ch nh:
_ Qu mn vi mifepriston hay bt c thnh phn no ca thuc.
_ Ph n c thai, cho con b.
_ Suy tuyn thng thn mn tnh.
_ Bnh hen nng khng kim sot.
_ Suy thn hoc suy gan.
_ Ri lon chuyn ha porphyrin di truyn.
Tng tc thuc:
Khng nn dng aspirin v cc NSAID cng vi mifepriston v theo l thuyt cc cht
c ch tng hp prostaglandin c th lm thay i tc dng ca mifepriston.
Tc dng ph:
_ Ngoi tr kinh, cc tc dng khc t xy ra v nh. Cc tc dng ph thng l: xut
huyt, bun nn, nn, tiu chy, au bng di, mt mi, nhc u, chng mt, cng
ngc.
_ Hn 50% ph n c k kinh lch khong 2 ngy so vi d kin v khong 9% ph
n tr kinh hn 7 ngy k kinh nguyt u tin sau khi dng thuc.

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

53

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.
Tc dng ph:
_ Thng gp: Nhc u, trm cm, hoa mt, chng mt, ph, au v, bun nn, nn,
ra mu (chy mu thng xuyn hay ko di, v ra mu t), v kinh.
_ t gp: Thay i cn nng, gim dc tnh, rm long, ra m hi, hi.
Cch x l: Ngng dng thuc. Bt k ngi no ku au bng vng di u phi
thm khm loi tr c thai ngoi t cung. Thng bo cho thy thuc cc tc dng
khng mong mun gp phi khi dng thuc.
Tng tc thuc:
Cc cht cm ng enzyme gan nh barbiturate, phenytoin, primidon, phenobarbiton,
rifampicin, carbamazepin v griseofulvin c th lm gim tc dng trnh thai ca
levonorgestrel. S dng ng thi cc thuc khng sinh c th lm gim tc dng ca
thuc, do can thip vo h vi khun ng rut.
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
Mt ng c cha:
54

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.
S dng thuc ny nh th no
_ Ch dng cho ngi ln v tr trn 6 tui.
_ Khng dng thuc ny qu 4 tun.
_ Khng c tim thuc ny.
Liu dng:
_ Ngi ln: 2-3 ng mi ngy.
_ Tr em t 6-15 tui: 1 ng mi ngy.
Cch dng:
Pha long ng thuc trong mt t nc v ung trc ba n.
Tc dng ph:
i vi mt s ngi, thuc ny c th c tc dng khng mong mun gy kh chu
mc nng hay nh: v thuc c cha sorbitol, nn c th c ri lon tiu ha v tiu
chy.

VITAMIN E 400
Cng thc: Mi vin nang mm cha:
Alpha tocopherol acetate.......................400 mg
T dc va .....................................1 vin
Cng dng:
55

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 .
Liu lng v cch dng:
Ngi ln v tr em trn 12 tui ung 1 vin x 3 ln/ngy, ung trong ba n.
Lu :
Khng dng qu liu ch nh.
Tham kho kin thy thuc khi dng cho tr em.
THUC C TC DNG I VI MU

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.
56

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

Cch dng- liu dng:
Dng ung trong hoc sau ba n.
Mi ln ung 1 vin, ngy 1 ln.
Tc dng ph:
i khi c ri lon tiu ha nh: chn n, nn, bun nn, to bn, phn mu en
Tng tc thuc:
Khng dng chung vi cc ch phm cha sa, tr, caf, ch phm c cha Tanin,
Penicilamin, Tetracyclin, Levodopa v lm gim s hp thu 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.
Tng tc thuc:
Gim hp thu penicillamine, tetracyclin.
Liu lng:
Ung 1 vin 5 mg x 1 ln/ngy.

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con

PHN III: KT LUN - KIN NGH

Qua 2 nm hc tp trng TCTH ng Nam , 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 Thin n, di s tn tnh gip
ca qu c, 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.

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