MN HC

S DNG THUC
LT: 60t / TH (ti trng): 60t / TH (ti c s): 60t

I. MC TIU HC TP:
1. Trnh by c nhng kin thc i cng v thuc, cnh gic thuc
vn dng vo thuc c th.
2. Hng dn s dng thuc thit yu hp l, an ton, hiu qu cho bnh nhn
v khch hng.
II. NI DUNG:
THI GIAN
STT Tn bi hc Mc tiu c th
LT TH TS
-Phn bit c n cht hp cht,
nguyn nhn v hn hp, 4 hp cht v
Nhng kin thc c c.
1 3 3
bn v ha hc -Phn bit c cc loi phn ng ha
hc: phn ng trao i, xy ha
kh
-K c cc loi dung dch, nng
Dung dch v nng thng dng trong ngnh Dc.
2 3 3
. -Tnh c nng trong cc dung
dch.
-Phn bit c nhng im khc nhau
Khi nim c bn v gia hp cht v c v hu c.
3 3 3
ha hc hu c. -Nu c ng dng ca cc hp cht
hu c: ethanol, Vaselin, Parafin
-Trnh by c khi nim v thuc, cc
dng thuc thng dng, cc ng a
thuc vo c th, s hp thu v thi tr
ca thuc, cc cch tc dng ca thuc,
4 i cng v thuc. ngha ca liu lng thuc v hn 3 3
dng ca thuc, tai bin v chng ch
nh ca thuc (cnh gic thuc), s
dng thuc cho tr em ngi gi v ph
n.
nh gi 1 1
5 Thuc t v thuc m. -Trnh by c tn thuc, bit dc, nng 2 2 4
hoc hm lng, ch nh, chng ch
nh, tc dng ph, cch dng, liu lng
v bo qun cc thuc: Etherm,
Thiopental, Ethyl chlorid, Ketamin,
 Fentanyl, Lidocain, Procain, Bupivacain.
-Trnh by c nh bi trn i vi cc
thuc: Clorpromazin, Phenobarbital,
Thuc an thn, tm
6 Haloperidol, Carbamazenpin, Diazenpam. 2 2 4
thn, chng co git. Valproicacid, Sulpirid, Amitriptylin,
Clomipramin.
-Trnh by c nh bi trn v nguyn
tc s dng i vi cc thuc: Acetyl
Thuc h st, gim Salicylic acid(Aspirin), Diclofenac,
7 3 4 7
au chng thp khp. Paracetamol, Ibuprofen, Morphin,
Pethidi(Dolargan) Piroxicam,
Indometacin, Allopurinol, Colchicin.
-Trnh by c nhng bi thuc i vi
cc thuc: Clomipramin, Clorpromazin,
8 Thuc chng d ng Hydrocortison, Prednisolon, 3 4 7
Dexamethason, Alimemazin,
Mazipredon.
-Trnh by c nhng bi trn i vi
Thuc cha ho, hen cc thuc: Aminophyllin, Theophylin,
9 3 4 7
ph qun. Acetylcystein, Bromhexin Salbutamon,
Alimemazin, Detromethorphan.
-Trnh by c nhng bi trn i vi
cc thuc: Atropin(sulfat), Papaverin,
Thuc ty, nhun
10 Alverin(citrat), Hyoscin butylbromid, 1 2 3
trng, chng co tht.
Magnesi sulfat, Bisacodyl, Natri sulfat,
Sorbitol, Microlak.
-Trnh by c nhng bi trn i vi
Thuc cha bnh lot
cc thuc: Cimetidin, Magnesi hyroxyd,
11 d dy t trng, gan, 3 4 7
Nhm hyroxyd, Omeprazol, Ranitidin,
mt.
D cm, Ngh, Mt ong, cao Artiso.
-Trnh by c nh bi trn v nguyn tc
s dng i vi cc thuc: Berberin, Opizoic,
Thuc cha a chy,
12 Oresol, Mebendazol, Albendazol, 2 4 6
l, giun sn. Niclosamid, Pyrantel pamoat, Diethyl
carbamazin, Metrifonat, Praziquantel.
nh gi 1 1
13 Sufamid v khng -Trnh by c nh bi trn v nguyn tc 6 8 14
sinh. s dng i vi cc thuc sunfamid v cht
khng sinh: Amoxycillin, Ampicillin,
Benzathin benzylpenicillin,
Benzylpenicillin, Cloxacillin,
Phenoxymethyl penicillin, Procain
benzylpenicillin, Cephalexin, Cefradin,
 Cefazonlin, Cefaclor, Cefuroxim,
Amikacin, Gentamycin, Spectinomycin,
Tobramycin, Cloramphenicol,
Metronidazol, Nitrofurantoin, Lincomycin,
Erythromycin, Nalidixic acid,
Ciprofloxacin, Norfloxacin, Ofloxacin,
Doxycyclin, Sulfadimidin(natri),
Sulfamethoxazol&Trimethoprim.
-Trnh by c nh bi trn v nguyn tc
Cc loi Vitamin v s dng i vi cc Vitamin v cc cht v
14 c: Vitamin A, D, B1, B2, B6, B12, C, K, PP,
2 4 6
cc cht v c
Calci gluconat, St (II) oxalat.
-Trnh by c nh bi trn i vi cc
thuc: Glyxeryl trinitrat, Atenolol,
Propanolol, Diltiazem, Isosorbid, Digxin,
Thuc tim mch, li Amiodaron, Quinidin (sulfat), Niketamid,
15 3 4 7
tiu v cm mu. Nifedipin, Methyldopa,
Hydrochlorothiazid, Furosemid, Captopril,
Enanapril, Lanatosid C, Epinephrin
(Adrenalin), Oxytocin, Ergotamin.
-Trnh by c nh bi trn i vi cc
Dung dch iu chnh dung dch: Glucose, Natri chlorid, Calci
16 nc, in gii v cn chlorid, Kali chlorid, (ung), 1 2 3
bng ACID BASE Ringerlactat, Oresol, amino acid, Natri
hydrocarbonat, nc ct pha tim.
-Trnh by c nh bi trn v nguyn tc
s dng i vi cc thuc: Clofazinin,
Thuc cha phong v Dapson, Rifampicin, Isoniazid (INH),
17 2 2 4
lao. Ethambutol, Pyrazinamid, Rifampicin v
isoniazid, Stretomycin, Pyrazinamid &
Rifampicin & soniazid.
-Trnh by c nh bi trn i vi cc
Thuc ty trng v thuc: Cn 70o, cn Iod 5%, nc oxy gi
18 1 2 3
kh trng. (dd 3%), Iodin (dd 10%), Chlorhexidin,
Chloramin.
-Trnh by c nh bi trn i vi cc
thuc: Naphazolin, Sulfarin, Neomycin
Thuc tai mi (sulfa), Atropin, Pilocarpin, Aciclovir,
19 1 2 3
hng mt. Acetazonlamid, Argyron, Gentamycin,
Sulfacylum, Chloramphenicol, Idoxuridin,
M Tetracyclin, Neomycin, Hydrocortion
20 Cc loi vaccin, huyt -Trnh by c nh bi trn i vi cc 2 2 4
thanh v globulin. huyt thanh khng di, huyt thanh khng
un vn (SAT); Vaccin B.C.G, Vaccin bch
hu un vn ho g (DPT), Vaccin si,
Vaccin bi lit (OPV), Vaccin un vn,
 Vaccin phng vim gan B, Vaccin phng
vim no, Vaccin phng thng hn, Vaccin
t- T.A.B, Vaccin Bch hu un vn,
Vaccin phng di, Vaccin phng dch hch,
Gammaglobulin.
-Trnh by c nh bi trn i vi cc thuc:
A.S.A, Cn BSI, Diethyl phatalat (DEP),
Clotrimazol, Ketoconazol, Miconazol,
Betamethason (valerat), m Benzoic acid &
Thuc tr nm v cc
21 Salicylic acid (Benzonsali), Neomycin & 2 2 4
bnh ngoi da. Bacitracin, m Fluocinolon acetonid 0,025%
(Flucinar), m Hydrocortison (acetat), m
Salicylic acid 3%, m Chrysophanic 5%, DD
Xanh Methylen 1%.
-Trnh by c nh bi trn i vi cc
thuc: Hydrocortison, Prednisolon,
Insulin, Metformin, Tolbutamid,
Hormon, Ni tit t Glibenclamid, Dexamethazol,
22 v thuc trnh th Levothyroxin, Methylthiouracil (MTU), 4 3 6
thai. Propylthiouracil (P.T.U),
Ethinylestradilo & Levonor gestrel,
Ethinylestradiol & Norethisteron,
Levonorgestrel.
-Trnh by c nh bi trn i vi cc
thuc: Chloroquin, Quinin (sulfat),
Mefloquin, Primaquin, Quinidin,
23 Thuc chng st rt. 1 2 2
dihydrocholorid, Artemisinin, Artesunat,
Artesunat & Mefloquin, Sulfadoxin &
Pyrimethamin (Fansidar).
-Trnh by c nh bi trn i vi cc
thuc: Cyclosporin, Vincristin,
24 Thuc chng ung th. 1 1 2
Vinblastin, Fluorouracil, Mercaptopurin,
Methotrexat, Procarbaxin.
nh gi 1 1
TH thc t ti c s
60 60
(15 bui)
Tng s 60 60 60 180

III. HNG DN THC HIN MN HC:

- T chc dy / hc: Mn hc c t chc dy l thuyt v thc hnh ti
trng. Phn thc hnh nhn thc cc loi thuc thnh phm t chc theo t, hc sinh
ln lc ng vai l ngi bn thuc, bnh nhn, khch hng hoc cn b y t gii
quyt cc tnh hung c th. Gio vin nn tp hp mt s n thuc in hnh, xy
dng mt s tnh hung cc nhm hc sinh thc hnh. Sau mi bi thc tp hc
sinh c th nhn dng ng, c ng tn thuc, nhc li c nng hoc hm
lng, dng dng, tc dng, ch nh, cch dng, liu lng hng dn s dng
thuc hp l, an ton. Trong thi gian thc tp thc t trm y t x, Cng ty Dc,
Nh thuc ni dung thc hnh trn s c cng c v nng cao c th p dng
vo vic thc hin nhim v ngh nghip sau ny.
Cc thuc c trong chng trnh c chn trong Danh mc Thuc thit yu ban
hnh ln th IV (1999) ca B Y t; ngoi cc thuc thuc tuyn x, cn c mt s
thuc ca tuyn huyn nhm cung cp kin thc rng cho hc sinh. Gio vin cn
gip cho hc sinh thc hnh cch tra cu trong ti liu hng dn s dng thuc c
kh nng tip cp vi cc thuc mi, cc bit dc khi cn thit.
- nh gi thng xuyn: Gm 1 im kim tra h s 1; Hnh thc 1: Lm
trn giy vi cc hnh thc: t lun, trc nghim, in khuyt, ng/sai, ni ct hoc
t hp ca cc hnh thc trn. Hnh thc 2: Chiu slide
- nh gi nh k: Gm 2 im kim tra h s 2 lm trn giy vi hnh thc
t hp ca cc dng sau: t lun, trc nghim, in khuyt, ng/sai, ni ct sau khi
hon thnh 20 n 30 mi tit l thuyt.
- Thi kt thc mn hc:
+ L thuyt: Thi trc nghim - thi trn phn mm.
+ Thc hnh: Thc hnh thi chy trm 10 loi thuc hoc cc hnh thc nh
gi khc (Ty vo gio vin ging dy)
- nh gi kt thc: im kim tra ht mn l im trung bnh cc im kim
tra c trng s 0,4 v im kim tra kt thc mn hc c trng s 0,6.
- Ti liu dy/hc: s dng ti liu ging dy Dc t s hc do B Y t cung
cp cho cc trng THYT nm 1995; ng thi gio vin c th s dng gio trnh
Ha dc v Dc l ca Trng Trung hc Dc B Y t xut bn nm 2000
o to dc s trung hc v cc ti liu khc nh: S dng thuc v bit dc,
Thuc v cch s dng lm ti liu tham kho vit cng bi ging v
chun b k hoch bi ging cho hc sinh.