BAIHOC Y DUGC THANH PHO H6 CHi MINH KHOA DUGC "ee .6 sU DUNG THUGC | * AN TOAN TAI NHA = CHO NGUOI NHIEM COVID-19 @Bz26 09/2021ry J NGUOl NHIEM COVID-19 Nguéi nhiém COVID-19 (test nhanh khang nguyén/ RT-PCR) Khéng triéu chung/ triéu ching nhe (khéng cé suy hd hap: SpO, > 95%, €6 I trong céc age aiém: nhip thé s 20 lan/ phat) ® Dau hiéu viém phéi/ khé thd/ thd bat + thudng (khé khé, thd rén, thd rit, rot Tudi td 1 dén 50, khéng dang mang RTC AGIs Eis PRENs rand ral thai, Khang cé bénh nén* ® Nhip thé > 20 ldn/phut Da dudc tiém1 mii vaccine it nhat ® Spo, 295% neey a # Tré< 1 tudi hay ngudi > 50 tudi) ® Ngudi dang mang thai dupe te €6 kha nang tu cham séc hoac cé vaccine ngudi than hé trd cham séc ® C6 bénh nén* a vA chia Diéu tri tai co so y té — @ “Bénh nén gom: 1. Bai thao dudng 8. Benh mach mau nao 15. Bénh than kinh (g6m ca sa sut tri tu) 2. Benh than man 9. H6i chdng Down 16. Banh phéi t4c nghen man tinh (COPD) va cac benh phdi khac! 3. Ung thu 10. HIV/ AIDS 17. Si dung chat gay nghien 4. Tang huyet ap 11. Thieu hut mian dich 18. Ghep tang/ cay te bao goc tao mau S. Benh gan 12. Benh huyet hoc man tinh 19. Bang dung corticoid/ thuoc Uc che mian dich 6. Tha can/ beo phi 13. Hen phe quan 20. Tre em: bénh tim/ roi loan di truyen/ roi loan 7. Benh tim mach 14. Cac bénh he thong ngi tiet bam sinh/ tang ap phdi Nguda: i ¥ TE (2021), “Hudng ddn cham séc ngudi nhiém COVID-19 tgl nha* (Quyét dinh 4156/6YT-QD)talnhas Q ™ * én: Thon : yi” ~ nhanviényté ig a i Ghi nhan vao phiéu theo dol (trang 22) wy — = Sinh hiéu \ f oy ". Pad rn ~ We ot i »_¢ Huyét ap SpOz Nhip thé A) = Ww > Mach Nhiét dé Cac triéu ching khac Sir dung thuéc hgp ly, an toan o ® & { ee Sa ei ens Thude ding khi = P s re ee: ¢6 dau hiéu tré nang: De ran ers Thuéc giam ho : (néu du diéu kien) Thuoc tri tieu chay Thuoc khang viem corticoid : | Thuoc sat khuan mui hong Thuédc khang déng Vitamin \ Nauén: 1.€o ¥ te (2021), “Hudng dan tam théi ve quan ly ngudi nhiam COVID-19 tai nha" [Quyet dinh 6038/8YT-Q2) 2. $8 Y te TPHCM {2021}. ‘Huang dan odl.chém sdc sic khoe tel nd cho.ngudlFO" phien ban 1.5{Cdng van 6065/SYT-NVV)Diéu tri tai . cho nguwdl nhlém COVID-19 Su dung thuéc hop Iftheo CT Ot aa) Xuat hien rs triau ching Dau hiéu tro nang . dau tien (SpO, < 95%) Héi phye Nhiem virus Khong trigu chung C6 triéu chung (Trang 7-8) \ 120 PP TET Pee aati Huyeét ap < 90/60mmHg Bau nguc Da aE ee Dama 4 CLR TL ENechY) yey rs fel Vg bali Mac se oe tinh tim tai o mo, co giat khac iy >< ? Non, khong thé uéng, Bat ky dau hiéu nao an/bu kém, sot cao, héng ban gay lo lang Nguén: Be ¥ ta {2021}, “Huding din tam thai ve quan ly ngudi nhiam COVID-19 tai nha” (Quyat dinh 4038/BVT-Q5)si dung ee) @ 7h @ yy, «® Tac dung uns * Hién tai chi cé hai thuéc dang dude su dung tai Viet Nam la: remdesivir (dung tai bénh vién) va molnupiravir (dang dude thd nghiém lam sang). + Cac thudc khang virus khac van chua co két qua r6 rang va chua dudc BO Y té cap phép su dung. Ngan virus tang sinh trong ca the. -(?) Khi nao can ding Thuéc khang virus (Molnupiravir) dude sti dung vai ngudi nhiem COVID-19 co triéu chting nhe. 800 mg/lan, 2 lan/ngay trong 5 ngay lién tuc. Bileyate mci] Nguén: 1. 86 ¥ Lé (2021), “Huding din Chan dodn va diéu u| COVID-19 do chung vi rut Corona mdi (SARS-CoV-2)" (Quyét dinh 3616/BYT-QD) 2. SOY te TPHCM (2021), "Huang din gél ham ade sile khde tal nha cho ngudi FO" phidn ban 1.5 {C4ng van 6065/SYT-NVY) 3. Warid Health Organizatian {2021}. ‘COVID-19 Clinical management: living guidance’ 4. National Institutes of Health. COVID-19 Treatment Guidelines Panel (2021), “Coronavirus Disease 2019 {(COVID-19) Treatment Guldelines*Khéng tu y su dung a Khang sinh @) urwy * Khang sinh chi cé tac dung trén VI KHUAN. « Khang sinh KHONG 6 tac dung trén virus gay bénh COVID-19. (Vi du mét s6 khang sinh: amoxicillin/ acid clavulanic, azithromycin, ciprofloxacin, levofloxacin, doxycyclin, sulfamethoxazol + trimethoprim....). * Khang sinh chi dudc ké dan bGi Bac si. VGI NHAN VIEN Y TE Khi cé dau hiéu nghi ngé nhiém khuan: ond # & Ss Sét qua 02 ngay Ho nhiéu kem khac dam hodc Kho thé hodc nang nguc mau vang xanh hoac Sét tré lai sau vai ngay dam mau ri sat ké tu khi hét sét Nqudn: 1. BO ¥ te (2021), “Huéng dan Chan daan va dieu tri COVIO-19 do chung vi rut Corana mdi ISARS- Co¥-2)" [(Quyet dinh 3416/B¥T-Qb)} 2. World Health Organization (2621), ‘COVID-19 Clinical management: living quidance” 3. National Institutes of Health. COVIO-19 Treatment Guidelinas Panel (2021), ‘Coranavirus Oisease 2019 (COVID-19) Treatment Guidelines” 4. Chedid M. et al (2021), “Antiblatics in veatment of COVID-19 complications: a review af frequency, indicatians, and efficacy’ J Infect Public Health. 14{5), 570-576,be glam daw, ha s6t y Uu tian sit dung PARACETAMOL tten goi khac la Acetaminophen). a Bed ees | @ Kninao can ding thude? es "es of Dau nhdec S6t 238,5°C toan than - 2 vién sui Thudc bot Vien nen uong (Hea tan (Héa tan trong nudc} trong nude) _— FFFERALGAN > Clas = oe Thuéc dat truc trang Siro (Tré em) (Tre em) Cach ding Ngudi In hoac tre 240 kg (-_-) Tre <40 kg | 500 mg/Ian, mdi 4-6 gid i, |10-15 mg/kg/lan. mdi 4-6 gid Toi da 4 14n trong 24 gid 1) Toi da 4 lan trong 24 gid G : B Boc ky thanh phan a ee Hai y kien Bac si/ Uong nuéc thudéng culathuéc. KHONG su.) Khoang cach toi thieu Dusgc si khi dung xuyen va dam bao dung chung cac che gila hai liéu la 4 gid. thudc cho nguai udng téi thiéu pham co cung thanh nghién rudu, ngudi 2 lit/ngay phan pracetamol. suy gan. suy than. &2 Theo dai va lién hé Bae si/ Dirge si khi: e Khong giam sot sau 1-2 gid hoac sot tré lai trudéc khi téi thdi gian ding liéu tiép theo* e Sét, dau tang dan hoac khdng giam sau 2 lan ding thuéc. © Di Ung (phat ban, man do, ngda). *Cé thé dung 1 liéu ibuprofen ha s&t (xem trang 8) khi chua lién hé dude ngay vai y té. Ngudn: 1. SOY TPHCM (2021). “Hung din gol cham séc sik khde tai nhs cha ngudl FO" phién ban 1,5 (Cong vdn 6065/SYT-NVY} 2. EMC (2020), ‘Paracatamol-Summaty of product characteristics”Su dung i ' Sau hi dung paracetamol ma 1 KHONG giam sét sau 1-2 gid , hoac sot tré lai trudéc khi téi thai gian dung liéu | paracetamol tiép theo } + + CHUA lien he dude NVYT a sot xuat huyét | si dung IBUPROFEN © De —~ A Luuy Hol y klén Bac si/ Duge si trong trudéng hop nguél bénh cé: © Suy than/ suy gan © Loet da day ta trang ® Benh tim mach © Ngudi cao tudi ® RGi loan dong mau hoac dang su! dung thuéc khang dong (@ Cach ding: DOi trong KHONG NEN = be Nguai ln, tré 212 tudi Tré 23 thang . gue Men ytrS wiz tu hoac can nang 2 5kg Dj dng thuée 200-400 mg/lan. méi 4-6 gid 4-19 mg/kg/l4n, mdi 6-8 gid ibuprofen Ti da 3 lan trong 24giG6 Toi da 3 lan trong 24 gid Phu nd co thai e® Thong bao cho Bac si/ Dugc si khi: * Dj Ung (phat ban. man do, ngda) © C6 dau hiéu xuat huyét (vét bam trén da, chay mau chan rang, dau bung kem phan den hoac nén ra mau). judin: 1. National institutes af Wealth. COVID-19 Treatment Guidelines Bane! (2021). “Coranavitus Disease 2019 (COVID-19) Treament Guidelines” 2. EMC (2020), "Ibuprofen-Summary af product characterlaticsFa, bo ho AXxw 7 Néu bénh nhan bi ho, UU TIEN DUNG CAC eta, PHAP KHONG DUNG THUOC SAU BAY: = | 2 ‘' m | | U6ng nhieu | Uong nuéc Stchong Phuong phap | Quet ma QR nuéc nhiéu lan, | thudng xuyéen dan gian: mat| | de tham khao TGi thiéu 2 khéng doi bing nude ong, tac | phuong phap mudi sinh ly duéng phen, | | giamho theo lit/ngay khat moi ong F 4 hay nuoc sach | nuoc ging... | Y hoc. e uéng } | truyén _/\Luuy ® Co thé str dung cac thudée¢ ho co ngu6n géc til dude liéu. ® CHi DUNG THUOGC TAY khi ho nhiéu gay khé chiu va dau rat hong. ® Tuy theo triéu ching la ho khan hay ho cé dam ma str dung loai thuéc phu hop. Xem trang 10-11 ® Khong két hop thudéc giam ho khan va thuéc giam ho co dam THUGC HO TU Dude isu)» @) Tac dung: 5 lam diu niem mac hong, giam ho, long dam. —f3— © Lae déu truée khi str dung. ® C6 thé udng trudc hoac sau khi an. © Bénh nhan co tién su viem loét da day -ta trang nén uéng sau khi an. LIEU DUNG: theo nhu Huéng dan sd dung trén hép thuéc. Su dung dung cu chia liéu kem theo hdp thuéc. Ngudn: NICE, NMS England and NHS Improvement (2020), "Managing COVIO-19 symptoms {including at the end of life} In the community: summary of NICE guidelines", BMJ. 369.146).HO KHAN ay Thue, ho. of C6 thé sir dung: dextromethorphan hode eucalyptol | Dang bao ché | va ham luong | Ai dung dugc | thuéc nay? | Liéu dung va cach dung USng véi mat cdc nude, véi Dextromethorphan + Vién nén 10/15/30 mg + GOi 5 mg cho tre em * Siro 5 mg/5 mL pele Ngudi lon (os Tré >2 tudi liéu ghi trén to Huéng dan su dung. Thong thuong: Ngurdi dn va tré >12 tudk: 30 mg/lan, 3-4 lan/ngay, tdi da 120 mg/ngay Tré 6-12 tudi: 15 mg/lan, 3-4 lan/ngay, toi da 60 mg/ngay Tré 2-6 tudk: 7,5 mg/lan, 3-4 lan/ngay, tdi da 30 mg/ngay Eucalyptol + Vién nang mém 100 mg | | ( Ngudi Ién & Tré 212 tudi Udng voi mot cdc nude, vai ligu ghi trén to Huéng dan sur dung. Thong thuong: Nogwdl Ién: 2 vién/lan, 3 lan/ngay Tré 212 tudi: 1vién/lan, 3 lan/ngay | Ch6ng chi dinh Tré <2 tui Qua man véi thanh phan cua thuée, ngudi dang str dung thuéc chéng tram cam @9) Tré <12 tudi -&S Lay © Chi sur dung khi co chi dinh cia Bac si ° KHONG gung cac thudc ho cé chda CODEIN vico nguy cd gay suy HO HAP.= oy dung Thuae he Vd HO CO DAM Khi ho cé nhiéu dam nhay, dac quanh, cé thé ding mét trong cac thuéc tiéu dam nhu: N-acetyleystein, bromhexin, ambroxol (chi dung cho tre =2 tudi) T4e dung: lam loang dich nhay duong hé hap, giup dé khac dam Cach ding: * Chon dang ding phi hop * Thudéc dang long can dugc lac déu truce khi lay liéu * Udéng thudc sau khi an * Liéu ding: theo to Huéng dan su dung theo tung thuéc OQ tuuy © Khéng ding cho phy nit co thai hoac cho con bu va tré <2 tudi. e Thuéc tiéu dam cé thé khién bénh nhan ho nhiéu hon trong giai doan dau, nhung cam gidc nang nguc khi ho sé giam. e Khéng két hop thuéc giam ho khan va giam ho cé dam. | Thudc LIEU DUNG (cua dang vién) ; Nguoi lon: N-Acetylicystein 2 2 r (vien 200 mg, g6i 200 mg) * 200 mag/lan, 3 lan/ngay. Tre 22 tudi: + 200 mg/I&n, 2 lan/ngay. Nguoi In va tré >10 tudi: Bromhexin * 8 mg/Ian, 3 lan/ngay. (vién 8 mg, siro) Tre 5-10 tudi: + 4 mg/lan, 2-4 lan/ngay. Ngudi dn va tré >10 tudi: Ambroxol * 30 mg/lan, 3 lan/ngay. (vien 30 mg) Tré 5-10 tudi: +15 mg/lan, 3 lan/ngay.= 7 sy he BROMHEXIN yd) Cra 4 Siro thudc* UL Tg + Ngudi lon va tre >12 tudi: 10 mL (8 mg)/ldn, 3 1an/ngay = Tré 6-12 tudi: 5 mb (4 mg)/lan, 3 lan/ngay + Tre 2-6 tudi: 2,5 mL (2 mg)/lan, 3 lan/ngay * Tré em <2 tudi: 1,25 ML (1 mg)/l4n, 3 lan/ngay Dung djch uéng, 6ng hoac gi 5 mL + Ngudilén va tré >12 tuéi: 2 dng hoac goi/lan, 3 lan/ngay * Tre 6-12 tudi: 1 6ng hoac gei/lan, 3 lan/ngay + Tré 2-6 tudi: 1 16ng hodc goi/lan, 2 in/ngay + Tre em <2 tudi: 6ng hoac goi/lan. 2 lan/ngay Sngdungdich |, Ngudi I6n va tre >12 tudi: 1 6ng/lan, 3 lan/ngay \ 10 mL. AMBROXOL Dy Cra 4 U DUNG Siro thudc* *Tré 7-12 tudi: 5 mL/lan, 3 lan/ngay + Tré 2-6 tudi: 2.5 mL/lan. 3 lan/ngay *Thude dang chal siro/ dung dich udng. su dung dung cu phan liéu di kém trong hop thudc.c S O74, ae Phu nix mang thai Ngudi cao tudi, Ngudi co tién can va cho con bu suy gan, suy than cac bénh hd hap man tinh (hen suyén, COPD...) aS e@8 Tré em dudi 2 tudi Ngudi khéng co Ngudi dang dung kha nang khac dam cac thuéc diéu tri (khi dung thuéc tieu dam) —benh man tinh khac & Theo doi sir dung thuéc Triéu chitng ho: Mire d6 va tan suat con ho THONG BAO = NHAN VIEN Y TE* Su dung Thuée ti tiéw chay, Hién chua c6 khuyén cdo thuéc tri tiéu chay trén bénh nhdn COVID-19 Tiéu chay Ia triéu chirng + Xay ra 6 khoang 10% benh nhan COVID-19. * C6 thé do virus hoac do su dung thudc khang virus va khang sinh gay rdi loan hé vi dudng ruot. Dau hiéu tiéu chay xu tri ®i phan long/phan nuéc >3 lan/ngay | »* Cung cap du nude ‘Bam bao can bang dich, dien giai a = - = - - = =* DAU HIEU CAN LIEN HE NHAN VIEN Y TE » Kho mdi. * Khat nudéc hoac khéng udng dude. * Met, bun ruin, nang nguc, loan nhip tim. * Da khé lanh. * Tiéu [t hon, nuéc tiéu vang dam. * Chuot rit. @ Dung dich bi nu@c va dién giai Dung dich tu pha 6 muong cafe dudng oo = & Itt i cog r) «Hoa tan 1 goi oresol vai ding lugng nudc ghi tren hung dan ngay trudc khl sd dung + —— cts + «Luu y: Khang thém dudng hoac Ep » mu6l vao dung dich sau khi pha. Ve mudng cafe mudi TLIT NUGC Z\ Luuy Liéu ding F ; * SU dung sau mdi lan di phan long. ge Dung dich sau pha bao quan dude 24 gid trong tu lanh. Ngudi I6n hoac tre >12 tual Khong pha vai nuéc khoang, sia, sp. nudc trai cay. Tre 6-12 tudl Khong dun sdi dung dich sau Tré 1-5 tual khi pha. re ry . * & Lac déu truéc khi ding. Tre <1 tuol (50 mL/lan hodc / / / / 4 muéng 4n com) Nau6n: 1. Go Y té (2021), “Hudéng dan Chan dodn va diéu tei COVID-19 do chung vi rut Corona méi {SARS-CeV-2)" (Quyét dinh 3416/BYT-Qb) 2. World Haalth Organization (2017), “Dlarhoeal Disease”sir dung EDEEE oe Bién phap HO TRO trong diéu tri COVID-19 Hién chua ¢é ché ph&m nao dude khuyén c4o uu tién sti dung Tac dung « Lam giam cdc triéu chung 6 mdi, hong « C6 thé lam giam ludng virus trong dich khoang mii, vam hong @® Dung dich sat khudn mii hong a Cach pha nude mudi tai nha + = 1 mung an cdm gat ngang (-9 gam) iit = mudi an nude dun soi dé ngudi Dung dich suc hong Tré <12 tudi Phy ndmang thai Oj Ung iod = 7 Ngudi <18 tudi @) @) - ® = Khong dn udng 30 phut Co benh tuyen giap ang dieu tri iod phong xa aau khi suc mieng Kiém tra chic nang tuyén giap khi su dung > 3 thang mw Dung dich cé thé gay doi mau rang khi sd’ dung lau ngay Lach " » © 2-3 lan/ngay, téi da 4 lan/ngay ~ * Suc hong va xit/nhé midi cho dén khi khdi bénh * Suc hong bang MOT trong cae dung dich trén CACH SUC HONG * Nhé midi hay xit mdi bang NUGC MUOI SINH LY Chlohexidin gluconat 0,12-0,2% Povideon-iod Rija tay vdi Ng4m 1 ngum Lua dung dich lam sach xa phong va nuéc dung dich toan bo khoang mieng CACH XIT MUI (chi dung NUGC MUGI SINH LY) Khé sau vam hong trong 30s as = Sy sis =) Rua tay vai Hat val x/t vao mét bén Blt bén mai cén lal. Lam tudng tu vai bén mul cén lal xa phong va nuéc ednh mui, xjt 3 lan xi mdi bén kia Ngudn: 1. BG ¥ té (20211. “Hudng din Chén doan va didu tri COVID-19 do chung vi rul Corona mdi (SARS-CoV-2)* (Quyét dinh 3416/8YT-Qb) 2, Catrouel F. et al (2021), “Antiviral Activity of Reagents in Mouth Rinses against SARS-CoV-2", J Dent Res, 100, 124-132.Vitamin va khoang chat e HG trd tang cudng hoat déng cia hé mien dich. Chua aU dit kien vé hiéu qua trong diéu tri COVID-19. e Bién phap tét nhat dé cung cap vitamin va khoang chat la duy tri bUa an can bang va da dang. 2 = = ¥ - Khi nao can bo sung bang thu6éc? BOI TUGNG CO NGUY CG THIEU VITAMIN VA KHOANG CHAT Ngudi cao tudi Ngudi mae béenh Ngudi nghién rudu Ngudi cé che do an dinh dudéng kem dudng ruot khéng day du Multivitamin va khoang chat Cach ding: U6ng vao bu6i sang hoac trua, sau khi an. U6ng véi nhiéu nuéc. Liéu ding » Multivitamin: 1-2 vien/ngay theo dung Huéng dan sti dung thuéc. ° Néu dung che pham chi chda vitamin C: KHONG ding qua 1.000 mg/ngay. Tham khao y kién Bac si/Dudc si néu ngudl bénh cé » Séi than, tang oxalat niéu. » Bénh tim mach, tang huyét ap, suy than. Vitamin C, D va kem ———.. @ KHONG NEN SU DUNG BONG THO! e Mot vai nghién cdu da dudc thuc hien dé vien multivitamin va vien vitamin C danh gia hiéu qua cla vitamin C, D va kém dé tranh qua lieu vitamin C. trong diéu tri COVID-19. @ Khéng nén udng vao budi téi. ® Tuy nhién chua du di lieu dé khuyén cao @ Tre <12 tuél can su dung b6 sung cac vitamin nay trong diéu tri ché pham danh cho tré em. COVID-19. Ngu6én: 1, B4 ¥ t& (2021), “Huong dan Chén doén va diéu tr] COVID-19 do chung vi rut Corona mdi (SARS-CoV-2)" {Quyét dinh 3416/BYT-Qe) 2. National Instltutes of Health. COVIO-19 Treatment Guldelines Panel {2021}. “Coronavirus Olsease 2019 (COVID-19) Treatment Guidelines”@ xu tri Bh, Khi c6 mOt trong cac biéu hién o | z= Ngudi lan: >20 ldn/phit | Tré 5-12 tudi: 230 lan/phut | eS ry Tré 1-5 tudi: 240 ln/phit | | Kh6 thé, hut hoi Thé nhanh | SpO,s 95% Libi, tim tai | (méi, dau chi) Lien hé ngay: 1. T6 phan dng nhanh phudng. xa a . . 2. Tram Y Té luu déng +MB sis ~ Chua lién hé dude nhan vién y té Ko @ g z <18 tudi Phy nu mang thai Phy ni cho Tién can xuat huyét Tiéncan © (tieu hoa, tiét niéu), dj Ung thudct benh de chay mau 2 Tam thdi su dung bs thudc khang viém corticoid & = VA thuéc khang déng lin hé hd tro (huéng dan chi tiét xem Trang 18-20) A KHONG sti dung thuéc khang viém corticoid va thudc khang déng khi KHONG c6 cac biéu hién trén. Siguén. 58 ¥ 16 Thich phé Hé Chi Minn (2021, “Huang din géi cham s6e ade khée 4g nha cho nguAl FO" phitn bia 15 (Cv 6065/SYT-NWY)Su dung ing Mam CO Ngan phan Ung asia es muc 6 kt bi COVID-19 co dau hiéu chuyén nang @®&®® Bang sudungthuéc Benh tim mach Dai thao dudng Tang nhan dp uc ché/suy giam mién dich Liéu ding Dexamethason Methylprednisolon Prednisolon 0,5 mg 16mg Smg I = Ding téi da 3 ngay U6ng sau an, Fa, hoae Axe hoge é, (néu ae chua lién hé tot nhat vao A Geiss 12 vien/lan/ngay 1vién/lén,2l8n/ngay 8 vién/l&n/ngay ee y te) eee (6 mg/ngay) hoac 2 vién/lan/ngay (40 mg/ngay) ° {32 mg/ngay) Xem thém Iuu y chung khi su dung Corticoid! Usng nguyén vien KHONG sudung chung voi thude va thuéc khang dong & trang 20 , v6icOc nuée day —_ khang viem - aim dau khac iran ibuprofen, celecoxib...) I NGU'NG DUNG THUOC ; VA THONG BAO NHAN VIEN Y TE Néu cé 1 trong cac dau hiéu sau Bau nhuc mat. Dau bung di déi Phat ban nhin ma Khé thé tang Ngua/ sung/ te 6 Phan co lan mau, mat/ moi/ ludi 1. National Institutes of Health. COVID-19 Treatment Guidelines Panel {2021). ‘Coronavirus Disease 2019 (COVIO-19) Treatment Guidelines" 2.58 ¥ te TPHCM {2021}, “Hudag dan g4l chm sée ade khde tgi nhk eho ngu&i FO" phien ban 1.5 (Cang vin 6O65/SYT-NVY) 3. World Health Organization (2021). “‘COVID-19 Clini¢al management: ining guidance”(@ TAc DUNG Phong ngila tat nghén mach mau do cuc mau dong 5 bénh nhan COVID-19 cé dau hiéu chuyén nang LIEU DUNG CACH DUNG y@ Rivaroxaban ce = 10 mg/lan/ngay al Dung thuoc toi da: 3 ngay Usng nguyen vien (néu van chua lian he véi c6c nudc day Apixaban dusc vai y te) y 2,5 mg/lan, 2 lan/ngay Xem ky “Luu y chung khi st & ) dung cearticoid va thuéc khang déng” trang 20 Uong sau én, KHONG ding chung véi cac cung thdi diam moingay thudéc khang viam giam dau (aspirin, ibuprofen, celecoxib.... NGUNG DUNGTHUGC VA THONG BAO CHO NHAN VIEN Y TE Néu cé 1 trong cde dau hléu sau Ho ra mdu Kho thé tang Phét ban Bau dau did déi j Ngua/sung/té d ee mat/médi/ludi 6@0e06 Vét bam/mang Nuéc tiguhdng Chay mau chanrdng Phan lin mau/ bam tim dudi da Chay mau cam 1, $8 Y¥ US Thanh phé 6 Chi Minh (2021), “Muéng dan gél cham séc suc khde tai nhs cho ngudi FO" phlén bin 1.5 (Cv 6065/SYT-NVY). 2. ASHP (2021). AHS Brug Informations {chuyén lujn Rivaroxaban va Apixaban)LUU Y CHUNG, khi sir dung Loriicaid ta thude khingy ding Oo ae oer cé tlén can Nén uéng kém thuéc sau: & Esomeprazol 40 mg hodc Bie Pantoprazol 40 mg hoae &, Lansoprazol 30 mg hoac op Dexlansoprazol 30 mg Uséng nguyén vién, 1 lan/ngay, trud¢ an sang 30 phat. Néu bénh nhan dang diéu tri loét da day - ta trang Ti&p tuc sU dung thudc diéu tri loét da day - ta trang hién dang su dung. KHONG udng thém thudc khac hay tu y tang liéu khi chua cé y kin cua Bac si/Duge si.1. Group Zalo Nha thudc tu nhan tai 21 Quan/ Huyén va Tp.Thu Bic thuéc Tp.HCM: Ban co thé quét ma QR code hoac truy cap vao dudng link ben duéi dé duge huéng dan tham gia nhom Zalo tai dia phuang, noi minh luu tru. https: //bit.ly/2WSig66 2. Nha thudc Pharmacity: Website: https://www.pharmacity.vn Tong dai lian hé: 1800 6821 3. Nha thuéc Long Chau: Website: https://www.nhathuoclongchau.com Téng dai lién hé: 1800 6928 4. Ung dung Medigo: Ban cé thé tai Ung dung bang cach quét m& QR code dudi day. Dé biét thém nhting tinh nang, cach su dung truy cap website: https://www.medigoapp.com Download on the GETITON w AppStore Google PlayCach ding 1. Hoa tan vao 100-200 mL nudéc dun sdi dé ngudi. 2. Udng hét sau khi thuéc tan hoan Vién sil todn. Bot sui hoa tan 1. Bop nhe nhang bao dé trén déu thudce. 2. Gilt chac va xé géi mé ra. Dung dich udng|3.Uéng thudc, ép dén khi hét thudc bén trong. * Khéng uéng truc tiép. + Day kin nap hdp thudc (néu cd) sau khi ding. * Khéng dung thudc khi Iép bao bén ngoai (néu c6) bj bong tréc, vién khéng lang, s4n sti, cho vao nuéc khéng sui. * Bao quan ndi kho rao, thoang mat. * Khéng su dung khi géi bj rach.< ai Luuy Dang thudc Cach ding 1. Rua tay. 2. Lay thuéc ra td tu lanh, thao vo thuéc. 3. Bat ngudi bénh nam nghiéng, mot chan duéi thang, chan con lai co hu6ng bung. 4. Bat dau nhon cua vién thudc hu6ng truc trang. 5. Day thudc vao sau khoang médt nua dét ngén tay (d6i vdi tré em) va m6t ddt ngdn tay (ddi vdi ngudi ldn), 6. Nam yén khoang 5 phut dé tranh rdi vién thudc ra ngoai. * Thudc c6 thé gay kich' ung hau m6n va truc trang. «Khéng dung thudéc khi dang tiéu chay hoac cé tén thudng viém nhiem ving hau mon. * Bao quan: ngan mat tu lanh. * Thuéc dat truc trang dé ha sot cling cé thanh phan paracetamol. Can chu y dam bao khoang cach git cac lan ding thuéc (uéng/dat truc trang) va téng liéu dung trong ngay. X6ng sat khuan mii hong: 1. Cho 01 vién thudc vao ly chua 150-200 mL nuéc via séi. 2. Day ly bang phéu giay, hit vao mii/hong. * Ngudi dang sét hoac 6 tién can hen suyen, bénh phdi tac nghén man tinh (COPD) KHONG nén x6ng tinh dau. + Khéng sti dung néu vién bl xmp, chay nuéc.Ban Bién Sean Ban chi dao: GS. TS. DS. Tran Thanh Bao - Truéng Khoa Dudc, BH Y Dude Tp. HCM PGS. TS. DS, Tran Manh Hing - Truéng BM Dugc Ly-Khoa Duge PGS. TS. DS. Nguyén Ngoc Khdi - Truéng BM Dudc Lam Sang-Khoa Dugc TS. DS. Nguyén Quéc Hoa TS. DS. Nguyén Quéc Thai ThS. DS. Nguyén Minh Ha ThS. DS. Nguyen Thi Mai Hoang ThS. DS, Nguyén Thai Thien Kim Ban bién soan: TS. DS. V6 Thj Cam Van - Truéng nhom ThS. DS, Huynh Nguyen Hoai Phudng ThS. DS. Mai Thanh Tan Nguyen Thi Kim Anh Hua Thj Héng An Tran Gia Han Nguyén Thj Huyén Du Thanh An Pham Ha An Doan Thj Lan Anh Nguyén Quynh Nhu Huynh Ngé Phuc Nguyén Ngoc Phudng Boén Nguyen Quang Thinh DcQ2o016 DCcQ2016 DCQ2016 DCcQ2016 DcQz2018 DcQ2018 DcQ2018 DCcQ2018 DCQ2018 DCQ2018 DcQ2018 Du Thanh Tuyén Nguyen Minh Khang Tran Xuan Thuy Linh Huynh Ngoc Lan Pham Hong Nhung Vi Ha Phuong Phan Nguyen Cat Tudéng Phung Va Thuy Tien Le Dinh Minh Triet Nguyén Thi Hung An Thai Gia Han vu Minh Hoang Nguyén V6 Song Ky Nguyén Cao Huyén Thanh Tran Thanh Thanh Nguyén Binh Hoang Tuan Nguyén Van Uyén Vi Nguyén Phu Vinh TG . ? ; Ban bién soan xin gui Idi cam 6n chan thanh dén: - Thay cé BO m6én Dugc Lam Sang, TS. BS. Lé Khac Bao, Ths. BS. Dung Duy Khoa, ThS. DS. Truéng Van Bat da gop y vé mat chuyén mon va hinh thuc cho S6 Tay. - HOi Dudc Hoc Tp.HCM, Chi Hdi Dudc Nha Thuéc Tp.HCM da cung cap cac dudng link cac nhém Zalo Nha thuéc 6 21 Quan/ Huyén va Tp.Thu Buc trén dia ban Tp.HCM. - Cong d6ng PharmaZone va Cau lac b6 Hoc Thuat Khoa Dude da ho trd¢ nhan Iyc thiét ké. DCQz2018 DCQ2019 DcQ2019 DCQ2019 DBcQ2019 DCQ2019 BCQ2019 DCQ2019 DBCQ2019 DCQ2020 DCQ2020 DCQ2020 DCQ2020 DBCQ2020 DCQ2020 DCQ2020 DCQ2020 DCQ2020