BAO CAO TO! CAO THI THIEN ANH BQ GIAO DUC VA DAO TAO TRUONG CAO DANG DAI VIET SAIGON KHOA DUOC BAO CAO THUC TAP TOT NGHIEP CAO DANG CHINH QUY NGANH : DUOC Si Dé tai: BAO CAO THUG TAP NHA THUOC PYTT: NHA THUOC LINH PHUONG GVHD: DS, CAO THUY THIEN ANH SVT: LA LINH PHU'ONG Lop: scpvn2 TRANG + SVTH: LA LINH PHONGBAO CAO TOT N GVHD: DS CAO THI THIEN ANH L061 MO DAU UC KHOE LA V6 GIA” ‘Tai sin vO gid nit ca con ngwoi 1a sire Khoe vi vy mdi chung ta cin hidu rd cée bién phdp phang chéng efing nhw cde bién phap diéu ti bénh an ton va hidu qua. Thude mét sin phim thidt yéu tong cude sdng cia con ngudi, thude 1a phuong tién phong bénh khong thé thigu trong edng tic y 1d. thude tét va sir dung éu thude khong dam bao chat lugng va sir dung sai sé lam cho chiing ta khong khoi bénh ma c6 thé gfiy tée hai cho ngudi sir dung ding cach sé giip bénh mau khoi thiim chi gay tir vong. Vi vay, ta nén can nhimg quy dink nhime noi quan ly, bdo quan, phan phdi, dé dim bao chit lugng thude tét nbat khi dén tay ngudi sir dung, Nha thude 14 mt wong nhiing phuong tign bao quan, ban 1é thudc, dua thude dén tay ngudi din. Théi gian thyc tip 6 nha thudc 14 thoi gian gitip ti h durge vai trd.cha mot ngudi dug sf tong nha thudc, mot phin hiéu duge quy edch sip xép bd uf thude, két hop durge cach bdo quan thude va phat uién duge kha ndng giao tiép dé tu van hung din cho nhimg ngubi sir dung biét duge ciich sir dung thude mot each an toin va hgp If, nim ré quy dink, nguyén tic tiéu chudin wong nghinb. Qua bai bio céo 161 mudn tinh bay nhimg hieu biét, nhimg két qua ma 16i da hoe héi trong suét thei gian téi thue tip & nha thude Link Phuong, TRANG 2 SVTH: LA LINH PHUONGGVHD: DS CAO THI THIEN ANH Lol CAI ON ‘Tren thue té, khong cd su thanh cong mio ma khOng gin lién voi su cé ging cla ban thin, su gitip décia moi nguéi xung quanh. Trong suét thd’ gian bit dau hoc giing dudmg tring Cao ding Dai Vigt Sai Gon dén nay 16i di nhan durge nit nhigu sy quan tim, giup dé cia quy Thay Co va ban be. Voi long bict on siu sic nhat t6i xin chin thank géi Idi cam on dén quy thay cd 44 gitip dé wi trong sudt théi gian qua. VA dic biét, ti chan think cim on cac thay cé gido vién Khoa Dirge, Cé chit nhigm lép 8CDVB2 cing gito vién hung din 16i hodn thinh bai béo cio nay, Dang thoi tdi xin géi [bi cam on nha thude Linh Phuong da tao diéu kién cho ti tigp xtic Véi thye té va 43 chi din Wi tin tinh, ‘Trong qué tinh thye tip eiing nh lm bai béo cao khé trnh khoi sai sét, at mong quy thay e6 va cde anh chi nha thude Linh Phuong bd qua. Va do trinh dé ly ludn cing nlur kinh aghiém thie tign cin han ché nén bai béo cdo cia ti con nhiéu u kink nghiém hon, sai sét mong quy thiy cé dong gop ¥ kién dé toi hoe duge a Cuéi chng t6i xin kinh chic quy thay c6, anh chi nh’ thude dirge ohiéu sire khoe va thinh cong trong cudc sng cua minh |. SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH NHAN XET CUA GIANG VIEN HUONG DAN cally Banh gid vé Bao cdo thue tip tt nghiép: 10 TRANG 4 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH CTY/XN, BV... CONG HOA XA HOLCHU NGHIA VIET NAM Phong/BO phan st Doc lip — Tu do — Hanh phic see gay ..... théng ..... nim ... GIAY TIEP NHAN SINH VIEN THUC TAP 1. THONG TIN CHUNG Co QUAN! DOR Vi: cuss Dia chi ign thoai Dang § tiép nhin Anh) Chi Mi s6 sinh vién: ... Neaoh wo... Tnring: sisi Lam vide tai phong/b§ phi: oo. .cce csetn ssi see thi gian ........ tudin (ide mgdy .......dén mgay Cain bd huréng din: es . Toiail ee ....Dién thoai: 2. KE HOACH THUC TAP: sit ‘Thing/nam NOi dung thye Up Phong / bd phin 1 2 4 vei : 3 a fee 4 5 Yéu cdu Anh/ Chi sinh vién thuc Uip chap hanh ding ndi quy ky ludt va phan cong nhiém vy cha Co quan! Bon vi PHONG DAO TAO NGUOLHUGNG DAN DON VITHUC TAP TRANG 5) SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH NHAN XET CUA DON V| THUC TAP calls Banh gid vé Bao cao thue tip wit nghigp: ......../10 diém TRANG 6 SVTH: LA LINH PHONGTOT NGHIEP GVHD: DS CAO THI THIEN ANH MUC LUC I. TOCHUC HOAT DONG CUA NHA THUOC. 1. Tén va dia chinha thude. 2. Nhigm vy va quy mé té chife. 6.1 Nhiém vu :.. ci sta ac Ra social 62 Quy m6 td chite va phurong phip quan Ly... 3. Nhiin xét chung véedch bé tri, trumg bay cua nha thude, Il, NOLDUNG THUC TAP 1. Té chic hogt déng nha thuéc... 1.1 Quy md hoat dong, 1,2. Logi hinh kinh doanh, 13 Téchtte nan su... 7 14 Céch bé tri va tag bay trong nba thude. oes teese a 2. Sip xép phiin loai va bao quan thuée tai nha thudc... 2.1. Sfp xép. phain load thude. o.oo cst ces ” nn 8 2.2. Bao quin thude. 3. Thue hign GPP tai Nha Thuéc.. 3.1. Noi dung nha thude d4 thuc hién duge so véi bin kiém tra GPP ca bd y é 9 4, Tinh binh ban/nhp thude, 4.1. Caeh dye tri mua thude: 0... naa see 1S 4.2. Ngudncung tig ...... on cesiseescntenenetinsteietinaeieeieeee 16 AS. Thea iden roma hnersceccistanta caatecaiicanterauairaineecibcnaasia ND 44. Caich tinh gid gbe. uss 45, Nhén xét 5. Théng tin gidi thigu va huréng din str dyng thude. . TRANC SVTH: LA LINH PHUONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH $5.1. Nhimng quy dinh chung: 20 5.2. Thang tin, quing ciio thude: eee 20 IIL DAI CUONG VE VAN DE DUNG THUOC. 1, Déi vei khdch hang. 2. Nhirng dung ding thudc thuing gap 3. Cae dang bao ché thurng gap: 4. Métsé nhém thude thing gip ack? “Dhribeidthidapabibivscusss taconite ator eau tnerioaasta tes cans ras 26 62 NhOm khing sinh B - Lactam 63° Nh6m AMINOSIDES. 29 64 Nhim MACROLIDE ..0...0.cccccs scence sstinseeetnten eee 6.5 Nhdm LINCOSAMID ...:.cecesestcsstsnsisesesneustesnncertsstrtsetsieneeiee eee BD 66° Nhém GLYCOPEPTID. 31 67 Nhém CHLORAMPHENICOL «......e0:cs0s0csiusteeneten sit 68 NhémPOLYPEPTID. oe venseeeeten enerrneeesecrnteneeertnsees 32 69 Nhém TETRACYLINE....2....cocccsste ne 33 6.10) Nhim SULFAMIDE jo..2cccssescsss senescent icasiisenin oni A G@.LL NGM QUINOLONE... oc ccceectnetssectenncr seen a cecstnee serene BS 6.12) NhOm Khie.jtcsui ascot §. Danh sich khudn gay bénh @ nguoi ... 6. Cae nhém thudc dic tri thuréng giip. 61 THUOCHA SOT—GIAM DAU. 62 THUOC TRE VIEM KHGP coset ccstesnetennetetee nie wo 63 THUOC DUONG TIEU HOA... AT 64 THUOC KHANG HISTAMIN 00000 pee 6S “THIOC TRE CAO HUVET AP. ncn mienuceinmnigeneen ul TRANG 6 SVTH: LA LINH PHUONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH 66 THUOC DUONG HO HAP........... sesuseesetepemerinteeseesctemen etree ST 67. ‘THUOCDUNGINGOAT ccc: weasiuwuusavtenin cou 58 6B) VITAMIN ecsinucinepnicossinninniicapsicorii 60 6.9 CAC LOAITHUOC DAC TRI. usscsotcne 6.10 CAC LOAI THUOC CO NGUON GOC TU DUGC LIEU 7. Matsé toa thude gp é nba thude: Tv. BAO CAO CHUYEN DE TONG QUAN KIEN THUC CHUYEN MON THUC TE NGANH DUQC VIET NAM TU SO YT 1. GiGi thigu chung vé lich sir nganh Duye Vigt Nam.... 2. H@ théng vin ban phap luat. 2.1. M6 hinh Hé théng vin bin php Tudt tai Viet Nam... coe snsenseennen PD 2.2. MOt sé nghi dinb cai hut 92.0.0... 2.3, MOt s6 thong tur can heru § 24. Hé théng t6 chite cée co quan quan by nginh duoc Viel Nam ........... me) (CONG VIEC TRONG SAN XUAT= 22.2.0 ccctencet 72 2.5. Diéu kign kinh doanh duo. ...ccsccsseeusense 76 2.6 Digu kign cp chirng chi hinh nghé( COHNY:..0....00c0c0ccse cece FO 67 Cae thay déi trong Luitméi.. V. KET LUAN VA KIEN NG! TRANG SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH TRANG 10 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH I - TOCHUC HOAT DONG CUA NHA THUOC. 1. Tom va dia chi abhi thude, ~ Nha thude Linh Phuong chi: 168 Doe Lap, Phuong Tan Thanh, Quan Tan Pho, Thanh Phd Hd Chi Minh. 2. Nig vp vi guy mé.td chee 6.1 Nhigm yu: Lap ké hoach cung ting thude dm bao sé luong, chat higng cho nhu cau didu tri bénh. Quan ly, theo déi viée ban Ié thudc theo nhu cau diéu wi bénh va cdc nhu cdu khie Bao quin thude theo ding nguyén tic. the hanh 161 bio quiin thude ( GPP), Thue hién cong tie tu wan sir dung thude, tham gia dinh pid. Quan Iy hoat dng cha nh’ thude theo ding quy diah. 62 Quy mé té che va phuong phip quin If. Duge si phu tiich : Dirge Sidai hoc Ta Thi Kim Thanh Gidy phép kinh doanh: gidy chimg nbn di diéu kién kinh doanh thude. TRANG + SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH TRANG 2 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH TH KIM TILANIL DUOC SI TRUNG HOC TRAN TH] MAI TIEN DUGC SI TRUNG HOC NGUYEN THI TRANG Chit nha thude Li ngudi c6 chuyén mén phi hop voi quy dinh cla php ludt wa 1a ngubi chiu trich nhigm chink tarde phép luge Nhiin vién obi thude ©6 trinh d@ chuyén mén phi hop va duge phin cong dim nhgin nhing cong viée khac nhau, dudi sy quan ly trye tiép cita chi. nha thudc. * Mot ngy & higu thuéc Linh Phuwng Lim vige theo 2 cu: + Ca sing bit ddu tir ThOOp dén 14h30p do duge st Neuyén Thi Trang phy tach. +Cachiéu bit tir 14h30p dén 22h00p do durge 4. Nhfin xét chung vé edeh bi tri, tring bay cia nha thude. rin Thi Mai Tién phy tréich, Nha thude khang trang, sing sila, trang tri dep mit, vé sinh sach st. C6 tw thude chée chin dé trmg bay va bio quan thudc, c6 cfin sire khoe phuc vu khich hang. Cie nhom thude duge sip xép trong ti, ngin kéo theo nhom ké don vai khong ké don. (C6 ndi quy nha thude va bing gid theo quy dinh Cc loai my phim, thyc phim chite ning, dung cu y té 6 khu riéng bigt khong bay bin cing cde nhém thude. Cé ban wr van cho bénh nbin, ghé ché cho ngudi mua thude trong thdi gian chor doi C6 bon rim tay cho nhan vién va bénh nhdin. C6 miy didu hoa nhiét dé. TRANG 3. SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH SO DO NHA THUOC 2 z TRUD 2 & le -/. |e] 2 \/2 /5 |= TURALE TURALE z 3 Fe e |e 2 Js 2/2/24 44 z/6 |2 | |4 = |2 BE 2[6 z 3 |8 rl e zle E € /8 = = |2 |8 e| = = z S | a z e ef. |g R zs|2 |e | 24 4 Gle"|2 |2 | sz ale |S |2 |e 2/65 Pa 3 Zz = |3 z ai 2 gy |Z z eI Ele |4 |z |4 cI 3 B/S a | 4 < ge 6 |2 /£ /|3 gz a6 Es * |B 2/5 © ~ THUOC KHONG KE DON THYC PHAM THUC PHAM CHUC NAS CHUC NAN THUCPHAM PHAM CHUC NAN NANG THUCPHAM PHAM CHUC NANG CHUC NANG DONG ¥ M¥ PHAM TRANG 4 SVTH: LA LINH PHUONGGVHD: DS CAO THI THIEN ANH IL NOLDUNG THYC TAP ré che hoat dong nha thudc. 1.1 Quy mé heat déng. Mua thudc. Ngudn thude due mua tai cdc co sé kinh doanh thudc hop 1¥ (C6 hd so thea di hra chon nha cung cdp c6 uy tin, dim bio chat long thude trong qué trinh kinh doanh. ‘Thude phai duge lu hin, bao bi con nguyén ven va e6 du hoa don, chimng tirhop 1é dé ching minh nguén géc thude Khi nan thudc phai kiém tra han sir dung, théng tin trén nhan, chat long thude va kiém sodt thurmg xuyén trong qua trinh bao quan. Dui thude trong danh mue thude thiét yéu. Bain thude. © Cae bude co ban tong boat dong ban thudc bao gdm: Neudi ban 1é hoi neudi mua nhimg cau hoi lign quan dén bénh, thude ma neudi mua yeu cau. Nguoi bin 1é tr véin cho ngubi mua vé Iya chon thude, cfich dimg thudc, hudng din thude bing Idi ndi. Trréng hyp khéng cO don kém theo, ngudi bin phai hung din sir dung thude thém biing cich viet tay hoe déinh miy, in din lén dd bao géi. Ngudi ban 1¢ cung cAp cic thudc phi hop. kiém tra, déi chiéu thude bin ra vé nhing thudée, cam quan vé chit long, sé lugng thudc. (Can phai ban dung gid thude, khong cao hon gid nid yor. Clic quy dinh vé ue van cho ngudi mua, bao gor Neuéi mua thude edn nhfin duge su wr vin ding din, dim bao hiéu qua digu tri va phi bgp v4i nhu edu, nguyén vong, Doi voi nhimg nguii mua thude chua can thiét phai ding thude thi nhin vien ban thude edin gidi thich r6 cho ho biét va ty eh’im sée stre khOe c4 nhén, ty theo doi leigu ching bénh TRANG 5) SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Déi voi bénh nhin nghéo khong dit kha nding chi wa thi ngudi bain 1é can wr vin Iya chon thudc cé gid ca hgp ly’ dim bao didu trj bénh v: kha niing chi phi gidm ti mite thép nbdt éi Voi ngudi bénh ddi hoi phai chin dodn cia thay thude méi cé thé ding thudc, ngudi bin 1é edn ur vin dé bénh mhain wi khim thay thude chuyén khoa thich hop hole bic si digu tri, Negudi bin 1é phai xée dinh rd truéng hop nio cin c6 tu vin cia ngudi c6 chuyén mén phi hop véi loai thudc cung e4p dé ne van cho ngudi mua vé thang tin, gid ci, Iya chon ede thude khong ein ké don. Khong thong tin quang cdo trii quy dinh, khong Khuyén khich mua thudéc nhiéa hon mue can thiét, Ban thude theo dor. Khi bin thude ké dom phai c6 su tham gia tree tiép ngudi ban Ie voi tinh dé chuyén mén phit hop va tufin thir theo- ede quy dinh, quy ché hign hinh cia bo yté vé bin thude ké don. Neguii ban lé phai ban theo ding toa thude, tung hop phat hién don thude khdng ro ring vé tén thudc, néng dé, ham lugng, sé lugng hodc ¢6 sai pham vé phip ly, chuyén mon hoge inh hutmg dén stre khde bénh nhan, nguivi ban 1é phai thong bao Iai cho ngutri ké don biét. Phai gidi thich r cho newéi mua va cé quyén tir chi bin thudc theo dom trong cae tring hop thude khong hop 1é, don thude c6 sai sét hode nghi vin don thude ké khong nhim mue dich chita bénh. Durge si dai hoc ¢6 quyén thay thé thude bling thude khéc cé cing hoat chit, dang bao ché, cing fiéu lugng vdi su déng ¥ cla nguéi mua. Hiréng din ngudi mua vé cach ste dung thude va nhic nho thue hién ding. Sau khi bin thude gdy nghién, nhdn vién nha thude phai vio sé lim don thude ban chioh Nha thude dat GPP due bin 1é thudc think phim, Mua bin ede foai thude ké don hove khong ké don duge Bo Y Té clip phép lu hanb, Kinh doanh thye pham chtte ning. Kinh doanh cic dung cy y té va dung cu vé sinh cd nhdin TRANG 6 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Hurémg din sit dung thudc cho bénh nha, 1.2 Loai hinh kinh deanh. Mua bin thude think phim. 1.3 Tochire nhin sw. Gom 3 nguisi + Duy si dai hoc Ta Thi Kim Thanh + Due sf tang hoc Nguyén Thi Trang va Tran Thi Mai Tién. ‘Yéu cu déi v6i nhéin vién = + CO thai dé-hda nha, lich sy khi tiép suc vOi nguéyi mua thude va bénh nhan, + Tu vin thng tin cdn thiét vé edeh ding cho nguéi mua bode bénh nhfin nhiim dam bao sir dung thude hop: + Gilt bi mt thong tin ngurdi béah an toan vahigu qua + Trang phue do blouse tring sach $8, gon ging. + Thire hién ding cic quy ché, quy dinh trong nghinh duge, ty nguyén tudn thi dao dire hinh nghé duge. Tham giacdc Isp hoc dio tao, cp nhat kin thire chuyén mén va phap ludt y té. 14 Cach bé tri va trumg bay trong aha thude, Nha thudée Lith Phuong kinh doanh ete mat hing 14 thude think phim, thye phim chire nding, dung cu y té cic logi dung cy cd nbiin Cac thudc duge phan toai theo nhém ké don va khéng ké don durge sip xép theo: nhém ti ligu, hoat chit, bang chit cdi. TRANG 7 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH 2. S&p xép phiin Jogi va bie quan thudc igi nhd thade, 21 Sip xép, phiin loai thude. Phan chia khu vyc sip xép theo tng ngin, hing riéng bidt tai nha thude: pham, thyt phaim chite nang, mat hdtig cham s6e sire khoe ca nha, vat tury té. Sip xép trinh bay hing h6a trén ede gid, th Thude duge sip xép theo nhém thude( thude ké don hoge khong ké don), theo nhém tie dong duye li trong cing mot nhém thude duge sip xép theo hoat chit, chit cxii hofic theo nhimg thude thurmg xuyén due ban Sfip xép phai dam bao: @ Nguyén tic ba dé dé thay, dé lay. dé kiém trap + Gon ging, ngiin nap, c6 thiim mj, khong xép Lin 16n gitta ede mit bing... + Nhan hang (chit, sd, hinh anh.) trén ede bao bi phi quay dau ra ngodi, thudin chigu nin cia khéch hang. © Nguyén tic FEFO va FIFO dim bao chit lugng hing: + FEFO: hang c6 han sir dung cn b vio trong ngin hon xép mi ngoai, han dai + FIFO: hang sin xuat tnrée xual true, 16 nhap trrde sudt truve.. Ban hét nhimg hop di ma lé, d’inh dau bén ngoai v6 hop, trinh tinh trang ahiim Ein mé nhiu hp cing mot Iie 2.2. Bao quan thude. Thude trnse khi nhdp vé nha thude phai duoc kiém sodt 100%, tninh thu nhap hang gid, hing kém chit lueng, hing khong rd ngudn gdc. xual xir. ‘Thudc hun tai nba thudc: dink ky kiém sodt t6i thiéu mOt quy/ lin. Trinh dé hing bi bién ddi chat Iugng, hét han str dung, Kiém tra biing cam quan chit long thude. Dinh ky hang thang phai kiém tra s6 lueng con thye 1é va séng Luong wen sé sich (phan mém) theo sé rong. Doi voi thudc lu tai nha thude: + Ghi “s6 kiém sodt chat Luong thude dinh kj": mé ta chit luong, cam quan chi tit ede nGi dung kiém soat TRANG 8 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH +COt“ghi chi” ghi nhimg théng tin can luu ¥ vé thude, bao gém sé lugug hing sdip hét va hing cAin han sir dung dé dé dang kiém tra va tir d6 cé thé ghi dy ut mit hing cin mua, logi bo abimg mit hing khéng dir yeu cau. + Quin ly thudée theo nhém duge ly.hoat chat, noi san xudt, s6 16 sin xudit, ngiy nhap, han sir dung. nha cungedp nhanh chong. chinh xdc va higu qua. + Quan If chat ché hang xudt nhfp t6n kho, thude qua han sir dung, dire pham mua vio, doanh thu bin hing, loi nhudn ide con tin theo logi thude, theo: ngiy — thang - nim i nbudin theo ngay ~ thang — nim, + Cung cp bio céo nhanh, cl kho, sé 16, qua han sir dung. Bao cio xudt-nhap - = kho. Béio cdo doanh sé va 3. The hign GPP ty 3.1. Noi dung nha thude di thye hign duge si cia boy 6, inh xdc 86 lurong th a The voi ban kiém tra GPP a. Nhén sy. © Ngudi quan ly chuyén mon: C6 mit khi co sé bin Ié hoat dong bolic thc hién ly quyén theo quy inh. C6 tye tiép tham gia bin thudée ké don. C6 tham gia kiém sodt chit lurong thude khi nhap vé va wong qua trinh bao quan tai nha thude, (C6 thirdng xuyén cp mht Rién thive chuyén mon. (C6 dao tao hudng din niin vién quy ché kién thire chuyén mon. (Cé huéng din nhan vién theo dOi cde tic dung khong mong muda va bio cdo vei eran C6 cdng tie vai co sty té. © Neudi ban le: (Cé di han vien phue vu cho hoat déng cia nha thude. Bing cip chuyén mén phi hop véi cdng vide duce giao. Cac nhin vién di ste khoe dé dim dang céng viée, khGng co nhan vién nao dang mac bénh truyén nhiém. Nhfn vién c6 mie do blouse khi liam viée. TAt cd nan vien due hudn luyén dé hidu 1 va thuc hin ding nguyén tie GPP. SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH C6 thai d@ hoa nba, lich sy khi tigp xtic vii khéich hing. C6 gidt bi mat théng tin ngudi bénh. > V2 16 chte nhan su nha thude Linh Phuong thue hign ding ban kiém tra GPP cita b6 yt Ca sé vat chat. ‘Xay dung va thiét ké: Dia diém cé dinh riéng biét, khu tung bay bdo quan riéng biét dim bao kiém sodt duge mdi tring bio quan thudc. B6 tr noi cao rio, thoang mit, an todn, cach xangudn 6 nhiém. ‘Trin nha e6 chéng bui. ~ Tudng va nén nha phing, dé vé sinh, tau rita, Dién tich phd bop voi quy mé kinh doanh, C6 khu vue ngudi mua thudc tiép xe va trao déi thong tin. + C6 bdn rita tay cho nhdn vién va ngudi mua thude C6 Khu vue rigng dé ra lé thude. Khu vue ta lé cach Ly véi Khu vue bao quan trumg bay. C6 Khu wu tu van (khu vie ur van dam bao durgc tinh riéng tu) M@ pham, thye phim chi ning, dung ey y té dé khu vue ring, khng anh huong én thude. > Véco si vat chat nh’ thuée Linh Phuong thye hién ding bin kiém tra GPP cha bd y té (Cain yto sy ce shave a Wc dmg) fin ar ainchy ch ang TRANG 10 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH Trang thiét bi. © Thiét bi bio quan thude e6 dd ti, quay bao quan thude - TU, quay, gid, ké dé vé sinh, dim bao tham my. = C6 nhiét- am ké( da higu chudin), c6 sé ghi chép theo dBi, - Noi bin thude dit nh sing dé dam bio ce thio tic din ra thuiin loi va khong nim lin. - Anh séng mit wei khong chiéu true tiép vao noi trung bay, bao quén thude. = Corsres thiét bj bao quan dé dap tng va yéu cdlu bio quin ghi trén nahin. Noi ban thude duge duy tri nbiét dO dur6i 30 d6.C, dO im nhd hon hole biing 75% ign bio quiin thude. (3d theo doi nhidteté, dB com) (may diéu hea bio qucin thuede cia mbit shud) TRANG 14 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH © Dung cy, bao bi ta C6 bao bi ra 1é thude (C6 bao bi kin cho thude khéng cn bao bi tiép xc tre tip. ‘Thudc ding ngoai vi thude quan ly dic biét durgc dé trong bao bi dé phiin biét, ‘Thude bin 1é khong dung trong bao bi mang tén thude khic bode chim noi dung quang cdo mot s6 thude khéde. Dung curalé vi pha ché don pho hop dé dé lau rita, Lim v¢ sinh, * Ghi nbin thude: ‘Thuée bin 1é khéng edn bao ngoai cia thude duge dinh kém theo cée théng tin sau: tén thudc, dang bio ché, ham lurong, ndng dé. ‘Néu clin phai 6 thém thong tin: cdch dimg, lidu ding, sé Min ding. > Vé trang thiét bi, nba thude Linh Phuong the hién ding ban kiém ta GPP cia bO yt HO sors6 sch ve tdi Hea chuyén mon. * HO so phip ly nhur gily chimg nhdn ding kf hd kinh doanh, chimg chi hinh nghé cia duoe i phy tréch chuyén mén, gidy chimg nhan dat nguyén tie itu chudn thie hank térnhi thude, gidy chimg nhan ding ky kinh doanh thude, © C6 hd so rhfin vin (hd sor gém: hop dong lao dng, gidy khiim site khée. bing +h, caie ching chi dio tao). cp chuyén mén, ser yéu Ii © Tai liéu hung din sir dung thude: + Cé tai ligu hurong din sit dung thude: + C6 cae quy ché chuyén man duge hién hanh. TRANG 12 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH + Cé internet d8 tra cia thong tin © HO so s6 sich $6 Iuong hoat déng kinh doanh thude + Theo doi sd 16, han ding thude va cde vin dé o6 1itn quan. + Lum gir hé ser sé sich it nhit mot nm ké tir khi thude hét han ding. + Theo doi dug ligu lién quan dén bénh nan: don thude hoge bénh nhjin edn lun y + HO so, sé stich 6 thé tra ciru kip thoi khi edn thiét # Xily dung va thye hign edie quy trinh thao tie chudin C6 di cée quy tinh theo yéu cdu ( ndi dung quy tinh ding ya phi hap véi hoat déng nha thude) + Quy trinh mua thude va kiém soat chit hrong. + Quy trinh bin thude theo don. + Quy trinh bao quan vi kiém soat chat lugng + Quy tinh giai quyét voi thude bi khidu nai howe thu héi Clie quy trinh thao tic chun cita co sé do ngudi €6 thiim quyén phé duyét hoe ki ban hanb, Nbdn vién bin thudc dp dung thuc hign dy di cae quy trinh, > Véhd so sO sich va ti ligu chuyén mon, nha thude Linh Phuong thue hign dung ban kiém tra GPP cia bd y 1¢. Neuon géc. © Cébéso cdc nha ung img thudc 6 uy tin bao gdm + Ban suo gifiy chimg nhin di diéu kién kink doanh thuée. + C6 danh muc ede mit hang cung ting. +C6 liu héa don mua hang hgp 1é. + Tit ca thude tai nha thude 18 thude duge phép fim hanh hop phap (co sé ding ki hodc cd gidy phép nhap khau). © Nha thude 66 day di: cae loai thude ding cho myén C trong dank muc thude thiét yéu Viet Nam. >. Véngudn géc thudc. nha thude Linh Phuong thuc hién ding ban kiém ta GPP cia bd y t& TRANG 13 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Thue hign chuyén mén nghé nghi¢p. Nhan vién nba thude nim duge quy ché ké den wa biét cdef tra tru dank mue thude khong ké don. Khi ban thude ngidi ban 1é c6 boi tigudi mua cée thong tin vé tigu ching bénh, vé tinh trang neuii dimg thude dé wanh ri ro khi ding thuée. (C6 kiém tra don truce ki! cin Nba thude ¢6 bién phip theo dOi vide bain thude ké don. Khi ban thude ngwoi biin 1é e6 wr vin va thong bio cho nguéi mua: + Sw lira chon thude phit hop. +Ciich ding thudc. + Céic théng tin véthude, tic dung phy, tuong tic thude, ede cdnh bio vé thude. C6 hudng din sir dung vira bing Idi néi vita ghi nhin theo quy din. Khi giao thuéc cho ngubi mua ngurdi ban 1é thude o6 kiém tra déi chiéu cdc théng tin sau + Nhin thude. + Chat long thudc biing cm quan. + Loai thudc. +S luong. Ngudi bain 1é thudc, co sé bain Ié khong thye hiinh cic hoat dng quing cfo thude trai voi quy dinh vé thong tin quang cio. Thude o6 di nhan. Nhin thude va thude bén trong ding, khép voi nhau. Sfip xép thude: + Slip xép gon gang dé ly wink nhim Lin + Slip xép theo diéu kién ghi wén nhan. + C6 Khu vue riéng cho thude ké don. ‘Thue hign gid thude ding quy dinh va khong cao hon gid niém yét. > Vé thuc hién chuyén mon nghé nghiép, aha thude Linh Phuong thue hién dung ban kiém tra GPP cia bd y té TRANG 14 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Kiém tra — dam bao chdt heong thudc. C6 kiém tra kiém sodt thude khi nhip. + Han sir dung cia thude, + Thude con nguyén ttrong bao bi géc cila nha sin xuit. + C6 kiém soat chit rong bing cm quan. C6 thuc hanh kiém sodt chét hong thude dinh ki va d6t xudt. Tai thi kiém ta khdng phat hién ede loai thude sau: + Thude khong duge fin hinh + Thude qui han sir dung, + Thudc khéng ré ngudn géc xudt xix. + Thudc gay nghién. + Thude bi dinh chi va thu hoi nhung khong duge phat hign va khong bide tit. > Vékiém tra-dim bao chét hrgig thude, aba thude Linh Phuong thue hign ding ban kiém tra GPP cia bo yt. Giai quyét déi vai thude bj khidu nai hode bi thie hai C6 tiép nhdn thong tin hoe fru ede thong bio vé thudc khiéu nai, thude khong dwoe phép lun bin, thude phi thu hoi. (C6 thu hdi va Lip hé so thu hdi theo quy dinh, 6 kiém ké d6i vei thude khidu nai, thude phai thu hoi. (C6 théng bao thu hdi cho khach C6 1rd lai noi mua hoge hay. (C6 béo céa cho ede cap theo quy dinh. > Vé vide giai quyét déi voi thude bi khiéu nai hodc bi thu hdi, nha thude Linh Phuong thyc hign ding ban kiém wa GPP cita bO y t&. 4. Tinh binh bén/nhdp thude. a. Ce hh dag tris nna (header Nhan vién ban hang thudmg xuyén kiém tra va theo doi sé rong thude con trong nhi thudc, thudc sip hét hing sé ghi tén vio sé ghi chép dé dit hing cong ty dirge Sf giao. TRANG 15 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Nha thude cd thé Ip ké hogch mua hing thuéng ky: hing twin, hing thing, hing quy bofic dt xuat khi thudc bin nhiéu, hét thude nhanh, Khi lip ké hoach mua hing phai can ctr vao: + Danh mite thude thiét yéu: 1A nhimg loai thude wba thude ban nhidu, khdch hang xung quanh nha thude hay mua. + Co cdu bénh uit, nhu cdu thi turdng trong ky kinh doanh: vao cdc théi diém ma 6 mt sé bénh dich theo mua nhu thiy dau, sét virus, st xudt huyét..-hay khodng théi gian giao mila nguéi dan hay bj mic bénh cam ctim, ho, sdt...do vay nha thude cdn kip dy th kip théi mua cdc logi thude dé vé bin, + Luong hang tn tai nha thude: ludn theo dOi lueng hing tin wong nba thude dé kip théi dat hang trinh tnrong hop hét thude dé bin cho khich hang. + Kha ning tai chin cia nba thude: luong hang hoa dit nhidu hay it ty thude vio kha ning thi chinh cia nha thude. 42. Nyudn cung dug. a. Lara chon nha phan phoiz ¢ Cae nguén dé nam bit thong tin vénha phan phoi: Cae co quan quan ly nha nude ve y té bO y té, so y té thinh pho. Cac phurong tién truyén thong dai hing: bdo, dai truyén hinh, to roi... Qua neuiti gidi thigu thude, han vién ban hang, ngudi tring gian. Qua kiém tra diéu kién kinh doanh thue té. Qua lign lac dign thoai hodic tham gia true tiép. © Nhimg thong tin vénha sin xual, nh cung img cin durge tim higu: Cé div ur eich phip nhin, c6 uy dn trén thi teudng. Chinh sch gid ca, chinh siich phn phéi, phuong thée thanh todn phd hop. Chit luong dich vu: + Baip img duge yéu ciu bao quan hang hda. + C6 dit cic didu bao. quan trong qué tinh vain chuyén. + Thai d6 dich vu tt (dap tmg don hing nhanh, dich vu chim sbe khieh hing chudio...). TRANG 16 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH © Lp “danh muc cdc nha phan phdi": dién thoai, dia chi ngubi lién hé bing phan mém quan Ly. © Cie thong tin vé sin phim do nha ung tng gibi thigu edn duge tim hiéu: Nha phan phéi phai cung cap gidy di diéu kién kinh doanh thude. Phai durge phép liru hanh trén thi trudng, c6 sé ding ky C6 chit hrong dim bio: df qua kiém nghiém, c6 céng bio tiéuchudn chat luung., Lua chon trinh dicot vien. Ngoii ra, mt s6 trinh duge vién cia ede céng ty dén nba thude dé gidi thigu cde sin phim thude. nhit thude c6 thé déng § mua hing néu c6 uy tin, chit long thude 151 va gidca hop ly. 43, Thoi diém mwa bang: Mua hing thuémg ky: hang win, hing thing, hang quy hay mua hing dot xudt khi hing sip hét dé teanh hét thude ban cho khach hang Vao cic théi diém giao mia ngudi din hay mac bénh va thi diém bénh dich xay ra. 44, Ciich tinh gid ghe "Dina theo die tinh sim pham, gid svi sin phém dé lam gid cho pha hop. Cu the: Nhiing mic hing gid tri cao, khé bin: 1i Id loi abujin cao. Nhimng mic hang gid tri cao, dé ban: ti 1é toi nhudin thap. Nhiing mac hang théng dung: ti 1@ loi nhudn thdp. Nhiing mit hing ¢6 gid ui duéi 1000 VND, sé duoc Kim trbn thinh 1000 VND trong hic bin Ie. Nhiing mat hing cé gid tri thap : ti 1 loi nhudin cao. 45. Nhin xét. a. Citic lagi thuae diac ban ra nhieu saé nha thude. ‘Thudc da diy, té tring: bénb nhin kh:im tong bénh vign m’ khéng c6 bao him y té ra nba thuédc mua thudc. Vi mua tai nha thude nhanh hon, dirge phuc vu tét, nan. vién tr vain each sir dung 4n can. Nhém thuée khang sink, gidm dau, ha st: do day ld nhitng thude diéu tri abime . ho, viém hong mA ngudi din hay mie phai khi thdi tiét thay déi, 06 thé dé sir dung khong céin toa cia bac sf. bénh cim cut TRANG 17 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Nhém thudée tim mgch, huyét dp: bénh nbn khém trong bénh vign ma khong cé bao hiém y té nén ra nha thudc mua thudée nhanh hon, duge phyc vy t6t, ahin vi wr viin cach sir dung thudée an Ngoai ra, mét sé mit hang nhwr thue phdm chit ning, khdu trang y té ._.ciing duroe ban nhiéu 6 nha thude. Tinh hinh ban thudc theo te khai bénh: - Khoang 45 - 50% khich hang dén mua thudc khéng ké don nhu nhém cam ctim, ho, 96 moi, dau da day, dau bung. - Khikhich hing dén niin vién tigp dén va chio hoi khach - Khach hang dén 6 thé héi mua mét sé loai thude cu thé hode tu khai bénk. Nhin vién bin hing can tim hiéu thang tin vé vide str dung thude ca Khéch hing: = Tredng hop khich hang mua mét loai thudc cu thé nén can tim hiéu va xéc dinh vige sit dung thudc dé didw tri bénh/trigu chimg bénh nhan dang mde ta ding hay khong. + Thude c6 trong dan mue, thude phai ké don hay khong. + Thude duge mua dé chita bénh/ triguchimg gi. + Déi trong dig thude ( gidi tinh, tudi, tinh tang ste khoe, ch dang bi bénh man tinh nao khong, dang ding thudc gi, higu qua, tic dung khong mong mun...) = Tring hop khiich hang hai va tw vein diéu tri mat sé chimg bénh thang thedng in tim hiéus + Ai ding thude, mie chirng bénh gi, biéu high, thoi gian mic chimg bénh, ché dé dinh durdmg, sinh hoat. + Bénh nbin dang mic bénh min tinh gi, c6 ding thudc gi khdc khong. + BGnh nhan 43 ding thude gi dé tri bénhy trigu ching nay chua, ding nhur thé no, hiéu qua ra suo. Nhan vien sédura ra nhing 1éi khuyén di vei timg bénh nban cu the: + Giai thich, ur van va huéng dan khich hang sir dyng ding thude, ding bénh. ‘Trong wiring hgp can thiét, khuyén bénh bin di khim va mua theo don cla bie si. + Trao di, dua ra loi khuyén vé ché dé sinh boat, dinh durdng phd hop voi tng doi trong, timg chimg bénh cu thé. TRANG 18 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH cic théng tin cy thé vé cdc loai thudc phi hgp voi khach hang dé khich hing Iya chon i héa don. Nhan vién ban hang lay thude va tinh tién, ghi Cho thude vao bao, g6i, ghi 15 tén thude, ndng 46, ham long, céch ding, thei gian ding cua timg thuée Nhin vign hing din, gidi thich cho khdch hing dinh, tic dung khong mong mudn, é tic dung, chi dinh, chdng chi du lung va cdch ding Kiém tra va giao hing cho khich. Cimon khich hing. Gitt bi mat thong tin khaich hang. Tinh hinh ban thude theo don igi nha thud. Khoding 45-50% khich hing dén mua thude theo don nhu mdt sé nhém tim mach, huyét ép, tidu duting. Khach hing dén nbfin vigi bain hing tiép don wa chao hoi khich, Nban vin ban hang kiém tra tfah hop 16 cia don thude: + Don thude ding theo miu quy dink. + CO du tn, chit ky, dia chi, du phéng khdm/bénh vign cia bac si. + Bom thude edn trong théi hgn mua thude (5 ngay ké tr ngay ké don), + Kiem tra tén, tudi, dia chi bénh nhin. + Kiém tra don thudc, néng 8, him long, sé long, céich ding, liéu ding, cfich phdi hop. Nhan vién ban hing Iya chon thude: © Tring hop don thude ké don biét cuore: + Bin theo ding biét durgc ké trong don, + Trudmg hyp aha thude khong ¢6 yéu clu durge nr vin dé Iya chon thude phi. hgp voi didu kién cham Duye si'sé trvin va gidi thigu thude khdic cho khich hing durge ké trong don hofic Khi khiich hing h thi = Tring hop don thude ké tén gde hode o6 yéu cau te van, gidi thiguthude: + Due sidai hoe méi e@ di thm quyén tw viin vi thay thé thude trong don. TRANG 18 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH + Gidi thigu cic bigt duye (cing thinh phan, him lugng, dang bio ché, ude dung, dang bio ché) kém theo gid ci ting logi dé khich hing tham khdo va chon loai thudc phi hop véi kha niing kinh té cia minh. + Ghird tén thude, 9 luong da thay thé vie don. Lay thude theo don cho khach hang. Khach hang 6 thé léy di don thude bode chi Lay mat phan don thude: Tinh tién. Ghi lai sd lugng thude ban ra va don gid dé Iuru lai Cho thude yao bao, goi, ghi rd him long, ndng dé, cich dang, thdi gian ding ctia thude theo don da ké. Huéng din, gidi thich cho khdch hing vé tée dung. chi dink, chong chi dinh, Wie dung khong mong mudn, liéu lugng va eéch ding thude. Kiém tra va giao lai cho khach hing. Cam on khiich hing. Giit bi mat thong tin khach hing. 5. Thing tin gidi thigu va hung din sr dyng thudc. S41, Nhimeg quy dinb chang: ‘Thong tin thude 1A viée thu thap vi/hode cung cap ede thong tin ¢6 1ién quan dén thude nh chi dink, chéng chi dink, liéu ding, edch ding, phan ing €6 hai cla thude, phong ngira khi ding cho nhiing nhém nguédi die biét (Tré ti, phy nit cb thai, phu nit cho con ba, ngudi cao tudi va ele dé; tuong khie) cla don vi, cd nhan 6 trich nhigm théng tin thude nhiim dap tg yeu cau thong tin cia cae don vi, cl nhdn dang trye tiép hank aghé y, dure hode cha ngudi sir dung thude Hi thao gidi thigu thude quy dinh tai Thong nr nay 1a cde budi gid phim thude hode thao lun chuyén dé khoa hoc cho can bO y té c6 Lién quan dén inh doanh thude t chife, Lai try thude do cae don vi ‘Quang edo thudc 12 hoat dong gidi thigu thude do don vi kink doanh thude, Neudi gidi thigu thude ld nguéi cha don vi kink doanh thude trén linh thé Viet Nam duge don vi niy phiin céng lim nhiém vy giéi thigu thude cho edn bé y té ‘Quang cdo thuéc trén cite phurong tign quang cao khéc 14 céic heat ding quing cdo duge chuyén tai trén cdc phuong tién chua duge dé cp trong Théng tu nay. Théing xin, yng cio tebe: TRANG 20 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH © Trach nhiém chung vé thong tin thude BO ¥ té, Si Y té ede tinh, thanh phé tre thuée Trung wong, Y té nginh va ede co so khim bénh, chia bénh (sau diy goi chung li co 6 y té) co iréch nhiém t6 chie iia thude; kip thoi thing bio ti ede 6i trong ké dom va sir dung thudc nim dim bao. sit dung thude hop ly, an toan va higu qua. Trung tim Quée gia vé thong tin thude vA theo doi phan img c6 hai cita thude 6 tnich nhiém giip BO Y té trong vige thu thdp, tong hop, phan tich, théng tin thude va theo doi phan img c6 hi bao cdo va cung ciip cdc théng tin cd én quan dén thuée, cde phan ing o6 hai cha thude © ‘Thdng tin thude eta ce don vi kink doanh thude: Co sé bain 1 thude cung cip nhimg thong tin e6 lién quan, hudng din sir dung thude khi bin 1¢ cho nguisi mua thude; thu’ thap va bdo edo phan img e6 hai cia thude, cde biéu hién suy gidim chat lugng thude Wi eo quan quan ly chuyén mon wee ti. Co sé bin 1é thude phai chiu trich nhiém vé nguén gée cia nhimg tin/quang cdo thude dang duoc tnme bay, gidi thigu tai co sé min! ede den vi kink doanh thude/hoge naurdi duge uy quyén phan phat nbiing ti ligu u thong chi cho phép théng tin, quing cdo da duge chip thudn ctia Cuc Quan ly duoc Thang tin dé gidi thiéu thudc cho cén bG Y Te. © Cac hinh thie théng tin dé gidi thiéu thudc cho can bd Y Té Thing qua "Newdi gidi thigu thuéc" Phiit hanh tai liéu thng tin thudc cho edn bd y 1. HOi thao gidi thigu thude cho can bd y té. ‘Tnmg bay, gidi thigu thude tai cdc hGi nghi, hi thie chuyén nginh y té © Tréch nhiém va gidi han théng tin dé giéi thidu thude eho cain bo y t& * Bon vi kinh doanh thude hose don vi duge ity quyén chi duge thong tin dé gidi thigu cdc thudc thudge pham vi didu chinh cia Thong tr nay cho cain bO y 16, © Noi dung thong tin thude gidi thigu cho cén bé y té Khong can phai ding ky voi Cue Quan Iy due: Cée thong tin vé thude di dure Cue Quan ly dirge chap nhan trong hé so ding ky thude, bao gom nhan thude va te hudng din sir dung thude. TRANG 21 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH © Neudi gidi thigu thudc: Chi cé nhing ngubi di duge cip thé “Ngwdi gidi thigu thudc” méi duge cung cp théng tin, gidi thigu thude cho cain bO y 18. © Neu gidi thigu thude phai 06 dit efie digu kign sau diy: La can bd y, duge ©6 trinh 4} chuyén mon tirtrung cp tro lén. Trudng hop ngudyi gidi thigu thude 1a cain b6 y, duroe e6 trinh dé chuyén mén trung cap thi phai cé them eae digu kign sau +C6 it nbdt hai nim hoat dong tai co si y, dure hyp phap. + Durge tp hudn theo huong trinh khung dio tao cho ngubi gidi thiéu thude do Bo ¥té quy din. + Da dire don vi tuyén dung hudn tuyén, dio tao. + Cé du kién thire vé nhing thude duge phan cing gidi thigu, hiéu bit cde van ban quy pham phip lait vé duge cé lién quan. © Noi dung tii liéu thong tin thude cho can bd y té Tén thude: co thé ding tén biét duge hose tén gbe. ‘Thinh phn hoat chat Doi V6i thude tin durge: Ding tén theo danh phap quée Doi vai thude c6 ngudn goe duge ligu: Dung tén theo tiéng Viet (trir ten dirge Ligu © Vigt Nam chuta 06 thi ding theo tén nguyén ban nude xudt xir Kem tén Latinh) Dang bio ché. (Cong dung, chi dinh. Ligu ding. Ciich ding. ‘Tae dung phu va phan tng e6 hai. Chong chi dinh va than tong, Tuong tic thude ‘Tén va dia chi cita co sb sin xudt va phan phdi chinh. Nhitng thong tin méi ding 4é tham khdo va nhing wii ligu dé chimg minh ngudn géc cla nhitng thong tin do, Danh mye nhitng tai ligu da diroe ding trich din. TRANG 22 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Luu ¥ vé tong tac thude: nhitg loai thudc mio khong durge sir dung déng thoi wong thii gian tim (hoje uéng) vie xin, sinh phim y té ding dé phong bénh; khi da sir dung vac xin, sinh phim y 1é dimg dé phong bénh thi khing durge sir dung nhitng loai thude nao. Cach sir dung: vi iri tiém (tiém bip, tiém dudi da, tiém trong da). Tai bién co thé xay ra va edch Nir LY: tai bién Som, tai bién mudn. Qucing ceo thudc: © Cie loai thude dirge quing cao: Thude thude Danh muc thuée khong ké don do Bé Y té ban hanh va 66 $4 ding ky dang con higu luc duge quing céo wen séeh, bao, tap chi, w ni, bio dign tir, website ciia doanh aghiép, website cia don vi Kim dich vu qudng edo, phuoing tign giuo thing, vét thé di dOng khac va trén céie phuong tign quang cdo khiie Thudc duge BO Y té cp sé ding ky lum hanh tai Viet Nam, 6 hoat chat chinh nim wong danh myc hoat chat thuée duye ding ky quang cio wén phit thanh, tuyén hinh do BO Y té ban hinh duge quang cao én phat thank, wuyén hinh. * inh thire quéng cdo thuée tai nha thude: Do trinh duye cia eie eding ty Dupe thye hign bing hinh thie: Quang edo tren sich, bao, tap chi, i roi, dp phieh. * Noi dung quing cdo-thudc phai phi hgp vdi cdc ti ligu sau day: ‘Té burg din sir dung thudée di durge BO Y¥ 12 (Cue Quin If durae) phé duyét. Chuyén lufin vé thude dé di due ghi trong Duroc thir Qué gia hoje trong efic thi Tigu vé thude da durge quée té cong nhan. © Clic ngi dung quang cio ‘Tén thude: 14 tén trong quyét dinh cp sé ding ky um hanh tai Viét Nam ‘Thanh phan hoat chat + BOi voi thude tin duge: Ding tén thee danh php quéc 1é; + Doi vGi thude eG ngudn gée dire ligu: Ding tén theo tiéng Viet (init én durge ligu 6 Vigt Nam chua c6 thi ding theo tén nguyén ban ude xudt xr kem tén Latin). Chi inh. Cich ding. TRANG 23 SVTH: LA LINH PHONGBAO CAO TOT GVHD: DS CAO THI THIEN ANH Litu ding. Chéng chi dinh va/hodc nhimg khuyén cdo cho cic déi tugng dic biét nhu phu nir 6 thai, ngudi dang eho con bi, tré ti, ngudi gid, ngudi mae bénh man tinh, Tée dung phil va phan ting c6 hai. Nhimg diéu cin tréinh, lun ¥ khi sir dung thudc. Tén, dia chi cha co sis san xudt thude (C6 thé thém tén, dia chi ab phéin phéi). Loi din "Boe k¥ huéng din sir dung mrae khi ding", Cudi trang dau cita tai Higu quang céo thude phai in: +86 Gily tiép nhan hd so diing ky quang cao thude cha Cue Quan ly duge: +XXXX/XX/QLD-TT, ngiy.... théng ... nm; +Nedy thing... nim... in ti liéu. TRANG 24. SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH VE VAN bE DUNG THUOC 1, Déi yéi khiich bang ‘Tdm vée: cao, thip, map, dm Gidi tinh: nam, nit ‘Tudi: so sinh, tré em, thanh nign, gid ‘Tinh trang ni tiét: phy nit mang thai, bénh niin c6: bénh vé tuyén nOi tiet Dinh dung: ché 46 An uéng ddi voi viée dang thude ‘Tinh wang béni ly: bénh nhén mét moi, than gan yeu Di tuyén: din téc, men chuyén héa Ngoai cdnhcdimng thudc va ché dé nghi ngoi, git ding thudc hop ly Su quen thude: phai ting liéu hodic thay ddi thude khie. Phai phiin bide sur nghign thude va su quen thude 2. Nbimg during ding thudc thuing gp ‘Chon dutmg ding thuée thich hop sé dim bio tie dung i Ligu ya an an ‘Udng: uéng bét, vien, sir, dung dich + Uv: dé ding va wrong dian toan + Nhuye: tic dyng khong nhanh, vai dang thudc khé uéng ‘Try tring : ding dang thude dit hoc bom + Ulu: Tae dung tai chd bode tan than, tie dung nhanh, khong bi dich eu hoa phan hay, thich hop cho bénh nhan khong udng duge + Nhuge: khong thim mj khi sir dung, kho bao quan & xtrnhiée doi + Uv: tie dung nhanh,thude khing bi dich Géu héa hofe gan phé hiy . Wi du Vitamin B12 + Nhuge: nguy hiém, it an toan, dung cu, k9 thudt tiém phai dat yéu cu. Nén ding éng chich mot lan 1di bo + Cac binh thie tiém = tiém bap (1M ), tim tibh mach (IV), tiém didi da, tiém vai tiry sng, tiém vao mang byng, tiém vio khép, tiém vao déng mach, im trong da 3. Cée dang bao ché throng gap: Siro ( Sirop — Syrup) nhw: SP Phénergan, Thémalene, Passe dyl... ‘Ong udng (Ampoule Buvable ) nhwr : Pécaldex, Arphos, Armilose,.. ‘Ong tigm ( Ampoule Injectable ) nhur: Becozyme, Durabolin, Licocin,. Han dich (Suspension ) nhu : Caleigenal, Varogel, Phosphalugel,. Nh tong ( Emulsion ) nhir : Créme Voltaren, Hydrosol,... Vien nén (Comprimé — Tablet ) nhur : Panadol, Sulfatrim,... TRANG 25 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH Vien bao (Drigeé ~ Coated tablet — Filmcoated tablet ) hu: PH8, Terpi Gonnon, Optalidon, Vign nang ( Capsule ~ Gélule ) nhtr : Ampicillin, Amox, BC Complex... Vien sii bot ( Effevescent ) nbu : Alka —Seltzer, UPSA — C. Supradyne... Vien phu khoa (Comprimé Gynécologique ) nhur : Polygynax, Tergynan, Myecostatin, Vién nhiéu lop nhur : Alaxan, Bi ~ Profenid,.. ‘Thude mo (Pomade, Ointment ) nur : Pd Tetra, Chloroeid H ‘Thude nho mit ( Collyre — Ophthamic Solution ) nhur : Sulfableu, Tifomycine, Polydexa,.. ‘Thude dan ( Supposition ) nhu : Fébrectol, Préparation H, (Ciic dang thudc khde ( Transdermique ) nhu : thude phun mi ( Aerosol ), thudc din xuyén qua da ( Transdermique ), kem thude ( Créme ), du thoa, dng hit ( Inbaleur ) 4. M@t sé nhom thude thirimg gap : od Thadc khang siah * Vai nét vé Khai sinh thude tir ngudn gde vi sinh vat hod tir ngudn gde tang hep, ban tang dung ngiin can hay diét vi sinh wat gay bénh phatwién Kising sinh hop. Voi trong co thé. * Nauyén tic sit dung khang sinh: Phai biét chic chin ¢6 nhiém khudn, nhiém nam. Lay bénh phim Lim khang sinh dé-réi chon khang sinh nhay cam nbit. Ding ligu cao ngay tir dau va ngung thude hin khi khOi bénh (trir bénh thuong han udng litu ting din). ‘Thor gian sir dung: 5 —7 ngay. Khang sinh diroe chia thanh nhirng nhém sau: du didu tri, 06 ts P- Lactam Aminosid Macrolid Chloramphenicol Tetracyclin Lincosamid Quinolone Sulfamid - Polypeptide Va cée loai khie: Metronidazole, TRANG 26 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Virginiamyeine, Pristinamyein. 6.2 Nhém khdng sinh B- Lactam LA nhiing khiing sinh trong cdu tric phiin tir e6 chita vong beta lactam. La nhém khang sinh digt khudn. Goin 3 nhém: nhom ede peni, hom ede cephalosporine, nhom cde beta lactamin khic Co chi Khudn: tre ché su tng hop Peptidoglyean (1a thanh phin chinh cit viich té bio vi khuan) do canh tranh voi enzyme D-Alanin Synthetase va tic dng len PBP. * PENICILLINE: a. Penicilline nhém G: - Benz: BD: Penicillin G. Dong lo 1.000 000 dvi. Cong dung: cic bénh nhiém khwdn huyél, nao, hé hip, migng, tai mai hong, & mit, tiét nigu va sinh dye, da,... - Phenoxymethyl PNC (PNCV, BD: Oracillin. Dong vién 1.000 000 dvi Céng dung: viém hong. viém phéi, abces ring. Bénh Iu do Neisseria thing lim véi penicillin. Khong ding cho bénh nhiém khudn ton than va trim wong - Peni dao thai chim: benzathyl PNC BD: Exteneillin. Déng 1p 600 000 dvi, 1.200 000 dvi, 2.400 000 dvi Cong dung: thip khop, giang mai wa Wu.. b. PNC nhém Mz - Isoxazoly PNi BD: Cloxacilin. Bong vién 250mg. 500 mg. Oxacilline ( Oracefal 00mg) Cong dung: cic bénh do tu clu & phdi, tai mai hong, da, xuong, sinh duc va et niéu. ¢. PNC nhém A: TRANG 27 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH ~ Aminopenicillin: sir dung bing dutmg uéng. + Ampicilline. Ding vién 0.5g. Dong lo Lg. COng dung: nhiém tring ado, phdi, huyét, ming trong tim, tiétnigu va sinh due. Phang va tri boi nhigm trong bénh ho ga visi. - Pro-ampicilline + Bacampicilline, BD: Penglobe, déng vién 0.4g, 0.6g. Cong dung: giéng Ampi nhumg liéu ding thdp hon do théi gian bin huy dai, - Amoxicilline. BD: Clamoxyl 0.25g. 0.5g (vign vi g6i bot) Hicocil Céng dung: giéng Ampi nhumg ligu diing thip hon do thdi gian bin hiyy dai. * CEPHALOSPORINE: gdm 3 thé hé: @ Thé hé 1: Te dung én VK Gram (+), (-) nhurng khong higu qua voi VK tiétra cephalosporinase. = Cefiiclor (BD: Alphatil, Keflor, Iclor, Cefaperos) + Dong vien 0.25g, 0.3752. Dong g6i 0.25¢, 0.1252 - Cefudroxil (BD: Oraeefal, Biodroxil, Ope-droxil). Vien 0.5g. Goi 0.25¢ - Cefalexine (Ospexine, Cepha...). Vien 0.5g. G6i 250mg. - Cefadrine 500 mg (Alcept 500mg) TRANG 26 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH b. Thé hé 2: t.d dc bidt trén Halmophilus influenza, khong td Pseudomonas - Cefuroxime (Zinmat, Cefin, Zinacef). Vien 0.25g. Lo 15g c. Thé hé 3: td manh trén Gram (-) gdm: Ceftriaxone (Rocephin) Cefotaxime (Claforan). Lo 05g, 1g. Cefixim (Oroken,Cexim, Gramocef 200), Cefodoxim (Orelox) * Caicchit te ché men beta lactamase: Acid clavulanique, Sulbactam. Dang phdi hop: td duroe déi voi tu cu tiét pénicilinase - Amoxicilline + Acid clavulanique --- BD: Augmentin 0.5g (vién, g6i) - Ticarcilline + A.Clavulanique > Timentin. ~ Ampicilline + Sulbuetam — Sulfamici ine (Unasyn 375mg) 63 Nhom AMINOSIDES * Dai euong ‘LA nhimg Heterosides edu tnic gam 2 phan: ~ Genin: Sreptidin, Sueptumin, Desoxy 2 streptamin - Oxamin: Neosamin... * Co ché diét khuin: gin vao Receptor 30S cita phitc hop mRNA-Ribosom 30S-f-meth tRNA —> VK s& doc sui mii va sé 0 nén protein khéng hoat tinh. * Phan loai ‘Thign nhién va bin tong hop * Tac dung digt khudin TRANG 29 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH 1. Streptomyciie = Bang lo Ig. I Gentamycine - Dong lp 40,80me. I- Kanamyeine - Dong edi Le 1V- Nelilmycine (Netromycine) Bin ting hop — Dong dng 25, 50, 100, V- Néomycine VI-_ Spectinomycine (Trobicine) VIL- Dibekacin: bin tong hop ‘VII Amikacin: ban téng hop IX. Arbekaein: bin téng hop * Pho khding khudn: VK Gram (-), true khuin lao. 64 Nhém MACROLIDE *Co ché diét khudn: tie ché su tong hop Acid Nucleatid ciia té bao VK. “Tae dung kiém khudin * Erythromycine — Dong vién, g6i 250, SO0mg Dang base dé bj phn buy boi acid da diy, Nén throng ding dang stearat, suceinat. CCB: két hop voi Ergotamine (nim cya gi), théophylin. * Spiramycine TRANG 30 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH BD: Rovamyeine 1,5 MUI—3 MUL ‘Dang vién, dong g6i 0.375 MUI; 13 MUL Loai phéi hop Spiramycine + Metronidazole + BD: Rodogyl (P), Dorogyl (Domesco). * Rox ythromycine BD: Rulid Dang vin 150mg * Clarithromycin (Zeclar Klacid) * Azithromycin (Zitromax, Aziwok), tri cde nhiém tring kh6é chia 6 nhitng bénh nhan AIDS, 65 Nhéie LINCOSAMED * Tac dung digt khudin *Lincomycine BD: Lincocin Dong vien 05g Dang dng 0.6g Duge ding thay thé cho péni va ery khi di img voi hai thude nay, Clindamycin: ding thay thé lineocin vi c6 hoat tinh manh hon lincocin. BD: Dalacin 150, 300, Neozacin 150 66 Nhém GLYCOPEPTID * Vancomycin: Dang udng ding tri viém rudt mang gid tai bénh vién. TRANG 31 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH 6.7 Nhéom CHLORAMPHENICOL *Thude loai khing sinh kiém khudn, cht tri Gram (- ):salmonella, H.influenza, Neissenia, Bacteroides tragili Cloramphenico!: - Dong vien 0,25¢ = Lo nho mit 0.4% (Cloraxin) = Thiamphenicol: duge ding tr) nhiém ting dudmg tigu va durémg mit vi thai trir qua nude Ligu va mat & dang cOn boat tinh BD: Thiophenivol 68 Nhim POLYPEPTID * Co ehé digt Kchudin: Lam xo trOn tinh thim thiu cia ming té bio VK. TRANG 32 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH ‘Tae dung diét khudin, do-e6 nhidu déc tinh va khong hip thu qua rugt nén dirge sit dung tai ché. © Polymycin B va E: ding tai ché dang thude mé tri nhiém tring da Chi ding udng dé tre ché cic vi khudn rudt biéu khi Gram (+) én bénh oh’in AIDS. © Bacitracin: ~ Dang thude mé: tri chée 18, abces. Thudng phdi hep voi polymycin hay neomycin. - Dang dung dich: 100 --- 200 UL.ml pha nude mudi dé nho mat khi viém két mac c6 mit, loét gide mae. - Dang udng: tri tigu chay do clos-difficile * Colistin (Colimycine, - Cho tri Gram (-) trir Proteus va Neisseri albican. Dic biét tri due nam Candia - C6 tic dung hiép ding wi Peni va Quinoton, - Nén uéng 1éu udng lic doi sé Lam mat cdc tap khudn rudt nhay cim v6i Colisti Proteus va tucéu dé khing tin vin dn tt tai trong rudt. Do thodt khdi sur canh tranh sinh séng ching s@ phat uién tén gip 100 Lin, gily bénh nhiém tring huyét. 69 Nha TETRACYLINE * Co ché: te ché sy téng bop protein cia té bao VK. * Thude logi kiém Khudn, Gam 3 thé hé: TRANG SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH -Thé hg 1: Tetracyline 0.258; 0,5g = Thé hg 2: Methacyclin - Thé hé 3: Doxycycline vién 100mg (Vibramycin) Minocyelin (Minocin 50, 100) * Céng dung: wi ede chimg viém dung tidu true trang, hét xoai, mét hot, mun, tigu chy, viém xoang 6.10 Nhém VAMIDE * Thudc logi kiém khuiin, Két hop Sulfamethoxazel + Trimethoprim (5:1) BD: Bactrim, Corim Dong vien 0,48g; 0,96g, (Fort) * Chi dinh: nhiém tring duéng tiéu khong bién chimg do E.coli viém két mae, viém rudt do Shigella, Salmonella, viém phéi, viém tai gi trig ho hip. TRANG 34 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH 6.11 Nhém QUINOLONE © Tae dung di¢t khudin trén Gram (+), (-) + Nalidixic acid (BD: Negram 0,5g). Ding cho trem tén 3 thing liéu SSmg.ke.ngiy - Norfloxacia (BD: Notoxine 0.4g) ~ Pefloxacine (BD: Peflacine 0,4g) iflox, Cipro 05g) = Offloxacine (BD: Oflocet, Zanocin 200mg) = Ciprofloxacine (BD: -Lomefloxacine (BD: Lomaday 0.4g). Tri nhiém dudng tring tidu, viém phé quan man. Liu ding 400mg.ngiiy trong LO ngiy. - Levofloxacin (Levopa, Levofiucin) 100 mg - Gatiloflloxacin (Gatifee! 200 mg. Tequin 400) CCH: té em nhd dui 18 tudi do gay sur tin thuong phat trién sun. - Nitrofurantoin BD: Furadantin. Tri nhiém tring durémg tigu do E. Coli, tring edu, wy cau, Klebsiella, Enterobacter ... ~ Metronidazole (Nhém Notro-5-Imidazole) (CD: nhiém tichomonas, amip 6 mdt va gan, nhiém Giardia + Tr duge viém mugt do clos-difficite TRANG 35, SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH - PhOi hop vi tetra, bismuth Subsalicyalat hay amox ti H. Pylori. - Fosfomyein: khiing sinh digt khuiin. Tée dyng tat uén ty edu. Khi sir dyng bait bude phai phoi hep véi mot khang sinh khac dé mé rong phd va trénh khang thude. VD: fosfo + vanco, fosfo + cefotaxim = Acid fugidie = fuci Do gily xdo tron tiéu héa chi ding ngoai tri C6 céu tnte steroid duge sir dung dur6i dang mudi Na. jim tring do tu ciu cdu khuin 6 te dung kim ~ Pristinamyeine: 1A Khéng sinh thuée nhém Synerigi: khudn. * Cong dung: nhiém khudn Gram +, dc bigt véi ty cdu nhiém khudn Gram - , nhung khong tri dirge giang mai nhiém tring tiéu do lau cau, Chlamydiae, Mycoplasma Biét durge: Pyostacine 500 Flagyl 500mg * ‘atte 5, Danh sich khudn giy bénh @ nguvi © Cocci Gram duong Staphylococcus aureus kh6ng tiét penicillinase tiét penicillinase Streptococcus pyogenes — (nhém A, béta-hémolytique) nhém B,C vaG nhém viridans Streptococcus faecalis nhém D, entéracoque = tring ciu TRANG 36 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Streptococcus ky khi Streptococcus pneumoniae (pneumocoque = phé cau) © Cocei Gram im Neisseria gonorrhoeae (gonocoque = Hu cau) Neisseria meningitidis ( wocoque = nao clu) Moraxella catarrhalis (hay Branhamella catarrhalis) + BacillesGram duong Hicu khi Baacillus anthracis Corynebacterium diphieriae Ky khi Clostridium difficile (viém rugt két ming gia) Clostridium perfringens (welchii) a pstridium tetani * BacillesGram 4m Entembacté ries Enterobacter Eschirichia coli Klebsiella pneumoniae Mogeganella morganii Proteus mirabilis Proteur vulgaris Providencia alcalificiens (trute day goi 1a Proteus) reitgeri stuartii Salmonella typhi Salmonella khac TRANG 37 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Shigel © BacillesGram dm khae Acinetobacter (Mima, Herellea) Bacteroides Bordetella pertussis (Ho ga) Brucella (brucellose) Calymmatobacterium granulomatis Camp ylobacter jejuni Francisella tularencis (tularémie) Fusobactéries Gardnerelta vaginalis Haemophilus ducreyi (ha cam mém) Haemophilus influenzae Helicobacter pylori Legionella pneumophila Leptotichia buccalis (angine de vincent) Pseudomonas aeruginosa (pyacyanique) Vibrio cholerae * Bacilleskhdng acid Mycobacterium tuberculosis Mycobactérium atypiques Mycobactérium leprme + Actinomyedte ‘Actinomyces israeli Nocardia * Chlamydia Chlamydia psittaci (psitacosis, ornithosis) TRANG 38 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Chlamydia trachomatis © Fungi Aspergillus Blastomyces dermatidis Candida albicans (monillia) Coccidivides Dermatophytes (tinea) Histoplasma capsulatum Mucor Sporotrichum Torulopsis + Mycoplasme Mycoplasma Pneumoniue Ureaplasma urealyticum * Spirochite Borrelia Burgdorfen (bénh lime) Borrelia recurrentis Leptospira ‘Treponema pallidum (CHON KHANG SINH THEO KHUAN GAY BENH Khuin giy bénh Bonh Un tién chon ‘Thude thay thé Chu Khun gram + ‘Abees mo mem, viem ‘Celalosporin Tu céu ving nhay cam | “phéi, no, mang tong Vaadoanyan pénicillin tim | Clindamycin Tu clu vang khiing SVTH: LA LINH PHONG Nhiém toan thin Erythromycin TRANG 38BAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH Gloxuciltin | Vancomy, | Clindamyein ‘Chie 16. viem phoi, nilo. | Erythromycin cé hong, mau, nhigm Lign cdu sinh madi nhom A | SONOS PA Bhs Penicillin | Cefalosporin Vancomyein Nhiém miu, viém ming | Cefalosprorin Liémcdu Viridans trong tim Ampicillin | Vancomys - Viém ming nfo, nhiém | Cloramphenicol Lién clu nhém B ae Ampicillin | | Erythromycin Nhiém dirdng tieu, | Cefalosporin Lién cdu Bovis nhiém miu, viém mang Penicillin trong tim | Vancomycin ‘Abees, viém xoang, ‘Cefalosporin awed . nhiéim méu, viém mang | . Lién cau ky khi Tee Penicillin | Cloramphenicol | Erythromycin Bénh duding teu, ahigm | Aminosid mau, viém mang tong | ‘Trang edu ti Penicillin | Vancomycin | Nitrofurantoin ‘Clomamphenicol Phé cau Viém phii, no: Penicillin | Erythromycin Chu khudn gram - | Erythromycin Léwelu ahay eim Bénh sinh dyc Ampicillin | Spectinomycin péni | | Co-trimoxazal ‘Liu cau tit pénicillinaz Tetracyelin | Co-irimoxazol Bénh sinh duc Spectinomyein | Cefoxitin SVTH: LA LINH PHONG TRANG 40BAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH Viéin ming nao, al | Glonimphenicol Nao eau tring mau | | Minocyetin ‘Trye khudn gram durong | Erythromycin 0 Mun mi de tinh, viém | Bacillus anthracis phi Pénicillin | Tetracyclin | Cloramphenicol Corynebacterium hao khi Penicillin va ky khi Viém ming trong tim Péni + Rifam Aminosid . | Erythromyein ‘Corynebacterium Vieém hdu phdi Pénicillin Rifampin Tetracyclin Clostridium tetani / Bénb udn van Péni Erythromycin | Cloramphenicol Clostridium Sp Hoai thu sink boi Péni Clidamycin (Céfalosporin | ‘Cloramphe nicol Listeri ts Nhiém nfio, miu, viém “Ampi Seth - isteria monocytogen sag iit mpi Erythromycin Tetracyclin | ‘True khudn gram im ‘Ampicillin | Cefalexin Bénh dudng wiéu Clrrimoxazol | Nitrofurantoin Excherichia coli | Viém ming nao Cloam Gentamycin TRANG 41 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH Nhiém ting miu ‘Ampicillin Viem phéi Genta Cefalosporin Vé thuong Cloramphe nicol | Cefamandol Bénh duiing tiéu Catbenicillin Enterobacter acragen Gehtamyein Cie bénh khic Ticarcillin Tobramycin | Ampicillin Bénh dung tigu Proteus mirabilis Gentamycin | Cefalosporin fe bénh khac Tobramycin | Gentamycin | Carbenicillin Proteus Sp Nhu trén Tobramycin | Ticarcillin Carbenicillin | Gentamycin Bénh duéng iéu Ticarcillin | Tobramycin Carbenicil Pseudomonas aeruginosa . Nhiém phoi, mau Ticareillin Nhiém todn than Gentamycin ‘Tobramycin | Cefalexin Bénh dude tidu Cotrimoxazol | Cloramphenicol Klebeiella Tetra Nhiém phoi, mau Gentamycin | Cefalosporin Ampicillin Salmonella Nhiém toan than Cotrimoxazol Cloram Ampicillin | Cloramphenicol Shigella Viém da diy. rut Cotrimmoxazo | Tetracyclin 1 SVTH: LA LINH PHONG TRANG 42BAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH ‘Acinglobacter Nhu ten Gentamycin | Cefaxitin Cefoxitin anh wide phat’ Gentamycin Serratia Bah mile: phil ¢: bea Cloramphenicol ve Amikacin Carbenicillin Vigin xoang, tai Ampicillin Viém phé quan Amoxillin Hacmophilus influenza | him ting mau Ampicillin | Cottimoxazol Viém thanh quin, viém | Cloramphenico phéi, nao. 1 ‘Sulfamid Hyemophilus duereyi Ha cam mém Tetracyelin Streptomycin Brucella Bénh brucella Tea+ | Cloram + aminosid | aminosid 3 Tetrucyelin + Yersinia pestis Bénh dich hach vaminowd | Cloramphenical Yersinia enterocolitica Bénh Yersinia Co-timoxazol T Teracyclin Francisella tularencis ‘Bénh tularemia Sueptomycin Cloramphenicot ‘Ap Xe, vet thirong: Pasteruella multicida Nhiém nao, mau Pénicillin | Tetracyelin Bénh dich ta Co-trimoxazol Vibrio choleme Bénhdich ta Tetracyelin Cloramphenicol Flavobacterium Viém mang ndo | Erythromycin | Rifampin meningosepticum Powicormne mallet Tetneyelin +" Cloramphenical + amonosid | amonosid TRANG 43 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH ‘Peeudomonse Bénh do lodi gim nhim ‘etnacyetin ‘Cloramphe nicol pseudomallei bénh whitmore Les auld Erythromycin | ‘Viém rudt nhiém tring | Cloramphenice Campylobacter tens | ‘Se tuet nian tenes | Clomme! huyét 1 Gentamyein 6, Cie nhom thude die tri thrimg gap 61 THUOC HASOT~GIAM DAL * PAI CUONG Pay 1a thude lim té ligt rung tam dau & nao trung gian, lam ha sét do tac dong lén tung tim diéu nbiét & ving dui ddi (para, pyramydon, ding théi 6 tie dung khing viém). Viém do nhiéu téc nhan gfy ra: nhitm tring, nhiét, ton thurong vat ly... Khi md bi tén thuong sé tiét ra ede chat: Prostaglandin, Leucotrien, Bradykinin ... Cac chat nay s@ phdng thich cc géc ny do nhu: H202, - OH ... din dén ede wigu chimg Lim sing nhir: sing, ndng, dé dau gay ton thurome xuong, sun, * PHAN LOAL 1. Aspitine Biét Duee: Aspirine PHB, Aspirine Upsa, Aspro ‘Chi Dinh: chimg cam s61, dau & mite trung binh, dau day than kinh, dau fing, lung, dau Lae ¢6 kinh. IL. Paracetamol (Acetaminophen) Biét Duge: Acemol, Tylenol, Dafalgan, Panadol, Efferalgan, Doliprane Vién nén, bét, dung dich udng ngot. Chi Dinh: ha st, gidm dau. IIL. Cac din chit cia Pyrazolom - Pyramidan: TRANG 44 SVTH: LA LINH PHUONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH Bit Duge: Novalgine (P), Analgin, Optalidon EFFERALGAN 62 THUOC TRY VIM KHOP * CONG THUC CHUNG > CHONG VIEM: Corticoid: Dexa 0,5mg; Predni Smg; Triamcinolon, 8 methason; Hydrocortison. Non Steroid: Piroxicam: Tenoxicam; Meloxieam; Naproxen; Diclofenac: Nise: Disal (salsalate); Dotpain (Talnibifibrate), Celebid (Celecoxid) Enzyme: Serratio peptidase: Bromelase: Alpha amylase; Alphachymotrypsin... > GIAM DAU: Paracetamol; Diantalvie; Zandol; Aspirin; Nisidol; Ni ® GIAN CO: Decontractyl: Coltramyl: Sitdalud; Myolastan; Myonal; Mydocalm, MyomethoL TRANG 45 SVTH: LA LINH PHUONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH > VIT B: B1 250mg; Nevramin; Vacoromin; B1B6B12; Trineuron; Betalgin; Synervi Bvitin * GHECHO: + Bénh nhan bi loét da day té trang khéng nén sir dung corticaid, Non steroid. + Khi sir dung thude gidm dau cin gidm ligu cho bénh nhdn suy gan, than. + Khong sit dung gidn eo cho bénh nhiin bj nhurge co + C6 thé phdi hop cng thite trén vGi cae loai gel, diu nong dé ting tic dung diéu tri, + C6 thé phdi hop cong thie wen véi khang sinh dé digu tri viém khop dang thip, vii khang histamin H1 dé diéu ti viém khop dj tg. +Nénuéng cae thude trén sau khi dn no. * CAC DON THUOC MINH HOA 1) Mobic 15mg +Diantalvie +Decontractyl + Bevitin (Iv.ngay) (Bvengay) (6v.ngay) (w.ngay) 2) Nise +Proxyvon + Coltramyt + Nevramin (2v.ngiy) (Gv.ngay) (dv.ngay) (3v.ngay) 3) Tilcotil_ + ZandolZanidil+ Myolasam+ BIB6B12 (Iv.ngay) Gv.ngiy) — 3v.ngay) Qv.ngiy) 4) Feldene 20 + Efferalgan codein + Sirdalud + Varocomin (1v.ngay) Gv.ngiy) (vengiy) Gv.ngiy) 5) Voltaren 50 + Danzen + Dafalgan codein + Myonal+ B1 250 + Qv.ngiy) Gv.ngiy) Gvngiy) — (vngiy) Gvingdy) Vollaren Emugel (thoa 3 lin.ngay) PHARMACIST ONLY -_ i eas nea ba in Matias = NG 46 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH * THUOC DIEU TRI LOET DA DAY - TA TRANG CAC YEU TO ANH HUONG DEN BENH LOET DA DAY - TA TRANG > Yéu to x4 hdit do lam ting trang thi cng thing than kink. > Yéu 6 thé trang: trong cing mOl hon cénh séng chi cd mot x newdi bi loét. tit: do sit réi loan ngi tiét gay Ling tit dich vi. ‘Yéu 16 than kin! vai tr chi yéu cia loét da day (cudng pho giao cim Haim ting tiét dich vip. > Do thude: Glucocorticoid, khing viém Non steroid ¢6 thé gay logida day. > Do abiém vi khudn Helicobacter pylori: day fa neuyén nhan hién nay. CAC DON THUOC TRI LOET DA DAY J) Aziwok 500 +Pepdind0 + Losee 20 +Trymo vw (Qv.ngay) Ivngay ) (Avngily) Vong 2 mdn sau dé ndi soi, wing lew day tri 2 man dé ngira tai phat (Pepdin 20 + Trymo). 2 Axid 150 +Lanzor 30 + Dogmatil 50 + Ulear (Qv.ngiy) (v.ngiy) — v.ngay) (2v.ngay) Vong 8 tan, GHI CHU uéng 1 ligu duy nhat trude khi in sang, hie ngit d vei tetra ubng 30 phit tude an, Metro ubng tong bira fn. a. Plodc Keine scid: IA mbitng chét e6 kha ming trung hoa duge HC] trong 1. Aluminum Hydroxide: Al(OH); 2. Magnesium Hydroxide: Mg(OH): Ngoiii ra con cé Nas vi NaHCO; {t Due: Maalox—chtra(ANOH);: 04g: Mg(OH: 4g ) TRANG 47 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Maalox Plus AIOH); = 02g Mylanta I Mg(OH) — = 0.2g Simethicone : 25mg * Simethicone ¢6 tic dung chéng lai hin tong trio ngugye da day thye quan. ‘Thode khang thy thé Hz ciia histamine Tac dung: - Giam tiét acid dich vi - Thite day viée lanh cde vat loét, 1. Cimetidine Bigt Duge: Tagamet — vién 200, 300, 400mg. 2. Ranitidine Biét Due: Azantac, Zantac 150, 300mg. 3. Famotidine Bigt Duge: Pepcid Pepdine, Servipep 20, 40mg. 4. Nizatidine Bigt Duge: Nizaxid vién 150mg. Axid 150. TRANG 48 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH PeescreTIn ony MeDeRe | Fantagh tablets 150mg ach freconte tablet conta 150 mq ranitidine (as hydrochloride) 6x wblets Diessscseinine c. Mt vai chat chang loét kha: 1. Suerafate : Ii mot dissaccharid duge sulfat héa e6 vai tr] tao hing re bio vé niém mae da diy. Trong moi trudng acid suerafat duge how tan, com AL* bi ich réi, phn anion tring hop tao thinh chit nhdy va dinh c6 di lure véi cée 6 loét. Thude nay Rim vét thuong mau Kink va gidm tai phat. Higu Iye lam lanh vét thuwng trong ty khding Hz Ngoli mi né kich thich tao Prostaglandin | mOt chat ¢6 vai trj bao vé da day do ting tréi mau da day. Bigt Duge: Ulear vién 1g, g6i lg. 2. Misoprostole (prostaglandin) Bist Due: Cytotec. 3. Cée thude tre ché bom Proton TRANG 48 SVTH: LA LINH PHUONGGVHD: DS CAO THI THIEN ANH BAO CAO TOT NGHIEP - Omeprazole 20mg (Big Duge: Mopral, Losec, Lome). - Lansoprazole 30mg (BD: Lanzor), Esomeprazole ( Nexium), Pantoprazole 40mg (Pantoloc) , ' OTe eprazo i omer 40 40 mg tad + capsulas dures Gaktrorresistentes Ocinta : ‘ 1 4, Gastrostat 5. Bismuth 6. Cae khang sinh: Amox, Metro, Zeclar * THUOC DI Tidu chay gay mat mrdc va chit dign gidi, nén didu ti theo nguyén tic: TRANG 50 SVTH: LA LINH PHUONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH - Didu chinh réi loan nude va chat dién gidi, - Diéu tri nguyén aban (vi khudn, virus, thite dn, ky sinh tring, khang sinh). - Sir dung thude chéng tiguchiy. 4. Dade chinh vii loge minse va chat dl Thudc ORS (Oresol) hode Hydrite. Glucose, Lactut Ringer. b. Thude chin J. Nhitng thudc hep thu. ‘Than thio méc, than hogt tinh, BD: Carbophos, Quinacarbine, Kaolin 9a Pectine (Kaopetate), Actapulgite, Smecta. TRANG 51 SVTH: LA LINH PHUONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH THUOC DIEU TRI TAO BON a, Thude Lim mény phim: 1. Docusaste sodium (Colace) 2. Docusate calcium (Surfax) b., Thue Jogi kkich thich: 1, Dantrone (Modane) 2. Bisacodyl (Contalax, Dulcolax) * Nhimg thudc trén la thude diéw tri riéu ching khong str dung thudng 2uryen. * THUOC TRI VIEM DAL TRANG a. TRIEU CHUNG = Nang bung, dau thit & métdoan hode toan khung rudt gilt. © Sinh bung. + Tigu chay hod tigu chy xen téo bon, © Phancé mi, nhay mau. b. NGUYEN NHAN TRANG 52 SVTH: LA LINH PHUONGGVHD: DS CAO THI THIEN ANH * Nhiém khudn (Salmonella, Shighella, tu ciu, E.coli ...), ky sinh ting (Amibe, sin mang. giun tc), ahiém nam (Candida), tn thurong thut thé (tdi thita). + Lao. * Ding khiing sinh (Linco, Ery, Tetra...) va thude nhudin trang liu dai, * Xatn. 64 THUGCKMAN + HISTAMIN * Thudc khdng histamin la nhiimg loai thud dé lai receptor. * THUOC KHANG THY THE 1 (And Hp Thuéc khéng lai su di img cia co thé biéu hign ra ben ngoai. ~ Chlopheniramine - BD: Allergy dmg - Prometazine - BD: Phenergan 25mg - Dexchlopheniramine - BD: Polaramine 2; mg - Cetririzine - BD: Ceuil, Rizine, Certec, Zyrtec - Loratidine - BD: Clarityne, Synergy OD: ~ Méquitazine - BD: Primalan, Prima - Oxotamide - BD: Tinset - Fexofenadine - BD: Telfast - Ketotifen - BD: Zaditen, Ketot - Ebastine 10 - BD: Kestine ~ Activastine - BD: Semprex - Dimethidene - BD: Fenistil * THUOC KHANG THY THE 2 (Anti Hy Chéng lai nhdng trigu ching bén trong cor thé nh chéng lai ser ting acid dich vj gay loét bao ti. ~ Cimetidine ~ BD: Tagamet 0,32: 0.42 TRANG 5: SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH * Lau yz c6 tic dung khiing Androgen va ting tét chiiy sira khong do sinh dé... ra vii 6 din dng, v sinh, - BD: Azantac 150mg - BD: Pepdine 20mg 65 THUOC TRE CAO HUVET Ar * DAI CUONG * C6 hai loai cao huyét ép: = CHA nguyen phat (Essential Hypertension): cao huyét ap v6 cin, khong 13 nguyén nhin, chiém 90% din sé bi CHA , CHA shit phat (Secondary Hypertension): cao huyét ép 1 nguyén nbin, do hau qua cha ce bénh (thin...) HA =Thé tich nhat hép x Nhip tim x Sire cn ngogi bién * C6 bén yéu td anh huéng dén huyét dp: — Ste ean ngoai bién, — Dung lugng tinh mach. — Thétich dicho the. — Leu long tim. C DO DIEVTRE + Giém can, gidm udng ruou, luyén tip thé due, gidim mud + Chi dig thudéc khi HA > 14.9. Gam cic bude sau: ® UOC be ding 1 trong 6nhém theo thir ty wu tién sau: 1, Thudc tic ché men chuyén: - Coché: tée dng tén hé RAA Lim gidm lirong angiotensin Il (chit co mach manh) va giam long Aldosteron (chit gitr mudi va nute) > ha HA. ‘Thin Renin—> Angiotensin I > Angiotensin Il -> Aldosteron (men) + Angiotensin I! Kim co mach dan ting thé tich nhat b6p va ting sire can ngoai bién. TRANG 54 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH + Aldosteron gidt mudi va nuréc > ting thé lich dich co thé -> ting HA. - Cae thudée gom: Catopril (Lopril), Enalapril (Renitec), Fosinopril (Minopril), Lisinopril Zestril, Tenoril), Ramipril (Altace), Perindopril (Coversil) ...) 2, Thude tre ché Calc: Co ché: tre ché. chon loc kénh Culei dua dang Calei vao 14 bao eva tidu dong mach va co tim =» gin mach =» gidm strc edn ngogi bin > ha HA. = Cac thudc gdm; Diltiazem (Tildiem), Verapamil (Calan), Amlodipin (Amlor), Felodipin (Plendil), Isradipin (D ynacire), Nicardipin (Carden, Loxen), Nifedipin (Adalat). Thusebietaues com vn TRANG 55 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH 3. Thude toi tiéu: -G gidm thé tich huyét twong va lina lugng tim ha HA, = Cie thude gém: Hypothiazide (Hydro 25), Indapamid (Fludex 25mg: Natrilix), Furosemid (Lasix, Lasilix), Spinorolactone (Aldacton, Aldactazid) ae a (ee 4, B- Blockers: ~ Cy ché: gidm lou lrong tim, giam tiét renin, gidm trong luc giao cm & tung rong - Cie thude gém: Acebutolol (Sectral), Atenolol (Tenormin), Labetalol (Trandate), Metoprolol (Lopressor}, Nadolol (Corgard), Propranolol (Inderal), Timolol TRANG 56 SVTH: LA LINH PHONGHIEP GVHD: DS CAO THI THIEN ANH BAO CAO TOT Co ché: ite ché chon loc a - Adrenergic + gidin mach > giim siie can ngoai bién > ha HA. ~ Clic thuéc gm: Prazosin (Minipress), Tetrazosin (Hytrin). Bloc! Labetalol (Trandate) > BUGLE 2: ding hai togi thude. ‘Thudc thit hai can My 1a mét trong sé :4 thude dau hay hai thude sau. > BOW &: ding ba loi thudc. Thude thir ba can lay 1a mét trong bin thude cin Lai. 66 THUOC DUONG HO HAP +MODAU LA bénh phé bin. nguy hiém, da dang (vi lé thude moi sinh). Trigu chimng: ho, khé tho, hen suyén, dim, trigu chimg ti dign (suy gidm mign dich). * THUOC DUONG HO HAP TRANG 57 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH = C6 phign nhur: Codein, morphin, heroin ... (Neo — codion, Codepeet, NEO-CODION * Cae dang khi dung, khoi Fumeé nhur Ventolin, bot Bengen 3, Thude dong dam, tiéu dim. Nhu Brombexin (bisolvon), Exomuc, Ambroxol, Mucothiol 4, Thude arf wig cluing sé aién: Biostim 2mg, Stimugen, Lantigen B. 67 THUG DUNG NGO © Thode khSng ndmg Pd Calerem, Fazol, Nizoral, Canesten, Daktarin, Pd Griseofulvine, BSI, Betadin, Tinecol, Maica, Kentax...- TRANG 58 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH ~ ‘Thuée tri phong: Biafine, Flamazine, Madeeazol, Mitosyl, ' Madécassol 19% 92» : | [I bemorae cream ie ; © Vid dag (Eezema): Dipolac, Gentrisone Silkron, Sicorten, Betnovate, Dermovate, Econazine, Celestodenn, Diprosalic. Silverin... © ‘Tal. mii hong: Polydexa (tai), Pivalone Neomycine, Locabiotal, Ventoline, Otrivin, Becotid, Beconase. © Nho mit: Cloraxin, Daigaku, Vrohto, Sulfableu, Catacol, Vitaphakol, Neocaf, Visine, Tobrex, Tobridex, Spersinicol, Spersacet C. Genta, Cebedexacol ... © Chong viém: Profenid Gel, Voliartne Gel, Geldéne Engel” SVTH: LA LINH PHUONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH © Kiting Virus: Cuterpes, Acyclovir, Zovirax Suturing ngodl daz Cén Oxy gid, Betadine, Lactacyd, Listerin ... 6.8 VITAMIN 1. Mot sé Vitamin thing dung: in 250 (thiamin), BI: tr t@ phir (pyridoxin), B6: tri suy nhuge thin kinh, 6i mira. Cyanacobalamin (vit B12): thigu mau, héng eau to, viém than kinh. Vit E (alpha tocopherol) : chéng lio héa. ‘Vit D3: cdi xuong. Vit A-D: quang ga. 2. Cac dang phoi hep: tri suy nhuge co thé Nhu Nutroplex, Alvityl, BIB6B12, Hydrosol goutte, Pharmaton, Beroeea. 6” CAC LOALTE IC DAC TRE idm cholesterone: Lypanthyl, Lopid, Zocor, Lipobay ~ Tiéu duvng: Diamicron, Daonil, Glucophage, Diabinése, Glueobay, Predian - Suy tim tinh mgeh: Rutin-C, Ginkor. Varemoid, Cyclo 3 + Thude dit: Preparation H, Proctoloc, Suppo Midy ~ Suy tuyén tién ligt: Uro-atpha, Pertmixon, Tadenan, Eviprostat So tht: Debridate, Duspatalin, Spasfon, Spasmaverin, Nospa, Buscopan, ‘Meteospasmy! TRANG 60 SVTH: LA LINH PHUONGGVHD: DS CAO THI THIEN ANH ‘Chong mit: Sert, Tanganil, Cinnarizine 25mg ( Stugeron) ‘Dong kinh: Tegretol, Huloperidol, Dihydan Buu ed: + Docurimg gidp (Basedow): Neomercazol, PTU, lode + Do suy gidp va budéu cé don thudn (phi dai tuyén gidp): Levothyroxin Na (T4), Liothyroxin Na (Cytomel, T3) Hormon tuyén sinh duc: + Nam: Testosteron (Sustanon, Heptylate) + Nir Estradiol Ethynyl, Lynestrenol (Grgametryl) ‘Thue ngira thai: + Loai phéi hop Estrogen va Progestogen: Rigevidon, Nordett, Mycrogynon, Marvelon... + Loai chi 6 Estrogen: Diethyl Stibestrol 25mg udng 72h sau khi giao hop. + Loai chi cd Progestogen: Postinor, Exluton ‘Thudc an thin: Diazepam, Clodiazepoxide, Clonazepam “Thudc cAm mau: Tranexamic acid (Transamin), Catbazochrome Adrenoxyl) ‘Thode chong trim cm: Clomipramine (Anafranil), Piracetam (Nootropyl, Ueetam) Viém gan siéu vi B: Fortec) ‘Thubc ching lia héa: gdm cée Vitamin C. A, E, Se (Prucell, Warocomin, Belaf, Limpo, Keromax ...) ‘Thiéu ning twin hoan nao: Duxil, Tanakan, Vastuel, Praxilene, Lucidril Bénh Parkinson: Modopar, Artane .. ‘Huyét 4p thap: Heptamyl, Praxinor ‘Thude dit phu khoa: Tergynan, Amphocyclin, Colposeptine, Colpotrophin, Polygynax, Mycostatine, Clomaz, Megyna Dau nia diu : ergoumin (Tamik, Seglo), {lunarizin (Sobelin, Migrain, Suzin) ‘Soi mat: ursilvan, Khsing virus : Aeyelovir, Lamivudin ‘in mé': Lopid, Lipanthyl, Mincear, Zocor ssel, Liv $2, Biphenyl Dimethyl Dicarboxylate (Omitan, 410 CACLOALTHUOC CORGUON GOC TL DUGE LIE “CAC LOAL DAU MOA: dau gid Trudng Son, diu nong Truong Son, dau nong Mat Trdi, ditu gié chit P, Con xoa bop, e@ tic dung gidm dau nhure( nhue div, dau bung, song viém, dau khép), tricam lanh, say séng. Thinh phin gbm cde tinh dau: Bac hi, khuynh digp, trim, long nfo, qué, Methylsalicylat TRANG 61 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH Slaska, siré Bé phé Chi Khai Lé, sird Ho Li Phéi, sind Pectol, ¢6 tic dung long dim, diu ho, sit tring hd hip.Thinh phin gm Ma Hoding, hanh nhan, cam thio, bac ha, to digp, ty ba digp, tang bach bi, eit cdnh, bach bé,vo cam, vide chi... © THUOC TRE TEL CHAY: Rugu con ring, PH Méc Huong, Paregoric, dung gm nhu dog mide, gidm dau bung, ching nda, sit tring dudng, mde Thanh phin gbmein Opi, Me Huong, Hodng Lién, tinh du hdi, Camphor, Menthol > Phytilax. Thanh phin gém: bgt mit heo, 16 hgi, c dung théng mat, nhuda trumg. tri tio bon ONHUAN GAN MAT. LOI TIPU: Betasiphon, Phytol, Chophytin, od ue fc, bd gan, loi tiéu. Thinh phin gbm: Arichaut, rau ding, Bim bim, tie © TMOG BIEL KISH. Cao feh Miu, Xun Nor Cao, e6 tle ding digu kin, ‘Thinh phan gom: ich miu, Huong phy, Ngai ctu, Buong Qui, Nhin sim, Xuyén khung, Bach thie, Cam Thao Bae, Thue dia.. * THUOC Lue Vi Am, sir} BO Ty P.H, Hai eau hoan, Sim Qui Tinh, cd wie dung bé. huyét, bé thn, tang eurémg thé lye, tri suy nhuge eo thé, biéng an. Thinh phan gém Thye dia, Hoai Son, Nhin sim, Duong Quy, Bach tudt, Nguu tit, Bd trong, Xuyén khung, Y Di, Cit cin. * THUOC AN THAN. Rotunda, Stilux, Mimosa, sité Dérémi, e6 ue dung tri suy nhuge thin kinh, lo du eing thing, mit ngu, gidm dau. Thanh phin gém: Rotundin, Lae tién, Vong nem, Lé sen. TRANG 62 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH SVTH: LA LINH PHUONGGVHD: DS CAO THI THIEN ANH Toa 1: + Vidm da day: Omeprazole 20mg + Nhém thudc: thudée duge goi 1a chit te ché bom proton. + Hoat chit Omeprazole. + Dang bio ché: Vien nang, + Chi dinh: Trio nguge dich da day - thye quin, Loét da day - 14 wang. + Ligu ding: Ngay 2 lin mdi Lin 1 vién. + Chéng chi dinh: Bénh nbn min cam véi ede thiinh phiin cia thude. Phosphalugel: + Thude nhém: thude khing ac + Hoat chit: Aluminium phosphate & dang keo 20%. + Dang bao ché: Dich treo udng. * Chi dinh: La mét logi thuée khang acid, No Kim gidm d6 axit ctia da day. ‘Thudc duge sir dung diéu tri con dau, rit va tinh trang kh6 chiu do axit gay ra da diy, thye quan. TRANG 64 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH + Ligu ding: ngay 2 Lan mdi Lin 1 géi + Chéng chi dinh: Trréng hyp suy thin ning man tinh, min cam véi ede thanh phin ca thude Buscopan: +Nhom thude: Thude chéng.co thiit. + Hoat chat: Hyoscine-N-butylbromide. + Dang bao ché: Vien bao dudng. + Chi dinh: Biéu tr) ching co that da day-rudt, co thit & nghet duéng mat, co that duéng nigu-sinh due: con dau quin mat & thin.Gidp qui trinh chin dodn & didu oj trong ndi soi da day ti tring, X quang. + Liéu ding: ngay 2 lin mdi lan 1 vién. + Chéng chi dinh: Qua min véi thinh phin thudc, Bénh nhuve co, to két ting. ® Nhin act: Thude khong cé sir tuong tic, liéu hrong hgp li, an ton ‘Toa 2: m hong. Klamentin Lg: + Thude nhém: Khéng sinh Betalactam, + Hoat chit Amoxicilin .......... . 875 mg 125 mg ‘Acid clavulanic. ccjcosssssnssisssasaeeounreancicas TRANG 65 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH nén bao phim, tri ngiin han cde nhiém khudn duémg ho hip wen vd dusbi, during tiét nigu sinh duc, da vi md mém, xwong va khép va ede nhim khudin hie nur sdy thai nhigm khudn, nhiém khudn sin khoa, nhiém khudn 6 bung. + Ligu ding: Ngay uéng 2 lan mai ln 1 vién. + Ching chi dink: Min cam véi eae Penic suy thin nfng. Tién sir bj ving da hay réi logn chiie ning gan khi ding in. Tang bach clu don nhin nhiém khudn va Cephalosporin. Suy gan niing, Peni Medrol 16mg: + Nhom thude: Glucocorticoid + Hoat chit: Methylprednisolone + Dang bio ché: vién nén + Chi dinh: ri loan n6i tiét + Liéu ding: 1 vién/ lin, 1 Lin/ ngay. + Chéng chi din: nbiém ndm toan thin, qué man voi think phan thude. Neo-codion: +Nhom thude: Ho va cim + Hoat chit: cadein camphosulfonate. sulfogaicol, cao mém Grindelia, + Dang baw ché: Vien bao dung. + Chi dinh: Diéu tri tigu chimg ho khan gy khé chiu + Lidu diing: ngiy 2 Hin mBi in 1 vién + Chéng ehi dinh: Qué min cam voi mot trong cdc thinh phan cia thuée. Suy ho hap. Ho suyén. Phy nit cho con ba. ‘Omeprazole 20mg + Nhém thude: thudc durge goi 14 chit ire ché bom proton. + Hoat chit Omeprazole. +Dang bio ché: Vidn nang. + Chi djnh: Trio nguge djch da day = thye quin. Loét da day - td thing + Ligu ding: Ngay 2 kin mdi Lin 1 vien. TRANG 66 SVTH: LA LINH PHONGBAO CAO TOT NGHIEP GVHD: DS CAO THI THIEN ANH + Chéng chi dinh: Bénh ohn min cam voi cdc thanh phan ctia thudéc. Paracetamol 300mg. +Nhém thude: Gidim dau-ha sot. + Hoat chit: Paracetamol + Dang bio ché: Vién nén, + Chi dinh: Diéu tri lam gidm cdc trigu chimg sét, dau nhtte. + Liéu ding: Nedy udng 2 Lin.mdi lan 1 vien + Ching chi voi paracetamol. Ngui bi suy gan. Ngubi thiu hut glucose-6- phosphatdehydrogenase. Khong ding cho bénh nhin min cim vai bit ett thinh phin no cia thude, Trt ti didi 12 tudi, Neudi 6 tién str nhay cam > NhOn vet: Thude khong o6 sw tong tic, ligu lrong hgp li, an wan, Toa 3: © Sot phat ban: tea 3 UPSAC: TRANG 67 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH + Nhém thude: Khong chit va vitamin + Hoat chat vitamine, + Dang bio ché: vign sui. +Chidinh: Phong va diéu tr thiéu vitamin C. Tang site dé khiing khi mic bénh nhiém khudn, eam cm, mét moi, nhiém dc. + Liéu ding: ngiy udng 2 Kin méi lan 1 vign. + Chéng chi dinh: Qué min cim voi mot think phdn cha ta duye- Soi than. Khong dung nap voi Fructose, hoi chimg kém hip thy vdi glucose va galacose, hodc thigu hut sucrase-isomaltase do sur cd mit ciia sucrose: Efferalgan 500mg: + Nhom thude: Gidim dau- ha sit. + Hoat chit: paracetamol 500mg. + Dang bite ché: vién sti + Chi dinh: Paracetamol! duoc ding rong ti tong diéu tri cae chimg dau va sét tir nhe dén vir. + Chong chi dinh: Di img véi bat Ki thinh phan nde cia thuéc. Bénh gun nding. ® Thude khong c6 sir trong tic, lidu lung hop li, an toan. TRANG 68 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH IV. BAO CAO CHUYEN DE TONG QUAN KIEN THUC CHUYEN MON THUC TE NGANH DUQC VIET NAM TU'SO ¥ TE. 1. Gidi Uhigu chung vé lich si aginh Burge Vigt Nam, Ngiinh Duge da cé nhiing dong gop khdng nho. ‘Thdi throng cé, con ngubi di phat hién m rit nhidu cay c6 fm thude, va cde phuong phiip chita bénh nhuz ho, xéng, ehirom, xoa, nin, bé...Nhimg kinh nghiém ding thude wi phurong phip chita bénh duge truyén migng tir doi ndy qua di khéc va ngiy phong phi, hoin chinh hon. Thii Bac thudc, do diéu kién dia dur va quan hé chinh ti, nén Y Diroe Vigt Nam e6 su giao Inu voi Y Duge Trung Quéc. Qua trao déi nhimg vi thude, kink nghiém chita bénh nén Y duge VN timg bude phat trién vi bin sc cla nén Y hoe din tc. Nam 938, thai ki Bac thude két thie, Y Due Vigt Nam tiép tuc phat trién Tir thoi Ly, Trin, hd, thoi ki thude Minh, Hau Lé, Tay Son va tidy Neguyén, dan toe Viet Nam da san sinh ra rdt nhidu danh y tidu biéu nhur: Neuyén Ba inh, Lé Hau Tric...Y¥ Due thi ndy 44 duee ché trong ding ké: Nha Trin di Lip thai y chdim sde sire khée cho nha vua va phat thude cho nhin din,ip varin thude @ Pha Lai, Dai Yén...; Tridu Hau Lé da t@ chite khoa thi Y hoe . lip Y miéu, Ludt Hing Dire d4 dit quy ché vé nghé Y, phat trién nguén Duge liu... Thai Phap thude, neudi Phip di dua Tay y vao ntrée ta, nim 1902 me truting dio tao Dune si Hi N6i, 16 chire mot s6 bénh vién, bénh xa 6 ede tinh, thinh phd, phi, huyén. Dirdi site ép cba Phaip, nhiéu duge si khong due phép me cira his . vid nghién ciru khai thée dirge ligu trong nude cing bi chén ép, nhigu tdi ning khéng duge phit huy. Trong giai doan khéng chién chéng Phap (1946-1954) nganh Duroc vira thiéu duye si, cong nin, trang thiét bj, vat tr, vira thiéu kinh nghiém va té chute quan |i-Chung ta da phat trién nganh Due theo hung tu lyre cainh sinh, tin dung moi nguyén liéu siin c6 tir cy thude trong nurdc. Thi ki ndy ching ta da, sin xwit duge thudc chién thuong, Philatov, dng tiém, kim kep mau , dao md, kim khdu..C loan nay, & Thanh Hoa di mé cde lop tung cp Dirge, 6 Widt Bic o6 vidn dai h cde lién Khu. Nhimg nim 1954-1975, mién Bac tién hanh cai tao nginh Duge ur doanh, xdy dung phat wién nganh duge quéc doanh. Nam 1965, nhu edu sir dyng thude ting nhanh, nén haw he ‘ing & trong Duge, vied nhidu lop duge ta & ic xa déu c6 phong trho wong va sir dyng cay thuée nam, binh thinh mot mang luéi sin xudt Duroc bodn chinh tir Trung wong dén dia phuong dé c6 thé san xudt thude men trong nhimg tinh huéng xdu nhdt. Trong khi dé, tai mién ién ngudi tir mién Bac vo, cdn vung bi tam chiém.chinh Nam, ving gidi phong chi quyén Sai Gon ci co ché ¢6 khuyén khich sin xudt hoa duge hon li nhip nguyén ligu.Sau khi mién Nam hoan toan duge giai phéng, nginh Duge cé didu kién hon TRANG 68 SVTH: LA LINH PHONGGVHD: DS CAO THI THIEN ANH trude.Ciic nha thuée phat wién ritnhanh, sin phim Duge da dang, phong phi hon.Dic big sau Khi eo Ne quyét Tring wong IV va Quyét diah $8 cila Tho tung chin phi vé cng nghiép Duge di e6 nhimg bude phat tién kha, dim bio phan én nhu edu vé thude chita bénb, khiic phuc duge tinh trang thiéu thude cia nhidu nim trube day. Hé théng doanh nghiép nha nube san xudt va cung tg thude di va dang durge t6 chi i thé va sat nhdp cic doanh nghiép Duge quin huyén vacée doanh nghiép Durge tuyén tinh dé tang curéng kha nang lim chi trén di ban va gidm bét canh tran khong linh manh.Bén canh d6, ede chinh sieh hé tro cha Nha née nhu eung cap mién phi vaccin phue vu tiém ching mo rong, thudc phong ching bénh dich..viin due duy ti.Chinh phi van tiép tue cap thude cho ding bao mii yéu obit. Trong nhiing nim vira qua Bé y té danh cao bao gdm ede thude thiét iginh Duge da cé thinh tich néi bat li dam bao tt nhu edu yé-thude chita bénh cho aban din, khie phue diroe tinh trang thiéu thude trong nhimg nim true day". TRANG 70 SVTH: LA LINH PHONG