Professional Documents
Culture Documents
[ENGLISH MODULE]
ARRANGED BY :
CONTENT
Lessons Content
A. Oracy 6
a. Dialogue 1 6
b. Dialogues 2 7
B. Literacy 8
a. Conversion Formulas 8
- C into F
- F into C
b. Comparative Degrees 10
c. Question Taqs 11
C. Practices 16
Lessons Content
A. Oracy 28
a. Dialogue 1 28
b. Dialogues 2 29
B. Literacy 30
a. If – Clauses 30
- 1st Type
- 2nd Type
- 3rd Type
C. Practices 32
Lessons Content
A. Oracy 47
a. Dialogue 1 47
B. Literacy 49
- Positive Form
- Negative Form
C. Practices 50
Lessons Content
A. Oracy 54
a. Dialogue 1 54
b. Dialogues 2 55
B. Literacy 56
a. Conjunctions 58
b. Elliptical 61
- Positive Form
- Negative Form
c. Prescription Glossary
C. Practices 73
LESSON 1
A. Oracy
1. Dialogue 1
Nurse : well doc, this morning his temperature rises and he has headache too.
Nurse : one hundred and four Fahreinheit equals to forty degrees Celsius Doc.
Nurse : the fever usually comes on in the afternoon or evening and off in the morning.
Nurse : Ok, his pulse is 100 BPM, respiration rate is 24x/minute, and his blood pressure is
120/90mmHg.
Dr. F : okay, you can give him Paracetamol 500 mgs 4X1 and I’ll be there in a few minutes.
2. Dialogue 2
Nurse : Yes, I want to report about Mrs. Syifa’s and Mrs. Tania’s condition, Doc.
Dr. F : Hmm okay, how are their condition pulse, blood pressure, and respiration, nurse?
Nurse : Ok, Mrs. Syifa’s condition is better than Mrs. Tania’s condition because her pulse is 100
BPM, respiration rate is 24x/minute, and her blood pressure is 120/90mmHg, meanwhile
Mrs. Tania’s vital signs are 120 BPM, respiration rate is 30X/minute, and her blood pressure
is 130/100 mmHG.
B. Oracy
1. Conversions :
FAHRENHEIT CENTIGRADE
212º 100º
0º 0º
Temperature Conversion :
a. How to convert Fahrenheit to Centigrade :
FORMULA : - 32 X 5 : 9
Ex : 100º F – 32 = 68
68 X 5 = 340
340 : 9 = 37,78ºC.
FORMULA : X 9 : 5 + 32
Ex : 37,78ºC X 9 = 340
340 : 5 = 68
68 + 32 = 100ºF.
3. Question Tags:
QUESTION TAG
A. STATEMENT
, QUESTION TAG ???
B. REQUEST
A. STATEMENT :
- +
EVERYONE
EVERYBODY
SOMEBODY
NOBODY THEY
SOMEONE
NO ONE
THESE
THOSE
EVERYTHING
NOTHING IT
SOMETHING
THIS
12
THAT
THERE THERE
ONE ONE
I’M AREN’T I
NOBODY
NOONE
NEVER
SELDOM
RARELY
BARELY (-) (+)
HARDLY
FEW
LITTLE
SCARCELY
A FEW (-)
A LITTLE (+)
(-)/(+)
ONLY
B. REQUEST :
- WILL YOU
b. Bentuk lebih dari 2 suku kata ( more & the most ) + “Than” :
1. 38 º C = ________ º F. 6. 50 º C = ________ º F.
4. 36 º C = _________ º F. 9. 37 º C = _________ º F.
4. The English book ..... (expensive) than the fairy tales book.
2. ? more clever
3. ? cleverest
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4. ? cleverer
1. ? more later
2. ? much later
3. ? more late
4. ? much late
5. He walked 10 miles that day. He never thought he was able to walk ______ far.
1. ? such
2. ? that
3. ? so
4. ? B and C
1. ? high
2. ? big
3. ? much cheap
4. ? expensive
1. ? alive
2. ? lived
3. ? living
4. ? live
10. The star looks smaller than the sun because it is __________ away from us.
1. ? much farther
2. ? more farther
3. ? more far
4. ? more further
1. ? the less
2. ? the best
3. ? the most
4. ? better
1. ? felt asleep
2. ? fell sleep
3. ? fall asleep
4. ? fell asleep
14. Go _________ and you'll see him waiting for you in his office.
1. ? to upstairs
2. ? to upstair
3. ? upstairs
4. ? upstair
1. ? worse
2. ? worst
3. ? bad
4. ? badly
2. ? very well
17. Of all the questions, the last one is the __________ troublesome.
1. ? least
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2. ? much
3. ? more
4. ? less
2. ? perfecter
3. ? perfect
4. ? more perfect
1
He's still sleeping,
2
You do go to school,
3
Let's go for a walk,
4
We won't be late,
5
Nobody called,
6
They will wash the car,
7
We must lock the doors,
8
I'm correct,
9
So you bought a car, Congratulations!
10
You wouldn't want to invite my Dad,
1) haven't we?
2) aren't I?
3) don't they?
22
6) He has a car,
bits closer cut disinfected fooling glass hurt look more next thing problem
removed shirt slipped stitch
Patient: Well, yes , I went through the glass door and ........ myself.
Doctor: I had better .......... to see if there is any .......... in the wound.
Do you remember Jane Johnson ??? she and her friend, Joan Chapman are both nurses. They work at
Saint Peter’s Hospital, a large teaching hospital in London. Joan did her training at St. Peter’s and last year
she passed her State Finals and qualified. She is an S.R.N. she is working as a staff nurse in a men’s
medical ward.
Jane is a student nurse and is still training. Last month, she worked in one of the hospital’s surgical
wards. She learned to set trolleys for sterile procedures such as surgical dressing, intravenous infusion and
catheterization. She carried out certain procedures herself and assisted doctors with others. She often had
to go to the central sterile supply department to fetch sterile dressing packs. Sometimes, she took patients
to the X-Ray department or to the occupational therapy unit.
This month, Jane is working in the same ward as Joan. She is learning to nurse patients suffering from
diseases such as cardiac infarction, cerebral haemorrhage, cerebral thrombosis and pneumonia. At the
moment, she is helping a staff nurse to give injections. The staff nurse is explaining to her the doses, action
and side effects of the drugs they are administering.
The other nurses in the ward are carrying out various nursing duties. Some are doing bed-baths, one is
helping a patient to get out of bed, and another is taking t.p.rs.
A doctor is doing a ward round and a physiotherapist is helping a pneumonia – patient to do deep –
breathing exercises.
6. Which sterile procedures did she learn to set trolleys for ????
12. What are the other nurses in the ward doing ???
LESSON 2
In The Admission
A. Oracy
1. Dialogue 1 & 2 :
Situation : Before entering a hospital a patient is given an admission form. It is used to obtain information
about case history in order to determine a patient goes to appropriate ward. After that he / she is received by
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nurse. Based on a temperature chart a case history sheet and care report the nurse develop a precise report of
care. Therefore a nurse needs an interview.
Useful Expressions
Mr.R: I think, I ate too much spicy food nurse. I would not eat that spicy food if I knew that I would have
great stomach ache like this.
Nr. S: hmmm, okay, next time, you must pay attention enough to what you eat Sir in order to keep your
stomach in a good health.
B. Literacy
If - Clauses :
( is,am,are )
If Clause.
Type I :
1. If he doesn’t want to understand me, I will not be his girl friend anymore
2. If I have enough money, I will buy a new car for my wife.
3. If he invites me to his birthday party, I will go with my friends.
4. If you are here with me, I will treat you some soft drinks.
5. If she buys a new car, I will go together with her to school.
Type II
Type III :
C. Practices
1. I would accept her as a new staff in this office if I ....... (be) in you position.
2. The janitors will adjust (adjust) the Air Conditioner (AC) temperature if the customer asks her to.
4. If Ms. Nita ....... (introduce) her self with the others staff, the senior staff would have respected her, first
5. If Dr. John would not have had a surgery, he ........ (attend) the Health Conference. Had attended
6. If you ......... (have) attention enough to the marks street before, you could have avoided the accidents.
7. I ......... (blame) you if your brother didn’t pass the exam. I blamed
8. My mother would have concerned enough to me if my sickness ........ (be) worst. Had been
9. Nurse Shanty would bring the patient to the maternity ward if the Doctor ...... (ask) her. asked
11. My mom would apologize my brother if he ...... (promise) not to do that silly mistake again.
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12. If I want to be a nurse, I ...... (enroll) my self to the Nurse Academic Program. Will enroll
13. She ..... ( be, accept) to work in this hospital if she spoke English well.
14. If he had wanted to try once more, maybe he ...... (be, hire) in that position.
15. If I were you, I ...... (not, let ) him go away like that.
19. Sally would have answered the phone if she ..... (be) in her office.
20. If the weather was nice yesterday, we .... (go) to the zoo.
23. The class will be cancelled if the teacher ....(be) absent tomorrow.
25. I would visit the museum several times if I ..... (have) a car.
30. She would have asked me the problem a thousand times if I ..... (not, answer) it correctly.
Complete the sentences according to the basic rules for Conditional Sentences.
Complete the following sentences. Note that you might have to use other tenses (active/passive voice) than
required in the basic rules.
If you hadn't lost our flight tickets, we (be) on our way to the Caribbean now.
If she were sensible, she (ask) that question, by which she offended him so much.
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If you (go) out with your friends tonight, I (watch) the football
match on TV.
If you (switch) on the lights, you (fall / not) over the chair.
If you had switched on the lights, you would not have fallen over the chair.
She would have come …..if she had not been on holiday.
Complete the Conditional Sentences with the correct form (Type I, II or III).
exhibition.
I (go) jogging with Tom and Sue if they (be) here this week.
He me if he the answer.
You (win / not) the game if you (know / not) the rules.
You would not have won the game if you had not known the rules…..
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1. I would accept her as a new staff in this office if I ....... (be) in you position.
b. was d. am
2. The janitors...... (adjust) the Air Conditioner (AC) temperature if the customers ask her to.
4. If Ms. Nita ....... (introduce) her self with the others staff, the senior staff would have respected her, first
5. If Dr. John would not have had a surgery, he ........ (attend) the Health Conference.
6. If you ......... (have) attention enough to the marks street before, you could have avoided the accidents.
9. Nurse Shanty would bring the patient to the maternity ward if the Doctor ...... (ask) her.
11. My mom would apologize my brother if he ...... (promise) not to do that silly mistake again.
12. If I want to be a nurse, I ...... (enroll) my self to the Nurse Academic Program.
13. She ..... ( be, accept) to work in this hospital if she spoke English well.
14. If he had wanted to try once more, maybe he ...... (be, hire) in that position.
15. If I were you, I ...... (not, let ) him go away like that.
19. Sally would have answered the phone if she ..... (be) in her office.
b. has been d. is
20. If the weather was nice yesterday, we .... (go) to the zoo.
a. would go c. will go
23. The class will be cancelled if the teacher ....(be) absent tomorrow.
a. was c. had
b. is d. were
25. I would visit the museum several times if I ..... (have) a car.
b. studied d. study
30. She would have asked me the problem a thousand times if I ..... (not, answer) it correctly.
31. Mrs. Jane ..... (enroll) her child to the good school institution if her child is old enough to go to
school.
32. The army would withdrew their troops if their enemy ..... (compromise) to each other.
33. If he wanted to understand me, maybe I ...... (be, never) like this.
34. Nita’s fever would increase if your mother ..... (take) her to the nearest hospital.
37. She ..... (accept) the jobs if she gets the high salary.
39. If my mother ....... (permit) me to go to your home, I would have taken my brother with me.
40. My father ....... (reject) his Boss order if he knew about it first.
42. Mrs. White ..... (answer) her students’ request if the students had finished their homework.
43. If I ...... (know) the truth, I would have forgiven you before.
a. knew c. know
45. She ..... (accept) the jobs if she gets the high salary.
b. studied d. study
48. If she had waited patiently, she ...... (see) the movie.
cause cereal contact cups going gone have last like off runs stopped suggest
suppose today
I agree a better idea absorbent after all the time at the latest be be back case clothes
curtain difference in letter locker long minute on or round see you synthetic tell
to to get changed to give you a hand to put you
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NURSE: Not - you'll be home on Tuesday - the doctor will give you
when he comes .
NURSE: Just nine, usually. Meantime, I'm going to draw the round your bed and ask you
into your nightie. You can keep your knickers and your bra. Are they cotton
synthetic ?
NURSE: We prefer cotton. More . I would’ve asked you some of ours, if you’d been
wearing .
NURSE: . I'll them. While I’m away, ask your son if you need any help. I'll
in a minute.
PATIENT: Thank !
NURSE: So - in a minute.
NURSE: In your , if you like - and then stand the case next to your . I'll be back in a .
Admissions
In Britain, most people who fall ill are treated at home by their family doctors. Not all illnesses can be
treated at home, however, so many people are admitted to hospital at some time during their lives. They are
admitted either as arranged admissions or as emergency admissions.
Arranged Admissions
A patient who goes into hospital as an arranged admission has previously attended an out – patients’
clinic to which he has been sent by his family doctor. At the clinic, he is examined, his previous history is
taken and all the necessary investigations are carried out. If admission is recommended, his name is put on a
waiting list and when a bed in an appropriate ward becomes vacant, he is sent a letter which tells him when
to report to the hospital for admission. With this letter, most hospitals enclose a leaflet telling the patient
what he will need while he is in hospital. The leaflet also outlines the general ward routine and gives details
of visiting hours.
Emergency Admissions
Nowadays, many people go into hospital as a result of accidents or sudden illnesses. These patients are
called Emergency Admissions. They are often seriously ill and in need of immediate care and attention.
Unlike arranged admissions, little or nothing is known about Emergency Admissions or their previous
histories. They are usually taken to casualty and emergency department by ambulance. They are often
unconscious. Sometimes they are accompanied by friends or relatives who are able to supply at least their
personal particulars. In the casualty department, they are examined and the necessary emergency treatment is
carried out. If possible their pervious histories are taken. The appropriate ward is notified that a patient is
being sent up so that the necessary preparations can be made.
1. Why are most people admitted to hospital at some time during their lives ???
5. What does the leaflet sent by the hospital tell the patient ???
8. What information can be friends and relatives of emergency admissions give us ???
10. Why is the ward notified that a patient is being sent up ???
51
LESSON 3
A. Oracy
1. Dialogue
Nurse: Well, Mrs. I just got a phone call from dr. Andrew. Dr. Andrew gets me to take your BS
N: Dr. Andrew said that I have to take some blood samples from you before you are operated
N: We want to know about your blood group, CBC, ESR,, BT, CT, etc. Dr Andrew gets your blood
taken before operating
N: Good, thanks, now would you mind laying down on your bed, please?
M: All right
52
N: Thanks and now will you raise your arm, please? Because I want to put this rubber sheet under your
arm
M: No problem
M: Here it is
N: Thanks, now would you roll your sleeve up, please?
Good, and now will you fist your hand and I will apply this tourniquet above your elbow
M: Yes
N: Please don’t move when this needle is inserted into your vein, maybe you will feel a bit pain but it’s all
right
B. Literacy
Contoh :
Contoh :
C. Practises
3. Mrs. Smith ..... (have) her hair ...... (wash) by her daughter.
4. Mr. Abdullah .... (get) his son ...... (drive) his car.
7. Dr. frank ...... (get) all his nurses ....... (prepare) their nursing note last night.
8. Nurse Anne ...... (have) the one of her friend ....... (replace) her for awhile time.
13. Melanie .... (have) her nails ..... (cut) by cut nails.
Are all am ambulance at chest couldn't for seemed siren spoke sure surgery
traffic treatment way weak
NEIGHBOUR He's gone off in the . They've taken him off to the A & E Department St Mary's
hospital.
NEIGHBOUR I told them you were on your but the ambulancemen said they were sorry, they
wait.
DOCTOR Just as well - I got stuck in . There's a burst water-main at Tolley Cross. How's Mr Lindley?
NEIGHBOUR Still alive, but very . He didn't look very good at all. I saw them put an oxygen mask on
him, then they stretchered him into the ambulance and left with the on.
DOCTOR Did they put any electrodes on his and give him a shock?
NEIGHBOUR Not that I saw. They were very quick - they to know exactly what they were doing.
NEIGHBOUR They said to tell you he'd be going to St Mary's Cardiac Unit and that they were pretty it
was a stroke he'd had.
NEIGHBOUR They didn't wait for you because he needed urgent - and they knew about that burst
water-main.
DOCTOR Good job they've got that siren, then, eh? I'd better be getting back to the - I've still got
some patients to see. Thank you for you've done - you did a good job calling the surgery.
Nurse Jane Johnson works in a London Hospital. Jane does shift work, so she does not go to work at the
same time everyday. When she in on an early shift, she goes on duty at 7 a.m. and comes off at 3 p.m. Late shift
starts at 2 p.m. and finish at 10.p.m., Jane does not like late shift. Jane always goes to work by bus when she in
on an early shift. The bus stops outside the out – patients department. When she in on a late shift, Jane generally
walks from her home to hospital.
When she comes off duty at 10 p.m. , she is usually rather tired, and takes the bus home. Sometimes, she
goes by taxi – rank outside the main entrance of the hospital and goes home by taxi. Jane is not a qualified
nurse. She is a student nurse, so she does not work in the ward everyday.
On certain days, she has to attend the lecturer on general nurse, anatomy and physiology, hygiene and
various subjects. She wants to pass the final examination and become an expert nurse. Being a registered nurse,
she will help everyone who needs her help.
4. When does she comes off duty when she is on late shift ?
7. Does she feel happy when she has the turn to the late shift ?
Soon after Jack had returned to the ward, he began to regain consciousness. The nurse who was looking after
him removed the airway from his mouth and gave him a pillow for his head. For next few hours he slept
soundly. From time to time the toes of his injured leg were examined to see if they were warm and pink, and his
pulse and blood pressure were taken half hourly.
At 6 p.m. Jack woke up and complained of severe pain in his leg. The dermatologist who had
performed the operation had prescribed Pethidine if Jack complained of pain. And he was given an intra
muscular injection of 50mgs of Pethidine at 6.10 p.m. As his blood was now within normal limits, the bed
blocks were taken away and a bed cradle was put in his head to take the weight of the bed clothes of his legs. A
nurse offered him a bottle but he said he could not manage to pass water.
A house man visited Jack during the evening to check that he was alright and he would be able to sleep.
He prescribed a second injection of Pethidine, which was to be given at midnight if Jack complained of further
pain. Two nurses came and helped Jack to wash his hands and face to change from the white theater gown into
his pajama jacket. Jack who had been allowed frequent sips of water because he had not complained of nausea,
was given a cup of tea and told the nurses that he was beginning to feel fine.
LESSON 4
A. Oracy
59
1. Dialogue 1
2. Dialogue 2
B. Literacy
61
62
63
1. Conjunction
and, but, or, nor, for, yet, so although, because, since, unless
Form
Single Word
for example: and, but, because, although
Function
Coordinating conjunctions are used to join two parts of a sentence that are grammatically equal. The
two parts may be single words or clauses, for example:
- Jack and Jill went up the hill.
- The water was warm, but I didn't go swimming.
Subordinating conjunctions are used to join a subordinate dependent clause to a main clause, for
example:
- I went swimming although it was cold.
Position
Coordinating conjunctions always come between the words or clauses that they join.
Coordinating Conjunctions
A coordinating conjunction joins parts of a sentence (for example words or independent clauses) that are
grammatically equal or similar. A coordinating conjunction shows that the elements it joins are similar in
importance and structure:
Look at these examples - the two elements that the coordinating conjunction joins are shown in square brackets
[ ]:
Coordinating conjunctions always come between the words or clauses that they join.
When a coordinating conjunction joins independent clauses, it is always correct to place a comma before the
conjunction:
However, if the independent clauses are short and well-balanced, a comma is not really essential:
When "and" is used with the last word of a list, a comma is optional:
F A N B O Y S
65
Subordinating Conjunctions
The majority of conjunctions are "subordinating conjunctions". Common subordinating conjunctions are:
after, although, as, because, before, how, if, once, since, than, that, though, till, until, when, where,
whether, while
main or subordinate or
independent clause dependent clause
subordinating
conjunction
+
Ram went swimming although it was raining.
+
2. Elliptical
SO + TO BE (is, am, are, / was, were / will be / has been, have been / had been +
S
S + TO BE (is, am, are, / was, were / will be / has been, have been / had been + TOO
NEITHER + TO BE (is, am, are, / was, were / will be / has been, have been / had been + S
S + TO BE (is, am, are, / was, were / will be / has been, have been / had been + NOT + EITHER
Contoh :
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Elliptical Sentences:
SO / TOO is used for “Positive Sentence”
For Example :
->1. John is happy, so am I.
->2. Hadi speaks English well, Manik does too.
->3. Toni studied English yesterday, so did Rini.
->4. I have visited Bali, she has too.
->5. Dodik has finished SMP, I have too.
->6. I have visited Jakarta, so has she.
->7. Dodik can swim well, so did I.
->8. I went to Bali last month, so did Tina.
->9. John is writing a letter, I am too.
->10. She was late yesterday, so was Doni.
For example :
->1. Either John or Tina speaks English well.
->2. Neither John nor Tina speaks Indonesian.
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3. Prescription
When writing a prescription, your doctor may use either the "generic" name of the medication or the "brand
name". For example, sertraline is the "generic" name and Zoloft is the "brand name" used to identify a
medication frequently prescribed for the treatment of depression.
In many states, pharmacists are allowed to dispense a generic medication, even if your doctor writes a
prescription for the brand name version of the drug. However, if your doctor writes "DAW" (which means
70
"dispense as written") or initials a box labeled "DAW" on your prescription, the pharmacist cannot legally
substitute a generic medication for the brand name one.
Your prescription is usually written on a pre-printed pad with your doctor's name, address, and phone number.
You may also see, either on the top or bottom of the prescription, special identification numbers, such as your
doctor's Drug Enforcement Administration (DEA) number for narcotics or controlled substances.
Of course, there is space for your name and address, your age, the date, a place for your doctor's signature, and a
blank area in which your doctor writes the following directions:
Additionally, your doctor will indicate how much medicine the pharmacist should give you and the number of
times that your prescription can be refilled.
Your doctor may use different abbreviations or symbols. If you do not understand them, ask your doctor or
pharmacist for clarification.
Often the abbreviation "sig" will appear just before the directions on the prescription. "Sig" is short for the
Latin, signetur, or "let it be labeled."
Zocor 10 mg.
This is the name of the medication and the dose.
Sig: i po qhs
Your instructions are to take 1 pill, by mouth, at bedtime.
Dispense #90
You will be given 90 pills, enough for about 3 months.
Refill 0 times
Your doctor has indicated no refills, most likely because she would like to check your blood cholesterol and then
decide if you need more medication or a different dose.
DAW left blank
Your pharmacist will most likely give you simvastatin, the generic version of Zocor.
Diovan 40 mg.
This is the name of the medication and the dose.
Sig: i po qd
Your instructions are to take 1 pill, by mouth, once each day - you most likely can take this medication either
before or after a meal since your doctor did not say otherwise.
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Dispense #90
You will be given 90 pills, enough for about 3 months.
Refill 0 times
Your doctor has indicated no refills, most likely because she would like to check your blood pressure and then
decide if you need more medication or a different dose.
DAW left blank
Your pharmacist will give you Diovan since there is no generic available for this drug.
Why am I taking this medicine? Have your doctor include the reason on the prescription label; for
example, "Take two in the morning for high blood pressure."
What is the medication's brand name?
Is there a generic version of the medication that offers the same benefits?
Do I take it at a particular time of day? For example, does three times a day mean every 8 hours or one
at each meal?
How soon will the medication start working after I begin taking it?
While taking this medication, should I avoid alcohol? Are there other beverages or foods I should
avoid?
Will any of my other prescription drugs interact with this one? How so?
If I experience such interactions, should I stop taking the other drug while using this one?
Will any vitamins or herbal supplements affect this drug (or can it affect them)?
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What about over-the-counter (OTC) drugs? Are there any I should avoid?
What are the drug's potential side effects? How serious are they? How can I avoid them?
What should I do if I experience side effects? Should I stop taking the drug? Should I call my doctor?
Are there any activities (such as driving) that I should avoid while on this medication?
What happens if I get better? Should I finish the prescription or stop taking it?
What if I don't feel better or if I get worse? How long should I wait before contacting the doctor?
What should I do if I miss a dose? Should I take it immediately or should I skip it, and wait for the
next?
Will I need prescription refills? If so, can I get them without a doctor's authorization?
Do I need any blood tests, other lab work or x-rays to monitor the effects (or side effects) of this drug?
It's a good idea to print out these questions and bring them to the doctor's office or pharmacy. Keep the
questions and answers, and give a copy to a friend or family member. You may also want to bring a friend or
family member to jot down the answers. If no one can go with you, a tape recorder can help you keep track of
the information.
Try to use the same pharmacy for all your prescriptions, keeping all the information in one place. It's also a good
idea to maintain your own up-to-date list of all medicines, vitamins and dietary supplements you're currently
taking.
Alternative Names
Medicine storage
Information
Many people store their medications in the bathroom. But this popular spot is actually one of the worst places to
keep medicine. Bathroom cabinets tend to be warm and humid, an environment that speeds up a drug's break
down process.
This is especially true for tablets and capsules. Unnecessary exposure to heat and moisture can cause them to
lose their potency prior to their labeled expiration date. For example, a warm, muggy environment can cause
aspirin tablets to break down into acetic acid (vinegar) and salicylic acid, both of which are potential stomach
irritants.
Instead, keep medicines in a cool, dry place and out of a child's reach.
If you must keep them in the bathroom, always keep the containers tightly closed. Never repackage them.
If medicines are to be stored in a kitchen, store them away from the stove, sink, and any heat-releasing
appliances.
In rare cases, medicine that is improperly stored can actually become toxic. To prevent danger, follow these tips:
Check the expiration date each time you take a drug. Throw out and replace any medications that are
out of date.
Never use a medication that has changed color, consistency, or odor, regardless of the expiration date.
Throw away capsules or tablets that stick together, are harder or softer than normal, or cracked or
chipped.
Travelers need to follow additional tips for safe storage of their medications:
Before leaving home, list all your medications, as well as the name and number of your pharmacist and
doctor.
Pack your medicine in a carry-on bag instead of a checked suitcase.
Never leave medicines in an automobile, where heat can rapidly destroy the drug.
Watch time changes. Set a separate watch to your usual time so you can remember when to take any
medication.
You should know the names of all of your medications, both prescription and over the counter. Since
you may receive treatment from more than one doctor, you should inform each doctor about all the
medications and dietary supplements that you take. This will help to make sure that the medication
your doctor has prescribed is the correct one for your health condition.
You should know why your doctor has prescribed a medication for you. Your doctor should tell you for
what condition you are being treated and why you need the medication.
It is very important to take your medication correctly to ensure that it gives you the help you need.
Although the label on your medication container will tell you how much medication to take and when,
you should know what to expect before you have a prescription filled. You are more likely to take your
medication correctly if you know how to use it and how it fits with your daily routine.
You may develop a serious problem by not taking your medications as prescribed. Make sure that you
clearly understand how long you need to take the medication and if you need refills. If you have a
chronic disease such as diabetes, you may be on the medication for many years.
5. What Should I Do if I Feel Better and I Do Not Want to Finish the Entire Amount of Medication
Prescribed By My Doctor?
You should not stop taking your medication before speaking with your doctor. Your doctor will help
you understand your health condition and the reason why you were prescribed the medication. This
should help you better appreciate why you need to complete the full course of your medication.
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For example, if you are being treated for strep throat, it is important to take your antibiotic for a full 10
days, even though you may feel better after 24 to 48 hours of treatment. Stopping your medication too
soon can cause a flare up of the infection or lead to complications from the strep germ.
Ask your doctor if there is anything in your medical history that would make you more likely to have
an allergic reaction to your medication. People with health conditions related to allergies, such as
asthma and hay fever, may be more likely to have an allergic reaction to a medication. Also, certain
medications such as antibiotics and over-the-counter pain medications are more likely to cause allergic
reactions.
7. What Foods, Drinks, or Activities Should I Avoid While Taking This Medication?
Certain foods and alcohol can interact with your medication. For example, grapefruit juice interacts
with medications used to treat high cholesterol, such as Lipitor (atorvastatin). Alcohol can increase the
side effects of medications used to treat pain, such as Tylenol with Codeine.
Some medications such as Diovan (valsartan), used to treat high blood pressure, can cause drowsiness
and may affect activities such as driving.
8. Is It Safe For Me to Take This Medication With Other Drugs or Dietary Supplements?
Your medication may interact with other drugs causing an adverse reaction. It is important to inform
your doctor about all of the medications and supplements that you are taking so she can advise you
about possible interactions.
All medications can cause side effects, but they are not always serious. Your doctor can help you
anticipate these side effects and advise you on how to deal with them. If you experience unexplained
side effects, contact your doctor. Do not stop taking your medication without talking to your doctor
first. If you think you are having a serious side effect that is of immediate danger to your health, call
911 or go to your local emergency room.
Generic drugs are often less expensive than their brand name counterparts. Your doctor can tell you if
there is a generic version of your medication and answer any questions you have about safety.
On occasion, you may make a mistake or forget to take your medication. The decision to take your
missed dose depends on the drug. You should know the answer to this question before it happens.
If you are pregnant or breastfeeding, you should ask your doctor before using any prescription or over-
the-counter medications. Some medications cause no problems, but others can cause birth defects if
taken early in pregnancy. Also, some drugs pass through your system into breast milk.
Medications vary in how quickly they work in your body. Some drugs, such as sleep aids containing
Benadryl (diphenhydramine), can work in less than an hour. Other drugs, such as Paxil paroxetine
(used to treat depression) may take as long as two weeks before you notice any effects.
Your doctor should tell you if you need any tests while you take a medication, how often you should be
tested, and, what the test results mean. Some commonly used drugs that may require regular blood tests
are Lipitor (atorvastatin), to check for liver damage; Synthroid (levothyroxine) to check levels of
thyroid hormone; and, Dilantin (phenytoin) to make sure the levels of the drug in the body are safe.
15. What Are the Risks Associated With the Medication, and Do the Benefits Outweigh Those Risks?
This is an important discussion that you should have with your doctor to help you decide if you are
going to take a medication. If you have a mild health problem, such as a common cold, then you most
likely will not want to take a medication with potentially serious side effects.
However, if you have a chronic condition with potentially serious complications, then you are more
likely to agree to a treatment that can help prevent these complications. For example, your doctor may
prescribe daily insulin injections if you have diabetes, however, these injections can cause dangerously
low blood sugar.
C. Practises
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1. Sally got wet while tracking. She became ill and stayed in bed for two days. (because)
2. Bill wanted to take a break. He wasn’t feeling well. (because of)
3. My sister has some brown spots on her body. She always stays long hours in the sun. (since)
4. Their mother didn’t wash the fruit properly. The children got poisoned. (as)
5. Judy generally eats fatty food. She looks fatter than the others at her age. (on account of)
6. My father doesn’t take the pills the doctor has given. He hasn’t been able to get well. (for)
7. Sue used the wrong moisturiser. She suffers from allergy on her face. (owing to)
Fill in the blanks with these words:” although, and, because, but, or, since, so, unless, until, when”.
In the following questions, you will be presented with different sentences. Put a tick next to the ones you think
are correctly punctuated.
1 Top of Form
a) I like fried chicken, but I really really love cous-cous.
b) She went to the shops but couldn't find anything she liked.
2 Top of Form
a) I brought the washing in because it was raining.
3 Top of Form
a) She was shaking, as she had never been to the palace before.
b) She was shaking as she had never been to the palace before.
c) As she had never been to the palace before, she was shaking.
4 Top of Form
a) Find the bag of gold, or I shall be forced to cut off your ears.
c) Find the bag of gold or I shall be forced to cut off your ears.
5 Top of Form
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6 Top of Form
a) Although the weather was awful, we went fishing, and caught a lot of fish.
7 Top of Form
a) Unless you finish that essay, you will not get any tea.
b) You will not get any tea unless you finish that essay.
8 Top of Form
a) She could have got a good job in the City, or she could have gone to work with the poor in Africa.
9 Top of Form
a) Paul took a holiday in Dorset, and his mum had a quiet week in Ibiza.
b) Steve wanted to go camping in Cornwall and his brother wanted to come too.
10 Top of Form
a) You can go to Ibiza, or you can have a nice week in Dorset.
1 You can come to the meeting ______ you don't say anything.
so that
as long as
while
until
as if
so that
as long as
while
until
as if
so that
as long as
while
until
as if
83
so that
as long as
while
until
as if
so that
as long as
while
until
as if
so that
as long as
while
until
84
as if
7 I'm going shopping for food this evening ______ I don't have to go at the
weekend.
so that
as long as
while
until
as if
so that
as long as
while
until
as if
so that
as long as
while
85
until
as if
1 ______ I don't think she's perfect for the job, she's certainly better
0 qualified than Steve.
so that
as long as
while
until
as if
1 I don't mind if you go out for lunch ______ you're back for the meeting at
1 two.
so that
as long as
while
until
as if
so that
86
as long as
while
until
as if
1 ______ the job is very interesting, it's also very badly paid.
3
so that
as long as
while
until
as if
so that
as long as
while
until
as if
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1 The winters here are very cold ______ the summers are very hot.
5
so that
as long as
while
until
as if
1 You can write the report when you want ______ it's ready by the end of the
6 month.
so that
as long as
while
until
as if
so that
as long as
while
until
88
as if
so that
as long as
while
until
as if
1 ______ I don't approve of what you did, I'm not going to punish you for it.
9
so that
as long as
while
until
as if
so that
as long as
89
while
until
as if
Latihan Soal , Fill The blank Using The Negative Elliptical !!!!
6. The nurse has not forgetten to inject the patient and (he).......
8. Nurse Jane didn’t inject the patient and (nurse Tania) ............
9. Nurse Head Tiara will not be in the class tomorrow and (the students) ......
11. I haven’t read the books and (they) ..............NEITHER HAVE THEY / THEY HAVE NOT EITHER
13. Dr. Frank didn’t do the heart surgery and (Dr. White) .............FINDI
14. The student nurse hasn’t studied English and (the student midwife) ....................ARY
15. Dr. Brenda will not measure the patient next day and (Dr. Jack) ..........................ABDUL
17. Nurse Reiza doesn’t measure the patient’s blood pressure and (nurse wanda) .......NEITHER DOES SHE /
SHE DOES NOT EITHER .
18. I hadn’t learnt Biology and (he) ........NEITHER HAD HE / HE HAD NOT EITHER
19. They hadn’t worked in the London Hospital and (I) .................................SITI NURJANAH
Latihan Soal , Fill The blank Using The Positive Elliptical !!!!
2. She will work in the hospital and ( too, so, they)...THEY WILL TO / SO WILL THEY
4. We had an English exam yesterday and (too, so, my brother) ...HE DID TOO / SO DID HE
5. I studied about Pathology and (too, so, they)....... THEY DID TOO / SO DID THEY
6. The nurse forgot to inject the patient and (too, so, he).......FINDI
7. The doctor is a smart person and (too, so, the nurse).. THE NURSE IS TOO / SO IS THE NURSE.
8. Nurse Jane injected the patient and ( so, too , nurse Tania) .............ARY
9. Nurse Head Tiara will be in the class and (so, too, the students) ..THE STUDENTS WILL BE TOO /
SO WILL BE THE STUDENTS
10. Mr. Charles is hungry and (so, too, Mr. Steven) ...MR STEVEN IS TOO / SO IS MR STEVEN.
11. I have read the books and (so, too, they) ....THEY HAVE TOO / SO HAVE THEY.
12. She goes to Bali and (so, too, we) ... WE DO TOO / SO DO WE.
13. Dr. Frank did the heart surgery and (so, too, Dr. White) .............HIKMAH
14. The student nurse had studied English and (so, too, the student midwife) ......SHE HAD TOO/ SO HAD
SHE
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15. Dr. Brenda will measure the patient next day and (so, too, Dr. Jack) ............WIWI
17. Nurse Reiza measures the patient’s blood pressure and (so, too, nurse wanda) .....DOES
19. They had worked in the London Hospital and (so, too, I) ...............SITI AFIROH
20. She washes the clothes and (so, too, he) ....................SITI NURJANAH DOES
consult cough mixture get better hanging on look after making up on over the
counter relies on short with turn into
A woman walks into the pharmacy to buy some medicine for her toddler. The sales assistant
The woman has to wait a little as the pharmacist is just busy a prescription. She is angry and rather
Finally the pharmacist suggests her some but warns her if the baby doesnt in a
The customer then decides to stay at home and her child, even though her company greatly
on her work.
bits closer cut disinfected fooling glass hurt look more next thing problem removed
shirt slipped stitch
Patient: Well, yes .. I went through the glass door and myself.
The Skin
The skin is the outer covering of the body. It consists of two coats: the epidermis or cuticle, and the dermis
or corium. Beneath these, there is a layer of adipose tissue which connects the skin to the underlying structure.
This layer is known as the subcutaneous layer.
The skin is usually warm, dry, and elastic, but changes in its condition can occur both in illness and in
health. The skin of patients who are dehydrated as a result of prolonged pyrexia is dry and inelastic. In some
infectious disease, it is hot and wet due to hyperpyrexia and profuse sweating. In case of shock and hemorrhage,
it is cold and clammy. In skin disease, it can be either excessively moist or excessively dry and scaly.
The color of the skin can also vary considerably. It can be flushed in pyrexia, pallid in shock, cyanosed in
anoxaemia or yellowish in jaundice.
7. What is the color of the skin in patients who suffering from shock ???
Hospital
A hospital is the largest and most complex from of medical facility. It deals with patients who need complex
diagnostic procedures. Treatment in a hospital is a team effort. The physicians are directly responsible for a
patient’s welfare. All the hospital personnel support the work of the physicians.
A hospital has many departments in it. They are medical and surgical service, food service, laboratory,
scanning and X-day department, medical records department, pharmacy, and rehabilitation department.
There are many kinds of hospital. Acute-care hospitals include primary, secondary and tertiary institution.
The low –technology primary hospitals are located in rural areas. The Secondary hospitals provide a greater
range of physicians skills and modern technology than the primary hospitals. Meanwhile the tertiary hospitals
provide the latest medical equipment.
Other types of hospitals are specialty hospitals. They admit only those patients who fit a restricted group of
diagnoses. Psychiatric hospitals are the most numerous specialty hospitals. They are the larges patient
population
10. Why does the Psychiatrics hospitals are the most numerous specialty hospitals ?
VERBS
PRESENT PERFECT = HAS HAVE / HAS BEEN HAVE BEEN HAS SPOKEN / HAVE SPOKEN