Cross hypersensivity to NSIADs, Allergic and pseudoallergic reactions.Utai Sukviwatsirikul
Cross hypersensitivity of NSAIDs
Allergic and pseudoallergic reactions
source of info: http://www.si.mahidol.ac.th/th/division/soqd/admin/news_files/423_18_3.pdf
The Dictionary of Substances and Their Effects (DOSE): Volume 05 K–N kopiersperre
This document provides a summary of the contents and organization of a multi-volume reference work titled "The Dictionary of Substances and their Effects". It details the information included for each chemical such as chemical name, structure, properties, toxicity data, and references. It also provides background on the editorial board and production team for the publication.
Cross hypersensivity to NSIADs, Allergic and pseudoallergic reactions.Utai Sukviwatsirikul
Cross hypersensitivity of NSAIDs
Allergic and pseudoallergic reactions
source of info: http://www.si.mahidol.ac.th/th/division/soqd/admin/news_files/423_18_3.pdf
The Dictionary of Substances and Their Effects (DOSE): Volume 05 K–N kopiersperre
This document provides a summary of the contents and organization of a multi-volume reference work titled "The Dictionary of Substances and their Effects". It details the information included for each chemical such as chemical name, structure, properties, toxicity data, and references. It also provides background on the editorial board and production team for the publication.
Central analgesics and Non-steroidal ant-iinflammatory agentsDr. Ravi Sankar
This document discusses central analgesics and pain management. It begins with definitions of acute and chronic pain and an overview of the mechanism of pain. It then discusses the treatment of pain through a stepped approach using non-opioids, less potent opioids, and more potent opioids. The rest of the document focuses on specific central analgesics like opium, morphine, and its derivatives. It discusses the chemistry, synthesis, mechanism of action, uses, and adverse effects of these compounds. It also covers non-steroidal anti-inflammatory drugs (NSAIDs) and their classification, mechanism of action, synthesis, and uses.
Opiod analgesics work by agonizing opioid receptors in the brain and spinal cord. This leads to inhibition of pain signal transmission through various mechanisms. Morphine is the prototypical opioid analgesic, isolated from opium poppy. It is a potent mu receptor agonist. Several semi-synthetic and synthetic opioids have been derived from morphine modification, resulting in compounds with varying potency, selectivity, and side effect profiles. Opioids are highly effective analgesics but also carry risks of tolerance, dependence, and addiction due to their euphoric effects and dopamine stimulation in the brain's reward pathway.
Nonsteroidal anti inflammatory drugs (NSAIDS)abdul waheed
NSAIDs work by inhibiting the cyclooxygenase (COX) enzymes, which prevents the formation of prostaglandins. Aspirin is a nonselective COX inhibitor that irreversibly acetylates both COX-1 and COX-2. It has analgesic, antipyretic and anti-inflammatory effects. Common adverse effects include gastrointestinal irritation and bleeding. Aspirin is metabolized to salicylic acid and excreted by the kidneys. It is used to treat fever, pain, and inflammatory conditions like rheumatoid arthritis, but carries risks in children and those with asthma or prior gastrointestinal issues.
The Future of Thai Health Systems: Healthcare Quality Management and Control ...Borwornsom Leerapan
Panel discussion on the future of Thai health systems: healthcare quality management and control according to the Statute on the National Health System B.E. 2552
สถานการณ์ระบบบริการสุขภาพและการควบคุมคุณภาพตามธรรมนูญว่าด้วยระบบสุขภาพแห่งชาติ พ.ศ. 2552", การอภิปราย “อนาคตระบบสุขภาพไทย สุขภาพคนไทยดีขึ้นหรือแย่ลง”, ประชุมวิชาการ การวิจัยระบบสาธารณสุข ครั้งที่ 3
5. Modern Pharmacy Services
Dispensing / repeat
dispensing and provision of
compliance support
(จัดหา /เติมยา)
Disposal of unwanted
medicine (ยาเหลือใช้)
Sign-posting (ส่งต่อ)
Support of sale care (แนะนา)
Medicines use review (MUR)
/ Prescription intervention
service
(รายงานส่งกลับแพทย์)
Appliance use review (AUR)
Stoma appliance
customization (SAC)
New medicine service
(NMS) (เน้นโรคเรื้อรัง)
Supervised administration
(ยาจิตเวช, ยาวัณโรค, Methadone)
Needle & syringe exchange
(ความรู้, ฉีดวัคซีนไววรัสตับ)
On demand available of special
drugs (จัดคลังยาพเศษ)
Stop smoking
Care home
(แนะนายา ทุก 6 เดือน)
Minor aliment service
Medicine assessment &
compliance support
NHS health check
Etc.
Advanced services
(บริการชั้นสูง)
Enhanced services
(บริการเสริม)
Essential services
(บริการหลัก)
39. Good Pharmacy Practice: GPP
In 2011, FIP and WHO adopted an updated version of Good Pharmacy Practice
entitled “”Joint FIP/WHO guidelines on good pharmacy practice: standards for
quality of pharmacy services”
GPP are organised around 4 major roles for pharmacists
1.Role 1: Prepare, obtain, store, secure, distribute, administer, dispense
and dispose of medical products
2.Role 2: Provide effective medication therapy management
3.Role 3: Maintain and improve professional performance
4.Role 4: Contribute to improve effectiveness of the health-care system
and public health
GPP is defined as "the practice of pharmacy that responds to the needs of
the people who use the pharmacists’ services to provide optimal,
evidence-based care. To support this practice it is essential that there be
an established national framework of quality standards and guidelines."
Full reference: Joint FIP/WHO guidelines on good pharmacy practice: standards for quality of pharmacy services.
WHO Technical Report Series, No. 961, 2011. Geneva: World Health Organization, 2011.
1993
สมาพันธ์สากลด้านเภสัชกรรม หรือ FIP (Federal of International Pharmaceutical)
40. 2004 Cambodia 2007 Vietnam
สมาพันธ์สากลด้านเภสัชกรรม หรือ FIP (Federal of International Pharmaceutical)
2014 Thailand
60. MedicationTherapy Management : MTM
(การจัดการด้านยา)
1. Medication therapy review (MTR)
2. A medication-related action plan (MAP)
DRPs detection and correction
-Adherence monitoring
-Behavioral modification
-Patient education ; โรค, ยา, self medication
5. A person medication record (PMR)
3. Monitoring and Intervention
4. Documentation and follow-up-Record
กระบวนการทางาน
Patient safety
ลดปัญหาจากการใช้ยา
• drug interaction
• side effect
• increase adherence
Cost avoidance
61. เภสัชกรชุมชนจัดการด้านยา (MTM) ที่ร้านยาคุณภาพ
1. Medication therapy review (MTR) 2. A medication-related action plan (MAP)
5. A person medication record (PMR)
3. Monitoring and Intervention
4. Documentation and follow-up-Record
•Risk screening :DRPs
•Assessment : adherence
•Consultation : to develop a plan
•Follow-up : improve medication used
72. Learning Management System
Community Pharmacist
Home Health Care Knowledge
Community
(Forum, blog)
KM&LMS
Case Discussion (Why)
Broadcast
Learning Management System (LMS)
• Pharmacy Student Training
• MTM Training
• New Pharmacist Training
• Clinical Pharmacy Areas
• คู่มือ GPP- self development
• Web-based learning e.g.
• เครือข่ายร้านยาคุณภาพ – case – based learning
• หลักสูตรเภสัชกรครอบครัว คณะเภสัชศาสตร์ มหาวิทยาลัยขอนแก่น
• หลักสูตรนวตกรรม คณะเภสัชศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย
• หลักสูตร FCPL ของสภาเภสัชกรรม ร่วมกับ เภสัชกรโรงพยาบาล
81. แนวคิดการแก้ปัญหา
1. Procurement system (ระบบการจัดหา)
2. Logistic (ระบบการสั่งสินค้า)
3. Management skill (ทักษะการจัดการ)
4. Professional service (รูปแบบการบริการ)
5. HR & Career development (การพัฒนาคนและงาน)
6. Information Technology (เทคโนโลยีสารสนเทศ)
7. Investment (การลงทุน)
90. Q&A
ขอขอบคุณ
Self care &
Self
medication
Quality
used of
medicineHealth
informa
tion
center
Health
promotion &
prevention
Seamless
care &
Quality care
ร้านยาคุณภาพ เติมเต็ม เพื่อความเข้มแข็ง
ของระบบบริการสาธารณสุขไทย