This document describes various types of drug-related problems (DRPs) that can occur in patient care. It lists and provides examples of unnecessary indication, non-conformity indication, missing indication, inappropriate dosage, improper administration mode, drug side effects, drug interactions, and insufficient drug monitoring. The document appears to be a form or checklist for pharmacists to document a DRP identified in a patient, the pharmacist's intervention to address it, and any follow-up on the outcome of the intervention.
Kế hoạch chống sốt xuất huyết địa bàn phường Thanh Lương 2019 ssuser51532e
Kế hoạch này được soạn thảo bởi các sinh viên dược 3 trong thực hành seminar thảo luận về kế hoạch phòng chống dịch sốt xuất huyết của bộ môn quản lý kinh tế dược trường đại học dược hà nội.
Tham khảo thêm thông tin về sức khỏe tại: alydarpharma.com
Kho 200 đề tài luận văn thạc sĩ dược lý dược lâm sàng, 9 điểm. Những đề tài luận văn dễ làm. DỊCH VỤ VIẾT THUÊ LUẬN VĂN THẠC SĨ, ZALO/TELEGRAM 0917 193 864
Giới thiệu một số nguồn thông tin thuốc và TLTK trong thực hành Dược lâm sàngclbsvduoclamsang
Giới thiệu một số nguồn thông tin thuốc trong thực hành Dược lâm sàng
1. Phân biệt các nguồn thông tin cấp 1, cấp 2, cấp 3 và ưu-nhược điểm của chúng.
2. Biết một số nguồn tài liệu tham khảo: online, offline và cách tra cứu.
Biên soạn bởi CLB Sinh viên Dược lâm sàng - Đại học Y Dược Huế
CẬP NHẬT ĐIỀU TRỊ RỐI LOẠN LIPID MÁU 2021
PGS. TS. Phạm Nguyễn Vinh
TT Tim Mạch bệnh viện Tâm Anh TPHCM
Đại học Y khoa Phạm Ngọc Thạch
Đại học Y khoa Tân Tạo
Viện Tim TP. HCM
https://luanvanyhoc.com/bai-giang-chuyen-de-chan-doan-va-xu-ly-cap-cuu-nhoi-mau-nao/
Kế hoạch chống sốt xuất huyết địa bàn phường Thanh Lương 2019 ssuser51532e
Kế hoạch này được soạn thảo bởi các sinh viên dược 3 trong thực hành seminar thảo luận về kế hoạch phòng chống dịch sốt xuất huyết của bộ môn quản lý kinh tế dược trường đại học dược hà nội.
Tham khảo thêm thông tin về sức khỏe tại: alydarpharma.com
Kho 200 đề tài luận văn thạc sĩ dược lý dược lâm sàng, 9 điểm. Những đề tài luận văn dễ làm. DỊCH VỤ VIẾT THUÊ LUẬN VĂN THẠC SĨ, ZALO/TELEGRAM 0917 193 864
Giới thiệu một số nguồn thông tin thuốc và TLTK trong thực hành Dược lâm sàngclbsvduoclamsang
Giới thiệu một số nguồn thông tin thuốc trong thực hành Dược lâm sàng
1. Phân biệt các nguồn thông tin cấp 1, cấp 2, cấp 3 và ưu-nhược điểm của chúng.
2. Biết một số nguồn tài liệu tham khảo: online, offline và cách tra cứu.
Biên soạn bởi CLB Sinh viên Dược lâm sàng - Đại học Y Dược Huế
CẬP NHẬT ĐIỀU TRỊ RỐI LOẠN LIPID MÁU 2021
PGS. TS. Phạm Nguyễn Vinh
TT Tim Mạch bệnh viện Tâm Anh TPHCM
Đại học Y khoa Phạm Ngọc Thạch
Đại học Y khoa Tân Tạo
Viện Tim TP. HCM
https://luanvanyhoc.com/bai-giang-chuyen-de-chan-doan-va-xu-ly-cap-cuu-nhoi-mau-nao/
POINTS TO BE INCLUDED
Definition, scope,
Technical definitions, common terminologies used in clinical
settings
Daily activities of clinical pharmacists
Ward round participation
Treatment Chart Review
Adverse drug reaction monitoring
Interprofessional collaboration
Clinical pharmacy is a health science discipline in which pharmacists provide patient care that optimizes medication therapy and promotes health, and disease prevention.
Community Pharmacy.
Hospital Pharmacy.
Clinical Pharmacy.
Industrial Pharmacy.
Compounding Pharmacy.
Consulting Pharmacy.
Ambulatory Care pharmacy.
Regulatory Pharmacy.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
Development and validation of the Vi-Med ® tool for medication reviewHA VO THI
linical pharmacy practice in Vietnam is unregulated by standard procedures, thus motivating this study, which developed and validated a tool called Vi-Med ® for use in supporting medication review (MR) in Vietnamese hospitals. Six clinical pharmacists from six hospitals used the tool, which comprises three forms: Form 1 for the collection of patient information, Form 2 for the implementation of MR, and Form 3 for the documentation of pharmacist interventions (PIs). The tool also comes with eight pre-identified drug-related problems (DRPs) and seven PIs. The pharmacists were asked to categorize 30 PI-associated scenarios under appropriate DRPs and corresponding interventions. Concordance among the pharmacists was assessed on the basis of agreement level (%) and Cohen's kappa (κ). We also evaluated the user-friendliness of the tool using a four-point Likert scale. Concordance in the panel with respect to DRPs and PIs was substantial (κ = 0.76 and 80.4% agreement) and almost perfect (κ = 0.83 and 87.6% agreement), respectively. All the experts were satisfied with the structure and content of Vi-Med ®. Five of them evaluated the tool as very suitable, very useful, and definitely fitting for everyday use. Vi-Med ® satisfactorily achieved consistency and user-friendliness, enabling its use in daily clinical pharmacy practice.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Vi-Med tool for medication review - Form 3 - English version
1. II. DESCRIPTION OF A DRUG-RELATED-PROBLEM (DRP)
Version 1
DOCUMENTATION OF PHARMACIST INTERVENTION
Vi-Med®
MEDICATION REVIEW
M3
Diagnosis: ___________________________________
____________________________________________
Related Drug(s): ______________________________
____________________________________________
I.REVIEW
Outpatient
Inpatient
Admission Discharge Treatment process
III. TYPE OF DRP
Unnecessary indication
Non conformity indication
Missing indication
Dosage
Administration mode
Drug side effect
Drug Interaction
Drug monitoring
VI. SUGGEST TO
Doctor Patient
Nurse Others:
............
VIII. FOLLOW-UP
Accepted Non assessable
Non accepted
Sign: ................................
VII. COMMUNICATION WAY
Face-to-face Phone
Text Others:
Email ………..
IV. DESCRIPTION OF PHARMACIST INTERVENTION (PI)
(References)
Date of review: / / Review N
o
: ___________ Pharmacist: ____________________
PIs N
o
:________________V. TYPE OF PI
Drug discontinuation
Drug switch
Drug addition
Dose increasing
Dose decreasing
Administration modeoptimisation
Drug monitoring optimisation
Name: ______________________________________
Age: ____________________________Male/Female
Weight: __________ kg Height: ___________ cm
Department: ________________ Room: _____________
Doctor: _______________________________________
Date of admission: / / Code:______________
2. Drug-related-problems Definition/ Description/ Example
Unnecessary indication
Non indication The patientis not asthmatic and was prescribed asthama drugs.
Duplicate prescription Two drug both containing Paracetamol were prescribed.
An ADR can be prevented instead of being
treated
Levodopa was prescribed for Parkinsonian symptom - the ADR
caused by using valproic acid to treat epilepsy. While this ADR can be
avoided by using other epileptic drugs.
Non conformity indication
Non conformity of the drug choice compared
to the Drug Formulary
Prescribe a drug not available in the Drug Formulary List.
Non conformity of the drug choice compared
to guidelines
An antihistamine was prescribed for pruritus caused by bilirubin
increasing in biliary obstruction.
Contra-indication The patientis asthmatic and was prescribed with beta-blockers.
Other drug is less costly for the same
effectiveness
Prescibe an inappropriatebrand name of a drug
Missing indication
Valid indication without drug prescripted
Patient with hypokalaemia was not prescribed with potassium
supplements.
The patient was not given any pre-
medication
Patient taking Methotrexate was not prescribed with Acid folinicin
order to prevent Methotrexate’s ADRs.
Missing drug combination
Only one beta-lactam antibiotic was prescribed without one
Aminoglycoside in severe infections.
Dosage( Inappropriate dosage according to recommendationsfor the general orspecial patient)
Subtherapeutic dosage
Levothyroxin dose was too lowin a child with congenital
hypothyroridism.
(Base on age and weight)
Supratherapeutic dosage Prescribe Paracetamol more than 4g per day.
Administration mode
Inappropriate route/ drug form Oral medications were prescribed to patient who has vomited.
Inappropriate duration
Prescribe antibiotics for more than 1 week to prevent infection after
surgery.
Inappropriate timing of administration
(compared to meal or other drugs...)
Take Vitamin A before meal.
Take Hydrocortison in the evening.
Take Sulcrafat and Cimetidin at the same time for gastric ulcer.
Incomplete information on the drug regimen
(guidelines for breaking or crushing tablets;
mode of reconstitution…)
Break/chew/crush modified-release drugs.
Do not explain how to use powder for oral suspension.
Drug side effect
ADR Drug causes ADR at normal dose: NSAID may cause gastric ulcer.
Allergy
Drugs causes allergy not dose-related: Anaphylactic shock by
antibiotics.
Toxicity
Overdosage of the drug causes toxicity in patients: Paracetamol
overdosage causes hepatic necrosis.
Drug Interaction
Drug – drug interaction
Steroids – NSAIDs combination increases the risk of gastrointestinal
bleeding.
Drug – food/beverage interaction
Cabbage, cauliflower (containing vitamin K) inhibitthe effect of oral
anticoagulants.
Drug – test interaction Third-generation Cephalosporins caused false-positive Coombs tests.
Drug monitoring(The patient is not suitably or sufficiently followed-up: lab tests, kinetics, clinical treatment...)
Did not monitor blood potassium level after taking Furosemide.
Version 1