GUIDE OF PRACTICAL WORK MEDICAL PHARMACY DEPARTMENT

BLOCK 22

MODUL NAME 1. Nosocomial Infection 2. Tropical Medicine 3. TB Control Program 4. Substances Abuse

MEDICAL PHARMACY DEPARTMENT FACULTY OF MEDICINE UNIVERSITAS GADJAH MADA

RULES AND REGULATIONS GOVERNING LABORATORY WORK IN THE DEPARTMENT OF MEDICAL PHARMACY FACULTY OF MEDICINE, UNIVERSITAS GADJAH MADA 1. In the laboratory of Medical Pharmacy Department, the students have to wear laboratory coats and shoes, and are not allowed to wear sandals. 2. It is imperative that students be in the laboratory in time. Those who arrive 15 minutes after the due time are denied permission into the laboratory 3. Before a session, the students will receive assignments to be prepared for the following session. 4. After taking part in the three sessions, the students will have to sit for an exam, the time for which will be announced later. 5. The total grade a student will get comprises 50% for the exam and 50% for laboratory report.

PRESCRIPTION ANALYSIS AIM: After doing the activity it is expected that students knowledge about prescription writing increases and student are able to think critically to any prescription which they read and analyze. RESUME OF THEORY Until now it is still found that a prescription is illegible and not written completely. Health Ministerial Regulation No 26/1981 article 10 regulates that a prescription must be written legibly and comprehensively. Minister of Health Decree No 280/1981 article 2 regulates that a prescription must contain name, address and practice license number of doctor (Doctors identity) date when a prescription written (Superscription) name/composition and amount or strength of the drug (Inscription) R/.(an abbreviation for Recipe) symbol on the left side of the prescription form (Superscription) Signature/Initial/Initials Patients name (or patients identity consisting of name, age, body weight) Besides those, a complete prescription also contains subscription (the direction to the pharmacist, usually consisting of a short sentence such as make a cream, dispense 10 capcules) and signatura (the direction to the patients). Therefore, it is necessary to provide the student how to write a good prescription by giving some samples of doctors prescription to be read and analyzed. After doing it, it is expected that they will write a complete, right, and rational prescription in the future. TOOL AND MATERIAL Samples of doctors prescription Transparent plastics OHP

PROCEDURE Method Students are divided into some groups (3-4 persons/group). One week before this session, each group will receive assignments to be prepared for this session. The assignment is a doctors prescription to be analyzed by using the following criteria below. The students have to make a repot of the assignment and submit it one day before the practical work. On D-day the student present the short report written on transparent plastic and discuss it with other groups.

FORM OF PRESCRIPTION ANALYSIS A. Completeness of a prescription Complete (yes/no) Doctors Identity Superscription R1/. R2/. R3/. etc. Inscription R1/. R2/. R3/. etc. Subscription R1/. R2/. R3/. etc. Signa (Signatura) R1/. R2/. R3/. etc. Doctors signature R1/. R2/. R3/. etc. Patients Identity Right/legible (yes/no) Explanation

B. Prescription form 1. Type of prescriptions R1/. R2/. R3/. etc. 2. Magistral form (present/none) If there is magistral form, explain using the criteria:

Ingredients Remedium Remedium (adjuvant) Corrigens Constituents/vehicle Cardinale Adjuvant

The name of active medicinal agent

Effects/Functions

(principal drugs)

3. Official form (present/none) If there is official form, explain composition and effects of the medicine 4. Special form (present/none) If there is special form, explain the content and effect of the medicine 5. Narcotic drugs (present/none) Name : Write the drug in a prescription. B. 1 Dosage regimen (dosage, route of administration, frequency, time of administration, and duration of treatment) 2. Drug Interaction (present/none) C. Pharmaceutical dosage form selected by the doctor (Explain specification of available dosage form, advantages and disadvantages of the pharmaceutical dosage form)

D. Diagnose Base on the medicines written in the prescription, what is/are the possibility of patients diagnose? E. 1. Conclusion and advice (advices which have to be given to the patient relating to the disease) 2. Write the right and rational prescribing in a prescription form.

After they analyze the prescriptions, they present and discuss them with other groups. Each group presents: 1. Original doctors prescription 2. The calculation of drug doses for this patient 3. The right and rational prescribing according to your opinion Example: 1. Look at the original doctors prescription below dr. Mrichi Mary Sip : 007/2000 Home: Jl.Angsa 20 Yogyakarta Pratice site : Jl.Anggrek 70 Yogyakarta Yogyakarta, 10 Juni 2007 R/. Erythromycin mg 200 Sacch.lactis q.s. m.f.l.a.pulv.d.t.d.No XII S.3.d.d.pulv. ________________________ Pro Age : Nila : 1 year old

2. In that prescription, we do not find body weight of the patient, so we look for it from weight for age table. From it, we obtain that the body weight of a-year-old child is 8 kilograms. References show that erythromycin dosage is 30 -50 mg/kg body weight/day in four-divided dose. So, Doses of erythromycin for Nila is 8 x (30 50) mg/day or 240-400 mg/day or 60 100 mg/dose In prescription above we also find that signa is not complete. The doctor didnt write how many package or medicine and when the medicine must be taken by the patient. So, you have to complete the signa as prescription below. 3. The right and rational prescribing for Nila is :

dr. Mrichi Mary SIP : 007/2000 Home: Jl.Angsa 20 Yogyakarta Practice site : Jl.Anggrek 70 Yogyakarta Yogyakarta, 10 Juni 2007 R/. Erythromycin mg 100 Sacch.lactis q.s. m.f.l.a.pulv.d.t.d.No XII S.3.d.d.pulv.I p.c. ________________________ Pro Age : Nila : 1 year old (10 kg)

Location : Medical Pharmacy Department, Medical Faculty Gadjah Mada University Duration : 1 x 120 minutes

REPORT The students have to submit the report to laboratory of Medical Pharmacy one day before the practical work. EVALUATION Presentation and report REFERENCES Goodman and Gilman, 2001, The Pharmaceutical Basis of Therapeutics, Ed.8th, Macmillan Publishing Company, New York Hoover, J.E., 2002, Remingtons Pharmaceutical Sciences, Ed.15th, Mack Publishing Company, Pennsylvania ISFI, 2007. ISO Indonesia (Informasi Spesialite Obat Indonesia), Sri Suharmi, 2002, Resep Dokter dan Proses Preskripsi yang Benar dan Rasional, Bagian Farmasi Kedokteran Fakultas Kedokteran UGM, Yogyakarta

COMMONLY USED LATINS ABBREVIATIONS IN PRESCRIPTIONS AND MEDICATION ORDER Abbreviation a.c a.d ad add. aa aq. a.s Amp. b.d.d. c. C cap. CITO Col.Or. Cth. cum da dil. disp. d.t.d. et fl f.l.a g gr gtt(s) gut aur Gut nas Gutt.opht. h haust. h.s. in iter lag m. m et v mg. mist ml. Latin Ante coenam Auris dextra ad adde ana aqua Auris sinistra bis de die cum cochlear capsulae cito Collutio oris Cochlear these cum da dilutus Da tales doses et Fac lege artis gramma granum guttae Guttae auriculares Guttae nasalae Guttae ophthalmic hora haustus Hora somni in iterati lagenum misce Mane et vespere milligram mistura millitra English Before meal Right ear To, up to add Of each water Left ear ampule Twice a day with Tablespoon (15 ml) capsule immediately mouthwash Teaspoon (5 ml) with give diluted dispense and flask make legal preparation gram grain a drop(s) ear drop nose drop eye drop hour take all medicines in once at bedtime into refill bottle mix
morning and afternoon

Indonesia Sebelum makan Telinga kanan Sampai, hingga tambahkan Masing-masing air Telinga kiri Ampul Dua kali sehari dengan Sendok makan kapsul segera Kumur-kumur Sendok teh dengan berikan Encerkan Berikan Berikan sebanyak dosis tersebut dan botol Buatlah menurut cara semestinya Gram grain tetes Tetes telinga Tetes hidung Tetes mata jam Sekali teguk Pada waktu hendak tidur Ke dalam diulangi botol Campur atau racik Pagi dan sore milligram campuran milliliter

milligram a mixture milliliter

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liq No. o.d. o.6.h o.s. prae p.c p.r.n pro pulv.adsp. q q4h q.d.d. q.s. R/. s.d.d. S. s.i.m.m S.u.c. s.u.p. Susp. syr t.d.d. Tab. Tab.vag. Tinc.

liquor numero Oculus dexter Omni 6 hora Oculus sinister before Post coenam Pro re nata pro Pulvis adspersorius quaque Quaque quarta hora Quarta de die Quantum satis, quantum sufficient Recipe Semel de die signa Signa in mane medicus Signa usus cognitus Signa usus proprius suspensio syrupus Ter de die tabletta tinctura

a solution to the number of right eye every six hours left eye before after meals according to need for powder every every 4 hours four times a day a sufficient quantity, as much as necessary take once a day sign, write

larutan sejumlah Mata kanan Tiap 6 jam Mata kiri Sebelum Setelah makan Bila perlu untuk Bedak tabur setiap Setiap 4 jam Empat kali sehari secukupnya ambil Sekali sehari tandai Serahkan pada dokter Aturan pakai sudah diketahui Untuk dipakai sendiri suspensi sirup Tiga kali sehari tablet Tablet vaginal tinctur

suspension a syrup three times a day tablet tablet vaginal a tincture

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