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TEPAT
SELAMAT
BERKESAN
Edisi : Disember Tahun : 2012
PHARMACY
@
N E W
HOSIM
S L E T T
E R
Special Features:
Sepintas lalu:
In this issue:
* Mengenali Hospital Pasir Mas (HOSIM) * Unit Farmasi Hospital pasir Mas Diari Aktiviti Unit Farmasi 2012 Album Kakitangan Unit Farmasi HOSIM Ubatan fast moving Hospital Pasir Mas 2012 Food to save your heart
Editorial Board
Contributors
fadzilla bt badruddin
* Mempun yai 5 buah wad : wad perub atan lelak i (NILAM ), wad perub atan perem puan (KRISTA L), wad kanak -kanak (Z AMRUD), wad prena tal (INTA N), wad post natal (MU TIARA)
PENCAPAIAN ANUGERAH UNIT FARMASI 1 ) 2002 - Naib Johan Pertandingan Kaunter Peringkat Negeri Kelantan 2 ) 2003 - Johan Pertandingan Kaunter Peringkat Negeri Kelantan 3 ) 2005 - Naib Johan Pertandingan Kaunter Peringkat Negeri Kelantan 4 ) 2006 - Johan Pertandingan Kaunter Peringkat Negeri Kelantan 5 ) 2008 - Unit Non Klinikal Terbaik Sempena Sambutan Minggu
2 ) 2010 - Perkhidmatan Kaunter Terbaik Anugerah Budaya Cemerlang HPM
BILIK K AUNSEL ING MENJA MIN PR IVASI & KES ELESAA N PARA PE SAKIT
Medications which should not be crushed fall into one of the following categories
Extended Release Products # The formulation of some tablets is specialized as to allow medication within it to be slowly released into the body. # This is sometimes accomplished by centering the drug within the core of the tablet, with a subsequent shedding of multiple layers around the core. Wax melts in the GI tract. # Slow K is an # Capsules may contain beads which have multiple layers which are slowly dissolved with time.
Inside Story Headline
Medications Which Are Irritating To Stomach # Tablets which are irritating to the stomach may be enteric coated which delays release of the drug until the time when it reaches the small intestine. # Enteric coated aspirin is an example of this.
their taste and the manufacturer, to increase their palatability will coat the tablet in a sugar coating. # By crushing the tablet, this sugar coating is lost and the patient tastes the unpleasant tasting medication.
Sublingual medication
Effervescent tablet
# Medication intended for use under # These are tablets which, when the tongue should notwords. be crushed. dropped into earnings will show ness. Sales figures or a liquid, quickly This story can fit 100-150 dissolve to yield a solution. The subject matter that appearsshould indi-how your business is growing. # Sublingual medications in newsletters is virtually endless. You can Some newsletters include a column that cate on the package that they are in# Many effervescent tablets, when include stories that focus on current is updated every issue, for instance, an crushed, lose their ability to quickly
technologies or innovations in your field. You may also want to note business or economic trends, or make predictions for your customers or clients. If the newsletter is distributed interType nally, you might comment upon new procedures or improvements to the busiEnteric coated
Inside Story Headline
To catch the reader's attention, place an interesting sentence or quote from the story here.
advice column, a book review, a letter from the president, or an editorial. You can also profile new employees or top customers or vendors.
This story can fit 75-125 words. Selecting pictures or graphics is an release Extended important part of adding content to your newsletter. Think about your article and ask yourself if the picture supports or enhances Sublingual buccal the message youre trying to convey. Avoid selecting images that appear to be out of context. Microsoft Publisher includes thousands
Volume 1, Issue 1
Miscellaneous
of clip art images from which you can - Multiple layered tablets releasing drug as each layer is dissolved choose and import into your newsletter. - Mixed release pellets that dissolves at different time intervals There are also several tools you can use - Special symbols. to draw shapes andmatrixes that are themselves inert but slowly release drug from
the matrix
Once you have chosen an image, place it close to the article. Be sure to place the for rapid absorption by the abundant Designated to dissolve quickly in oral fluids Caption describing picture or blood supply of the mouth caption of the image near the image.
graphic.
Drugs that: - Produce oral mucosa irritation - Are extremely bitter - Contain dyes or inherently could stain teeth and mucosal tissue
Page 6
Cardiov
Drug induced fever is a serious & conf using problem. Of medications that cause the fever, the antibiotics are most frequent (esp beta lactamase antibiot ics & penicillins) but also sulfonamides, nitrofurantoin & anti tuberculotics, drug induced fever doesnt have characte ristics features. Most often it occurs 5 to 10 days after the start of treatment but it may also occur right after the first dose.most probably, the drug acts lilke an exog enic pyrogen. Although most patients are surprisingly well whil e febrile,some are profoundly septic.
Idiosyncratic reactions:
malignant hyperthermia, neuroleptic malignant syndrome
y is a G6PD Decienc r genetic disorde d to that is estimate a-ect more than ople 600 million pe world wide
IVE ST RESS FOOD, ORS ARE DRUGS , AND OTH TRAIN ER CONDICAT SUBST ED ANCES THAT C LYSIS AUSE HEMO PEOPL IN E WIT H G6PD DEFIC IENCY
OXIDA T
t know they ople either don Most pe have ve no idea eciency, or ha G6PD D ations that can id the complic how to avo lead ms, or even g health proble to life-lon death
G6Pd
DRUGS & CHEMICALS TO AVOID
High Risk Medications
Acetylphenylhydrazine Antipyretics (Antipyrine, Acetanilid) Aspirin Astemizole Beta-Naphthol Chloramphenicol Chloroquine Ciprooxacin Dapsone Dimercaprol Doxorubicin Ethanol Furazolidone Furosemide Gadopentetate dimeglumine Glucosulfone Glyburide
Lawsonia inermis Linn.(henna) Levofloxacin Magnevist Meoquine Menadiol Sodium Sulfate (Vitamin K4 sodium sulfate) Menadione Menadione sodium Menthol Mesalazine Methylene Blue Moxioxacin Nalidixic Acid Naphthalene (Moth Balls) Nimesulide Niridazole Nitrofurantoin Nitrofurazone Oxidase, Urate Pamaquine Pefloxacin
Pentaquine Phenacetin Phenazopyridine Primaquine Probenecid Sulfamethoxazole Sulfanilamide Sulfapyridine Sulfasalazine Sulfathiazole Sulfites (Sulfur dioxide, sulphrous acid, etc.) Sulfoxone Tamsulosin Toluidine Blue Henna Isobutyl Nitrite Lamotrigine
G6PD
DRUGS & CHEMICALS TO AVOID
Low Risk Medications
Acetaminophen Aminophenazone Analgesics Antazoline Ascorbic Acid Colchicine Diphenhydramine Dopamine Ibuprofen Isoniazid Mirtazapine Norfloxacin Phenylbutazone Phenytoin Procainamide
Proguanil Pyrimethamine Quinidine Quinine Streptomycin Sulfacytine Sulfadiazine Sulfaguanidine Sulfamerazine Sulfamethoxypyridazine Sulfonylurea Trihexyphenidyl Trimethoprim Tripelennamine Vitamin K1
* Drugs above MAY be lower risk for hemolysis, but should not be administered without a doctors supervision and should not be taken at higher than normal doses. Patients shouldbe monitored for hemolysis during treatment.
E HERBS: SOME CHINES OMA Particularly RHIZ lien), COPTIDIS (huang VIS (neu huang), CALCULUS BO hua), ECOCIS (leh mei ONANTHI I PRA FLOS CHIM E (kam ngan fa) FLOSLONICERA MARGARITA
icult to avoid as tooth paste, candy, breath m ints, mouth was h, and many othe r products have m enthol added to them. Mint from natural mint oils is NOT contrain dicated.
MENTHOL:
RD: garden egg. T his is a common food in some parts of Africa and
Also known as
BITTER GO
SULFITES:
Asia.
Sultes are used in a wide variety of foods such as packaged fruits, vegetables, meats, mixes, wine, condiments, etc.,
RAGES: ALCOHOLIC BEVE th the Ethenol interferes wi es ; Wine contains sulfit production of G6PD
Category B:
Animal reproduction studies fail to demonstrate a risk to the fetus, and adequate, but well-controlled, studies of pregnant women have not been conducted
Category C:
Safety in human pregnancy has not been determined; animal studies either are positive for fetal risk or have not been conducted, and the drug should not be used unless the potential benefit outweighs the potential risk to the fetus
Category D:
There is positive evidence of human fetal risk that is based on adverse-reaction data from investigational or marketing experiences, but the potential benefits from the use of the drug in pregnant women might be acceptable despite its potential risks
Category X:
Studies in animals or reports of adverse reactions have indicated that the risk associated with the use of the drug for pregnant women clearly outweighs any possible benefit
Antiretroviral therapy
Antiretroviral therapy
Delavirdine (DLV) Efavirenz (EFV) Etravirine (ETR) Nevirapine (NVP) Rilpivirine (RPV)
Abacavir (ABC) C Didanosine (ddI) B Emtricitabine (FTC) B Lamivudine (3TC) C Stavudine (d4T) C Tenofovir DF (TDF) B Zidovudine (ZDV) C Nonnucleoside reverse transcriptase inhibitors C D B B B
Atazanavir (ATV) Darunavir (DRV) Fosamprenavir (f-APV) Indinavir (IDV) Lopinavir/ritonavir Nelfinavir (NFV) Ritonavir (RTV) Saquinavir (SQV) Tipranavir (TPV)
Antiretroviral therapy
Protease inhibitors
Antiretroviral therapy
Fusion inhibitor
Antiretroviral therapy
Maraviroc (MVC)
Antiretroviral therapy
Raltegravir (RAL)
Integrase inhibitor
Tofu
Make soy protein the main attraction more often at dinnertime by cooking with tofu instead of red meat. You gain all the heart-healthy minerals, fiber, and polyunsaturated fats of soy -and you avoid a load of artery-clogging saturated fat.
Antara Aktiviti yang disertai oleh kakitangan Unit Farmasi Hospital Pasir Mas bagi tahun 2012
Diari aktiviti 2012 03092012 Majlis Sambutan Hari Raya Peringkat Hospital Pasir Mas
Pertandingan Sketsa Antara Unit Pelakon Wanita Terbaik: Roshilawani Zain (Unit Farmasi)
Diari aktiviti 2012 Sambutan Hari Kemerdekaan Peringkat Hospital Pasir Mas Pertandingan Sajak Kemerdekaan Peserta : rokman zakaria & rezali
Diari aktiviti 2012 Sambutan hari kemerdekaan peringkat Hospital Pasir Mas
PERTANDINGAN KAD HARI RAYA ANTARA UNIT
SABARIAH BT YUNUS
KETUA PEGAWAI FARMASI U54
Pengalaman bertugas: Hospital Kuala Terengganu (1993-1995),Hospital Machang (1995-2004) Klinik Kesihatan Ketereh (2004-2005), Hospital Besut (2005-2007) KK Pengkalan Chepa (2007-2008), KK Ketereh (2008-2009) KKB Kota Bharu (2009-2010), Hospital Pasir Mas (2010-sekarang)
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