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 standard drug di klinik-klinik tanpa MO

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shinigami
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Sep 07, 2009 11:26 am

kena del pun takpa,sbb tu cuma f/u drug,jgn sampai ubat lain juak kena del,hjg2 semua tak diberik
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Sep 07, 2009 12:30 pm

Dah terjadi, suruh pt ambik kat Poly ajaklah dolok...Nanti kita buat inden F/u...dapatlah ubat baru kelak...
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Sep 07, 2009 2:40 pm

kesian juga pts
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Sep 07, 2009 3:05 pm

LAST2 BAGI NASIHAT SAJA NGAN PT TANPA MEMBERI UBAT..........PELIK!!!!
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drhouse
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Sep 07, 2009 3:15 pm

yalah... pt datang nak berubat.. tp, nasihat yang dapat...
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polok
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Sep 07, 2009 3:50 pm

dalam situasi macam tok, kita ppp yang tersepit...nak beri ubat, tp ubat xda....mun pt yang jenis fhm, ok...mun x, kita ppp tok yang di padah jaik...x maok beri ubatla...kenak kita ppp x order ubatla...serba salah
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Sep 07, 2009 4:45 pm

nasib badan...siapa nak tolong kita, jawapan kepada pt- takda stok kat stor ubat- patient dapat terimakah??????.......mangsa keadaan...
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Thu Sep 10, 2009 10:36 pm

..............esok lusa beri nasihat saja ngan pt kalau berubat nanti................
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kesulai malam
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Fri Sep 11, 2009 5:26 pm

minta dengan najib aje...rakyat d dahulukan
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Fri Sep 11, 2009 11:40 pm

Betul kata kita orang semua, siapa yang menjawab dan siapa pula yang bertanggungjawab ? Persolan demi persoalan diberi dan disoal siapa dan mengapa ? Bukan orang diklinik jauh ajak yang susah akan tetapi di klinik seperti kamek tok kat selangau, klinik jak cantik tapi ubatnya alamak!!!! tuhan ajak yang tauk, pernak sekali pt hanya diberi ubat PCM ajak.
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Sat Sep 12, 2009 6:01 pm

hjg2 kta ppp yg jd mangsa ...
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Sat Sep 12, 2009 6:27 pm

persoalan nya kinek tok bukan kita yang sik mampu memberi rawatan yang berkualiti tetapi dak PKB kurang bajet adax2 ajak alasan diberi/
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anak pisang
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Sun Sep 13, 2009 2:35 am

kita kena rancang budget tu... kat sini pun kami buat asgt pasal tu juga denan
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Sep 14, 2009 10:09 pm

..........sekarang syrup promethazine dan syrup infant tussis pun sudah kena delete.........apa nak bagi dengan pt????????
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Tue Sep 15, 2009 12:10 pm

bg jak apa yg ada...
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Tue Sep 15, 2009 12:38 pm

Pcm jak yg ada.
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Tue Sep 15, 2009 6:07 pm

tapi tab chlorothiazide dah diganti dengan hydrochlorothiazide.............. cimetidine pun sudah di delete dari list ubat..............


Last edited by aubreysherrod on Mon Nov 08, 2010 8:59 pm; edited 1 time in total
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Tue Sep 15, 2009 9:21 pm

beri ja apa yg ada...
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polok
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Wed Sep 16, 2009 12:33 am

mun da kehabisan ubat, beri nasihat ja la yang kita mampu lakukan
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aubreysherrod
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Thu Sep 17, 2009 12:04 pm

40,000 dos vaksin H1N1 tiba Okt



Sep 17, 09 10:43am



Sebanyak 40,000 daripada 400,000 dos vaksin influenza A(H1N1) yang
ditempah Kementerian Kesihatan dijangka tiba di negara
ini akhir bulan depan, kata menterinya Datuk Seri Liow Tiong Lai.

Beliau
berkata vaksin tersebut akan diedarkan secara sama rata, namun
disebabkan dos yang terhad kementerian akan mendahulukan golongan
barisan hadapan seperti doktor dan jururawat selain golongan berisiko
tinggi seperti ibu mengandung serta kanak-kanak.

Baki 360,000 dos vaksin pula akan tiba awal Januari tahun depan, katanya.

Liow
berkata kesemua vaksin itu yang bernilai RM14 juta diperoleh daripada
syarikat farmaseutikal, GlaxoSmithKline (GSK) yang berpusat di United
Kingdom.

Bagaimanapun, katanya kementerian yang sedang dalam
proses tempahan vaksin peringkat kedua sedang meneliti beberapa
inisiatif dan pengeluar lain bagi mendapatkan harga dan kualiti terbaik.

"Kami
perlu membuat tempahan awal dan kami sedang mencari kualiti yang
terbaik. Kami berusaha untuk mendapatkan sebanyak mungkin sumber
termasuk dari China dan Taiwan supaya jika berlaku kecemasan, kami
dapat memperoleh lebih banyak vaksin," katanya kepada pemberita selepas
Majlis Berbuka Puasa bersama Komuniti Orang Asli Sungai Gapoi di
Bentong.

Liow juga berkata walaupun vaksin itu tidak melalui
ujian klinikal yang ketat seperti yang lazimnya diamalkan di negara
ini, namun Pertubuhan Kesihatan Sedunia (WHO) telah memberi 'lampu
hijau' kepada vaksin berkenaan.

"Kami serahkan kepada individu
untuk membuat keputusan sama ada untuk mengambil vaksin itu atau
sebaliknya. Bagi kementerian, kami menganggapkannya selamat," katanya.

Dalam pada itu, Liow berkata kerajaan telah mengarahkan pembinaan fasiliti penghasilan vaksin dalam masa terdekat.

"Kami
sedang dalam proses membina sebuah fasiliti penghasilan vaksin. Ninebio
Sdn Bhd telah diarahkan supaya menubuhkan fasiliti berkenaan," katanya.


Selain itu, selaras dengan amaran WHO mengenai kemungkinan
gelombang kedua H1N1, Liow berkata kabinet telah meluluskan RM158 juta
untuk menambah katil dan kelengkapan di unit rawatan rapi (ICU) bagi
menghadapi kemungkinan itu.

Katanya, kementerian sedang membuat
perancangan teliti dalam menghadapi kemungkinan amaran yang dikeluarkan
WHO itu terutamanya menjelang musim tengkujuh akhir tahun ini. BERNAMA
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Wed Dec 02, 2009 9:21 pm

aubreysherrod wrote:
tapi tab chlorothiazide dah diganti dengan hydrochlorothiazide.............. cimetidine pun sudah di delete dari list ubat..............

cimetidine kalo sik silap cuma untuk F/U case jak diberi kinetok..Gastritis kronik atau Ulser Peptik case..thats mean mmg limit juak lah mun mok di order dgn byk..

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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Sun Oct 31, 2010 2:27 am

From my experience,the problem of drug shortage in a clinic usually due to either one of the factors below:-

1. timeliness in submission of indent:- 1 have conducted 3 surveys in the year 2009 on 8 kks in my area. only 12.5% did have timely indent submission in my 1st survey, 25% in my 2nd and 3rd survey. think for yourself- what does this situation mean?

- only about 35% of PPPi/c submit quarterly drug return together with indents, but with lots of mistakes.

- drug estimation was not done properly "tembak aje".
-inability to prioritise the commonly used drugs.- order anything found on the list.

- order drug from MUSB only when shortage is acute, without considering the timeframe for MUSB to, record, pack and transport the ordered drugs. i came to a clinic with empty store, not even one tally card, last record submitting drug report 2 years back (1 x per year).

2. Running away from station, "Missing In Action", is another factor in delayed indent. some guys ran away from station for more than 25days/ month-case cought red handed by supervisor and YB. so where is our work ethic? think for yourself. is it fair for his colleages receiving the same pay ?.

3. It is undeniable that MUSB is also having drug shortage- especially this year. it is a nationwide problem ($$$$). But if we integrate the above factors into the current situation, u will definately not going to have a quarter piece of PCM.

Everytime when we are facing drug shortage, we tend to put the blame on over the supplier. i am not creating story, always ask yourself, am I doing my job with full commitment? if not try ur best to be committed to achieve a quality output.

3.
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Sun Oct 31, 2010 2:46 am

Isortan potassium tab for HPT is supplied in two forms:

1. isortan potassium 50mg single prep.

2. isortan potassium 50mg + hydrochlorothiazide 12.5mg combined.

ppp in certain kk. in Baram area was found to prescribe (F/U) to my mother in-law with the 2nd type (no. 2) + seperate HCTZ. this means she is taking double dose of HCTZ with this prescription, that ended her up in the hospital bed. i am a kind of give and take person, so i will not enquire at all. This serves to remind all of us to be OBSERVANT, obtain opinion from professional if uncertained before you get a innocent client killed by our act.
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Sun Oct 31, 2010 3:05 am

Masking Symptom Of Gastric Cancer;

Bila seseorang pesakit datang untuk konsultasi dengan mengadu epigastric pain. Kita akan anggap dia mengidap gastritis, bila konsultasi berulang, kita biasa diagnosed dia - chronic gastritis. Betul ke diagnosa itu? kalau tak ada regression pandai2 pula kita cuba bagi cimetidine(dulu)/ ranithidine secara berulang2. Termasuk dr. bagi cimetidine hapir setengah kila/ pesakit, sebagai f/up konon. Ada kah pernah mereka ni cuba fahami farmakologi ubatan tersebut? pasti tak ada- cuma tahu itu untuk peptic ulcer disease.

cimetidine/ran sepatutnya di beri kepada pt yang mengidap acute PUP untuk jangkamasa sebulan dos BD x 2 minggu dan kemudian dos on x 2 minggu. kalau tak regress. Stop-do relevant inx termasuk biopsy ulcer. ada ka kita PPP ambil initiative untuk refer pt untuk inx lanjut? kalau ditanya memang semua kata ada kan... sebenar segelintir aje yang ikut protokol.

- prolong administration of these drugs will mask the symptom of gastric cancer. so BE AWARE OF THIS FACT.
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Mon Nov 08, 2010 8:16 pm

Correct me if I'm wrong. Can PPP prescribe Ranitidine and Cimetidine? This is list
A drug and it only available at clinic which had MO. I understand that now, Tab. Cimetidine is consider deleted item and every f/up case with Tab. Ranitidine, PPP in rural clinic should had consent letter from MO or Specialist who referred to the clinic. Only with consent letter PPP at rural clinic can indent Ranitidine. It is not fair to say that PPP cannot manage Epig pain.


Last edited by eddie on Mon Nov 08, 2010 8:36 pm; edited 1 time in total
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PostSubject: Re: standard drug di klinik-klinik tanpa MO   Today at 4:25 am

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