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To be nobody but yourself in a world which is doing its best, night and day, to make you like everybody else, means to fight the hardest battle which any human being can fight; and never stop fighting...!!~

Tuesday, September 6, 2011

Counseling #1

(^^)v

060911 --> 3rd day di OPD. OPD is like @#$%^&*~~~~~
tambah pulak saya masuk OPD lepas cuti perayaan. heh! terbaek ok. T_T

orait. tadi Ms Yee May ade brief saya sket2 pasal counseling since saya bulan9 nih under counseling.
Die ajar cara nak guna Oxymethazoline Nasal Drop, Budesonide Nasal Spray, Soliwax Ear Drop, Clotrimazole Vaginal, Premarin.
MDI + insulin --> homework~ T_T

Then, die suh balik cari macam mane nak makan Fosamax [alendronate Na 70mg + Cholecalciferol 70mcg] dan Bonviva [Ibandronic acid 150mg].
Both adalah untuk treat osteoporosis [increase bone mass, prevent fracture and all those thing la eh~]

Cara nak makan:
  1. Pilih 1 ari yang rasa selesa and mudah untuk amik ubat.
  2. Ubat ni ambik waktu pagi. Bila bangun dari tido, sebelum breakfast, ambik 1 bijik. Perlu diambil ketika perut kosong ye...
  3. Telan the whole tablet dengan segelas air masak. xmo guna air mineral eh sebab air mineral mungkin tinggi dengan Calciyum! pastu xmo kunyah atau isap ubat tu (potential oropharyngeal ulceration --> sakit ulu hati ke nih? haha.tatau.). kena telan!
  4. semasa nak makan ubat, patient perlu duduk atau standing in upright position. you can continue with ur daily activities --> sit, stand, walk and bla bla bla as long as u stay fully upright.
  5. Jangan baring, makan, minum atau amik ubat lain selama 30 minutes.
ok. cara makan sama jek. beza nye,,,
FOSAMAX tu once per week [1 kotak ade 4 tabs].
BONVIVA
pulak once per month [1 kotak cuma sebijik jek]

Kalau missed dose:
FOSAMAX --> amik keesokan hari nya bila ingat. jangan amik 2 bijik dalam 1 ari ye... means dun dabel the dose lah... BUT, for the next week, return to take 1 tab once a week as originally scheduled.
BONVIVA --> take the next morning unless the time to the next scheduled dose is within 7 days.

berserta dengan ubat nih ade sticker, so patient bole tampal sticker tu dekat calender dorg as reminder la... macam FOSAMAX ade 4 bijik kan, so ade 4 sticker and sticker ke-4 tu ade tulis reminder untuk suh patient g amik ubat lain...

both adalah ubat yang ada kuota eh. so kalo nak bagi tu check name patient dulu ok!

ok itu aje...kalau saya rajin saya tulis counseling yang lain pulak...

2 comments:

MarMin said...

ulcer kt kerongkong kot..eh pttla bonviva ade sjibik jek..ak dok plek tp xterpk nk cek! sbb ppf ltk kt laci tnpa kotak die..pastu jdk xtbaca leaflet (alasan!)..hahahaha

nuruLamaL said...

:p sy dok pelik lak fosamax tu.bnyk kali dok amik, tp x terbace huhu~~ naseb baek yee may bg saya homework ni... haha