HEART PAIN SCENARIO

ARYTMIA

Doctor:

Taxibike :

Patient:

TTK:

(Consultation patient and cardiologist)

Doctor: good night

Patient: good night

Doctor: How are things now, what's the complaint?

Patient: Alhamdulillah, the doctor has improved, it's just that I want to run out of medicine from the
previous meeting

Doctor: oh .. Alright, let's check the laboratory again .. To see where the progress has been. Come on
please

Patient: thank you doc

(after inspection)

Doctor: So tomorrow's lab results are out tomorrow morning, you may go home and rest now

Patient: thank you doc

Doctor: yes

(The next day the patient takes the lab test results and is prescribed a drug by a doctor

To be redeemed at a pharmacy installation in a hospital)

TTK: good morning sis, can I help you?

Patient: good morning, I want to make up for the medicine prescribed by the doctor ...

TTK: May I see the recipe?

Patient: please

TTK: okay wait a minute please ..

(Not giving a prescription to the pharmacist to ask for medication)

Ttk: excuse me ma'am. this is a recipe for our coumudin there is no generic warfarin

Apt: yes m'am I will briefly call the doctor

(Ttk call the doctor to make sure the change of commercial drugs to generic drugs)
Apt: excuse me ma'am, we from the pharmaceutical installation want to confirm that there will be a
replacement drug from coumudin to generic drug that is warfarin

Doctor: Yes, it's okay, ma'am, if it's not there

(after the drug is prepared)

Apt: sorry sis the coumudin drug is empty and what is available here is warfarin with its generic
name sis

Patient: So how about MB, is the medicine the same? What's the difference, generic drugs are the
same as coumudin

Apt: Both have the same active ingredients and effectiveness, but the difference is in the packaging.
Generic drugs use simple packaging and on branded generic drugs or commercial drugs use
packaging as desired by the manufacturer.

Patient: oh it's like that, I'm okay

Apt: yes, the medicine has been prepared and counted, yes ma'am

(While taking drugs and calculating prices.)

Ttk: this is a total of 210000 sis

Patient: oh yes this sis (spending money)

Ttk: thank you sis, come with me to the counseling room for an explanation of the medicine

(to the counseling room)

Apt: good evening ma'am please sit down

Ttk: I say goobye, Ma'am

(Apt while nodding)

Apt: introduce ma'am my name is elsa septina I am the pharmacist responsible for pharmaceutical
installation, ...... How are you doing, ma'am?

Patient: Thank God, ma'am

Apt: this is the drug bu phenytoin and warfarin, phenytoin is useful for overcoming cardiac
arrhythmia and relaxing muscles. Phenytoin is an anticonvulsant drug that works by balancing
electrical impulses in the brain. If warfairin is used to reduce the risk of blood clots.

Patient: how do you use it, ma'am?

Apt: for phenytoin used 4 times a day 1 tablet and warfarin only 1 time a day, taken after meals to
reduce irritation in the stomach. Store the drug in a dry and cool place.

Patient: What if I forget to take the medicine?

Apt: Try to take the drug at the same time every day, in order to get the maximum benefit.

For patients who forget to take phenytoin, it is advisable to immediately do so once remembered, if
the distance with the next consumption schedule is not too close. If it's close, ignore it and don't
double the dose
Patient: oh that's like that, sis, well, yesterday I was given a prescription, too, with the phenotoin
doctor, after consuming it, it felt dizzy, because of what?

Apt: ohh like that mb well if this phenytoin is indeed a side effect of nausea and dizziness, so it is
better when taking this drug not to do many activities. This drug is also not recommended for
pregnant women. When taking this drug you should consume lots of vitamin k

Apt: how are you clear, are there any questions?

Patient: if fortunately there are no restrictions to eat, ma'am?

Apt: "Yes you should reduce salty foods, avoid stress or a lot of thoughts, avoid activities that are too
heavy. And what foods should you eat for more details, maybe you can consult a nutritionist's
department "

apt: is there anything you want to ask again? If it is clear enough I will end this counseling. Thank you
for your time, I recover quickly, ma'am "(while shaking the patient's hand)

Patient: "Yes thank you ma’am" (while stepping out of the counseling room)

(after redeeming the drug, the patient orders a motorcycle taxi online to go home)

Patient: I'm in front * (message from ojol)

Ojol: meilin huh?

Patient: Yes, ma'am

Ojol: please go up, where are you going?

Patient: according to the map

Ojol: okay

(finished)