Zahrosofi Ahmadah 0910710139 Farmakologi gastrointestinal RATIONAL DRUG USED for GASTROINTESTINAL DISORDER Write the six step

of guide to good prescribing Case 1. Ms. A, 40 yo , comes to you with complainig of epigastric pain for more than 2 weeks. Her pain is non radiating and occurs to the right of her epigastrium. This pain occurs daily, wavers in intensity, and increases at night and between meal. Medication history: she remembers taking aspirin at least 25 tablets over the last mounth for relieving her joint pain. Physical Examination : BP 130/78, T 37.5 C, normal bowel sound and mild tenderness, liver size normal, no splenomegaly P - treatment patient problem epigastric pain for more than 2 weeks therapeutic goal Treatment o Advice : Hentikan penggunaan NSAID. Jika NSAID tidak dapat dihindari, pakai dosis efektif minimum atau dengan paracetamol jika hanya untuk analgetik pada nyeri kepala dan antipiretik. Atau ganti NSAID yang selektif menghambat COX-2. Menghindari makanan dan minuman yang menyebabkan dispepsia dan memperberat simptom ulcer seperti makanan pedas, asam mengandung alkohol, kafein, dan makanan yang merangsang sekresi asam seperti coca-cola dan Beer. o Non-drug : Makan teratur, Istirahat cukup o drug : omeprazole 20 mg prescribtion dr. agustin jl. Merak 23 malang telp. (0341)456773 sip. 00986811 malang, 3 mei 2012 R/ omeprazole cap 20 mg No X S 1 dd cap I a.c

Pro : Ms. A Age : 40 y.o o o o Informations Instructions Warnings : : kapsul harus ditelan utuh dengan air (kapsul tidak dibuka, dikunyah, atau dihancurkan). Diminum sebelum makan :

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Zahrosofi Ahmadah 0910710139 Farmakologi gastrointestinal Case 2: Mr. A, 25 yo, comes to you because she has had diarrhea and severe stomach cramp for last three days. It is a watery diarrhoea several times per day, without blood or mucus. She thinks that contaminated food is the cause of his colleagues has the same symptoms after eating in a restaurant four days ago. Physical Examination: no sign of dehydration, increased bowel sounds. No abnormal findings by further history and physical examination. P - treatment patient problem therapeutic goal Treatment o Advice o Non-drug o drug prescribtion

diarrhea and severe stomach cramp for last three days

: menjaga kebersihan makanan : minum oralit jika terjadi tanda dehidrasi : Loperamide HCl 2 mg dr. agustin jl. Merak 23 malang telp. (0341)456773 sip. 00986811 malang, 3 mei 2012 R/ Loperamide HCl tab 2 mg No XX S 4 dd tab 2

Pro : Mr. A Age : 25 y.o o o o Informations Instructions Warnings : : pertama 2 tablet diikuti 1 tablet sesudah BAB maksimal 8 tablet/hari : nyeri abdominal (perut), mual, muntah, mulut kering, mengantuk, pusing, ruam kulit

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