KPJ Healthcare University College

KPJ HEALTHCARE UNIVERSITY COLLEGE DIPLOMA IN PHARMACY PHARMACY PRACTICE 2 YEAR 1 SEMESTER 2 PACE 131.
2
NAME: ARCHANAH DEIVYI A/P RAJAMANIKAM MATRIX NO: 12DPH0019 COHORT: 14 LECTURER NAME:
CONTENT
ACKNOWLEDGMENT
First of all, I would like to thank my coordinator and program coordinator Madam Rasyidah who guided me a lot to complete my second pharmacy practice successfully at KPJ SELANGOR SPECIALIST HOSPITAL. Other than that, I would like express my appreciation to all the pharmacy staff of SELANGOR SPECIALIST HOSPITAL that helped and guided me a lot in order for me to learn all new things and complete the pharmacy practice. I appreciate all their guidance. Moreover I also would like to thank my collogues Siti Hajar Aini, Malini, Rajathi and Sani whom same pharmacy practice with me that supports me a lot during the practice. I would like to thank god who makes all things possible for me to complete this assignment. In conclusion, I would like to thank all those helped me a lot to complete my assignment successfully.
AIM
a. To record the mastery skills and clinical experience in pharmacy practice. b. To serve as a guideline to plan the learning experiences expected from the students. c. To monitor the level of achievement experienced and gained by every students. d. To provide opportunities for external assessors to evaluate the experiences we provide our students
LEARNING OUTCOMES
2.1 given medication order, properly ill out a medication label that correctly transcribes the written order. 2.2 Given medication order, properly fill oral solid medication in a written medication label that adheres to Good Dispensing Practices. 2.3 Given a medication order, prepare oral liquid medications that adheres Good Dispensing Practices. 2.4 Given a medication order, reconstitute oral liquid medication that adheres to Good Dispensing Practices.
INTRODUCTION
KPJ Selangor Specialist Hospital (formerly known as Selangor Medical Centres Sdn Bhd), an ISO 9001:2000 and Malaysian Society Quality in Health (MSQH) certified hospital, has been registered with the Registrar of Companies on 4th April 1991and commenced its operations on 28th June 1996. It is officially known as KPJ Selangor Specialist Hospital. KPJ Selangor Specialist Hospital (KPJ Selangor) is a full-fledged private specialist hospital built in Shah Alam with comprehensive medical and healthcare services serving as a 'One Stop Health Care Centre'. Utilizing the latest technological equipments and supported by a team of Specialists, trained and skilled medical and para-medical personnel, KPJ Selangor provides quality competitive healthcare treatment and services for the residents, businesses and industrial population of Shah Alam, nationwide and worldwide. It is strategically located within the largest industrial area in Malaysia (Shah Alam Industrial Estate) and in Shah Alam (the capital city of the State of Selangor) Provide - 169 tastefully furnished rooms (Four Bedded, Two Bedded, Single Standard, Junior and VIP Suites), fully air-conditioned with television (except Four Bedded) and direct dial telephone facilities. It is also accessible through KL-Klang Federal Highway, Kesas Highway, Lebuhraya Damansara Puchong (LDP), Ekspressway Lingkaran Tengah (ELITE) and New Klang Valley Expressway (NKVE), 30 minute drive from Kuala Lumpur International Airport (KLIA), 25 minutes to Kuala Lumpur and located within International Hotels, Shopping Centers, Golf Courses, family Waterpark and other tourism attractions.
KPJ SELANGOR SPECIALIST HOSPITAL

VISION
"CARE FOR LIFE"
MISSION
"THE PREFERRED PROVIDER OF HEALTHCARE SERVICES
"
CORE VALUES
1.SAFETY 2.COURTESY 3.INTEGRITY 4.PROFESSIONALISM 5.CONTINUOUS IMPROVEMENT
KPJ NATIONAL PATIENT SAFETY GOALS

Goal 1 Goal 2 Goal 3 Goal 4 : Identify patient correctly : Improve the effectiveness of communication among caregivers : Improve the safety of using medication : Accurately and completely reconcile medications across the continue of care Goal 5 patient surgery Goal 6 Goal 7 : Improve hand hygiene to prevent health care : Reduce the risk of patient Harm Resulting from falls : Ensure Correct - site ,Correct - procedure, Correct -
PHARMACY DEPARTMENT OF KPJ SELANGOR SPECIALIST HOSPITAL
PHARMACY QUALITY OBJECTIVE
To ensure 80% of TTA (to take away) medication are prepared and readied
for collection within 15 minutes of the prescription being received.
To ensure 85% of out-patient prescription being presented at the outpatient

pharmacy counter.
To ensure 100% of out-patient will receive their medications within 30

minutes of the prescription being presented at the out-patient pharmacy counter.
5R CONCEPT OF KPJ SELANGOR SPECIALIST HOSPITAL

Right patient Make sure the patient name is written on the label Do not share medicines Store medicine out of reach of small children Store medicine for pets separately
Right medication
Read the label to make sure the medicine which is going to be consumed is correct. When getting a new medicine which name is unfamiliar, ask if it is a generic. When refilling prescription, make sure that the medicine looks the same as before. If it does not, ask if it is a different brand. For OTC medicines or supplements, read the ingredients list. Know the name of all medicine prescribed Know what medicine is used for.
Right dose Read the direction on the label Know how many tablet or doses should be taken each day. Know how long the medicine should be continued. Know the abbreviation for tablespoon or teaspoon. Use a medicine measuring cup or spoon for liquid rather than a household spoon. Taking extra medicine is not always better and always follow the dosage instructions.
Right route of administration
Read the label. Make sure you know the proper way to take and use of medicine. Remember that not all tab should not be swallowed. Know if the tablet can chewed, crushed, dissolved or if it should be swallowed whole.
Right time
Follow the label. Know if the medicine should be taken at a specific time of day. Know if the medicine will interact with the food or other medicine. Take medicine at the same time each day. Know what to do if a dose is missed.
ORGANISATION CHAT OF PHARMACY DEPARTMENT KPJ SELANGOR SPECIALIST HOSPITAL
ORGANISATION CHART OF PHARMACY DEPARTMENT KPJ SELANGOR SPECIALIST HOSPITAL

ggG
GENERAL MANAGER PN. ROSNANI ISMAIL
PHARMACIST INCHARGE
PN. AZAN MUKMINAH
PHARMACIST PN. SITI SUHAILA PN. NORMAZIAH
SENIOR PHARMACY ASSISTANT EN. SAIFUDDIN
PHARMACY ASSISTANT SYARIAH NOR HASIKIN MOHD IKHWAN SAMSUR SITI NOR ROHAYAH NUR AIRA HAZWANI NOR ASHIKIN MUHAMAD HILMI AZLIZA NUR HIDAYU SITI SALIHA NOR AISYAH
SENOIR DISPENSER ZANARIAH RADIAH KUNASEELA ZURINA JEME ROHANI PUNITHAVATHY
DISPENSER FAIZAH HERDA HANANI
STORE KEEPER HAIRUL ANUAR
CLERK NORAIDAH NAZATUL FARRAH
TASK 1: MEDICATION LABELLING
Medication labelling refers to all of the printed information that accompanies a drug, including the label. The label should include prescribers address, name of patient, amount of administered, dosage strength for the medication, special instructions for the medication, and the name of the prescriber.
STEPS OF MEDICATION LABELLING Accurately transcribed the prescription. The appropriate label for the medication to be dispense was used The handwritten or typed label was legible The instructions must be clearly stated for the patient using the medication. The label contains prescribers address, name of the patient, amount to be administered, dosage strength for the medication, special instructions for the medication, and the name of the prescriber. A proper medication label contains the following details: Name of patient MRN No of patient Date Quantity Ward Name of medication Strength Instruction Special precaution Expiry date
They are also some cautionary labels or advisory label such as:
Antibiotic Keep in refrigerator For external use For fever For cough Pain For cold
There are also cautionary or advisory label that should use when necessary such as:
Please complete the course Not to be taken For external use only Refrigerate
PRESCRIPTION 1 FOR MEDICATION LABEL SEX : FEMALE RACE : MALAY DATE: 28TH MARCH 2013 TIME: 15: 12 a.m. NAME OF DRUG IBERET-FOLIC VITAMIN C 500 MG CHEW DOSAGE 500 MG 500 MG FREQUENCY 1/1 DAILY DAILY DURATION 3/12 1/12
CALCULATION FOR PRESCRIPTION 1 IBERET FOLIC 500 MG ______ 500 MG 1 (3 30 DAYS)
1 TABLET 1 (3 30 DAYS) TOTAL =90 TABLETS VITAMIN C 500 MG ______ 500MG 1 TAB 1 (1 30 DAYS) TOTAL = 30 TABLETS 1 (1 30 DAYS)
LABEL
NAME : DRUG NAME: VITAMIN C 5OO MG CHEW (SHINE) PER TAB QUANTITY:30 INSTRUCTION: 1 TABLET ONCE DAILY AFTER MEALS ( TO CHEW)
(CONTROLLED MEDICINE)

( A Member of KPJ Healthcare Berhad) Lot 1, Jalan Singa, Section 20, 40300 Shah Alam, Selangor Darul Ehsan, Tel:03-55431111 Fax: 03-55403375
NAME : DRUG NAME: IBERET-FOLIC 500 MG TAB QUANTITY: 90 INSTRUCTION: 1 TABLET ONCE DAILY AFTER MEALS

PRESCRIPTION 2 FOR MEDICATION LABEL
SEX: FEMALE RACE: MALAY DATE : 27 TH MARCH 2013 TIME : 10: 28 am NAME OF DRUG T. CRAVIT T. XYZAL T. PREDNISOLONE FUCIDIN OINMENT DOSAGE 100 MG 5 MG 15 MG FREQUENCY 1 OD 1 OD BD BD DURATION 5/7 1/52 5/7 5/7
CALCULATION FOR SECOND PRESCRIPTION
T. CRAVIT DOSE ORDER _____________ F D DOSE AVAILABLE 100 MG ______ 1 5/7 100 MG 1 TABLET 1 5 DAYS TOTAL: 5 TABLETS
T. XYZAL DOSE ORDER _____________ F D DOSE AVAILABLE 5 MG _____ 1 1/52 5 MG
1 TABLET 1 (1 7 DAYS) TOTAL: 7 TABLETS
T. PREDNISOLONE
DOSE AVALABLE: 5 MG DOSE ORDER _____________ F D DOSE AVAILABLE 15MG ____ 5 MG 2 TIMES 5 DAYS
3 TABLET 2 TIMES 5 DAYS TOTAL: 30 TABLETS FUCIDIN 2% OINMENT APPLY FOR 2 TIMES A DAY FOR 5 DAY TOTAL: 10 G THE PATIENT WILL BE GIVEN 1 BOX
LABEL
NAME : DRUG NAME : CRAVIT 500 MG TAB QUANTITY:5 INSTRUCTION: 1 TAB ONCE EVERY NIGHT AFTER MEALS

NAME : DRUG NAME: XYZAL 5 MG TAB (LEVOCETIRIZINE) QUANTITY: 7 INSTRUCTION: 1 TABLET ONCE DAILY AFTER MEALS

NAME : DRUG NAME : PREDNISOLONE 5 MG TAB QUANTITY:30 INSTRUCTION: 3 TABLETS 2 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: FUCIDIN 2% OINMENT 15 G QUANTITY: 1 INSTRUCTION: TO APPLY 2 TIMES A DAY TO APPLY AT AFFECTED AREA

THIRD PRESCRIPTION FOR MEDICATION LABEL SEX : FEMALE DATE : 27TH MARCH 2013 TIME : 9.57 a.m. NAME OF DRUG T. CONTROLOC T.ACTIFED( FEDAC) T.PREDNISOLONE SINGULAIR DOSAGE 40MG 15 MG 10 MG FREQUENCY BD 1 ON BD ON DURATION 10/7 10 DAYS 5/7 1/52
CALCULATION FOR THIRD PRESCRIPTION
T. CONTROLOC 1 TABLET 2 TIMES A DAY 10 DAYS TOTAL: 20 TABLETS
T.ACTIFED (FEDAC) 1 TABLET 1 10 DAYS TOTAL: 10 TABLETS
T. PREDNISOLONE DOSE AVAILABLE: 5 MG DOSE ORDER _____________ F D DOSE AVAILABLE 15 MG _____ 2 TIMES A DAY 5 DAYS 5 MG 3 TABLETS 2 TIMES A DAY 5 DAYS TOTAL: 30 TABLETS
T. SINGULAIR 1 TABLET 1 7 DAYS TOTAL: 7 TABLETS
LABEL
NAME : DRUG NAME: CONTROLOC 40 MG TAB (PANTOPRAZOL) QUANTITY:20 INSTRUCTION: 1 TABLET 2 TIMES A DAY 30 MINUTES BEFORE MEALS

NAME : DRUG NAME: FEDAC TABLET (TRIPROLIDINE + PSEUDO) QUANTITY:10 INSTRUCTION: 1 TAB ONCE EVERY NIGHT AFTER MEALS

NAME : DRUG NAME: PREDNISOLONE 5 MG TAB QUANTITY:30 INSTRUCTION: 3 TABLETS 2 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: SINGULAIR 10 MG TAB QUANTITY:7 INSTRUCTION: 1 TABLET ONCE EVERY NIGHT AFTER MEALS

FOURTH PRESCRIPTION FOR MEDICATION LABEL SEX : MALE RACE : MALAY DATE : 27TH MARCH 2013 TIME: 10:10 am NAME OF DRUG T.ZINNAT AFRIN NASAL SPRAY ACTIFED( FEDAC) PREDNISOLONE DOSAGE 250 MG 100 MG FREQUENCY BD TDS 1 ON BD DURATION 1/52 5/7 1/52 5/7
CALCULATION FOR FOURTH PRESCRIPTION T.ZINNAT I TABLET 2 TIMES (17 DAYS) TOTAL: 14 TABLETS AFRIN NASAL SPRAY ( 15 ML) 3 TIMES A DAY FOR 5 DAYS. TOTAL: 15 ML THE PATIENT WILL BE GIVEN 1 BOX T. (FEDAC) 1 TABLET 1 (17DAYS) TOTAL: 7 TABLETS T.PREDNISOLONE DOSE AVAILABLE: 5MG 10MG _____ BD 5/7 5MG 2 TABLET 2 TIMES A DAY 5 DAYS TOTAL: 20 TABLETS
LABEL
NAME : DRUG NAME: ZINNAT 250 MG TAB ( CEFUROXIME) QUANTITY: 14 INSTRUCTION: 1 TABLET 2 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: AFRIN 0.05 % NASAL SPRAY 15 ML QUANTITY: 1 INSTRUCTION: 2 SPRAYS 3 TIMES A DAY BOTH NOSTRILS

LABEL
NAME : DRUG NAME: FEDAC TAB ( TRIPROLIDINE + PSEUDO) QUANTITY: 7 INSTRUCTION: 1 TABLET ONCE EVERY NIGHT AFTER MEALS

NAME : DRUG NAME: PREDNISOLONE 5 MG TAB QUANTITY: 20 INSTRUCTION: 2 TABLET 2 TIMES A DAY AFTER MEALS

FIFTH PRESCRIPTION FOR MEDICATION LABEL SEX: MALE RACE: MALAY DATE: 29TH MARCH 2013 TIME: 12.30 p.m. NAME OF DRUG T.CLARINASE T. DIFFLAM LOZENGES T. ZANTAC DOSAGE 150 MG FREQUENCY 1/1 DAILY TDS BD DURATION 1 WEEK 5/7 1 WEEK
CALCULATION FOR FIFTH PRESCRIPTION T.CLARINASE 1 TABLET 1 7 DAYS TOTAL: 7 TABLETS
T. DIFFLAM LOZENGES 1 TABLET 3 TIMES DAILY 5 DAYS TOTAL: 15 TABLETS
T. ZANTAC 1 TABLET 2 TIMES DAILY 7 DAYS TOTAL: 14 TABLETS
LABEL NAME : DRUG NAME: CLARINASE TAB QUANTITY: 7 INSTRUCTION: 1 TABLET ONCE DAILY AFTER MEALS

NAME : DRUG NAME: DIFFLAM LOZ. TAB QUANTITY: 15 INSTRUCTION: 1 TABLET 3 TIMES A DAY AFTER MEALS AND TO SUCK

NAME : DRUG NAME: ZANTAC 150 MG TAB ( RANITADINE) QUANTITY: 14 INSTRUCTION: 1 TABLET 2 TIMES A DAY AFTER MEALS

EXAMPLE OF MEDICATION LABEL
Distaclor Syrup with medication label and cautionary label which is refrigerate.
Voltaren Suppository with medication label and precautionary label which is not to be taken. Suppositories are inserted in to the rectum and it is not to be taken.
TASK 2: FILLING AN ORAL SOLID MEDICATION
Oral solid medication defined as a tablet and capsule. The tablet and capsule can packed in blister packets, amber colored bottles and clear bottles. We cannot handle the tablet and capsule by our bare hand. We should use counting tray or counting triangle tray for count the tablets or capsules.
Tablets and capsules are not advisable for small children and elderly people who cannot swallow or tolerate the tablet and capsule .For an oral solid medication we should pay attention on its strength because the name of the drug can be the same sometimes but the strength is not.
Repacking preparations into unit dose configuration is an important aspect Of pharmaceutical care and of optimization of patient compliance.
FIRST PRESCRIPTION FOR ORAL SOLID MEDICATION SEX: MALE RACE: MALAY DATE: 3rd APRIL 2013 TIME: 12: 23 p.m. NAME OF DRUG T. CLARINASE T. ZYRTEC T. CRAVIT SYRUP SELIDIX DOSAGE 500 MG 10 ML FREQUENCY 1/1 DAILY ON DAILY TDS DURATION 5/7 5/7 5/7 5/7
CALCULATION FOR FIRST PRECRIPTION OF ORAL SOLID MEDICATION
T. CLARINASE
1 TABLE 1 5 DAYS TOTAL: 5 TABLETS
T. ZYRTEC TABLET 1 5 DAYS TOTAL: 3 TABLETS
T. CRAVIT 1 TABLET 1 5 DAYS
TOTAL: 5 TABLETS
LABEL NAME : DRUG NAME: CLARINASE TAB QUANTITY:5 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

NAME : DRUG NAME: ZYRTEC TAB QUANTITY:3 INSTRUCTION: 1/2 TAB ONCE EVERY NIGHT AFTER MEALS

NAME : DRUG NAME: CRAVIT 500 MG TAB QUANTITY:5 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

SECOND PRESCRIPTION FOR ORAL SOLID MEDICATION
SEX: MALE RACE: INDIAN DATE: 28TH MARCH 2013 TIME: 10.23 a.m.
NAME OF DRUG T.APO-CLOPIDOGREL T.VASCOR T.DILTIAZEM SR T.PCM T.DIJOXIN (LANOXIN) T.LASIX T.SLOW K
DOSAGE 75 MG 20 MG 90 MG 0.125 MG 40 MG 600 MG
FREQUENCY DLY ON DLY TDS DLY DLY 2 DAILY
DURATION 1/12 1/12 1/12 2/52 2/52 2/52 2/52
CALCULATION FOR SECOND PRESCRIPTION OF ORAL SOLID MEDICATION T. APO-CLOPIDOGREL 1 TABLET 1 (130 DAYS)
TOTAL: 30 TABLETS
T. VASCOR 1TABLET 1 (130 DAYS) TOTAL: 30 TABLETS
T. DILTIAZEM SR 1 TABLET 1 (130 DAYS) TOTAL: 3O TABLETS
T. PCM
1 TABLET 3 TIMES A DAY (2 7 DAYS) TOTAL: 48 TABLETS
T. DIJOXIN DOSE AVAILABLE: 0.25 MG DOSE ORDER ___________ DOSE AVAILABLE 0.125 MG _________ 1 (27 DAYS) 0.25 MG TOTAL: 7 TABLETS T. LASIX 1 TABLET 1 14 DAYS TOTAL: 14 TABLETS F D
T. SLOW K DOSE ORDER _____________ F D DOSE AVAILABLE 600 MG ______ 2 2/52 600 MG 2 TABLET 1 14
TOTAL: 28 TABLETS LABEL FOR ORAL SOLID MEDICATION
NAME : DRUG NAME: APO-CLOPIDOGREL 75 MG TAB QUANTITY: 30 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

NAME : DRUG NAME: VASCOR 20 MG TAB QUANTITY:30 INSTRUCTION: 1 TAB ONCE EVERY NIGHT AFTER MEALS

NAME : DRUG NAME: DILTIAZEM SR 90 MG TAB QUANTITY:30 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

NAME : DRUG NAME: PCM TAB QUANTITY: 48 INSTRUCTION: 1 TABLETS 3 TIMES DAILY AFTER MEALS

NAME : DRUG NAME: DIJOXIN 0.125 MG TAB ( LANOXIN) QUANTITY: 7 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

NAME : DRUG NAME: LASIX 40 MG TAB QUANTITY:14 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

NAME : DRUG NAME: SLOW K TAB QUANTITY:28 INSTRUCTION: 2 TABLETS DAILY AFTER MEALS

THIRD PRESCRIPTION FOR ORAL SOLID MEDICATION
SEX: FEMALE RACE: MALAY DATE: 2nd APRIL 2013 TIME: 10: 26 a.m.
NAME OF DRUG T. LOMOTIL T. BUSCOPAN T. ULTRACARBON ORS SACHET T. MAXALON
DOSAGE 10 MG -
FREQUENCY 1/1 TDS 1/1 TDS 1/1 BD TDS 1/1 TDS
DURATION 5/7 5/7 5/7 5/7 5/7
CALCULATION FOR THIRD PRESCRIPTION OF ORAL SOLID MEDICATION
T. LOMOTIL 1 TABLET 3 TIMES A DAY 5 DAYS TOTAL: 15 TABLETS T. BUSCOPAN 1 TABLET 3 TIMES A DAY 5 DAYS TOTAL: 15 TABLETS T. ULTRACARBON 1 TABLET 2 TIMES A DAY 5 DAYS TOTAL: 10 TABLETS T. MAXOLON 1 TABLET 3 TIMES A DAY 5 DAYS TOTAL: 15TABLETS
LABEL
NAME : DRUG NAME: LOMOTIL TAB QUANTITY:15 INSTRUCTION: 1 TABLETS 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: BUSCOPAN TAB QUANTITY:15 INSTRUCTION: 1 TABLETS 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: ULTRACARBON TAB QUANTITY:10 INSTRUCTION: 1 TABLETS 2 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: MAXALON TAB QUANTITY:15 INSTRUCTION: 1 TABLETS THREE TIMES A DAY AFTER MEALS

FOUTH PRESCRIPTION FOR ORAL SOLID MEDICATION SEX: MALE RACE: MALAY DATE: 29th MARCH 2013 TIME: 10.25 a:m NAME OF DRUG T. DEXAMETHOSONE T. CONTROLOC T. METHYCOBAL T. LASIX DOSAGE 1 MG 40 MG 500 MG 20 MG FREQUENCY OD OD TDS OD DURATION 1/12 1/12 1/12 5/7
CALCULATION FOR FOURTH PRESCRIPTION OF ORAL SOLID MEDICATION
T. DEXAMETHASONE DOSE AVAILABLE: 0.5 MG DOSE ORDER ______________ F D
DOSE AVAILABLE 1MG ______ 1 (130 DAYS) 0.5 MG 2 TABLETS 1 (1 30 DAYS) TOTAL: 60 TABLETS
T.CONTROLOC 1 TABLET 1 (130 DAYS) TOTAL: 30 TABLETS
T. METYCOBAL 1 TABLET 3 TIMES A DAY (130 DAYS) TOTAL: 90 TABLETS
T.LASIX 1 TABLET 1 5 DAYS TOTAL: 5 TABLETS
NAME : DRUG NAME: DEXAMETHOSONE 1 MG TAB QUANTITY: 60 INSTRUCTION: 2TAB ONCE DAILY AFTER MEALS

NAME : DRUG NAME: CONTROLOC 40 MG TAB QUANTITY: 30 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

NAME : DRUG NAME: METHYCOBAL 500 MG TAB QUANTITY: 90 INSTRUCTION: 1 TABLET 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: LASIX 20 MG TAB QUANTITY: 5 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

FIFTH PRESCRIPTION OF ORAL SOLID MEDICATION
SEX: FEMALE RACE: MALAY DATE: 4th APRIL 2013 TIME: 10:09 a.m.
NAME OF DRUG T. CARDIPRIN T. PLAVIX T. MICARDIS T. CRESTOR T. GLUCOPHAGE XR T. PARIET S. GAVISCON
DOSAGE 100 MG 75 MG 40 MG 10 MG 1000 MG 20 MG 10 ML
FREQUENCY OD OD OD OD 0D 0D TDS
DURATION 1/12 1/12 1/12 1/12 1/12 1/12 5 DAYS
CALCULATION FOR FIFTH PRESCRIPTION OF ORAL SOLID MEDICATION T. CARDIPRIN I TABLET 1 (130 DAYS) TOTAL: 30 TABLETS
T. PLAVIX 1 TABLET 1 (130 DAYS) TOTAL: 30 TABLETS
T. MICARDIS 1 TABLET 1 (130 DAYS) TOTAL: 30 TABLETS
T. CRESTOR 1 TABLET 1 (1 30 DAYS) TOTAL: 30 TABLETS
T. GLUCOPHAGE XR DOSE AVAILABLE: 500 MG DOSE ORDER __________ DOSE AVAILABLE F D
1000 MG ________ 1 (1 30 DAYS) 500 MG 2 TABLETS 1 30 DAYS TOTAL= 60 TABLETS
T.PARIET 1 TABLET 1 (130 DAYS) TOTAL: 30 TABLETS
NAME : DRUG NAME: CARDIPRIN 100 MG TAB QUANTITY: 30 INSTRUCTION: 1 TABLET ONCE DAILY AFTER MEALS

NAME : DRUG NAME: PLAVIX 75 MG TAB QUANTITY: 30 INSTRUCTION: 1 TABLET ONCE DAILY AFTER MEALS

NAME : DRUG NAME: MICARDIS 40 MG TAB QUANTITY:30 INSTRUCTION: 1 TAB ONCE DAILY AFTER MEALS

NAME : DRUG NAME: CRESTOR 10 MG TAB QUANTITY:30 INSTRUCTION: 1 TABLET ONCE DAILY AFTER MEALS

NAME : DRUG NAME : GLUCOPHAGE XR 1000 MG TAB QUANTITY: 60 INSTRUCTION: 2 TABLETS ONCE DAILY AFTER MEALS

NAME : DRUG NAME: PARIET 20 MG TAB QUANTITY: 30 INSTRUCTION: 1 TABLET ONCE DAILY AFTER MEALS

EXAMPLE OF ORAL SOLID MEDICATION
AERIUS (DESLORATADINE) 5 MG TAB
Aerius relieves symptoms associated with allergic rhinitis (inflammation of the nasal passages caused by an allergy, for example, high fever or allergy to dust mites). These symptoms include sneezing, runny or itchy nose, itchy palate, and itchy, red or watery eyes. Aerius is also used to relieve the symptoms associated with urticaria (a skin condition caused by an allergy). These symptoms include itching and hives
SLOW K (POTASSIUM CHLORIDE) 600 MG TABLET This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a wellbalanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhoea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretic.
CRAVIT TAB (500 MG)
Levofloxacin, a fluoroquinolone anti-infective, is the optically active Lisomer of ofloxacin. Levofloxacin is used to treat bacterial conjunctivitis, sinusitis, chronic bronchitis, community-acquired pneumonia and pneumonia caused by penicillin-resistant strains of Streptococcus pneumonia, skin and skin structure infections, complicated urinary tract infections and acute pyelonephritis.
EXAMPLE TOOLS USED TO COUNT MEDICATION
This is a triangle tray used to calculate large amount of round tablets and capsules
This is another tray used to calculate large amount of tablets but mostly used to calculate capsules.
This is a wooden stick used to calculate large amount of tablets and capsules. The tablets should not handle with our hands.
EXAMPLE OF CONTAINER
Large clear bottle to keep large amount of tablets which was required by patient
Small Amber class container used to keep small amount of tablets and capsules which was required by patient. It protects from light
Medium size glass container used for medium amount of tablets required by patient. TASK 3: FILLING ORAL LIQIUD MEDICATION
Oral liquid medication defined as a syrup and oral suspension. Liquid medications are good for children and adults (especially older adults) who are not able to swallow tablets or capsules. Many liquid medications, including both prescription drugs and over-the-counter drugs, are made for children and are flavoured to mask the taste of the medication. Before measuring the proper dose of liquid medication, make sure to shake the bottle as some of the medication may have settled at the bottom Pharmacist should give a spoon, medicine cup, medicine dropper, or a syringe without a needle meant specifically for measuring medications. Pharmacist should show how to properly use these. Many over-the-counter liquid medications come with a small medicine cup attached to the top of the bottle. If the medication has been prescribed for an infant or young child, make sure to speak with your paediatrician about the proper dosage, or amount, of liquid medication for your child
Unit conversions
1 mL = 1 cc 2.5 mL = 1/2 teaspoon 5 mL = 1 teaspoon 15 mL = 1 tablespoon 3 teaspoons = 1 tablespoon
FIRST PRESCRIPTION FOR ORAL LIQUID MEDICATION
SEX: FEMALE RACE: MALAY DATE: 3 th APRIL 2013 TIME: 20:05 a.m.
SYRUP ZITROMAX 230 MG DLY 3/7 SYRUP ATARAX 4 ML TDS 1/52 SYRUP VENTOLIN 2 MG QID 1/52 SYRUP RHINATHIOL 5 ML TDS 1/52
CALCULATION FOR ORAL LIQUID MEDICATION SYRUP ZITROMAX 200 MG 230 MG 5ML 5. 8 ML 200 MG / 5 ML
=5.8 ML 1 3 DAYS TOTAL 17.4 ML
1 BOTTLE OF ZITROMAX SYRUP CONTAIN 15 ML THE PATIENT SHOULD BE GIVEN 2 BOTTLES OF SYRUP ZITROMAX
SYRUP ATARAX
10 MG / 5 ML (200 ML)
=4 ML 3 TIMES PER DAY (1 7 DAYS) TOTAL 84 ML
THE PATIENT WILL BE GIVEN 90 ML OF SYRUP ATARAX IN A PLASTIC FLUTED BOTTLE
SYRUP VENTOLIN (SALBUTAMOL) 2 MG 2MG 5ML 5ML
2MG / 5 ML
=5 ML 4 TIMES A DAY (17DAYS) TOTAL: 140 ML SYRUP VENTOLIN 1 BOTTLE CONTAIN 100ML THE PATIENT SHOULD BE GIVEN 2 BOTTLES OF SYRUP VENTOLIN
SYRUP RHINATHIOL =5ML 3TIMES PER DAY (1 7 DAYS) TOTAL: 150 ML THE PATIENT SHOULD BE GIVEN 2 BOTTLE OF SYRUP RHINATHIOL BECAUSE 1 BOTTLE CONTAIN 125 ML OF SYRUP.
NAME : DRUG NAME: ZITROMAX 200 MG/5 ML SYRUP QUANTITY: 30 ML INSTRUCTION: 17.4 ML ONCE DAILY AFTER MEAL

NAME : DRUG NAME: ATARAX SYRUP 10 MG / 5ML SYRUP QUANTITY: 90 ML INSTRUCTION : 4 ML 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: SYRUP VENTOLIN 2MG / 5 ML ( SALBUTAMOL) AXCEL QUANTITY: 200 ML INSTRUCTION: 5 ML 4 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: RHINATHIOL SYRUP QUANTITY: 150 ML INSTRUCTION: 5 ML 3 TIMES A DAY AFTER MEALS

SECOND PRESCRIPTION FOR ORAL LIQUID MEDICATION
SEX: FEMALE RACE: MALAY DATE: 4th APRIL 2013 TIME: 10:00 a.m.
SYRUP DISTACLOR 200 MG BD 5/7 SYRUP MUSCOLOVAN 5 ML TDS 1/52 SYRUP PCM 200 MG TDS 1/52
CALCULATION FOR SECOND PRESCRIPTION FOR ORAL LIQUID MEDICATION SYRUP DISTACLOR 187 MG 200 MG 5 ML 5.3 ML 187 MG / 5ML (60 ML LIQUID)
= 5.3 ML 2 TIMES A DAY 5 DAYS) TOTAL= 53 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP DISTACLOR
SYRUP MUSCOLOVAN
30 MG / 5ML (100 ML LIQUID)
5 ML 3 TIMES PER DAY (1 7 DAYS) TOTAL = 105 ML THE PATIENT WILL BE GIVEN 2 BOTTLES OF SYRUP MUSCOLOVAN
SYRUP PARACETAMOL 250 MG 200 MG 5 ML 4 ML
250 MG/ 5ML (100 ML)
4 ML 3 TIMES PER DAY (1 7 DAYS) TOTAL= 84 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP PARACETAMOL
NAME : DRUG NAME: DISTACLOR 187 MG / 5 ML SYRUP QUANTITY: 60 ML INSTRUCTION: 5.3 ML 2 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: MUSCOLOVAN SYRUP 30 MG / 5 ML SYRUP QUANTITY: 60 ML INSTRUCTION: 5 ML TIMES A DAY AFTER MEALS

NAME : DRUG NAME : PARACETAMOL 250 MG / 5 ML SYRUP ( AXCEL) QUANTITY: 100 ML INSTRUCTION: 4 ML 3 TIMES A DAY AFTER MEALS

THIRD PRESCRIPTION FOR ORAL LIQUID MEDICATION
SEX: MALE RACE: INDIAN DATE: 4th APRIL 2013 TIME: 11: 09 a.m.
SYRUP BRICANRYL (TRIBUTALINE) 7.5 ML TDS 1/52 SYRUP ZITROMAX 350 MG DLY 5/7 SYRUP ZYRTEC 7.5 ML ON 1/52 SYRUP PIRITON 5ML TDS 1/52 SYRUP MUSCOSOLVAN 5ML TDS 1/52 T.DIFFLAM LOZENGES 1/1 TDS 1/52 SYRUP PARACETAMOL 10 ML PRN 1/52 CALCULATION FOR THIRD PRESCRIPTION OF ORAL LIQUID MEDICATION SYRUP BRICARYL (TRIBUTALINE) 1.5 MG 5 ML (120ML)
7.5 ML 3 TIMES A DAY (17 DAYS) = 157.5 ML THE PATIENT SHOULD BE GIVEN 2 BOTTLES OF SYRUP BICARYL
SYRUP ZITROMAX 250 MG 350 MG 5 ML 7 ML
200 MG/5 ML (15 ML)
7 ML 1 (17 DAYS) TOTAL: 49 ML THE PATIENT SHOULD BE GIVEN 4 BOTTLES OF SYRUP ZITROMAX
SYRUP ZYRTEX
1 MG/ ML (75 ML)
7.5 ML 1 (17 DAYS) TOTAL: 52.5 ML TE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP ZYRTEX
SYRUP PIRITON (100 ML) 5 ML THREE TIMES A DAY (1 7 DAYS) TOTAL = 105 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP PIRITON
SYRUP MUCOSOLVAN
30 MG / 5ML (100 ML LIQUID)
5 ML THREE TIMES A DAY (1 7 DAYS) TOTAL= 105 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP MUSCOSOLVAN
SYRUP PARACETAMOL 10 ML 1 (1 7 DAYS) TOTAL: 70 ML
250 MG/ 5ML (100 ML)
THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP PARACETAMOL
NAME : DRUG NAME: BRICARYL SYRUP 1.5 MG/ 5L SYRUP (TRIBUTALINE) QUANTITY: 240 ML INSTRUCTION: 7.5 ML 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: ZITROMAX SYRUP 250 MG / 5 ML SYRUP QUANTITY: 60 ML INSTRUCTION: 7 ML ONCE DAILY AFTER MEAL

NAME : DRUG NAME: ZYRTEC 1MG / ML SYRUP QUANTITY: 75 ML INSTRUCTION: 7.5 ML ONCE EVERY NIGHT AFTER MEALS

NAME : DRUG NAME: PIRITON SYRUP QUANTITY: 100 ML INSTRUCTION: 5 ML 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: MUSCOSOLVAN 30 MG / 5 ML SYRUP QUANTITY: 100 ML INSTRUCTION: 5 ML 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: PARACETAMOL SYRUP 250MG / 5 ML (AXCEL) QUANTITY: 100 ML INSTRUCTION: 10 ML ONCE DAILY AFTER MEALS FOR 7 DAYS

FOURTH PRESCRIPTION FOR ORAL LIQUID MEDICATION SEX: MALE RACE: MALAY DATE: 2nd APRIL 2013 TIME: 11. 04 a.m.
SYRUP PARACETAMOL 7 ML QID 1/52 SYRUP ZITROMAX 220 MG DLY 5/7 SYRUP VENTOLIN 5 ML TDS 1/52 SYRUP ATARAX 5 ML TDS 1/52 TABLET VENTOLIN 2 MG TDS 1/52 TABLET PIRITON 1/1 TDS 1/52
CALCULATION FOR FOUTH PRESCRIPTION OF ORAL LIQUID MEDICATION SYRUP PARACETAMOL 250 MG/ 5ML (100 ML)
7 ML 4 TIMES A DAY (1 7 DAYS) TOTAL= 196 ML THE PATIENT WILL BE GIVEN 2 BOTTLES OF SYRUP PARACETAMOL
SYRUP ZITROMAX
200 MG/5 ML (15 ML)
200 MG 220 MG
5 ML 5.5 ML
5.5 ML 1 5 DAYS TOTAL= 27.5 ML THE PATIENT SHOULD BE GIVEN 2 BOTTLES OF SYRUP ZITROMAX
SYRUP VENTOLIN (SALBUTAMOL)
2MG / 5 ML (100 ML)
5 ML 3 TIMES A DAY (1 7 DAYS) TOTAL= 105 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP VENTOLIN
SYRUP ATARAX
10 MG / 5 ML (200 ML)
5 ML 3 TIMES A DAY (17 DAYS) TOTAL= 105 THE PATIENT WILL BE GIVEN 120 ML IN A PLASTIC FLUTED BOTTLE
NAME : DRUG NAME: PARACETAMOL 250 MG / 5 ML SYRUP (AXCEL) QUANTITY: 200 ML INSTRUCTION: 7 ML 4 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: ZITROMAX 2OOMG / 5 ML SYRUP QUANTITY: 30 ML INSTRUCTION: 5.5 ML ONCE DAILY FOR 5 DAYS AFTER MEALS

NAME : DRUG NAME: SYRUP VENTOLIN 2MG / 5 ML ( SALBUTAMOL) AXCEL QUANTITY: 100 ML INSTRUCTION: 5 ML 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: ATARAX SYRUP QUANTITY: 200 ML INSTRUCTION: 5 ML 3 TIMES A DAY AFTER MEALS

FIFTH PRESCRIPTION FOR ORAL LIQUID MEDICATION SEX: FEMALE RACE: MALAY DATE: 5th APRIL 2013 TIME: 9: 10 a.m. SYRUP VENTOLIN 1.5 MG QID 1/52 SYRUP ATARAX 2 ML TDS 1/52 SYRUP ZITROMAX 120 MG DLY 5/7
CALCULATION FOR FIFTH PRESCRIPTION OF ORAL LIQUID MEDICATION SYRUP VENTOLIN (SALBUTAMOL) 2 MG 1.5 MG 5 ML 3.8 ML 2MG / 5 ML (100 ML)
3.8 ML 4 TIMES A DAY (17 DAYS) TOTAL= 106.4 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP VENTOLIN SYRUP ATARAX 10 MG / 5 ML (200 ML)
2ML 3 TIMES A DAY (1 7 DAYS) TOTAL= 42 ML THE PATIENT WILL BE GIVEN 60 ML OF SYRUP ATARAX IN A PLASTIC FLUTED BOTTLE
SYRUP ZITROMAX 200 MG 120 MG 5 ML 3 ML
200 MG/5 ML (15 ML)
3ML 1 5 DAYS TOTAL= 15 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP ZITROMAX
NAME : DRUG NAME: VENTOLIN 2MG / 5 ML SYRUP ( SALBUTAMOL) AXCEL QUANTITY: 100 ML INSTRUCTION: 3.8 ML 4 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: ATARAX SYRUP QUANTITY: 60 ML INSTRUCTION: 2 ML 3 TIMES A DAY AFTER MEALS

NAME : DRUG NAME: ZITROMAX 200 MG / 5ML SYRUP QUANTITY: 15 ML INSTRUCTION: 3 ML ONCE DAILY AFTER MEALS FOR 5 DAYS

SYRUP RHINATHIOL This medicine is designed to loosen bronchial secretions, thus allowing mucus to be expelled more easily through coughing. It is indicated in cases of bronchial congestion, particularly during acute episodes of bronchitis. Do not store more than 25C.
SYRUP PROSPAN Syrup Prospan traditionally used for relief cough, throat irritation and reducing phlegm. It should be stored below 25C. It suitable for children and adults for fighting against the complaints of illness
EXAMPLE OF PLASTIC MIXTURE BOTTLE
THID PLASTIC MIXTURE BOTTLE IS USED FOR 90 ML SYRUP
THIS PLASTIC MIXTURE BOTTLE IS USED FOR 120 ML OF SYRUP
THIS PLASTIC MIXTURE BOTTLE IS USED FOR 30 ML SYRUP
THIS PLASTIC MIXTURE BOTTLE IS USED FOR 240 ML SYRUP
EXAMPLE OF SYRINGES
This syringe is for 10 ml syrup
This syringe is for 3ml syrup
TASK 4: RECONSTITUTE A MEDICATION FOR DISPENSING FIRST PRESCRIPTION FOR RECONSTITUTE A MEDICATION SEX: MALE RACE: MALAY DATE: 4th APRIL 2013 TIME: 10:29 a.m. NAME OF DRUG DOSAGE FREQUENCY DURATION
SYRUP PREDNISOLONE SYRUP KLACID SYRUP PARACETAMOL
5ML 90 MG 120 MG
TDS TDS ON
1/52 5/7 1/52
CALCULATION FOR FIRST PRESCRIPTION OF RECONSTITUTE MEDICATION SYRUP KLACID 125MG 90 MG 5 ML 3.6ML 125 MG/5ML (60 ML)
3.6 ML 3 5 DAYS TOTAL= 54 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP KLACID. THE SYRUP WILL BE RECONSTITUTE WITH DISTILLED WATER UNTIL THE REQUIRED LAVEL. LABEL
NAME : DRUG NAME: KLACID 125 MG / 5 ML SYRUP QUANTITY: 60 ML INSTRUCTION: 3.6 ML 3 TIMES A DAY AFTER MEALS

STEPS ON HOW TO RECONSTITUTE SYRUP KLACID
STEP 1
Shake the bottle
STEP 2 Pour the distilled water into the klacid bottle until the line provided by the manufacturer.
The line
STEP 3 Then, shake the bottle until the syrup become completely homogenous
The reconstitute suspension can be used up to 14 days when stored at room temperature(15C to 30C). Shake well before use.
Distilled Water used to reconstitute the medication.
SECOND PRESCRIPTION FOR RECONSTITUTE MEDICATION
SEX: MALE RACE: MALAY DATE: 4th APRIL 2013 TIME: 8:50 a.m. NAME OF DRUG SYRUP UNASYN SYRUP ZYRTEC OXYNASE NASAL SPRAY TARAVID OTIC 3MG/5ML DOSAGE 5ML 5ML FREQUENCY BD TDS BD TDS DURATION 5/7 5/7 2/7
CALCULATION FOR SECOND PRESCRIPTION OF RECONSTITUTE MEDICATION SYRUP UNASYN 250MG/5ML (30 ML)
5ML 2 TIMES A DAY 5 DAYS TOTAL= 50 ML THE PATIENT SHOULD BE GIVEN 2 BOTTLE OF SYRUP UNASYN. ONE BOTTLE IS RECONSTITUTE WITH CERTAIN AMOUNT OF WATER. THE ANOTHER BOTTLE THE PATIENT RECONSTITUTE BY THEMSELVES LABEL
NAME : DRUG NAME: UNASYN 250 MG / 5ML SYRUP QUANTITY: 60 ML INSTRUCTION: 5 ML 3 TIMES A DAY AFTER MEALS

STEPS ON HOW TO RECONSTITUTE SYRUP UNASYN
STEP 1 Firstly, shake the bottle
STEP 2 Pour a little of distilled water into the bottle. STEP 3 Then, shake the bottle STEP 4 Add the water until the line which was provided by the manufacturer.
Add water to this line
STEP 5 Shake vigorously until the powder is well suspended. The reconstitute of oral suspension should be stored under refrigeration (approximately 5C) and any remaining suspension discarded after 14 days.
THIRD PRESCRIPTION FOR RECONSTITUTE MEDICATION
SEX: FEMALE RACE: MALAY DATE: 2nd APRIL 2013 TIME: 8:48 a.m.
NAME OF DRUG
DOSAGE
FREQUENCY
DURATION
BACTROBAN OINMENT SYRUP AUGMENTIN SYRUP NEUROFEN KMNO4 SOLUTION 2.5 ML 2.5 ML
TDS BD QID TDS
5/7 5/7 5/7 5/7
CALCULATION FOR THIRD PRESCRIPTION OF RECONSTITUTE MEDICATION SYRUP AUGMENTIN INFANT (35 ML) 2.5 ML 2TIMES A DAY 5 DAYS TOTAL= 25 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP AUGMENTIN. LABEL
NAME : DRUG NAME: AUGMENTIN INFANT SYRUP QUANTITY: 35 ML INSTRUCTION: 2.5 ML 2 TIMES A DAY AFTER MEALS

( A Member of KPJ Healthcare Berhad) Lot 1, Jalan Singa, Section 20, 40300 Shah Alam,
Selangor Darul Ehsan, Tel:03-55431111 Fax: 03-55403375
STEPS ON HOW TO RECONSTITUTE SYRUP AUGMENTIN STEP 1 Firstly, the water can be added to 2/3 of the fill line. STEP 2 Replace the cap, and shake the bottle until all the powder is suspended.
STEP 3 Add more water until the level of the fill line is attained, and shake again.
Add water to this line provided by the manufacturer
Line
When first reconstituted, allow to stand for 5 minutes to ensure full dispersion.
FOURTH PRESCRIPTION FOR RECONSTITUTE MEDICATION
SEX: MALE RACE: MALE DATE: 3th APRIL 2013 TIME: 11: 27 a.m. NAME OF DRUG DOSAGE FREQUENCY DURATION
SYRUP ZINNAT
3 ML
BD
1/52
CALCULATION FOR FOURTH PRESCRIPTION OF RECONSTITUTE MEDICATION SYRUP ZINNAT (50 ML) 3 ML BD 1/52 TOTAL= 42 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP ZINNAT.THE AMOUNT OF DISTILLED WATER USED TO RECONSTITUTE SYRUP ZINNAT IS 20 ML AS SHOWN BELOW.
LABEL
NAME : DRUG NAME: ZINAAT SYRUP QUANTITY: 50 ML INSTRUCTION: 3 ML 2 TIMES A DAY AFTER MEALS

THE STEPS TO RECONSTITUTE SYRUP ZINNAT
STEP 1 Shake the bottle to loosen the granules. Remove the cap and the heat-seal membrane. If the latter is damage or not present, the product should be returned to the pharmacist.
STEP 2 Measure 20 ml of water and add the total amount of water into the bottle as shown below.
STEP 3
Invert the bottle and rock vigorously (for about 15 seconds). STEP 4 Turn the bottle into an upright position and shake vigorously
The reconstituted suspension when refrigerated between 2 to 8C can be kept for 10 days.
FIFTH PRESCRIPTION FOR RECONSTITUTE MEDICATION
SEX: MALE RACE: MALAY DATE: 29th MARCH 2013 TIME: 8.41 a.m.
NAME OF DRUG
DOSAGE
FREQUENCY
DURATION
SYRUP BRICARYL SYRUP ATARAX SYRUP ZITROMAX
1.2 MG 1.5 ML 90 MG
TDS TDS DLY
1/52 1/52 5/7
CALCULATION FOR FIFTH PRESCRIPTION FOR RECONSTITUTE MEDICATION
SYRUP ZITROMAX 200 MG 90 MG 5 ML 2.3 ML
200 MG/5 ML (15 ML)
2.3 ML 1 5 DAYS = 11.5 ML THE PATIENT WILL BE GIVEN 1 BOTTLE OF SYRUP ZITROMAX. THE AMOUNT OF WATER NEEDED TO RECONSTITUTE THE MEDICATION IS 9 ML AS SHOWN BELOW.
LABEL
NAME : DRUG NAME: ZITROMAX 250 MG / 5 ML SYRUP QUANTITY: 15 ML INSTRUCTION: 2.3 ML ONCE DAILY AFTER MEALS

THE STEPS TO RECONSTITUTE SYRUP ZITROMAX STEP 1 Tap bottle to release powder.
STEP 2 Measure 9 ml of water by using a cup which was provided by the manufacturer as shown below
STEP 3
Pour 9 ml of distilled water which was measured into the zitromax bottle
STEP 4 Then, finally shake vigorously until the powder is well suspended
Zitromax syrup should be kept away from sunlight
EXAMPLE OF RECONSTITUTE SYRUP
Distaclor Syrup 187 mg / 5 ml (60 ml)
SYRUP AUGMENTIN ADULT 228 MG/5ML
EXAMPLE OF TOOLS FOR RECONSTITUTE MEDICATIO
Device use to administer the liquid medication Syringes are usually used to administer medication to child.
3 ml syringe Use for 3 ml and lower than that
5 ml syringe Use for 5 ml syrup and lower than that
10 ml syringe Used for 10 ml syrup and lower than that
30 ml cup The cup mostly used by adults to administer syrup
Mortar and Pestle Mortar and Pestle is used to fine
the tablets into powder and prepare the required syrup
CONCLUSION

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KPJ HEALTHCARE UNIVERSITY COLLEGE DIPLOMA IN PHARMACY PHARMACY PRACTICE 2 YEAR 1 SEMESTER 2 PACE 131.

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ NATIONAL PATIENT SAFETY GOALS

PHARMACY DEPARTMENT OF KPJ SELANGOR SPECIALIST HOSPITAL

PHARMACY QUALITY OBJECTIVE

To ensure 85% of out-patient prescription being presented at the outpatient

To ensure 100% of out-patient will receive their medications within 30

5R CONCEPT OF KPJ SELANGOR SPECIALIST HOSPITAL

Right route of administration

ORGANISATION CHAT OF PHARMACY DEPARTMENT KPJ SELANGOR SPECIALIST HOSPITAL

ORGANISATION CHART OF PHARMACY DEPARTMENT KPJ SELANGOR SPECIALIST HOSPITAL

GENERAL MANAGER PN. ROSNANI ISMAIL

PHARMACIST PN. SITI SUHAILA PN. NORMAZIAH

SENIOR PHARMACY ASSISTANT EN. SAIFUDDIN

SENOIR DISPENSER ZANARIAH RADIAH KUNASEELA ZURINA JEME ROHANI PUNITHAVATHY

DISPENSER FAIZAH HERDA HANANI

STORE KEEPER HAIRUL ANUAR

CLERK NORAIDAH NAZATUL FARRAH

TASK 1: MEDICATION LABELLING

CALCULATION FOR PRESCRIPTION 1 IBERET FOLIC 500 MG ______ 500 MG 1 (3 30 DAYS)

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

PRESCRIPTION 2 FOR MEDICATION LABEL

CALCULATION FOR SECOND PRESCRIPTION

T. XYZAL DOSE ORDER _____________ F D DOSE AVAILABLE 5 MG _____ 1 1/52 5 MG

1 TABLET 1 (1 7 DAYS) TOTAL: 7 TABLETS

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

CALCULATION FOR THIRD PRESCRIPTION

T. CONTROLOC 1 TABLET 2 TIMES A DAY 10 DAYS TOTAL: 20 TABLETS

T.ACTIFED (FEDAC) 1 TABLET 1 10 DAYS TOTAL: 10 TABLETS

T. SINGULAIR 1 TABLET 1 7 DAYS TOTAL: 7 TABLETS

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

CALCULATION FOR FIFTH PRESCRIPTION T.CLARINASE 1 TABLET 1 7 DAYS TOTAL: 7 TABLETS

T. DIFFLAM LOZENGES 1 TABLET 3 TIMES DAILY 5 DAYS TOTAL: 15 TABLETS

T. ZANTAC 1 TABLET 2 TIMES DAILY 7 DAYS TOTAL: 14 TABLETS

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

EXAMPLE OF MEDICATION LABEL

TASK 2: FILLING AN ORAL SOLID MEDICATION

CALCULATION FOR FIRST PRECRIPTION OF ORAL SOLID MEDICATION

1 TABLE 1 5 DAYS TOTAL: 5 TABLETS

T. ZYRTEC TABLET 1 5 DAYS TOTAL: 3 TABLETS

T. CRAVIT 1 TABLET 1 5 DAYS

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

KPJ SELANGOR SPECIALIST HOSPITAL

SECOND PRESCRIPTION FOR ORAL SOLID MEDICATION

DOSAGE 75 MG 20 MG 90 MG 0.125 MG 40 MG 600 MG

FREQUENCY DLY ON DLY TDS DLY DLY 2 DAILY

DURATION 1/12 1/12 1/12 2/52 2/52 2/52 2/52

T. VASCOR 1TABLET 1 (130 DAYS) TOTAL: 30 TABLETS

T. DILTIAZEM SR 1 TABLET 1 (130 DAYS) TOTAL: 3O TABLETS

T. XYZAL DOSE ORDER _________ F D DOSE AVAILABLE 5 MG _ 1 1/52 5 MG