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JURNAL PRAKTIKUM PRESKRIPSI III NIM/Nama : / Hari/Tanggal: / Dosen: RESEP

Tempelkan menggunakan selotip pada bagian atas saja.

MASALAH ADMINISTRATIF RESEP

INFORMASI DARI PASIEN Kelompok pasien: __ dewasa __ pediatrik __ geriatrik __ gangguan ginjal __ pregnansi __ laktasi __ obese __ gangguan hepar

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DRUG THERAPY PROBLEMS

1. Unnecessary drug therapy No medical indication Duplicate therapy Nondrug therapy indicated Treating avoidable ADR Addictive/recreational

2. Need for additional drug therapy Untreated condition Preventive/prophylactic Synergistic/potentiating

3. Ineffective drug More effective drug available Condition refractory to drug Dosage form inappropriate Not effective for condition

4. Dosage too low Wrong dose Frequency inappropriate Drug interaction Duration inappropriate

5. Adverse drug reaction Undesirable effect Unsafe drug for patient Drug interaction Dosage administered or changed Allergic reaction Contraindications present

6. Dosage too high Wrong dose Frequency inappropriate Duration inappropriate Drug interaction Incorrect administration

7. Noncompliance Directions not understood Patient prefers not to take Patient forgets to take Drug product too expensive Cannot swallow/administer Drug product not available Cippole,RJ, Strand, LM, Morley, PC, 2007, Pharmaceutical Care

Practice: The Clinician's Guide, 2nd ed., The McGraw-Hill Companies,Inc.

PENJELASAN DRUG THERAPY PROBLEMS SOLUSI

REKOMENDASI/KOREKSI RESEP

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ETIKET/LABEL/INFORMASI UNTUK PASIEN SALINAN RESEP LAIN-LAIN