PRESENTED FOR

OSCE PREPARATION
JAKARTA, 2018

ASSESSMENT
AND SOLVING PROBLEM
IN PHARMACEUTICAL CARE

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 OSCE STATION

SKRINING MONITORING
Paper Based
RESEP DAN EVALUASI

KIE OBAT
SWAMEDIKASI KIE OBAT RESEP Pasien Simulasi
NON RESEP

PENGADAAN/
COMPOUNDING PENYIMPANAN/ Peralatan
PEMUSNAHAN

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 OUTLINE

• Responding to Symptoms

• Medical mnemonics

• Prescription

• Administrative

• Pharmaceutics

• Clinical (Drug Related

Problems)

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 STATION

SWAMEDIKASI

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 Gastrointestinal Common cold
Pain
problem and cough

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 SOAL

Seorang pasien datang menemui anda bermaksud membeli obat

untuk menghilangkan sakit kepala yang dialaminya

Tugas:
1. Lakukan pengumpulan data dan informasi terkait keluhan pasien
2. Lakukan penetapan masalah yang dimiliki pasien
3. Berikan solusi masalah terkait obat pasien beserta informasi
yang diperlukan

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 SWAMEDIKASI
(ASKING DRUGS/SYMPTOMS BASED)

Collect Patient information

Assess Minor illness/major problems

Plan Therapy

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 1 COLLECTING DATA

WWHAM ASMETHOD SITDOWNSIR ENCORE

W. Who is the A. Age/Appearance? S. Site/Location E. Explore
patient? S. Self/someone I. Intensity/Severity N. No medication
W. What are the else? T. Type or nature C. Care
symptoms? M. Medication D. Duration O. Observe
H. How long have E. Extra medicines? O. Onset R. Refer
the symptoms been T. Time persisting W. With (other E. Explain
present? H. History? symptoms)
A. Action taken? O. Other symptoms? N. aNnoyed or
M. Medication D. Danger aggravated by
being taken? symptoms S. Spread or
radiation
I. Inciedence/
frequency pattern
R. Relieved by

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 COLLECTING DATA

LOCQSMAT OPQRST SCHOLAR SOCRATES

Location Onset Symptoms Site
Onset Provokes/ Characteristics Onset
Chronology Palliates History Character
Quality Quality Onset Radiation
Severity Radiates Location Associations
Modifying Severity Aggravating/ Time Course
Factors Time Remitting Factors Exacerbating/
Additional Relieving
Symptoms Severity
Treatment

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 COLLECTING DATA

PATIENT GENERAL INFORMATION

INFORMATION

PAST MEDICAL HISTORY, HISTORY OF

PRESENT ILLNESS (ONSET, DURATION,
MEDICAL TYPE, LOCATION, AGGRAVATING
FACTORS)

MEDICATION PAST MEDICATION HISTORY, CURRENT

MEDICATION

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 2 PENETAPAN MASALAH

MINOR ILLNESS MAJOR DISEASES

Merupakan Gejala Penyakit Ringan Adanya warning/alarm symptoms

Dapat diterapi dengan Obat Bebas, Dirujuk ke dokter

Obat Bebas Terbatas,
Obat Wajib Apotek

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ALARM SYMPTOMS FOR HEADACHE

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ALARM SYMPTOMS FOR DYSPEPSIA

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ALARM SYMPTOMS FOR COUGH

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PHARMACOLOGICAL TREATMENT FOR MIGRAINE

3
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 MEDICATION USE FOR DYSPEPSIA

OBAT ONSET DURASI

Antasida < 5 menit 20-30 menit

H2 Blocker 30-45 menit 4-10 jam

H2 Blocker + Antasida < 5 menit 8-10 jam

PPI 2-3 jam 12-24 jam

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ANTITUSSIVE AND EXPECTORANT

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DONEC QUIS NUNC

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 INFORMASI YANG DISAMPAIKAN

• Aturan Pakai

• Terapi non farmakologi

• Jika dalam 2 hari tidak

ada perbaikan, silakan
menghubungi dokter

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21
 STATION

SKRINING RESEP

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 KAJIAN ADMINISTRATIF

• Nama pasien, umur, jenis

kelamin, berat badan

• Nama dokter, nomor Surat

Ijin Praktek (SIP), alamat,
nomor telepon, paraf dokter

• Tanggal penulisan resep

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 KAJIAN FARMASETIK

• Bentuk dan kesesuaian

sediaan

• Stabilitas

• Kompatibiitas

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STABILITAS

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 KAJIAN KLINIS

• Ketepatan indikasi dan dosis

obat

• Aturan, cara, dan lama

penggunaan obat

• Duplikasi, dan atau polifarmasi

• ROTD (Reaksi Obat Yang

Tidak Diinginkan)

• Kontraindikasi

• Interaksi Obat

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 KETEPATAN INDIKASI
PILIHAN ANTIHIPERTENSI PADA BEBERAPA KONDISI

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 KETEPATAN DOSIS DAN
FREKUENSI

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KONTRAINDIKASI

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KARAKTERISTIK ANTIDIABETES

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MAIN TYPE OF ADVERSE DRUG REACTIONS

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 DRUG INTERACTIONS

Perubahan efek suatu obat karena adanya pengaruh

obat lain, herbal, ataupun makanan.

Interaksi obat dapat terjadi pada fase absorpsi,

distribusi, metabolism, dan ekskresi

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DRUG INTERACTIONS

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DRUG INTERACTIONS

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 REFERENCES

Cipolle RJ, Strand LM, Morley PC. Pharmaceutical Care Practice: The Patient
Centered Approach to Medication Management, 3rd ed. New York: McGraw-
Hill; 2012
Baxter K. Stockley’s Drug Interactions. 9th edition. 2010. Pharmaceutical Press.
Rohilla A, Yadav S. Adverse Drug Reactions: An Overview. IJPR Volume 3 Issue
1 (2013)
Berardi R, et al. 2009. Handbook of Nonprescription Drugs. 16th edition.
American Pharmacists Association
Nebeker JR et al (2004). "Clarifying adverse drug events: a clinician's guide to
terminology, documentation and reporting". Ann. Intern. Med. 140 (10): 795–
801.

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