Pharmaceutical Care.docx

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  • Words: 104
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PHARMACEUTICAL CARE PERSIAPAN OBAT UNTUK PASIEN PERSIAPAN APOTEKER DALAM MEMBERIKAN INFORMASI Nama Penyusun :

NPM :

No

Variabel Obat

1 2 3 4 5

Nama Dagang/ Merk/ Pabrik Nama Generik/ INN Komposis Obat Kelas/ Terapi/ Sub Kelas Terapi Peraturan perundangan/ Regulasi/ Registrasi/ Exp. Date Alasan Obat diberikan Indikasi/ Mnfaat/ Kegunaan/ Efek terapi obat Kontra Indikasi, EMO, ESO Mekanime kerja obat/ Farmakokinetik/ Farmakodinamik Bentuk Obat Kekuatan Obat Pasien : Nama, alamat & karakteristrik (L/P, umur, BB & Kronis

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Paraf : Keterangan/ Catatan/ Perhitungan

PIO ke Pasien

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