PHARMACEUTICAL

CARE
Agung Raharjo 1608062180
Fahmi Humaidi Abdillah 1608062215
Dhani Rinaldi Maulana 1608062223
Satriyo Dwi Raharjo 1608062224
Tantri Sofia Fauziah 1608062234
Dina Qoyima 1608062240
Novia Florisa 1608062261
OUTLINE

1. To identify the patients history, family history, drug history and

patients habits.
2. To outline the DTPA and DTPL related with the clinical manifestation
of disease of gastrointestinsal.
3. To identify the ADR
4. To identify the pharmaceutical care problem
5. To outline the assesment, pharmaceutical care and monitoring plan
(therapy and side effect).
Case 2

Mrs. AH (25 years old) came to a drugstore complaining a

headache, fatigue, blackout, and looks pale this week.
She is in 8 weeks her pregnancy. She lost her appetite and
did not consume supplement food.
PATIENTs ASSESSMENT

Medical problems : Anaemia, frequent headache, change in appetite

Medical history : BP : 105/80
Social History :
Nicotin use : never
Alcohol consumption : never consumed
Caffein intake : never consumed
Clinical Manifestation and Clinical
Problem
Subjective : headache, fatigue, blackout, pale, lost appetite,
anemia, using sakatonik liver
Objective : BD 105/80 mmHg dan BW : 47 Kg
Clinical Problem :
Actual problem :-
Potential problem : Anemia
Drug Therapy Assessment Worksheet
(DTAW)
Type of Promblem Presence of DRP Comments
Correlation between drug A problem exist There is medication
teraphy and medical problem untreatment
Appropiate drug selection No problem exist
Drug regimen More information is needed Knowing about interval dose
Therapeutic duplication No problem exist
Drug allegy or intolerance No problem exist
Adverse drug events No problem exist
Interaction drug-drug, drug- No problem exist
disease, drug-nutrient, and
drug-laboratory test
Social or recreational drug use No problem exist
Failure to receive therapy No problem exist
Financial impact No problem exist
Patient knowledge of drug More information is needed ADR of Sakatonik Liver for long
therapy term use.
Drugs Theraphy Problem Assesment
(DTPA)
Diagnosis of pharmaceutical care :
The state of pregnancy may contribute for anaemia.
Drug Related Problems
DRPs OBAT SOLUSI
There is indicate - Acetaminophen 500
without medicine mg, if needed, three
times a day.
Pharmaceutical care plan
PROBLEM CLINIC THERAPEUTIC GOALS MEDICINE, DOSE, &
USE
HEADACHE ELIMINATING PAIN ACETAMINOPHEN, 500
mg, if is needed, three
times a day
ANAEMIA CURE OF DISEASE Sodium feredetate,
folic acid, & vit B12
Recommendation and Plan of Drug
Treatment
Drugs/medici Strength Total number Frequency Patient
ne Information
Acetaminoph 500 mg If nedeed If needed , If the
en three times headache
a day has gone,
the
medicine
can be
stopped
Durol Tonic Sodium If needed Twice a day
Feredetate
: 35,3 mg
Folic Acid:
0,5 mg
B12: 10
mcg
Plan of Drug Monitoring

Drugs/medicin Parameter Normal End point Monitoring recomm

e of value frequency endation
monitoring

Acetaminophe Eliminating Subjectiv Subjective Subjective Take a

n pain e rest
Durol Tonic Level of Hb 12-15,5 Achieve During Diet high
g/dL normal pregnanc iron
range y
ADR Monitoring

Drugs/medici Parameter of Normal value End point Monitorin recomme

ne monitoring g ndation
frequency
Acetaminop SGOT , SGPT SGOT : 5-40 Unit. Achieve During
hen SGPT : 7-56 Unit normal consume
range
Durol Tonic Constipation Normal Achieve During
occurrence defecation : 3- normal consume
12 times a week range