PRESENTED FOR

OSCE PREPARATION
JAKARTA, OCTOBER 20-22 2017

ASSESSMENT
AND SOLVING PROBLEM
IN PHARMACEUTICAL
CARE

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 OSCE STATION

SKRINING MONITORING Paper Based

RESEP DAN EVALUASI

KIE OBAT KIE OBAT Pasien Simulasi

SWAMEDIKASI
RESEP NON RESEP

PENGADAAN/PENYI
COMPOUNDING MPANAN/PEMUSNA Peralatan
HAN

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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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 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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 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? 8 N. aNnoyed or

 COLLECTING DATA

LOCQSMAT OPQRST SCHOLAR SOCRATES

Location Onset Symptoms Site

Onset Provokes/Palliate Characteristics Onset

Chronology s History Character

Quality Quality Onset Radiation

Severity Radiates Location Associations

Modifying Severity Aggravating/Remit Time Course

Factors Time ting Factors Exacerbating/Relie

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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

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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 17 12-24 jam

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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 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

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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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