#videoedukasi Proses Pemantauan Terapi Obat - Instalasi Farmasi RS PKU Muhammadiyah Gamping

Summary

This video demonstrates the role of pharmacists in monitoring medication therapy and side effects in a hospital setting. The team assesses patients, such as Mr. Hendra, who has pneumonia, and discusses their treatment plans, including antibiotic choices and side effect monitoring. Through direct interactions with the patient, the pharmacist checks for allergies, medication reactions, and adjusts treatments accordingly. The script highlights the collaboration between pharmacists, doctors, and nurses to ensure optimal patient care, focusing on the importance of personalized medication management, allergy detection, and adjusting therapies for patient safety.

Takeaways

• 😀 The script highlights the role of pharmacists in monitoring drug therapy and adverse drug reactions in a hospital setting.
• 😀 Drug therapy monitoring involves ensuring that medications are safe, effective, and rational for patients, including evaluating dosage, usage instructions, and responses to treatments.
• 😀 The process of drug monitoring includes identifying patients who require extra attention, such as those with multiple diseases, the elderly, pediatric patients, pregnant or breastfeeding women, intensive care patients, and those receiving complex therapies.
• 😀 Monitoring adverse drug reactions focuses on tracking any negative effects that occur from drugs used within the typical dosage range for humans.
• 😀 The patient, Bapak Hendra, was admitted with symptoms of fever, cough, and difficulty breathing, and was diagnosed with pneumonia based on physical and supporting test results.
• 😀 During the examination, Bapak Hendra's oxygen levels and general condition were assessed, and guidance was given for managing shortness of breath through controlled breathing techniques.
• 😀 The pharmacist, Apoteker Rifda, was involved in assessing Bapak Hendra’s medication regimen and checking for potential drug allergies or side effects.
• 😀 Bapak Hendra did not have a history of medication allergies or routine medication use prior to hospitalization, and no side effects were reported from the current hospital medications.
• 😀 The doctor recommended an antibiotic regimen with either a beta-lactam or macrolide class medication for treating pneumonia.
• 😀 After Bapak Hendra experienced a mild allergic reaction (itching and redness) to ampicillin, the pharmacist recommended switching from ampicillin to cefotaxime, a different class of antibiotics.
• 😀 Throughout the process, close communication between the pharmacist, doctor, and nursing staff was essential for monitoring drug reactions and adjusting the treatment as needed.

Q & A

What is the main focus of the script?

The main focus of the script is about the process of drug therapy monitoring and managing side effects in a hospital setting. The pharmacist discusses assessing the effectiveness, safety, and rationality of medication prescribed to patients, as well as managing any adverse drug reactions.

What is the definition of drug therapy monitoring as described in the script?

Drug therapy monitoring is a process that involves ensuring the medication prescribed to the patient is safe, effective, and rational. This includes evaluating the choice of drug, dosage, usage method, therapeutic response, unwanted drug reactions, and making recommendations based on the patient's condition.

What types of patients are typically monitored for drug therapy?

Patients who are typically monitored include those with multiple diseases requiring polypharmacy, geriatric and pediatric patients, pregnant and breastfeeding patients, those in intensive care, and those receiving complex therapy regimens.

How does the script describe the management of adverse drug effects?

Adverse drug effect monitoring involves observing the response to a drug used at the usual dosage in humans, with the goal of preventing, diagnosing, and treating side effects. The pharmacist discusses addressing issues like drug allergies and side effects during the treatment process.

What specific patient is being monitored in the script?

The script focuses on a patient named Bapak Hendra, who is admitted to the hospital with symptoms of fever, cough, and shortness of breath, leading to a diagnosis of pneumonia.

What was Bapak Hendra’s condition during the examination?

During the examination, Bapak Hendra reported feeling somewhat better but still had a cough and shortness of breath. The pharmacist recommended deep breathing exercises and advised using oxygen to alleviate his symptoms.

What medication was initially prescribed to Bapak Hendra and why?

Bapak Hendra was initially prescribed ampicillin, an antibiotic from the beta-lactam class or a macrolide, due to his diagnosis of pneumonia. This was based on his condition and a lack of previous antibiotic treatment.

What allergic reaction did Bapak Hendra experience and how was it addressed?

Bapak Hendra experienced an allergic reaction to ampicillin, manifested as itching and red skin. Despite no prior history of allergies, the pharmacist recommended stopping the ampicillin and replacing it with cefotaxime, a cephalosporin-class antibiotic.

How did the pharmacy team communicate the changes in treatment?

The pharmacy team communicated the change in treatment by discussing the case with the doctor, preparing the new medication (cefotaxime), and informing the nursing staff about the substitution to ensure the patient’s treatment was updated accordingly.

What were the vital signs and clinical observations made for Bapak Hendra?

Bapak Hendra’s vital signs were within normal limits, including a blood pressure of 120/78, heart rate of 89 beats per minute, respiratory rate of 24 breaths per minute, and a temperature of 36.87°C. His oxygen saturation was 98% with nasal oxygen supplementation.