1. Ability 1.to express physical condition clearly when visiting clinics; Ability 2. to read...

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Transcript of 1. Ability 1.to express physical condition clearly when visiting clinics; Ability 2. to read...

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Ability 1.to express physical condition clearly when visiting clinics;

Ability 2. to read medicine bag correctly;

Ability 3. to take medications correctly;

Ability 4. to be the master of oneself in drug usage;

Ability 5.to make friends with pharmacists and physicians.

2National Taiwan University Hospital Hsin-Chu Branch

3National Taiwan University Hospital Hsin-Chu Branch

Ability 1: Express Physical Condition Clearly When Visiting Clinics

Patients need to understand their own conditions and express the statements below clearly:

Clearly describe the symptoms• The status of symptoms, uncomfortable area and time,

etc.

Clearly describe personal special status• Drug allergy, food allergy, special food need

(vegetarian, low salt, low sugar, etc.)

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Ability 1: Express Physical Condition Clearly When Visiting Clinics (cont.)

Clearly describe past history• Surgical and admission history, special disease

history (hypertension, diabetes, live diseases, heart diseases, renal diseases, etc.), family history, special examination results, etc.

Clearly describe current medication use• Herbs, vitamins, oral contraceptives, supplementary

diet, alcoholic drinks, some special food, etc.

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Ability 1: Express Physical Condition Clearly When Visiting Clinics (cont.)

Clearly describe the behavior of driving cars, examination or handling equipment• Some medications will make patient fall asleep or

decrease the ability of concentration and defense.

Females should clearly describe the status of pregnancy and breast-feeding.

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Ability 2: To Read Medicine Bag Correctly

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National Taiwan University Hospital Hsin-Chu BranchWan-Hsuan Lin

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Your name & age

How to take the medicine?How long you should take?

Verify the quantity

Drug name and appearance

Is the indication corresponding to your illness?

Potential side effect(s)

Read the special notes

If there is any drug-related problem, call this number for consultation.

Patient’s name.

Method of use.

Drugs’ indications.

Drugs’ names.

External appearance.

Treatment course.

Side effects.

Warnings of drugs.

Expiration date.

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Ability 3: To Take Medicine Correctly

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Oral? External?

Know the Route of Administration

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Know How to Use the MedicineKnow How to Use the Medicine

Formulation of Tablet How to Take It

Controlled-release tablet Do not chew it

Enteric-coated tablet Do not chew it or take it with antacids

Effervescent tablet Drink it after solving it in water

Antacid tablet Chew it well

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Know How to Use the MedicineKnow How to Use the Medicine (Cont.)(Cont.)

Take medicine with enough water

Do NOT take it with any beverage Juice - especially grapefruit juice

Milk

Tea

Coffee

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What’s the Time to Take Medicine?What’s the Time to Take Medicine?

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““Before Meals” or “After Meals”Before Meals” or “After Meals”

Before Meals1 hour before meals or 2 hours after meals

After Meals30 to 60 minutes after meals

Follow the directions provided by your doctor or pharmacist if you are in special condition.

Diabetes

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Daily Time Intervals Between Daily Time Intervals Between Each DosageEach Dosage

Frequency Breakfast Lunch Dinner Before bedtime

Four times a day

Three times a day

Twice a day

Once a day A fixed time daily

Three times a day = Every 8 hoursNational Taiwan University Hospital Hsin-Chu Branch

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The “Once A DayThe “Once A Day””A fixed time daily

Morning

Diuretics

Before bedtime

Sedatives

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National Taiwan University Hospital Hsin-Chu BranchWan-Hsuan Lin

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Guess What Does It Mean?Guess What Does It Mean?

Morning Noon Night Before bedtime

Before meals After meals

Two pills One pill Half a pill

For nasal use Apply to eye(s) Apply to ear(s)

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Oops! I Forgot to Take the Oops! I Forgot to Take the Medicine…Medicine…

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8:00 12:0010:00

Take the missed dose Do not take the missed dose

Time for Medication Time for Medication

Do NOT double the dosage for the next dose!

X

Midpoint of Dosing Interval

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How to Store Your Medicine?

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How to Store Your Medicine?

Avoid light, wet and heat

Keep it in the original packing

Some drugs should be stored between 2-8 ℃

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Drugs for oral administration and external use should be stored separately.

The expiration date would be shorter once you opened it.

Don’t keep the desiccant or cotton in the container.

How to Store Your Medicine? (cont.)

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Ability 4: Be the Master of Yourself in Drug

Usage

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The Principle of Medication Safety: Five NOesThe Principle of Medication Safety: Five NOes

Do not LISTEN to opinions from non-health professionals

Do not BELIEVE in drugs with exaggerated effects

$$Do not BUY drugs at inappropriate place

Do not TAKE drugs provided by others

Do not RECOMMEND drugs to others

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Four Steps to Identify Legal Drugs!Four Steps to Identify Legal Drugs!

Obtain it at appropriate placePermit number

○○○○○○衛署藥製字第 號○○○○○○衛署藥輸字第 號

衛署成製字 ○○○○○○第 號衛署成輸字 ○○○○○○第 號

Essential information in detailBrand name, name and address of manufacturing company, date of manufacture or batch number, content of the main ingredient(s), usage and dosage, indication, side effect(s), contraindication(s) or precaution(s) and expiration date

Drug classification

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Brand name

Name, address & contact number of manufacturing company

Batch number & expiration dateContent of the main ingredientIndication

Permit Number

Drug classification

Route of administration

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How to Identify Legal Drugs? How to Identify Legal Drugs?

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How to Identify Legal Drugs? (Cont.)How to Identify Legal Drugs? (Cont.)

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How to Identify Legal Drugs? (Cont.)How to Identify Legal Drugs? (Cont.)

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How to Identify Legal Drugs? (Cont.)How to Identify Legal Drugs? (Cont.)

http://www.fda.gov.tw/

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How to Identify Legal Drugs? (Cont.)How to Identify Legal Drugs? (Cont.)

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Permit number of drug advertisement

衛署藥廣字第○○○○○○○號北市衛藥廣字第○○○○○○號高市衛藥廣字第○○○○○○號

How to Identify Legal Advertisement?

Permit number of drug

Permit number of

drug advertisemen

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Book the telephone numbers of your pharmacists or physicians that you are familiar with in your directory if they agree.

You may ask your pharmacists or physicians when: Buying OTC (over the counter) drugs

Taking medications

Taking chronic illness refill prescription

Someone is selling unknown drugs

Discomfort after taking medicines.

It will have special line for medication consultation on your medicine bags.

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National Taiwan University Hospital Hsin-Chu Branch

Let Your Pharmacist Check Your Medication!

Do you take your medicine correctly?

Does the medicine work?

Any medicine with similar effect?

Any adverse reaction?

Any drug-drug interaction?

Stay on medication or any adjustment is required?

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Thank You for Your Attention

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