Pharmacy UnitPEJABAT KESIHATAN DAERAH ALOR GAJAH (PKDAG)78000 ALOR GAJAH, MELAKA

Issue 3/2017 (December 2017)

Pharmacy Bulletin

Inside this issue:

1. Tonsilitis

2. Antibiotic Awareness Week

3. Change of Drug Name in PKDAG

4. Look Alike Sound Alike

Medications

5. High Alert Medications

6. Aktiviti Kenali Ubat Anda PKDAG

2017

7. Malaysian Standard MS ISO

9001:2015

8. Family Day Pharmacy PKDAG 2017

9. Staff Contoh Sesi 2/2017

EDITORIAL BOARD

CHAIRMAN:

Dr. Hazlinda Bt Datuk Hj. Hamzah

ADVISER:

Pn. Azliah Bt Sakiman

EDITOR:

En. Chan Wei Jyh

CONTRIBUTORS:

Pn. Anida Binti Daud

En. Muhamad Lutfi Bin Abdul Samat

Pn. Nurlaili Binti Mohd Danil

Pn. Nur Atikah Binti Yaakub

Tonsilitis Contributed by: En. Muhamad Lutfi

IntroductionTonsils are the two lymph nodes located on each side of the back of yourthroat. Inflammation of the pharyngeal tonsils is called tonsillitis. Theinflammation usually extends to the adenoid and the lingual tonsils;therefore, the term pharyngitis may also be used.

Tonsillitis is usually most often occurs in children but this condition rarelyoccurs in children younger than 2 years. Bacterial tonsillitis, which causedby Streptococcus species is typically occurs in children aged between 5 to 15years old, meanwhile viral tonsillitis is more common in younger children.

Tonsillitis itself is not contagious, but the viruses and bacteria that cause itare contagious. Prevention by frequent hand washing is the mostrecommended suggestion.

Patients who have acute tonsillitis present signs and symptoms such asfever, sore throat, foul breath, dysphagia (difficulty of swallowing),odynophagia (painful swallowing) and will have tender cervical lymph nodes.Emergency care is recommended to patients who have trouble breathing,start drooling and have lots of trouble

Treatment for TonsillitisA mild case of tonsillitis, especially viral tonsillitis does notnecessarily require treatments. Treatments are usually for moresevere cases of tonsillitis which may include administration ofantibiotics or tonsillectomy procedure.

Tonsillitis due to bacterial infection will be prescribed withantibiotics and patients are usually advised to complete the fullcourse of antibiotics. Analgesics medicines to relieve the sorethroat can also help while the throat is healing.

Meanwhile, tonsillectomy is a surgery procedure which willremove the tonsils. Tonsillectomies today are only recommendedfor patients who experience recurrent or chronic tonsillitis.Tonsillectomy is also recommended to treat tonsillitis thatdoesn’t respond to other treatment, or tonsillitis that causescomplications.

REFERENCES :

1. Tonsillitis : Causes, Symptoms and Diagnosis. Available from :http://www.healthline.com/health/tonsillitis#overview1

2. Tonsillitis. Available from : https://medlineplus.gov/tonsillitis.html

3. Tonsillitis and Peritonsillar Abscess. Available from : http://emedicine.medscape.com/article/871977-overview

Phamacy Bulettin PKD Alor Gajah 2

Antibiotic Awareness Week

13 – 19 November 2017

Klinik Kesihatan Durian Tunggal

Klinik Kesihatan Kuala Sungai Baru

Klinik Kesihatan Masjid Tanah

Phamacy Bulettin PKD Alor Gajah 3

Contributed by: En Chan Wei JyhChanges of Drug Brand in PKDAG

Tablet Amlodipine 5mgChange of Generic Brand from HOVASC® to AMCARDIA®

Tablet Amlodipine 10mgChange of Generic Brand from HOVASC® to VAMLO®

Tablet Bisoprolol 5mgChange of Brand from CONCOR® to BISOCOR®

• Ubat-ubat yang kelihatan seakan serupa dari segi rupa bentuk fizikal ataupembungkusan

• Mempunyai bunyi atau ejaan nama ubat yang seakan sama• Ubat-ubatan LASA boleh menyebabkan kesilapan pengubatan yang mana pesakit

menerima ubat yang salah dan mengalami kesan advers yang serius.

Phamacy Bulettin PKD Alor Gajah 4

Contributed by: Pn Nurlaili

Langkah-langkah Pencegahan

1. BACA label ubat dengan teliti

2. PenggunaanTall Man lettering

3. PenggunaanLabel Amaran

LASA

4. Simpan Ubat-ubatan Secara

Berasingan

Tall Man lettering digunakan

cefOTAXime vs cefTAZIDime

Label amaran LASA digunakan Ubat diletakkansecara berasingan

Look Alike Sound Alike Medications

High Alert Medications (HAMs)

Phamacy Bulettin PKD Alor Gajah 5

The Institute for Safe Medication Practices, US defines High Alert

Medications as medications that bear a heightened risk of causing

significant patient harm when these medications are used in error.

Therefore, special precautions must be employed with their overall

management.

Langkah-langkah Pencegahan

1. Penggunaan Pelekat HIGH ALERT MEDICATION

2. Semak silang secaraberasingan bagi item

persediaan

3. Larutan elektrolitberkepekatan tinggi

disimpan di kawasantentuan

Contributed by: Pn Nurlaili

Aktiviti Kenali Ubat Anda PKDAG 2017

Phamacy Bulettin PKD Alor Gajah 6

Farmasi Alang, Masjid Tanah

9 Disember 2017

Contributed by: Pn Anida Daud

World Pharmacist Day 2017

A’farmosa Freeport

8 Oktober 2017

Sekolah Kebangsaan Alor Gajah

4hb Oktober 2017

SJK(C) Peng Min, Gadek

25 Oktober 2017

Mydin Padang Sebang

10 Disember 2017

Phamacy Bulettin PKD Alor Gajah 7

Contributed by: Pn. Nur Atikah

This standard employs the process approach,which incorporates the Plan-Do-Check-Act(PDCA)cycle and the risk-based thinking.The cycle is to ensure theat it processes are adequatelyresourced and managed,and that opportunities for improvement are determined and acted upon.

QMS will also help to enhance customer satisfaction,increase staff morale and commitment.

Certification process and cycle

Standard includes10 Clauses / “Requirements”:

ForewordIntroduction1 Scope2 Normative references3 Terms & definitions4 Context of the organization5 Leadership6 Planning7 Support8 Operation9 Performance evaluation10 ImprovementAnnex AAnnex BBibliography

Malaysian Standard MS ISO 9001:2015 (2nd Revision)Quality Management Systems - Requirements

Phamacy Bulettin PKD Alor Gajah 8

Family Day Pharmacy PKDAG 2017

Mini Malaysia & Asean Cultural Park

7th October 2017

Phamacy Bulettin PKD Alor Gajah 9

Jalan Hospital, 78000 Alor GajahMelaka .

Phone : 06-5566235/06-5566237

Fax : 06-5566236/06-5566249

Cik. Nur Sai’datul Ain Binti JamaluddinPenolong Pegawai Farmasi U29Klinik Kesihatan Ibu & Anak Alor Gajah

Pn. Suhaida Binti SuhaimiPenolong Pegawai Farmasi U29Berpindah ke Hospital Kemaman, Negeri Terengganu

Pn. Nur Suhada SunarPenolong Pegawai Farmasi U29Klinik Kesihatan Masjid Tanah

Cik Lim Fei TingPegawai Farmasi UF41

Pekerja Contoh Unit Farmasi PKDAGSesi 2/2017(Jul - Dis 2017)

En Tee Lik SiangPegawai Farmasi UF 48

Klinik Kesihatan Durian Tunggal