Download Ability 1

The Five Core Abilities in
Correct Medicine and Safely
National Taiwan University Hospital
Hsin-Chu Branch
Department of Pharmacy
August 13, 2012
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What’s the Five Core Abilities?
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.
National Taiwan University Hospital Hsin-Chu Branch
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Ability 1:
To Express Physical Condition
Clearly When Visiting Clinics
National Taiwan University Hospital Hsin-Chu Branch
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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.)
National Taiwan University Hospital Hsin-Chu Branch
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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.
National Taiwan University Hospital Hsin-Chu Branch
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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.
National Taiwan University Hospital Hsin-Chu Branch
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Ability 2: To Read Medicine Bag
Correctly
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If there is any drug-related problem,
call this number for consultation.
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
National Taiwan University Hospital Hsin-Chu Branch
Wan-Hsuan Lin
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You must have the ability to identify the
following contents when receiving medications
Patient’s name.
Method of use.
Drugs’ indications.
Drugs’ names.
External appearance.
Treatment course.
Side effects.
Warnings of drugs.
Expiration date.
National Taiwan University Hospital Hsin-Chu Branch
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Ability 3:
To Take Medicine Correctly
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Know the Route of Administration
Oral? External?
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Know 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
National Taiwan University Hospital Hsin-Chu Branch
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Know How to Use the Medicine (Cont.)
Take medicine with enough water
Do NOT take it with any beverage
Juice - especially grapefruit juice
Milk
Tea
Coffee
National Taiwan University Hospital Hsin-Chu Branch
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What’s the Time to Take Medicine?
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“Before Meals” or “After Meals”
Before Meals
1 hour before meals or 2 hours after meals
After Meals
30 to 60 minutes after meals
Follow the directions provided by your doctor
or pharmacist if you are in special condition.
Diabetes
National Taiwan University Hospital Hsin-Chu Branch
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Daily Time Intervals Between
Each Dosage
Frequency
Breakfast
Lunch
Dinner
Before
bedtime
Four times a day
Three times a day
Twice a day
Once a day
Three times a day
A fixed time daily
=
Every 8 hours
National Taiwan University Hospital Hsin-Chu Branch
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The “Once A Day”
A fixed time daily
Morning
Diuretics
Before bedtime
Sedatives
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Guess What Does It Mean?
Morning
Noon
Before meals
Two pills
Night
Before bedtime
After meals
One pill
Half a pill
National Taiwan University Hospital Hsin-Chu Branch
Wan-Hsuan Lin
For nasal use Apply to eye(s)
Apply to ear(s)
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Oops! I Forgot to Take the
Medicine…
National Taiwan University Hospital Hsin-Chu Branch
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Midpoint of Dosing Interval
Time for Medication
8:00
Time for Medication
10:00
12:00
X
Take the missed dose
Do not take the missed dose
Do NOT double the dosage for the next dose!
National Taiwan University Hospital Hsin-Chu Branch
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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℃
National Taiwan University Hospital Hsin-Chu Branch
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How to Store Your Medicine? (cont.)
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.
National Taiwan University Hospital Hsin-Chu Branch
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Ability 4:
Be the Master of Yourself in Drug Usage
National Taiwan University Hospital Hsin-Chu Branch
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The Principle of Medication Safety: Five NOes


Do not LISTEN to
opinions from non-health
professionals

Do not TAKE drugs
provided by others
$
Do not BELIEVE in
drugs with exaggerated
effects
Do not BUY drugs at
inappropriate place

Do not RECOMMEND drugs to
others
National Taiwan University Hospital Hsin-Chu Branch
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Four Steps to Identify Legal Drugs!
Obtain it at appropriate place
Permit 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 detail
Brand 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
National Taiwan University Hospital Hsin-Chu Branch
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Batch number & expirationContent
date of the
Name, address
& contact
main
ingredient
Indication
number of manufacturing
Route of administration
Brand name
company
Permit Number
Drug classification
How to Identify Legal Drugs?
National Taiwan University Hospital Hsin-Chu Branch
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How to Identify Legal Drugs? (Cont.)
National Taiwan University Hospital Hsin-Chu Branch
Wan-Hsuan Lin
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How to Identify Legal Drugs? (Cont.)
National Taiwan University Hospital Hsin-Chu Branch
Wan-Hsuan Lin
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How to Identify Legal Drugs? (Cont.)
National Taiwan University Hospital Hsin-Chu Branch
http://www.fda.gov.tw/
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How to Identify Legal Drugs? (Cont.)
National Taiwan University Hospital Hsin-Chu Branch
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How to Identify Legal Drugs? (Cont.)
National Taiwan University Hospital Hsin-Chu Branch
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How to Identify Legal Advertisement?
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
Permit number
of drug
National Taiwan University Hospital Hsin-Chu Branch
Wan-Hsuan Lin
Permit number
of drug
advertisement
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Ability 5:
Make Friends with Pharmacists
& Physicians
National Taiwan University Hospital Hsin-Chu Branch
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Ability 5: Make Friends with Pharmacists &
Physicians.
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.
National Taiwan University Hospital Hsin-Chu Branch
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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?
National Taiwan University Hospital Hsin-Chu Branch
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Thank You for Your
Attention
National Taiwan University Hospital Hsin-Chu Branch
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