PHARMACEUTICAL CARE PRACTICUM (TUTORIAL USING PROBLEM BASED LEARNING METHOD) Scenario 3 Learning Outcomes • Able to understand the symptoms and clinical signs of diseasepeptic ulcerin order to determine appropriate and rational therapy. • Able to evaluate therapy carried out by doctors to produce appropriate and rational therapy for diseasepeptic ulcer. • Able to provide counseling needed by patients and the patient's family regarding illnesspeptic ulcer. • Able to monitor therapy objectively and subjectively in diseasepeptic ulcer. • Able to search for the latest information sources (Evidence Based Medicine)on diseasepeptic ulcer. Mrs. Ms came to the emergency room in the morning with complaints of nausea, dizziness, vomiting blood and bloody stools. Provisional diagnosis of PUD due to H pylori. Initial action in the NY ER. Ms. was given Ringer's lactate infusion and transferred to the internal medicine ward. In addition, paracetamol 4x1, omeprazole 2x1, Domperidon 3x1, Ceftriaxone 1gr/1g IV were given. After endoscopy, the test results were positive for H pylori, which was then given additional tranexamic acid 3x1 (250 mg/8 hours IV). Scenario 4 Learning Outcomes • Able to understand the symptoms, clinical signs and types of hepatitis in order to determine appropriate and rational therapy. • Able to evaluate therapy carried out by doctors to produce appropriate and rational therapy for hepatitis • Able to provide counseling needed by patients and their families regarding hepatitis • Able to monitor therapy objectively and subjectively in hepatitis. • Able to search for the latest information sources (Evidence Based Medicine)in hepatitis. WA, 28 years old, was admitted to hospital complaining of nausea for 2 weeks but no vomiting, dizziness, heartburn, weakness, yellow urination, yellow eyelids, accompanied by itchy skin after eating out several times with his friends. Several of his friends also showed the same symptoms. The doctor diagnosed the patient with hepatitis.The laboratory examination results show the following results: SGPT value = 1177 UI/L (L<41, P<31 UI/L) SGOT value = 536 UI/L (L<37, P<31 UI/L) Total bilirubin value = 3.63 mg/dL (0.2-1.0mg/dl)Direct bilirubin = 3.01 mg/dL (0.0-0.2mg/dl) Reactive HBsAg So he received Lamivudine therapy 100 mg once a day, Ranitidine inj 2x1, vitamins containing curcumin 1x1, D5% Scenario 5 Learning Outcomes • Able to understand symptoms, clinical signs and types of cough in order to determine appropriate and rational therapy. • Able to evaluate therapy carried out by doctors to produce appropriate and rational therapy for cough disorders • Able to provide the counseling needed by patients and their families regarding cough disorders • Able to monitor therapy objectively and subjectively in cough disorders • Able to search for the latest information sources (Evidence Based Medicine)in cough disorders Mrs P (65 years old) came to the pharmacy with complaints of pain in her knees (osteoarthitis) which she had been suffering from for the past 2 years and wanted the medication dexamethasone, diclofenac sodium 50 mg and piroxicam 10 mg which she had been taking regularly for the past month.The patient also complained of stomach pain, nausea since 2 days ago and had been given antacids but it had not subsided