处方剖析示例(国外英文资料).docVIP

处方分析示例An unreasonable analysis of the use of drugs1. Patients, female, 32, in order to prevent grand mal, often taking phenytoin sodium, acid recently because of stomach ulcers often stomach-ache, return, and defecate occult blood, so in addition to the given antiepileptic drugs, used to treat gastric ulcer drugs.Prescription: sodium bentoin sodium 0.1 g x 100 0.1 g tid.Simetidine 0.2 g by 100 0.2 g tid.[prescription analysis] cimetidine is liver medicine enzyme inhibitors, inhibiting liver medicine enzyme of phenytoin sodium metabolism, make the blood drug concentration greatly increased, phenytoin sodium as an antiepileptic drug, safety margin is small, two fungicides, which are prone to poisoning. The use of the two drugs to reduce the amount of sodium phenylein sodium was also used to replace simetidine, because the drug did not affect the concentration of the blood drug in sodium bentoin.The patient, female, 30 years old, the next day chills, high fever, cough, diagnosis is acute respiratory infection.Prescription: penicillin sodium injection 1.6 million U bid I.V.G ttAzithromycin 0.5 mg bid I.V.G tt[prescription analysis] penicillin and azithromycin are drugs for the treatment of respiratory diseases commonly used for infections such as gram-positive bacteria, and have excellent antibacterial effects. But penicillin is a breeding agent that inhibits bacterial cell wall synthesis. Azithromycin belongs to large ring lactone class, which is fast bacteriostatic agent, inhibit bacteria breeding, make on the breeding of bacteria cannot give full play to the sterilization effect of penicillin. So the two drugs are antagonistic and the effect is reduced.Second, reasonable use of drug analysisPatients, men, and fifties; For two years, I have had headaches, dizziness and concentration. Due to the heavy workload, the headache and dizziness are aggravated. Measurement of blood pressure 23.2/14 kpa (normal 18.6/12 kpa), electrocardiogram (ecg) in left ventricular hypertro