(anemia)
37 peptic ulcer 5 15 guaiac-positive lab Hb 8 (12-15), Hct 27 (36-44), MCV 75 (80-100), MCHC 30 (31-35), serum iron 40 (60-190 mcg/dL), TIBC 450 (250-400 mcg/dL) Iron deficiency anemia Ferrous sulfate 1*3 pc
1. Ferrous sulfate 1. Ferrous
2. Ferrous
3. Ferrous Ofloxacin Ferrous sulfate Ofloxacin 2 4. Ferrous stone
5. Ferrous sulfate Tetracycline Ferrous
G-6-PD deficiency2. Hemolytic anemia
1. Primaquine, Erythromycin
2. Dapsone, Vitamin A
3. Sulfasalazine, Erythromycin
4. Dapsone, Penicillamine
5. Sulfasalazine, Tetracycline
3. Folic acid
1. Water soluble vitamin
2. Vitamin B9
3. DNA RNA
4. Folic acid 5. IR chromatogram peak 1,700 cm-14. Folic acid 1. 2. 3. 4. 5. 5. 1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5. 7. Folic acid 15 Folic acid 1. 2. 3. 4. .
Folic acid8. Folic acid 1. Folic acid 2. Folic acid UV-visible 3. Folic acid Fluorescene 4. Folic acid Thymidylate 5. Folic acid 9. (Ferrous sulfate tablet) 6. 7. 8. (Ferrous sulfate tablet) 9. (Ferrous sulfate tablet) 10. Ferrous sulfate tablet 10. .Hb Hct
.Direct bilirubin
. Reticulocyte
. .MCV
11. ... 12 . Hb ______________________________ ferrous sulfate __________________________________ . ferrous sulfate ______________________________ ferrous sulfate
_______________________________ ferrous sulfate
__________________________________ _______________________________ 13. . Zinc
. Vit E
. Vit B1
. Iron
. Vit C14. 6 Microcytic and microcytic anemia . Folic acid+ Ferrous sulfate
. Folic acid + Pyridoxine
. Ferrous sulfate + Pyridoxine
. Ferrous sulfate + Phytonadione
. Phytonadione + Pyridoxine
15.
.
.
.
.
. 16.
.
. Megaloblastic anemia
. 6
. 5
. CA stomach antrum Hct 27, Hb 9 MCV 125
17. (anemia)
. intrinsic factor
.
. Vitamin B12
. ....
. ...18. . Ferrous
. Folic acid
. Vitamin C
. Vitamin K
. Zinc
19. maintanace Vitamin B12 . Vitamin B12 Oral..
. Vitamin B12 IV..
. Vitamin B12 IM..
. ....
. ...20. Single dose Vitamin B12 1 80 in water, sparingly soluble in alcohol hygroscopic . Antioxidant
. Preservative
. Chelating agent
. ....
. Tonicity adjustment21. . Filtration
.
.
. ....
. ...22. Vitamin B12 4x500s _____________
23. 24. G-6-PD deficiency
25. Ferrous sulphate
Folic acid
Mebendazole 26. 27.
Ferrous sulphate
Steroid
Vitamin K
Folic acid
28.
29.
Aspirin
Dapsone
Trimethoprim-sulfamethoxazole
Paracetamol
Primaquine
30.
Ferrous sulphate
Folic acid
Vitamin K
Aspirin
Primaquine
31. Folic acid tablet 1 7 14 30 32 .FBC 2C039/46
2546
39
40 Hb 9, Hct 27 %, MCV 67, TIBC 480, Serum feritin 12 smear microcytic anemia 33. anemia . Iron deficiency
. Hemolytic anemia
. Megaloblastic anemia
. Sickle cell
. B12 deficiency
34. . Folic acid
. Ferrous sulfate
. Fresh frozen plasma
. Vitamin B 12
Erythropoietin
35. Ferrous sulfate .Thalassemia
. Thyroxicosis
. Leucopemia
. Thrombocytopenia
. Hemophilia
36.Ferrous supplement Elemental Iron . Ferrous flumarate
. Ferrous sulfate (exsicated)
. Ferrous glucanate
. Ferrous sulfate
. Ferrous citrate
37.Ferrous . Folic acid
. Pyridoxime
. Ascorbic acid ( ). Vitamin B 12
. Lactose
Ferrous sulfate
-Ferrous sulfate12.5 g
-Citric acid0.2 g
-Paraben conc 1 ml
-Syrub add qs100 ml
38. . .. . .39. ferrous sulfate elemental iron 20% 1 elemental iron mg
.0.625 mg
.625 mg
.62.5 mg
.375 mg
.125 mg
40. .EC
.MC
.HPMC
.Polyvinyl alcohol
.Polyvinyl pyrroridone
41.Ferrous sulfate 100
.....42. Ferrous
.....Case; Alum gel 30 mL tid pc &hs 4*1,000mL
Ranitidine 150 mg PO bid pc 60 tab
Lorazepam 1 mg po hs 30 tabFerrous sulfate 300 mg PO tid pc 90 tab
Folic acid 5 mg OD pc 30 tab 43. Hb , Hct , MCV , Aplastic Anemia Megaloblastic Anemia Iron Deficiency Anemia
Sickelcell Anemia
Hemolytic Anemia
44 Alum gel Ranitidine
Alum gel Lorazepam
Lorazepam Ferrous sulfate
Folic acid Ferrous sulfate
Lorazepam Folic acid
45 ferrous sulfate Alum gel
Ranitidine Lorazepam Ferrous slfate 46 Ferrous iron?
AA
HPLC
IR
NMR
UV
47.Ferrous sulfate Ferrous sulfate Docusate sodium
Ascorbic acid
Benzaclonium chloride
Pyridoxine
desferate mesylate : 25 4 LAB Hb 10 mg/dl Hct 32% serum ferritin 10 TIBG 400 MCV 60
48. . . . . . 49. . . . . . 50. . Cyanocobalamine
. Ferrus fumarate
. Ferrus gluconate
. Folic acid
. Iron dextran
51. . Antacid
. Ascorbic acid
. Cimettidine
. Penicillamide
. Norfloxacin
52. Ferrus sulphate Enteric coated tablets
. . . . . 53. Ferrus sulphate Enteric coated tablets
. cetyl alcohol
. dry shellac
. cocoa butter
. polyethylene glycol 4000
. sucrose
54. . . . . . 55. Cereal Cereal Hb Feso4 2 Hb CerealHb Cereal
1 11.512.o
210.5
100120
P=0.006
______________________________________________ Erythropoietin 1. Erythropoietin
Ferrous sulfate
Freeze
Erythropoietin 2.
heme ion
heme ion non-heme ion
Case : OTOP 1X3 pc 3.
. ...
.
.
.
. ......G6PD
1. G6PD 1. Chloramphenical
2. Sulfonamide
3. Quinine
4. Erythromycin
5. Aspirin
2. G6PD 4-5 1. Co-trimoxazole
2. Furazolidione+Kaolin+Pectin
3. Lactobacillus
4. Norfloxacin
5. Amoxycillin
28 G-6-PD deficiency anemia Hb 8 g/dL (normal; 12-16), Hct 22% (normal; 38-48), Total bilirubin 4 mg/L (normal;