23
โโโโโโโโ (anemia) ผผผผผผผผผผผผผผผผผผ 37 ผผ ผผผผผผผผผผผ ผผผผผผผผผผผผผผผผผผ ผผผผผผผผ ผผผผผผผ ผผ ผผผผผผผผผผผ peptic ulcer ผผผผผผผ 5 ผผ ผผผผผผผ ผผผผผผผผผผผผผผผผผผผผผผผผผผผผผผ ผผผผผผผผผผผผผ 15 ผผผผผผผผผ ผผผผผผผผผผผ ผผ guaiac-positive ผผผผ lab ผผ 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) ผผผผผผผผผผผผผผผผผ Iron deficiency anemia ผผผผผผผผ Ferrous sulfate 1*3 pc 1. ผผผผผผผผผผผผผผผผ ผผผผผผผผผผผผผผผผผ ผผผผผผผผผผผ Ferrous sulfate ผผผผผผ ผผผผผผผผผผผผผผ 1. ผผผผผผผผผผผผผผผผผผผผผ ผผผผผ ผผผผผผผผผผผผผผผผผ Ferrous 2. ผผผผผผผผผผผผผผผผผผผผผผผผผผ ผผผผผผผผผผผผผผ ผผผผผผผผผผผผผผผผผผผผ ผผผผผผผผผผผผ Ferrous 3. Ferrous ผผผผผผผผผผผผผผผผผผ ผผผ Ofloxacin ผผผผผผผผผผผผผผผผ Ferrous sulfate ผผผผผผผผผผผผผผผผผ Ofloxacin 2 ผผผผผผผ 4. ผผผผผผผผผผผผผผผผผผผผผผผ ผผผ ผผผผผผผผ ผผผผผผผผ ผผผผผผผ Ferrous stone 5. ผผผผผผผผผผผ Ferrous sulfate ผผผผผผผผผ Tetracycline ผผผผผผผผผผ ผผผผผผผผผ Ferrous ผผผผผผผผผผผผผผผผผผผผผผผผผผผผผผผผผผ ผผผผผผผผผผผผผผผผ G-6-PD deficiency 2. ผผผผผผผผผผผผผผผผ ผผผผผผผผผผผผผผผผผผผ ผผผผผผผผผผผผผผผผผผผผผผผผผ ผผผผผ ผผผผผผผผผผผผผผ Hemolytic anemia 1. Primaquine, Erythromycin 2. Dapsone, Vitamin A 3. Sulfasalazine, Erythromycin

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(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;