La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.
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Please fax back back to: 713-973-0805 DESTINATION (Required): _____________________ Length of Stay:Departure Date: _______ _____________________ MEDICATION/KIT/SUPPLY REQUESTED:
MED KIT: ______Basic _____Full * Hydrocodone/Acetaminophen 5/500 Cost Center/PO/SAP#
(Global Santa Fe Employees must indicate Cost Center & SAP #) PATIENT INFORMATION UPDATE: NEW MEDICAL PROBLEMS: CURRENT MEDICATIONS: Temazapam * Zolpidem: Ambien CR: ALLERGIES: ______N ______Y CHRONIC DISORDERS: * OTHER: __________________________ __________________________ MEDICATION DELIVERY/PICK-UP
*CONTROLLED SUBSTANCES REPORT
___ Own Pharmacy: ________________________________
___ Client picking up meds here: Date: ______Time:_____
___ Deliver ** meds to:
____________________________ Date: ______Time:_____
**Delivery Charge depends on destination
___Bill Company: __________________________________
For Internal Use Only: Non-MD Staff: MAKE SURE ABOVE TRIP DEPARTURE DATE IS COMPLETED BEFORE GIVING TO M.D
How soon does patient need refill?_______________________________________ URGENT? Outstanding Balance $: Patient Business Staff:
Given above BALANCE, OK to refill med ___Y___N, OR have patient settle balance
If patient using ABx Pharmacy, should we give med prior to settling Outstanding Balance?
MD Section: See above Business Staff Section Refill? Y MUST MAKE APPT: M.D. Initials:
___________________________________________________________________________________________________________
If REFILL answer is NO (Business or Pharm/Nursing Staff), write comments or discuss with physician. Nursing: Reviewed By:
If Rx denied, CONTACTED: Was a copy of request given to Pharmacist?
N, Rx called in to: COMMENTS:
N FILLED By:
___Provide Return Office Visit Form to Physician
___ Record in IMC TRACKING LEDGER
under Refills _____ Initials (done)
E:\intranet\source\Pharmacy Refill Request.doc
HEALTH CARE PROVIDER GUIDE TO FREE OR REDUCED COST SMOKING CESSATION MEDICATION FOR MICHIGAN RESIDENTS If your clients are having a hard time paying for medications that can help them quit smoking, there are programs that may be able to help. Medicaid Michigan ENROLLS is a free program that will help callers find out if they qualify for health care coverage through the Michigan
___________________________________________________________________________ CLINICAL GUIDELINES for SUBCUTANEOUS INFUSION (HYPODERMOCLYSIS) Clinical Policy Folder Ref No: 16 APPROVED BY: Policy and Guideline Ratification Group (PGRG) Date of Issue: July 2010 Version No: 1.3 Date of review: May 2012 Author: Alison Griffiths. Matron District Nursing NHS South Glouces