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"Salah satu standar pelayanan kefarmasian yang dilakukan di apotek adalah pengkajian resep. Pengkajian resep bertujuan untuk menganalisis adanya masalah yang terkait dengan peresepan obat. Masalah terkait obat yang mungkin terjadi akibat kesalahan penulisan resep diantaranya obat yang tidak tepat, dosis kurang atau berlebih, alergi obat, inkompatibilitas obat, interaksi obat, duplikasi pengobatan, serta penggunaan obat yang tidak tepat. Prevalensi diabetes mellitus di Indonesia mengalami peningkatan dari 1,5% pada tahun 2013 menjadi 2,0% pada tahun 2018 berdasarkan diagnosis dokter pada penduduk umur ≥ 15 tahun. Penanganan penyakit diabetes dengan cara pendekatan pasien memerlukan kolaborasi tenaga kesehatan, dalam hal ini dokter sebagai penentu diagnosa, apoteker mendampingi khususnya dalam terapi obat merupakan salah satu tugas profesi kefarmasian. Proses pengkajian dilakukan dengan observasi dan studi literatur. Pengkajian resep secara administratif yang dilakukan terhadap resep terdapat beberapa aspek administratif yang tidak lengkap, seperti jenis kelamin, berat badan pasien, dan nomor telepon dokter tidak tercantum pada resep. Hal ini dapat diatasi dengan konfirmasi oleh petugas farmasi atau apoteker. Berdasarkan pengkajian aspek klinis terdapat adanya polifarmasi dan interaksi obat. Hal tersebut dapat diatasi dengan memberikan edukasi atau pemberian informasi obat kepada pasien.

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One of the standard pharmaceutical services carried out in pharmacies is prescription review. The prescription review aims to analyze the existence of problems related to drug prescribing. Drug-related problems that may occur due to prescription errors include incorrect medication, insufficient or excessive dosage, drug allergies, drug incompatibility, drug interactions, duplication of medication, and inappropriate drug use. The prevalence of diabetes mellitus in Indonesia has increased from 1.5% in 2013 to 2.0% in 2018 based on doctor's diagnosis in residents aged ≥ 15 years. Handling diabetes using a patient approach requires collaboration between health workers, in this case the doctor as the determiner of the diagnosis, the pharmacist assisting, especially in drug therapy, is one of the duties of the pharmaceutical profession. The administrative review of prescriptions carried out on prescriptions contained several administrative aspects that were incomplete, such as the patient's gender, weight, and the doctor's telephone number not being listed on the prescription. This can be overcome by confirmation by a pharmacy officer or pharmacist. Based on the clinical aspect assessment, there is polypharmacy and drug interactions. This can be overcome by providing education or providing drug information to patient."

"Praktik kerja profesi apoteker di Apotek Kimia Farma 202 Kejayaan bertujuan mengkaji resep obat dari salah satu resep pasien diabetes melitus di Apotek Kimia Farma Kejayaan bulan Mei 2023 dari segi administrasi, farmasetik dan klinis. Serta memahami permasalahan yang ditemukan dari hasil pengkajian resep di Apotek Kimia Farma Kejayaan bulan Mei 2023. Metode pelaksanaan yang dilakukan dalam laporan ini adalah studi literatur. Resep yang diperoleh adalah dari resep bulan Mei tahun 2023 di Apotek Kimia Farma 202 Kejayaan. Resep dipilih karena kompleksitas yang ada di dalam resep dan dapat dijadikan bahan ajar tentang pengkajian resep. Pengkajian salah satu resep di Apotek Kimia Farma 202 Kejayaan dilihat dari aspek administratif, yaitu melihat kelengkapan data pasien, dokter, serta obat yang diberikan pada resep. Aspek farmasetik dilihat dengan menyesuaikan nama obat serta kekuatan obat dengan literature. Aspek klinis dilakukan untuk melihat indikasi, dosis, efek samping, kontra indikasi, dan potensi interaksi obat yang ada pada resep. Permasalahan yang sering ditemukan pada penulisan resep yaitu terkait aspek administrasi masih ditemukan beberapa poin yang jarang dicantumkan dalam penulisan resep. Ada pula permasalahan terkait potensi interaksi obat yang harus diwaspadai yang dapat terjadi kepada pasien.

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The professional pharmacist work practice at Apotek Kimia Farma 202 Kejayaan aims to review a prescription from a diabetes mellitus patient at Apotek Kimia Farma Kejayaan in May 2023 in terms of administrative, pharmaceutical, and clinical aspects. Additionally, it seeks to understand the issues found from the prescription review at Apotek Kimia Farma Kejayaan in May 2023. The implementation method used in this report is literature study. The prescription reviewed is from May 2023 at Apotek Kimia Farma 202 Kejayaan. This prescription was chosen due to its complexity and can be used as a teaching material for prescription review. The review of the prescription at Apotek Kimia Farma Kejayaan is conducted from three aspects: Administrative aspect involves checking the completeness of the patient data, doctor information, and the medications prescribed. Pharmaceutical aspect involves verifying the drug names and their strengths against the literature. Clinical aspect involves assessing the indications, dosage, side effects, contraindications, and potential drug interactions in the prescription. Common issues found in prescription writing include some administrative details that are often omitted. Additionally, there are potential drug interaction problems that need to be closely monitored to prevent adverse effects on the patient."

"Pelayanan kefarmasian di apotek merupakan pelayanan yang bersentuhan langsung dengan masyarakat, sehingga dituntut untuk mampu menjamin ketersediaan obat yang aman, bermutu, dan berkhasiat. Diabetes mellitus (DM) merupakan gangguan metabolisme kronis yang ditandai dengan terjadinya hiperglikemia persisten. Terapi pasien DM tipe dua bertujuan untuk mempertahankan tingkat konsentrasi glukosa dalam darah dalam batas normal, dan untuk mencegah berkembangnya komplikasi jangka panjang dari kondisi diabetes. Penulisan Tugas Khusus ini dilakukan agar penulis lebih memahami secara mendalam terkait analisis dan pengkajian resep di apotek, khususnya resep pasien diabetes. Metode pelaksanaan analisis resep dilakukan dengan pendekatan pengkajian, pelayanan, dan screening resep terhadap resep pasien diabetes di KFA Matraman sesuai dengan yang tertera pada buku Petunjuk Teknis Standar Pelayanan Kefarmasian di Apotek. Kesimpulan yang didapat dari analisis resep pasien diabetes kali ini yaitu secara umum seringkali terdapat kombinasi pengunaan obat pada pasien (polifarmasi), sehingga potensi terjadi interaksi obat pada pasien dapat meningkat. Menyikapi hal ini, apoteker perlu memastikan setiap kombinasi terapi yang diterima pasien merupakan kombinasi terapi yang rasional, sehingga efektif untuk menunjang kesembuhan pasien.

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Community pharmaceutical services in pharmacies are services that are in direct contact with the community, so they must be able to guarantee the availability of safe, quality, and efficacious drugs. Diabetes mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia. Therapy for type 2 DM patients aims to maintain blood glucose concentration levels within normal limits, and to prevent the development of long-term complications from diabetes. This Special Assignment was written so that the author could get better understanding in the analysis and assessment of prescriptions in pharmacies, especially prescriptions for diabetes patients. The analysis of diabetes prescription in this assignment was carried out using the approach of assessment, service, and screening of prescriptions for diabetes patients at KFA Matraman in accordance with that stated in the Technical Instructions for Standard Pharmaceutical Services in Pharmacies. The conclusion obtained from the analysis of diabetes patient prescriptions this time is that in general there is often a combination of drug use in patients (polypharmacy), so that the potential for drug interactions in patients can increase. In response to this, pharmacists need to ensure that every combination of therapy received by patients is a rational combination of therapy, so that it could be effective in supporting patient recovery."

"Pelayanan kefarsmasian adalah suatu pelayanan langsung dan bertanggung jawab seorang apoteker kepada pasien yang berkaitan dengan sediaan farmasi dengan maksud mencapai hasil yang pasti untuk meningkatkan mutu kehidupan pasien. Pengkajian resep merupakan suatu proses pemeriksaan resep. Skrining resep dilakukan bertujuan untuk menganalisis adanya masalah terkait obat dan apabila terdapat kesalahan atau kejanggalan dapat dikonsultasikan dengan dokter penulis resep sehingga pasien dapat terhindar dari risiko medication error. Hipertensi adalah suatu keadaan dimana tekanan darah meningkat melebihi batas normal. Faktor resiko yang menyebabkan hipertensi yaitu umur, jenis kelamin, keturunan, obesitas, merokok, kurangi aktivitas fisik, konsumsi garam berlebihan, dyslipidemia. Terapi pada pasien hipertensi bertujuan untuk mencapai dan mempertahankan target tekanan darah. Adanya peningkatan tekanan darah yang terjadi pada pasien hipertensi dapat menurunkan aliran darah ke ginjal. Aliran darah ginjal yang rendah akan menstimulasi reabsorpsi asam urat. Tekanan darah yang semakin tinggi memiliki kemungkinan untuk memperbesar risiko penyakit mikrovaskuler yang dapat memicu iskemia jaringan. Penggunaan obat yang tepat untuk penderita hipertensi diperlukan agar pengobatan pasien menjadi efektif. Penggunaan obat yang tidak efektif dapat mengakibatkan kegagalan terapi.

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Pharmaceutical services are direct and responsible services provided by a pharmacist to patients related to pharmaceutical preparations with the aim of achieving definite results to improve the patient's quality of life. Prescription review is a process of examining prescriptions. Prescription screening is carried out with the aim of analyzing drug-related problems and if there are errors or irregularities, it can be consulted with the prescribing doctor so that patients can avoid the risk of medication errors. Hypertension is a condition where blood pressure increases beyond normal limits. Risk factors that cause hypertension are age, gender, heredity, obesity, smoking, reduced physical activity, excessive salt consumption, dyslipidemia. Therapy for hypertensive patients aims to achieve and maintain target blood pressure. Increased blood pressure that occurs in hypertensive patients can reduce blood flow to the kidneys. Low renal blood flow will stimulate uric acid reabsorption. Increasing blood pressure has the potential to increase the risk of microvascular disease that can trigger tissue ischemia. The use of appropriate drugs for hypertensive patients is needed so that patient treatment is effective. Ineffective use of drugs can result in therapy failure."

"Perkembangan industri farmasi saat ini sangatlah pesat dan berakibat pada banyaknya obat yang beredar, sehingga satu obat generik dapat memiliki banyak obat patennya dan terkadang bentuk dan nama obat satu dengan yang lain menjadi sama atau hampir sama. Bentuk dan atau nama obat yang hampir sama dapat menyebabkan terjadinya medication error yang berupa kesalahan dalam pemberian obat kepada pasien. Obat yang hampir sama bentuk dan namanya dikenal dengan obat-obat look-alike sound-alike (LASA). Penyimpanan sediaan farmasi yang kurang baik dapat beresiko meningkatkan medication error yang akan berdampak pada keselamatan pasien. Oleh karena itu, pengelolaan penyimpanan sediaan farmasi perlu diperhatikan dengan baik dalam mengoptimalisasi mutu pelayanan kefarmasian untuk meningkatkan keselamatan pasien. Metode penelitian yang digunakan dalam penyusunan laporan tugas khusus ini antara lain studi literatur dan observasi. Kedua metode tersebut dilakukan agar dapat mengoptimalisasi penyimpanan obat-obatan LASA sebaik mungkin. Studi literatur dilaksanakan dengan cara mencari referensi melalui publikasi, e-book, peraturan pemerintahan, undang-undang dan sumber lainnya. Observasi dilaksanakan dengan cara mengamati secara langsung sistem penyimpanan obat-obat LASA di Apotek Kimia Farma 147 Duren Sawit. Kesimpulan yang bisa dihasilkan yaitu penyimpanan obat dikelompokkan berdasarkan kelas terapi yang sama, disusun secara alfabetis dan menurut FEFO dan FIFO, terkecuali untuk kelompok obat fast-moving, kelompok obat BPJS dan kelompok obat narkotika dan psikotropika. Obat narkotika dan psikotropika diletakkan di dalam lemari khusus yang dapat dikunci. Obat-obat LASA diberi jarak minimal dua obat diantaranya. Label sediaan farmasi dibuat dengan warna tulisan, ukuran tulisan dan jenis tulisan yang jelas dan mudah dibaca. Warna label dibuat berbeda antara satu kelompok dengan kelompok lainnya. Label untuk obat LASA dibuat khusus dengan memberi warna tulisan berbeda untuk kekuatan obat dan nama obat yang serupa. Wadah obat-obat LASA juga diberi stiker sebagai penanda obat LASA. Wadah obat-obat yang mendekati kadaluarsa juga diberi stiker dengan warna tertentu.

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The development of the pharmaceutical industry is currently very fast and has resulted in the large number of drugs in circulation, so that one generic drug can have many patent drugs and sometimes the forms and names of drugs are the same or almost the same. The form and or name of the drug that is almost the same can cause medication errors in the form of errors in administering drugs to patients. Drugs that have almost the same shape and name are known as look-alike sound-alike (LASA) drugs. Improper storage of pharmaceutical preparations can increase the risk of medication errors which will have an impact on patient safety. Therefore, the storage management of pharmaceutical preparations needs to be given proper attention in optimizing the quality of pharmaceutical services to improve patient safety. The research methods used in the preparation of this special assignment report include literature studies and observations. Both of these methods were carried out in order to optimize the storage of LASA drugs as best as possible. Literature study is carried out by looking for references through publications, e-books, government regulations, laws and other sources. Observations were carried out by directly observing the LASA drug storage system at the Kimia Farma Pharmacy 147 Duren Sawit. The conclusion that can be drawn is that drug storage is grouped based on the same therapeutic class, arranged alphabetically and according to FEFO and FIFO, except for the fast-moving drug group, the BPJS drug group and the narcotic and psychotropic drug group. Narcotic and psychotropic drugs are placed in a special cupboard that can be locked. LASA drugs are spaced at least two drugs between them. Labels for pharmaceutical preparations are made with clear and easy to read writing colors, writing sizes and writing types. The color of the label is made different from one group to another. Labels for LASA drugs are custom made with different writing colors for similar drug strengths and drug names. LASA medicine containers are also given stickers as LASA drug markers. Containers of medicines that are nearing expiration are also given a sticker with a certain color."

"Pelayanan resep merupakan salah satu kegiatan pelayanan kefarmasian yang berupa kegiatan menyiapkan permintaan tertulis (resep) dari dokter, dokter gigi dan dokter hewan kepada apoteker untuk menyediakan dan menyerahkan obat yang tepat kepada pasien dan sesuai dengan peraturan yang berlaku. Akan tetapi, terkadang masih terdapat beberapa resep yang kurang tepat (resep irasional) yang disebabkan oleh pemilihan obat, dosis, dan cara penggunaan yang kurang tepat. Terdapat beberapa dampak yang mungkin diakibatkan karena kesalahan peresepan diatas, mulai dari biaya pengobatan yang lebih mahal hingga kematian. Salah satu pelayanan resep yang sering diberikan kepada pasien di apotek Kimia Farma cabang Pos Pengumben merupakan pelayanan resep PRB (pasien rujuk balik). Pasien rujuk balik (PRB) merupakan pemberian obat-obatan untuk pasien penyakit kronis dengan kondisi stabil untuk kebutuhan 1 bulan dan dapat diulang sebanyak 3 kali. Salah satu jenis penyakit kronik yang dilayani pada program pasien rujuk balik adalah penyakit diabetes. Diabetes melitus merupakan penyakit gangguan metabolisme yang menyumbangkan angka kematian tertinggi ketiga di Indonesia. Menurut analisis yang dilakukan terhadap beberapa resep pasien program rujuk balik penderita diabetes, dapat disimpulkan bahwa bentuk ketidakrasionalan resep PRB pada pasien diabetes melitus di Apotek Kimia Farma Pos Pengumben berupa duplikasi obat, terjadinya interaksi obat, dan kurang spesifiknya cara pemberian obat pada resep.

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Prescription service is one of the pharmaceutical activities in the form of preparing written requests (prescriptions) from doctors, dentists, and veterinarians to pharmacists to provide and deliver the right medicines to patients and in accordance with applicable regulations. However, sometimes there are still some irrational prescriptions caused by inappropriate drug selection, dosage, and method of use. The above prescribing errors could have a wide range of effects, from increased medical costs to patient death. one of the prescription services that is often carried out at apotek Kimia Farma cabang Pos Pengumben is the Pasien rujuk balik (PRB) prescription service. Pasien rujuk balik (PRB) is the administration of medications for a month to those with stable chronic diseases. One type of disease covered in the PRB program is diabetes. Diabetes mellitus is a metabolic disorder that is responsible for Indonesia's third-highest mortality rate. According to the analysis conducted on several PRB program prescriptions for diabetics, it can be concluded that the irrational forms of prescribing for PRB patients with diabetes mellitus at Apotek Kimia Farma Pos Pengumben are in the form of drug duplication, drug interactions, and a lack of detail in the directions for administering medications."

"ABSTRAK Praktek Kerja Profesi Apoteker di Apotek Kimia Farma No 147 bertujuan untuk memahami tugas dan tanggung jawab Apoteker dalam pengelolaan apotek melakukan praktek pelayanan kefarmasian sesuai ketentuan perundang undangan dan etika yang berlaku memiliki wawasan pengetahuan keterampilan dan pengalaman praktis untuk melakukan praktek kefarmasian dan memiliki gambaran nyata tentang permasalahan praktek kefarmasian serta mempelajari strategi dan kegiatan kegiatan yang dapat dilakukan untuk pengembangan praktek kefarmasian Berdasarkan hasil pengamatan Apoteker mampu memahami tugas dan tanggung jawab dalam pengelolaan Apotek serta mampu melakukan praktek pelayanan kefarmasian sesuai dengan ketentuan perundang undangan dan etika yang berlaku Permasalahan praktek kefarmasian yang sering terjadi adalah stok barang yang sering habis akibat perubahan sistem pengadaan barang menjadi sistem Distribution Center kurang rutinnya pelaksanaan Konseling serta belum terlaksananya praktek Pelayanan Kefarmasian di Rumah Pemantauan Terapi Obat Pelayanan Informasi Obat dan Monitoring Efek Samping Obat Tugas khusus yang diberikan berupa promosi kesehatan berupa poster mengenai hiperlipidemia yang bertujuan untuk memberikan sosialisasi kesehatan kepada masyarakat umum melalui media dan bermanfaat agar masyarakat awam menjadi paham sehingga lebih waspada dan peduli akan bahaya penyakit hiperlipidemia khususnya geriatri ABSTRACT Profession Internship at Apotek Kimia Farma No 147 Duren Sawit aims to comprehend the role and the responsibility of pharmacist in management of pharmacy do the pharmaceutical care practice based on valid legislations and ethics have practical knowledge education ability and experience to do the pharmaceutical care and have the real background about the problem of pharmaceutical care also learn the strategy and the activity that can be held to develop the pharmaceutical care Based on the observation Pharmacist are able to understand their task and responsibility in management of pharmacy also able to do the pharmaceutical care practice based on valid legislations and ethics The problems that used to be happened are empty stock often happened because of the inventory system that were changed into Distribution Center system inconsistent counseling also the pharmaceutical care that haven rsquo t been yet held before are Home Care Therapeutic Drug Monitoring Drug Information Service and Adverse Drug Reaction ADR rsquo s Monitoring Special task were given about health promotion on poster about hyperlipidemia aims to public health socialization through media and are useful for public to understand so that they will be more self esteem and care about the threat of hyperlipidemia especially in geriatric ;Profession Internship at Apotek Kimia Farma No 147 Duren Sawit aims to comprehend the role and the responsibility of pharmacist in management of pharmacy do the pharmaceutical care practice based on valid legislations and ethics have practical knowledge education ability and experience to do the pharmaceutical care and have the real background about the problem of pharmaceutical care also learn the strategy and the activity that can be held to develop the pharmaceutical care Based on the observation Pharmacist are able to understand their task and responsibility in management of pharmacy also able to do the pharmaceutical care practice based on valid legislations and ethics The problems that used to be happened are empty stock often happened because of the inventory system that were changed into Distribution Center system inconsistent counseling also the pharmaceutical care that haven rsquo t been yet held before are Home Care Therapeutic Drug Monitoring Drug Information Service and Adverse Drug Reaction ADR rsquo s Monitoring Special task were given about health promotion on poster about hyperlipidemia aims to public health socialization through media and are useful for public to understand so that they will be more self esteem and care about the threat of hyperlipidemia especially in geriatric ;Profession Internship at Apotek Kimia Farma No 147 Duren Sawit aims to comprehend the role and the responsibility of pharmacist in management of pharmacy do the pharmaceutical care practice based on valid legislations and ethics have practical knowledge education ability and experience to do the pharmaceutical care and have the real background about the problem of pharmaceutical care also learn the strategy and the activity that can be held to develop the pharmaceutical care Based on the observation Pharmacist are able to understand their task and responsibility in management of pharmacy also able to do the pharmaceutical care practice based on valid legislations and ethics The problems that used to be happened are empty stock often happened because of the inventory system that were changed into Distribution Center system inconsistent counseling also the pharmaceutical care that haven rsquo t been yet held before are Home Care Therapeutic Drug Monitoring Drug Information Service and Adverse Drug Reaction ADR rsquo s Monitoring Special task were given about health promotion on poster about hyperlipidemia aims to public health socialization through media and are useful for public to understand so that they will be more self esteem and care about the threat of hyperlipidemia especially in geriatric ;Profession Internship at Apotek Kimia Farma No 147 Duren Sawit aims to comprehend the role and the responsibility of pharmacist in management of pharmacy do the pharmaceutical care practice based on valid legislations and ethics have practical knowledge education ability and experience to do the pharmaceutical care and have the real background about the problem of pharmaceutical care also learn the strategy and the activity that can be held to develop the pharmaceutical care Based on the observation Pharmacist are able to understand their task and responsibility in management of pharmacy also able to do the pharmaceutical care practice based on valid legislations and ethics The problems that used to be happened are empty stock often happened because of the inventory system that were changed into Distribution Center system inconsistent counseling also the pharmaceutical care that haven rsquo t been yet held before are Home Care Therapeutic Drug Monitoring Drug Information Service and Adverse Drug Reaction ADR rsquo s Monitoring Special task were given about health promotion on poster about hyperlipidemia aims to public health socialization through media and are useful for public to understand so that they will be more self esteem and care about the threat of hyperlipidemia especially in geriatric "