Sorry ppl...i pun baru dpt benda nie..just sharing it... n knowing talhah tenet low..i copy je kat sini....
Osce family med
1. Soalan identify – drugs/instruments- selalu ade 2/3 stations
a. What is this?
b. Group it belongs to?
c. Content? Nama penuh/specific dapat markah lebih..ie content of ocp/terbutalin
d. What it is used for?/indication
e. Contraindicationf. Side effects?
Time g jumpa doctor doctor bg example drug asthma
2. Soalan interactive session – minimum 1 station
a. Bagi matric card kat officer inchrge
b. Mesti greet patient/introduce yourself/ - raport-short and sweet
c. Task akan di beri dlm trigger - orang yg jadi doctor dlm role player tau, trigger die mcm tu
d. Selalunya patient akan try bantu (die tau task kite ape) if kite mcm melencong
e. Ingat ni interactive session!!! patient ngan kitaTime g jumpa doctor, die bagi example quit smoking
3. Soalan berkaitan lilipen or how to start insulin injection?- lama doctor explen yg ni
4. Soalan comment on current treatment regime.
a. Nama drugs and od/tds/bd penting
b. Dose – if ingat tulis, if xingat/xsure xyah, takut kene penalized kalu salah
Soalan general fmDoctor kata senang saja (berulang kali), baca apa yg doctor pernah ajar shj, jgn lari jauh.Yang doctor shamsul sebut jugak penting
1. Pap smear
2. Hpt – basic – definition/classification/diagnosis/drug-indication, side effects
3. dm - basic – definition/classification/diagnosis/drug-indication, side effects
4. quit smoking
Advice on insulin administration
intro-insulin therapy is one of the tx for DM
1.B4 counsel the matient,make sure the patient understand y she needs the insulin->failed optimal tx of OHA /persistent hyperglycemia/GDM/
2. Hygiene-penfilled insulin-keep in appropriate place
b4 admin-wash hand/clean the area with alcohol swab/make sure cleanliness.
3.Administration-refer to notes-lily pen/novopen
-child-90⁰ angle of abd/thigh lifted skin fold
-normal adult-90⁰ angle of abd/thigh without lifted skin fold
5.Check insulin is presence/expiry date
-Make sure insulin has good flow...insulin to be appear at the tip of the needle/gas is out b4 injection(needle priming)
-choose appropriate dose
-making the injection-press as far as it can go: -making the injection-press as far as it can go (after the area was identified and cleaned)subcut.
-count 5 sec
6.replace the pen cap and keep at room T
7.Storage.... pen-filled insulin (keep at room t)
àunused insulin(keep at refrigerator 2-8⁰C/avoid freezing/avoid exposure to heat /direct sunlight
7.explain briefly about self –blood sugar monitoring
8.explain briefly the side effect
àinjection-bruising,lumps (lipodystrophy),s/c fat deposition (lipohyperthropyàfrm unpurified animal insulin;rare),erythema/infection
...hypo sx;a- autonomic;sweating,trembling,pounding heart,hunger,anxiety.b-neuro;confusion,drowsiness,speech difficulty,x concentration,incoordination.c-non-specific;nausea,headache,tiredness
9.Mx of hypo at home...sweet/apply honey at buccal mucosa,mouth,tongue