PHARCARE 4 (LABORATORY) SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION University of Santo Tomas Hospital España, Manila Benjamin Perez Name: Date: August 31, 2014 Address: Novaliches, Quezon City Age: 2 y/o Wt./Ht.: 24 lbs.
R x
SET PHC-01
University of Santo Tomas Hospital España, Manila Name: Mary Jane Concepcion Date: August 31, 2014 Address: 145 Vicente Cruz St. Samp. Age: 5 y/o Wt./Ht.: 35 lbs
R x Mix Nystatin powder 1:10 with the following: Zinc oxide Talc Starch Calcium carbonate
Digoxin 250 mcg tablet (Lanoxin) Make 5 papers each containing 200 µg digoxin. equal quantities to give 20 g
Sig. Apply to area with each diaper change. change.
Sig. One paper once a day. Beth Consolacion, M.D. Lic. No. 2014P-A-01 PTR No. 721455 S2 No. ___________________ ___________________
University of Santo Tomas Hospital España, Manila Name: Josephine Tuazon Date: August 31, 2014 Address: Examiner St. QC Age: 23 y/o Wt./Ht.: 122 lbs.
R x
Jonathan Hipolito, M.D. Lic. No. 2014P-A-03 PTR No. 729055 S2 No. ___________________ ___________________
University of Santo Tomas Hospital España, Manila Name: Michael Simeon Date: August 31, 2014 Address: 87 P. Florentino St. Samp. Age: 38 y/o Wt./Ht.: 135 lbs
R x Potassium bromide . . . . . . . . . . . . . . . . . . Syrup aurantii . . . . . . . . . . . . . . . . . . . . . . Aqua, q.s. ad . . . . . . . . . . . . . . . . . . . . . . .
2.67 g 4 mL 60 mL
Zephiran solution
M. Dispense 30 mL.
Dispense 30 mL.
Sig. 1 tbsp t.i.d.
Sig. As directed Sweet Ferrer, M.D. Lic. No. 2014P-A-02 PTR No. 721489 S2 No. ___________________ ___________________
1:750
Benjamin Lopez, M.D. Lic. No. 2014P-A-04 PTR No. 701455 S2 No. ___________________ ___________________
PHARCARE 4 (LABORATORY) SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION University of Santo Tomas Hospital España, Manila Name: Alexander Corpuz Date: Sept. 04, 2014 Address: 89 Agno St. QC Age: 47 y/o Wt./Ht.: 140 lbs.
R x
SET PHC-01
University of Santo Tomas Hospital España, Manila Name: Evangeline Natividad Date: Sept. 04, 2014 Address: Pasig City Age: 27 y/o Wt./Ht.: 129 lbs.
R x Propranolol HCl 4 mg/mL
Phenol . . . . . . . . . . . . . . . . . . . . . . . . . . . . Calamine preparation . . . . . . . . . . . . . . . . Zinc oxide . . . . . . . . . . . . . . . . . . . . . . . . . Glycerine . . . . . . . . . . . . . . . . . . . . . . . . . Purified water, q.s. ad . . . . . . . . . . . . . . . . .
Dispense 30 mL. Sig. 1 mL p.o. t.i.d.
M. Dispense 30 mL. Sig. Apply to affected area at bedtime.
Jose Gatchalian, M.D. Lic. No. 2014P-A-05 PTR No. 721445 S2 No. ___________________
University of Santo Tomas Hospital España, Manila
Name: Address:
Jennifer Lim 78 P. Noval St. Samp.
Age:
16 y/o
Date: Sept. 04, 2014 Wt./Ht.: 100 lbs.
R x Sodium bicarbonate . . . . . . . . . . . . . . . . . Glycerol . . . . . . . . . . . . . . . . . . . . . . . . . . . Freshly boiled and cooled water, q.s. ad . .
500.0 g 3.0 mL 10.0 mL
M. ft. Otic solution.
0.6 g 3.0 mL 6.0 g 3.0 mL 60.0 mL
Gabriel Macapagal, M.D. Lic. No. 2014P-A-07 PTR No. 721495 S2 No. ___________________
University of Santo Tomas Hospital España, Manila Name: Veronica Saludez Date: Sept. 04, 2014 Address: 55 P.Guevarra St. Manila Age: 16 y/o Wt./Ht.: 95 lbs.
R x KMnO 4 solution 0.2% w/v Dispense 30 mL.
Sig. Instill 1 drop a.u.
Sig. Apply to affected area t.i.d. Dorothy Fitts, M.D. Lic. No. 2014P-A-06 PTR No. 721423 S2 No. ___________________
Simona Piedad, M.D. Lic. No. 2014P-A-08 PTR No. 720455 S2 No. ___________________
PHARCARE 4 (LABORATORY) SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION University of Santo Tomas Hospital España, Manila Name: Cynthia Esparaz Date: Sept. 15, 2014 Address: Makati City Age: 27 y/o Wt./Ht.: 116 lbs.
R x
SET PHC-01
University of Santo Tomas Hospital España, Manila Name: Celeste Buenaventura Date: Sept. 15, 2014 Address: Sampaloc, Manila Age: 38 y/o Wt./Ht.: 122 lbs.
R x Chalk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tragacanth . . . . . . . . . . . . . . . . . . . . . . . . Conc. Cinnamon Water . . . . . . . . . . . . . . Syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Purified water, to make . . . . . . . . . . . . . . .
2g 200 mg 0.4 mL 10 mL 100 mL
Prepare mixture. Dispense 30 mL.
Zinc oxide . . . . . . . . . . . . . . . . . . . . . . . . . Starch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Purified talc . . . . . . . . . . . . . . . . . . . . . . . . M.. ft. pulv. Sig. As directed
Betty Tuazon, M.D. Lic. No. 2014P-A-11 PTR No. 721495 S2 No. ___________________
Sig. Use as directed. Joshua Quizon, M.D. Lic. No. 2014P-A-09 PTR No. 721433 S2 No. ___________________
Name: Address:
25 g 25 g 50 g
University of Santo Tomas Hospital España, Manila Catherine Yson Date: Sept. 15, 2014 67 Ma. Clara St. QC Age: 35 y/o Wt./Ht.: 130 lbs.
University of Santo Tomas Hospital España, Manila Name: Cristina Veloso Date: Sept. 15, 2014 Address: 115 Bulusan St., QC Age: 10 y/0 Wt./Ht.: 58 lbs.
R x
R x Mineral oil . . . . . . . . . . . . . . . . . . . . . . . . . Syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vanillin . . . . . . . . . . . . . . . . . . . . . . . . . . . . Purified water, q.s. ad . . . . . . . . . . . . . . . . .
50.0 mL 10. 0 mL 4.0 mg 100.0 mL
M. ft. emulsion. Sig. One tbsp. q.i.d.
Codeine phosphate . . . . . . . . . . . . . . . . . Lactose, to make . . . . . . . . . . . . . . . . . . .
10 mg 200 mg
M. ft. powder no.5. Sig. Take as directed.
Washington Cruz, M.D. Lic. No. 2014P-A-10 PTR No. 721455 S2 No. ___________________
Simeon Calidad, M.D. Lic. No. 2014P-A-12 PTR No. 721455 S2 No. ___________________
PHARCARE 4 (LABORATORY) SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION University of Santo Tomas Hospital España, Manila Name: Sylvia Santos Date: Sept. 30, 2014 Address: Pasay City Age: 27 y/o Wt./Ht.: 110 lbs.
R x
SET PHC-01
University of Santo Tomas Hospital España, Manila Name: Boyet Crisologo Date: Sept. 30, 2014 Address: Crisostomo St., Manila Age: 19 y/o Wt./Ht.: 88 lbs.
R x Hydrochloric acid 2.5% Calamine Lotion USP Dispense 30 mL. Dispense 30 mL.
Sig. Add one teaspoonful to 4 oz of fruit juice and sip through a straw. Take with each meal.
Name: Address:
Sig. Apply to poison ivy q4 prn.
Benedicta Mabini, M.D. Lic. No. 2014P-A-13 PTR No. 721429 S2 No. ___________________
Olivia Gutierrez, M.D. Lic. No. 2014P-A-15 PTR No. 721423 S2 No. ___________________
University of Santo Tomas Hospital España, Manila Sylvester Punzalan Date: Sept. 30, 2014 Maria Clara St. QC Age: 1 y/o Wt./Ht.: 25 lbs.
University of Santo Tomas Hospital España, Manila Name: Cristine Velasquez Date: Sept. 30, 2014 Address: Earnshaw, Sampaloc Age: 32 y/o Wt./Ht.: 100 lbs.
R x
R x Zinc oxide Calamine Starch White petrolatum, to make
aa
7.5 g 15 g 60 g
Morphine sulfate . . . . . . . . . . . . . . . . . . . . Dextromethorphan hydrobromide . . . . . . Lactose . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 m g 30 m g 300 mg
M. & ft. capsules no.5 Sig. Apply after each diaper change prn.
Sig. Take as directed. Jeremy Jose, M.D. Lic. No. 2014P-A-14 PTR No. 721985 S2 No. ___________________
Corazon Capistrano, M.D. Lic. No. 2014P-A-16 PTR No. 723955 S2 No. ___________________
PHARCARE 4 (LABORATORY) SUMMARY OF PRESCRIPTIONS FOR INDIVIDUAL DEMONSTRATION
SET PHC-01
University of Santo Tomas Hospital España, Manila
Name: Violet Tan Address: Maceda St. Sampaloc, Mla
Age: 15 y/o
University of Santo Tomas Hospital España, Manila
Date: Sept. 30, 2014 Wt./Ht.: 85 lbs.
R x Sodium chloride . . . . . . . . . . . . . . . . . . . . Zinc chloride . . . . . . . . . . . . . . . . . . . . . . . Menthol . . . . . . . . . . . . . . . . . . . . . . . . . . . Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . . Glycerin . . . . . . . . . . . . . . . . . . . . . . . . . . Cinnamon oil . . . . . . . . . . . . . . . . . . . . . . Purified water, q.s.ad . . . . . . . . . . . . . . . . M. ft. mouthwash. Dispense 30 mL. Sig. Use as directed.
Name: Clarissa Uy Address: 189 Chico St., QC
Age: 25 y/o
Date: Sept. 30, 2014 Wt./Ht.: 123 lbs.
R x 2.5 g 0.5 g 0.05 g 9.6 g 10 g 0.1 g 100 mL
Kaolin . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 g Zinc stearte . . . . . . . . . . . . . . . . . . . . . . . . 2 g Zinc oxide . . . . . . . . . . . . . . . . . . . . . . . . . 2 g Magnesium carbonate . . . . . . . . . . . . . . . . 10 g Menthol . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.05 g Talc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 g M. ft. pulv. Dispense 15 g. Sig. Sprinkle on affected area in the morning and at night. L isa Bartolome, M.D. Lic. No. 2014P-A-19 PTR No. 721420 S2 No. ___________________
Benedict Sy, M.D. Lic. No. 2014P-A-17 PTR No. 721490 S2 No. ___________________
University of Santo Tomas Hospital España, Manila Name: Bianca Hizon Date: Sept. 30, 2014 Address: 89 Lanzones St. QC Age: 56 y/o Wt./Ht.: 155 lbs.
University of Santo Tomas Hospital España, Manila Name: Joanne Vasquez Date: Sept. 30, 2014 Address: Masangkay St. Manila Age: 45 y/o Wt./Ht.: 134 lbs.
R x
R x Stearic acid . . . . . . . . . . . . . . . . . . . . . . . . 4 g .Lanolin . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 g Triethanolamine . . . . . . . . . . . . . . . . . . . . 1g Mineral oil . . . . . . . . . . . . . . . . . . . . . . . . . 6 g Purified water, to make . . . . . . . . . . . . . . . 100 mL Make lotion. Dispense 30 mL. Sig. Apply on dry areas of the skin as often as necessary. Cyrus Santiago, M.D. Lic. No. 2014P-A-18 PTR No. 721445 S2 No. ___________________
Phenol . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Zinc oxide . . . . . . . . .. . . . . . . . . . . . . . . . 70% ethanol Calcium hydroxide solution
200 mg 12 g aa q.s. 100 mL
Mix and make a mixture. Dispense 30 mL. Sig. Use as directed. Jill Bagano, M.D. Lic. No. 2014P-A-20 PTR No. 721478 S2 No. ___________________