{"id":4913,"date":"2012-12-07T11:59:00","date_gmt":"2012-12-07T08:59:00","guid":{"rendered":"https:\/\/sanliurfaeo.birodam.org.tr\/index.php\/2026\/01\/19\/sgk-recete-inceleme-biriminden-duyuru\/"},"modified":"2026-01-19T11:09:54","modified_gmt":"2026-01-19T08:09:54","slug":"sgk-recete-inceleme-biriminden-duyuru","status":"publish","type":"post","link":"https:\/\/urfaeo.kolaysoft.com.tr\/index.php\/2012\/12\/07\/sgk-recete-inceleme-biriminden-duyuru\/","title":{"rendered":"SGK RE\u00c7ETE \u0130NCELEME B\u0130R\u0130M\u0130NDEN DUYURU"},"content":{"rendered":"
\n
\n SGK RE\u00c7ETE \u0130NCELEME B\u0130R\u0130M\u0130NDEN DUYURU\n<\/div>\n
\n  \n<\/div>\n
\n SGK Re\u00e7ete \u0130nceleme biriminden g\u00f6revli olan meslekta\u015flar\u0131m\u0131z\u0131n, incelemeden sonra \u00f6deme yapmak i\u00e7in \u00f6rneklemeleri h\u0131zland\u0131rm\u0131\u015f olup Ankara ve Adana SGK \u0130l M\u00fcd\u00fcrl\u00fcklerinden inceleme deste\u011fi al\u0131nm\u0131\u015ft\u0131r. . Ancak a\u015fa\u011f\u0131da g\u00f6r\u00fclen ve bir\u00e7o\u011funun iade edilmek zorunda kal\u0131nd\u0131\u011f\u0131 veya kesintiye neden olarak  ma\u011fduriyet ya\u015fanmamas\u0131 i\u00e7in a\u015fa\u011f\u0131da belirtilen hususlar\u0131 hat\u0131rlatma ihtiyac\u0131 do\u011fmu\u015ftur.\n<\/div>\n
\n  \n<\/div>\n
\n 1*<\/b> Re\u00e7ete arkas\u0131 bilgilerinin daha \u00f6nceki y\u0131llara g\u00f6re  daha d\u00fczenli geldi\u011fi ancak \u00e7ok az say\u0131da baz\u0131 bilgilerin eksik geldi\u011fi(\u0130la\u00e7lar\u0131 alan ki\u015finin bilgileri adres, telefon, T.C, \u0130mza)\n<\/div>\n
\n 2*<\/b> Medulla provizyon sistemine Dr. Bilgilerinin yanl\u0131\u015f girildi\u011fi\n<\/div>\n
\n 3*<\/b> Re\u00e7ete dozu rapor dozunu a\u015fmas\u0131 kesintiye neden olmaktad\u0131r.\n<\/div>\n
\n 4*<\/b> E\u015fde\u011fer ila\u00e7 verilme durumunda yaz\u0131lan ilac\u0131n etken madde\/maddelerinin dozuna dikkat edilmesi gerekti\u011fi( Augmentin 600 ile 400 e\u015fde\u011fer de\u011fil, Pediasure plus ile Pediasure sade e\u015fde\u011fer de\u011fil, Augmentin 1 gr<\/u> 14 tb ile Augmentin 1 gr <\/u>10 tb E\u015fde\u011ferdir. Sistemden e\u015fde\u011fer olarak girilmeyen ila\u00e7lar i\u00e7in \u00e7\u0131kan fark \u00f6rneklemeyle kesintiye neden olmaktad\u0131r.)\n<\/div>\n
\n 5*<\/b> Rapor kodu ile te\u015fhis kodu uyumlu olmal\u0131d\u0131r.\n<\/div>\n
\n \u00d6rnek olarak Te\u015fhis Kodu 04.03-Disritmiler (I44-I45) (I47-I49)\n<\/div>\n
\n Raporda Belirtilen ICD 10 Kodu: (I44-I45) veya (I47-I49) aral\u0131klar\u0131nda olmal\u0131d\u0131r.\n<\/div>\n
\n 6*<\/b> Yatan Hasta re\u00e7etelerinde Ba\u015fhekimlik onay\u0131n\u0131n bulunmad\u0131\u011f\u0131 bunun yerine ba\u015fhekimlik m\u00fchr\u00fcn\u00fcn yap\u0131ld\u0131\u011f\u0131ndan dolay\u0131 iade edildi\u011fi bildirilmi\u015ftir. Mutlaka ba\u015fhekimlik onay\u0131 ve Ba\u015fhekimlik m\u00fchr\u00fc re\u00e7etelerde bulunmas\u0131 gerekmektedir.\n<\/div>\n
\n 7*<\/b> Klopidogrel (Plavix) kullan\u0131m\u0131nda yap\u0131lan hatan\u0131n; Asa ve Gis intolerans\u0131 mevcuttur ibaresi oldu\u011fu halde Coraspin adl\u0131 ilac\u0131n verildi\u011fi, bu durumda ise Coraspin adl\u0131 ilac\u0131n kesintiye neden oldu\u011fu bildirilmi\u015ftir. Raporda sadece G\u0130S intolerans\u0131 mevcuttur ibaresinin yeterli oldu\u011fu bildirilmi\u015ftir.\n<\/div>\n
\n 8* <\/b>Kan \u00dcr\u00fcnleri \u0130\u00e7in \u00d6rnek Rapor:\n<\/div>\n
\n a- Kanama Raporu<\/u><\/b>: Rapor s\u00fcresi 3 g\u00fcnd\u00fcr. Medullaya bu konu ile ilgili olarak yeni te\u015fhis kodu eklendi\u011finden  hastan\u0131n elinde ila\u00e7lar\u0131 oldu\u011fu halde sistem \u00f6demektedir.\n<\/div>\n
\n Bu te\u015fhis Kodu : 08.01.13.01- Akut kanama ya da cerrahi giri\u015fimler \u00f6ncesi fakt\u00f6r noksanl\u0131klar\u0131na ba\u011fl\u0131 hastal\u0131klar. A\u00e7\u0131klama k\u0131sm\u0131nda ise \u00f6rnek olarak : SOL AYAK B\u0130LE\u011e\u0130 AKUT HEMARTROZU NEDEN\u0130YLE HEDEF FAKT\u00d6R D\u00dcZEY\u0130N\u0130 %50’YE \u00c7IKARACAK \u015eEK\u0130LDE 50\u00dc\/KG\/DOZ DAN 3 G\u00dcN KULLANMASI UYGUNDUR. VA: 20KG<\/span>\n<\/div>\n
\n b- Normal Rapor: <\/u><\/b>    <\/span>Fakt\u00f6r D\u00fczeyi %1 ve \u00fczerinde olan hastalarda<\/b>:HASTANIN B\u0130R AY\u0130\u00c7\u0130NDE \u00dc\u00c7TEN FAZLA KANMA ATA\u011eI GE\u00c7\u0130RMES\u0130 NEDEN\u0130YLEPROF\u0130LAKS\u0130 PROGRAMINA ALINMI\u015eTIR. MADDE \u0130SM\u0130,KULLANIM DOZU VE ADED\u0130 BEL\u0130RT\u0130LEN HEMOF\u0130L\u0130 A PROF\u0130LAKS\u0130S\u0130 \u0130LE \u0130LG\u0130L\u0130 \u0130LA\u00c7LARI KULLANMASI GEREKMEKTE OLUP HASTA KATILIM PAYINDAN MUAFTIR.HAFTALIK DOZ 4500 \u00dcN\u0130TED\u0130R. YAKLA\u015eIK (20-30 \u00dc\/KG\/G\u00dcN) HAFTADA \u00dc\u00c7 G\u00dcN VER\u0130LECEKT\u0130RFAKT\u00d6R VIII D\u00dcZEY\u0130 %01 HEDEF FAKT\u00d6R D\u00dcZEY\u0130 %20 \u0130NH\u0130B\u0130T\u00d6R D\u00dcZEY\u0130 – KG:90 1) FAKTOR VIII Parenteral[1X3] Yanl\u0131z 1 (Bir) Kalemdir<\/span>\n<\/div>\n
\n Fakt\u00f6r D\u00fczeyi %1 alt\u0131nda olan hastalarda<\/b>: HEMOF\u0130L\u0130 A.FAKT\u00d6R D\u00dcZEY\u0130 %0,7 SAPTANDI.\u0130NH\u0130B\u0130T\u00d6R NEGAT\u0130FT\u0130R.HASTA PROF\u0130LAKT\u0130K PROGRAMA ALINMI\u015eTIR. FAKT\u00d6R TEDAV\u0130S\u0130 20-40 U\/KG\/G\u00dcN KULLANMASI UYGUNDUR.(HAFTALIK DOZ 4.500 \u00dcN\u0130TE)<\/span>\n<\/div>\n
\n  \n<\/div>\n
\n Re\u00e7ete : Kanama re\u00e7etelerinde te\u015fhis olarak kanama oldu\u011fu, di\u011fer durumlarda ise re\u00e7etede profilaksi uyguland\u0131\u011f\u0131 belirtilecektir.\n<\/div>\n
\n  \n<\/div>\n
\n 9* <\/b>Kanser raporlar\u0131ndaki k\u00fcr tedavilerinde etken madde k\u00fcr tedavisinde ise ; ka\u00e7 k\u00fcr kullan\u0131laca\u011f\u0131 dozuyla birlikte belirtilmesi gerekmektedir.\n<\/div>\n
\n \u00d6rnek: Hasta 2 k\u00fcr Melfalan, 8 k\u00fcr Bortezomid, 4 k\u00fcr talidomid gibi. Her re\u00e7ete 1 k\u00fcrl\u00fck verilecektir. A\u00e7\u0131klama b\u00f6l\u00fcm\u00fcnde ayr\u0131ca di\u011fer bilgiler v\u00fccut y\u00fczey alan\u0131, varsa patoloji merkezin tarih ve numaras\u0131yla birlikte yer almas\u0131 gerekmektedir.\n<\/div>\n
\n  \n<\/div>\n
\n  \n<\/div>\n
\n 10* <\/b> Desmont, Levmont tb. \u0130\u00e7in \u201cMevsimsel Alerjik Rinit\u201d , \u201cAst\u0131m+Alerjik Rinit\u201d veya \u201cY\u0131l boyu devam eden Alerjik Rinit\u201d te\u015fhislerinden birinin olmas\u0131 yeterli.\n<\/div>\n
\n  \n<\/div>\n
\n  \n<\/div>\n
\n  \n<\/div>\n
\n  \n<\/div>\n
\n 11*<\/b> Majistral terkiplerin 10 g\u00fcnl\u00fck dozdan fazla haz\u0131rland\u0131\u011f\u0131 ve alkol \u00e7evirmelerin yap\u0131lmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir.\n<\/div>\n
\n  \n<\/div>\n
\n  \n<\/div>\n
\n  \n<\/div>\n
\n \u00d6rnek 1: Eou de Goulard 1000 cc\n<\/div>\n
\n                         S: 3*10 cc\n<\/div>\n
\n \u015eeklinde re\u00e7ete edilen bir preperat\u0131n g\u00fcnl\u00fck kullan\u0131m\u0131 30 cc olarak belirtildi\u011finden en fazla 10 g\u00fcnl\u00fck kullan\u0131m olan 300 cc haz\u0131rlanabilir ve hesaplama 300 cc \u00fczerinden yap\u0131l\u0131r.\n<\/div>\n
\n Hesaplama: Eau de Goulard Eczac\u0131l\u0131kta kullan\u0131m oran\u0131 %2 Kur\u015fun subasetat i\u00e7erir.\n<\/div>\n
\n 100              <\/span>2 Kur\u015fun subasetat\n<\/div>\n
\n
\n 300        x\n <\/div>\n<\/div>\n
\n X= 6 cc Kur\u015fun subasetat kullan\u0131l\u0131r. Eczac\u0131l\u0131kta \u00e7e\u015fme suyu ile haz\u0131rlanan tek preperat oldu\u011fundan kullan\u0131lacak olan \u00e7e\u015fme suyu ise 300-6= 294 cc \u00c7e\u015fme suyu kullan\u0131larak medullada hesaplan\u0131r. Medullada majistral giri\u015f b\u00f6l\u00fcm\u00fcne \u00e7e\u015fme suyu ilave edilmi\u015ftir.<\/b>\n<\/div>\n
\n  \n<\/div>\n
\n \u00d6rnek 2: Alkol borik % 3 30 cc\n<\/div>\n
\n                         S:1*3 cc\n<\/div>\n
\n Hesaplama : Preperatta istenilen Alkol derecesi belirtilmemi\u015f ise % 70 lik Alkol kullan\u0131l\u0131r.\n<\/div>\n
\n 100       3 gr Borik asit\n<\/div>\n
\n 30         X = 0.9 gr Borik asit\n<\/div>\n
\n  \n<\/div>\n
\n Kulland\u0131\u011f\u0131m\u0131z saf alkol\u00fcn derecesi % 96 l\u0131k oldu\u011fundan 30 cc kullan\u0131lacak alkol\u00fc % 70 li\u011fe \u00e7evirmek i\u00e7in\n<\/div>\n
\n  \n<\/div>\n
\n 96\u00b0 alkolden hareketle 30 ml 70\u00b0 alkol haz\u0131rlanacakt\u0131r..<\/span>\n<\/div>\n
\n  \n<\/div>\n
\n V1x d 1= V2xd2<\/span>\n<\/div>\n
\n  \n<\/div>\n
\n V1, :\u0130stenen alkol\u00fcn ml miktar\u0131<\/span>\n<\/div>\n
\n d1, :\u0130stenen alkol\u00fcn %, h\/h miktar\u0131<\/span>\n<\/div>\n
\n V2<\/span>: Eldeki alkolden al\u0131nmas\u0131 gereken ml miktar\u0131<\/span>\n<\/div>\n
\n d2: Eldeki alkol\u00fcn %, h\/h miktar\u0131<\/span>\n<\/div>\n
\n  \n<\/div>\n
\n 30×70=V2X96 <\/span>\n<\/div>\n
\n V2=30×70<\/u> = 21,875 ml.<\/span>\n<\/div>\n
\n          96<\/span>\n<\/div>\n
\n      <\/span>\n<\/div>\n
\n  \n<\/div>\n
\n 21,875 ml % 96 h\/h alkolden al\u0131n\u0131p, ar\u0131t\u0131lm\u0131\u015f su ile mez\u00fcrde 30 ml’ye<\/span>\n<\/div>\n
\n tamamlan\u0131r.<\/span>\n<\/div>\n
\n  \n<\/div>\n
\n Borik asit :0.9 gr\n<\/div>\n
\n Saf alkol : 21,875 ml\n<\/div>\n
\n Distile su ile 30 ml tamamlan\u0131r. Medulladan 30-21,875= 8,125 ml distile su olarak hesaplan\u0131r.\n<\/div>\n
\n  <\/b>\n<\/div>\n
\n Not: Yurt d\u0131\u015f\u0131 SSK l\u0131lar\u0131n dosya haz\u0131rlama ve listelenmesi ile ilgili duyuru daha sonra yap\u0131lacakt\u0131r.<\/b>\n<\/div>\n
\n  <\/b>\n<\/div>\n
\n                                                                        Ecz.Mehmet F\u0130TK\u0130<\/b>\n<\/div>\n
\n                                                               SUT Komisyonu Koordinat\u00f6r\u00fc<\/b>\n<\/div>\n
\n  <\/b>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

SGK RE\u00c7ETE \u0130NCELEME B\u0130R\u0130M\u0130NDEN DUYURU   SGK Re\u00e7ete \u0130nceleme biriminden g\u00f6revli olan meslekta\u015flar\u0131m\u0131z\u0131n, incelemeden sonra \u00f6deme yapmak i\u00e7in \u00f6rneklemeleri h\u0131zland\u0131rm\u0131\u015f olup Ankara ve Adana SGK \u0130l M\u00fcd\u00fcrl\u00fcklerinden inceleme deste\u011fi al\u0131nm\u0131\u015ft\u0131r. . Ancak a\u015fa\u011f\u0131da g\u00f6r\u00fclen ve bir\u00e7o\u011funun iade edilmek zorunda kal\u0131nd\u0131\u011f\u0131 veya kesintiye neden olarak  ma\u011fduriyet ya\u015fanmamas\u0131 i\u00e7in a\u015fa\u011f\u0131da belirtilen hususlar\u0131 hat\u0131rlatma ihtiyac\u0131 do\u011fmu\u015ftur.   1* Re\u00e7ete arkas\u0131 bilgilerinin daha \u00f6nceki y\u0131llara g\u00f6re  daha d\u00fczenli geldi\u011fi ancak \u00e7ok az say\u0131da baz\u0131 bilgilerin eksik geldi\u011fi(\u0130la\u00e7lar\u0131 alan ki\u015finin bilgileri adres, telefon, T.C, \u0130mza) 2* Medulla provizyon sistemine Dr. Bilgilerinin yanl\u0131\u015f girildi\u011fi 3* Re\u00e7ete dozu rapor dozunu a\u015fmas\u0131 kesintiye neden olmaktad\u0131r. 4* E\u015fde\u011fer ila\u00e7 verilme durumunda yaz\u0131lan ilac\u0131n etken madde\/maddelerinin dozuna dikkat edilmesi gerekti\u011fi( Augmentin 600 ile 400 e\u015fde\u011fer de\u011fil, Pediasure plus ile Pediasure sade e\u015fde\u011fer de\u011fil, Augmentin 1 gr 14 tb ile Augmentin 1 gr 10 tb E\u015fde\u011ferdir. Sistemden e\u015fde\u011fer olarak girilmeyen ila\u00e7lar i\u00e7in \u00e7\u0131kan fark \u00f6rneklemeyle kesintiye neden olmaktad\u0131r.) 5* Rapor kodu ile te\u015fhis kodu uyumlu olmal\u0131d\u0131r. \u00d6rnek olarak Te\u015fhis Kodu 04.03-Disritmiler (I44-I45) (I47-I49) Raporda Belirtilen ICD 10 Kodu: (I44-I45) veya (I47-I49) aral\u0131klar\u0131nda olmal\u0131d\u0131r. 6* Yatan Hasta re\u00e7etelerinde Ba\u015fhekimlik onay\u0131n\u0131n bulunmad\u0131\u011f\u0131 bunun yerine ba\u015fhekimlik m\u00fchr\u00fcn\u00fcn yap\u0131ld\u0131\u011f\u0131ndan dolay\u0131 iade edildi\u011fi bildirilmi\u015ftir. Mutlaka ba\u015fhekimlik onay\u0131 ve Ba\u015fhekimlik m\u00fchr\u00fc re\u00e7etelerde bulunmas\u0131 gerekmektedir. 7* Klopidogrel (Plavix) kullan\u0131m\u0131nda yap\u0131lan hatan\u0131n; Asa ve Gis intolerans\u0131 mevcuttur ibaresi oldu\u011fu halde Coraspin adl\u0131 ilac\u0131n verildi\u011fi, bu durumda ise Coraspin adl\u0131 ilac\u0131n kesintiye neden oldu\u011fu bildirilmi\u015ftir. Raporda sadece G\u0130S intolerans\u0131 mevcuttur ibaresinin yeterli oldu\u011fu bildirilmi\u015ftir. 8* Kan \u00dcr\u00fcnleri \u0130\u00e7in \u00d6rnek Rapor: a- Kanama Raporu: Rapor s\u00fcresi 3 g\u00fcnd\u00fcr. Medullaya bu konu ile ilgili olarak yeni te\u015fhis kodu eklendi\u011finden  hastan\u0131n elinde ila\u00e7lar\u0131 oldu\u011fu halde sistem \u00f6demektedir. Bu te\u015fhis Kodu : 08.01.13.01- Akut kanama ya da cerrahi giri\u015fimler \u00f6ncesi fakt\u00f6r noksanl\u0131klar\u0131na ba\u011fl\u0131 hastal\u0131klar. A\u00e7\u0131klama k\u0131sm\u0131nda ise \u00f6rnek olarak : SOL AYAK B\u0130LE\u011e\u0130 AKUT HEMARTROZU NEDEN\u0130YLE HEDEF FAKT\u00d6R D\u00dcZEY\u0130N\u0130 %50’YE \u00c7IKARACAK \u015eEK\u0130LDE 50\u00dc\/KG\/DOZ DAN 3 G\u00dcN KULLANMASI UYGUNDUR. VA: 20KG b- Normal Rapor:     Fakt\u00f6r D\u00fczeyi %1 ve \u00fczerinde olan hastalarda:HASTANIN B\u0130R AY\u0130\u00c7\u0130NDE \u00dc\u00c7TEN FAZLA KANMA ATA\u011eI GE\u00c7\u0130RMES\u0130 NEDEN\u0130YLEPROF\u0130LAKS\u0130 PROGRAMINA ALINMI\u015eTIR. MADDE \u0130SM\u0130,KULLANIM DOZU VE ADED\u0130 BEL\u0130RT\u0130LEN HEMOF\u0130L\u0130 A PROF\u0130LAKS\u0130S\u0130 \u0130LE \u0130LG\u0130L\u0130 \u0130LA\u00c7LARI KULLANMASI GEREKMEKTE OLUP HASTA KATILIM PAYINDAN MUAFTIR.HAFTALIK DOZ 4500 \u00dcN\u0130TED\u0130R. YAKLA\u015eIK (20-30 \u00dc\/KG\/G\u00dcN) HAFTADA \u00dc\u00c7 G\u00dcN VER\u0130LECEKT\u0130RFAKT\u00d6R VIII D\u00dcZEY\u0130 %01 HEDEF FAKT\u00d6R D\u00dcZEY\u0130 %20 \u0130NH\u0130B\u0130T\u00d6R D\u00dcZEY\u0130 – KG:90 1) FAKTOR VIII Parenteral[1X3] Yanl\u0131z 1 (Bir) Kalemdir Fakt\u00f6r D\u00fczeyi %1 alt\u0131nda olan hastalarda: HEMOF\u0130L\u0130 A.FAKT\u00d6R D\u00dcZEY\u0130 %0,7 SAPTANDI.\u0130NH\u0130B\u0130T\u00d6R NEGAT\u0130FT\u0130R.HASTA PROF\u0130LAKT\u0130K PROGRAMA ALINMI\u015eTIR. FAKT\u00d6R TEDAV\u0130S\u0130 20-40 U\/KG\/G\u00dcN KULLANMASI UYGUNDUR.(HAFTALIK DOZ 4.500 \u00dcN\u0130TE)   Re\u00e7ete : Kanama re\u00e7etelerinde te\u015fhis olarak kanama oldu\u011fu, di\u011fer durumlarda ise re\u00e7etede profilaksi uyguland\u0131\u011f\u0131 belirtilecektir.   9* Kanser raporlar\u0131ndaki k\u00fcr tedavilerinde etken madde k\u00fcr tedavisinde ise ; ka\u00e7 k\u00fcr kullan\u0131laca\u011f\u0131 dozuyla birlikte belirtilmesi gerekmektedir. \u00d6rnek: Hasta 2 k\u00fcr Melfalan, 8 k\u00fcr Bortezomid, 4 k\u00fcr talidomid gibi. Her re\u00e7ete 1 k\u00fcrl\u00fck verilecektir. A\u00e7\u0131klama b\u00f6l\u00fcm\u00fcnde ayr\u0131ca di\u011fer bilgiler v\u00fccut y\u00fczey alan\u0131, varsa patoloji merkezin tarih ve numaras\u0131yla birlikte yer almas\u0131 gerekmektedir.     10*  Desmont, Levmont tb. \u0130\u00e7in \u201cMevsimsel Alerjik Rinit\u201d , \u201cAst\u0131m+Alerjik Rinit\u201d veya \u201cY\u0131l boyu devam eden Alerjik Rinit\u201d te\u015fhislerinden birinin olmas\u0131 yeterli.         11* Majistral terkiplerin 10 g\u00fcnl\u00fck dozdan fazla haz\u0131rland\u0131\u011f\u0131 ve alkol \u00e7evirmelerin yap\u0131lmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir.       \u00d6rnek 1: Eou de Goulard 1000 cc                         S: 3*10 cc \u015eeklinde re\u00e7ete edilen bir preperat\u0131n g\u00fcnl\u00fck kullan\u0131m\u0131 30 cc olarak belirtildi\u011finden en fazla 10 g\u00fcnl\u00fck kullan\u0131m olan 300 cc haz\u0131rlanabilir ve hesaplama 300 cc \u00fczerinden yap\u0131l\u0131r. Hesaplama: Eau de Goulard Eczac\u0131l\u0131kta kullan\u0131m oran\u0131 %2 Kur\u015fun subasetat i\u00e7erir. 100              2 Kur\u015fun subasetat 300        x X= 6 cc Kur\u015fun subasetat kullan\u0131l\u0131r. Eczac\u0131l\u0131kta \u00e7e\u015fme suyu ile haz\u0131rlanan tek preperat oldu\u011fundan kullan\u0131lacak olan \u00e7e\u015fme suyu ise 300-6= 294 cc \u00c7e\u015fme suyu kullan\u0131larak medullada hesaplan\u0131r. Medullada majistral giri\u015f b\u00f6l\u00fcm\u00fcne \u00e7e\u015fme suyu ilave edilmi\u015ftir.   \u00d6rnek 2: Alkol borik % 3 30 cc                         S:1*3 cc Hesaplama : Preperatta istenilen Alkol derecesi belirtilmemi\u015f ise % 70 lik Alkol kullan\u0131l\u0131r. 100       3 gr Borik asit 30         X = 0.9 gr Borik asit   Kulland\u0131\u011f\u0131m\u0131z saf alkol\u00fcn derecesi % 96 l\u0131k oldu\u011fundan 30 cc kullan\u0131lacak alkol\u00fc % 70 li\u011fe \u00e7evirmek i\u00e7in   96\u00b0 alkolden hareketle 30 ml 70\u00b0 alkol haz\u0131rlanacakt\u0131r..   V1x d 1= V2xd2   V1, :\u0130stenen alkol\u00fcn ml miktar\u0131 d1, :\u0130stenen alkol\u00fcn %, h\/h miktar\u0131 V2: Eldeki alkolden al\u0131nmas\u0131 gereken ml miktar\u0131 d2: Eldeki alkol\u00fcn %, h\/h miktar\u0131   30×70=V2X96 V2=30×70 = 21,875 ml.          96        21,875 ml % 96 h\/h alkolden al\u0131n\u0131p, ar\u0131t\u0131lm\u0131\u015f su ile mez\u00fcrde 30 ml’ye tamamlan\u0131r.   Borik asit :0.9 gr Saf alkol : 21,875 ml Distile su ile 30 ml tamamlan\u0131r. Medulladan 30-21,875= 8,125 ml distile su olarak hesaplan\u0131r.   Not: Yurt d\u0131\u015f\u0131 SSK l\u0131lar\u0131n dosya haz\u0131rlama ve listelenmesi ile ilgili duyuru daha sonra yap\u0131lacakt\u0131r.                                                                          Ecz.Mehmet F\u0130TK\u0130                                                               SUT Komisyonu Koordinat\u00f6r\u00fc  <\/p>\n","protected":false},"author":4,"featured_media":191,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_canvas","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4913","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oda"],"yoast_head":"\nSGK RE\u00c7ETE \u0130NCELEME B\u0130R\u0130M\u0130NDEN DUYURU - \u015eanl\u0131urfa Eczac\u0131 Odas\u0131<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urfaeo.kolaysoft.com.tr\/index.php\/2012\/12\/07\/sgk-recete-inceleme-biriminden-duyuru\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SGK RE\u00c7ETE \u0130NCELEME B\u0130R\u0130M\u0130NDEN DUYURU - \u015eanl\u0131urfa Eczac\u0131 Odas\u0131\" \/>\n<meta property=\"og:description\" content=\"SGK RE\u00c7ETE \u0130NCELEME B\u0130R\u0130M\u0130NDEN DUYURU   SGK Re\u00e7ete \u0130nceleme biriminden g\u00f6revli olan meslekta\u015flar\u0131m\u0131z\u0131n, incelemeden sonra \u00f6deme yapmak i\u00e7in \u00f6rneklemeleri h\u0131zland\u0131rm\u0131\u015f olup Ankara ve Adana SGK \u0130l M\u00fcd\u00fcrl\u00fcklerinden inceleme deste\u011fi al\u0131nm\u0131\u015ft\u0131r. . Ancak a\u015fa\u011f\u0131da g\u00f6r\u00fclen ve bir\u00e7o\u011funun iade edilmek zorunda kal\u0131nd\u0131\u011f\u0131 veya kesintiye neden olarak  ma\u011fduriyet ya\u015fanmamas\u0131 i\u00e7in a\u015fa\u011f\u0131da belirtilen hususlar\u0131 hat\u0131rlatma ihtiyac\u0131 do\u011fmu\u015ftur.   1* Re\u00e7ete arkas\u0131 bilgilerinin daha \u00f6nceki y\u0131llara g\u00f6re  daha d\u00fczenli geldi\u011fi ancak \u00e7ok az say\u0131da baz\u0131 bilgilerin eksik geldi\u011fi(\u0130la\u00e7lar\u0131 alan ki\u015finin bilgileri adres, telefon, T.C, \u0130mza) 2* Medulla provizyon sistemine Dr. Bilgilerinin yanl\u0131\u015f girildi\u011fi 3* Re\u00e7ete dozu rapor dozunu a\u015fmas\u0131 kesintiye neden olmaktad\u0131r. 4* E\u015fde\u011fer ila\u00e7 verilme durumunda yaz\u0131lan ilac\u0131n etken madde\/maddelerinin dozuna dikkat edilmesi gerekti\u011fi( Augmentin 600 ile 400 e\u015fde\u011fer de\u011fil, Pediasure plus ile Pediasure sade e\u015fde\u011fer de\u011fil, Augmentin 1 gr 14 tb ile Augmentin 1 gr 10 tb E\u015fde\u011ferdir. Sistemden e\u015fde\u011fer olarak girilmeyen ila\u00e7lar i\u00e7in \u00e7\u0131kan fark \u00f6rneklemeyle kesintiye neden olmaktad\u0131r.) 5* Rapor kodu ile te\u015fhis kodu uyumlu olmal\u0131d\u0131r. \u00d6rnek olarak Te\u015fhis Kodu 04.03-Disritmiler (I44-I45) (I47-I49) Raporda Belirtilen ICD 10 Kodu: (I44-I45) veya (I47-I49) aral\u0131klar\u0131nda olmal\u0131d\u0131r. 6* Yatan Hasta re\u00e7etelerinde Ba\u015fhekimlik onay\u0131n\u0131n bulunmad\u0131\u011f\u0131 bunun yerine ba\u015fhekimlik m\u00fchr\u00fcn\u00fcn yap\u0131ld\u0131\u011f\u0131ndan dolay\u0131 iade edildi\u011fi bildirilmi\u015ftir. Mutlaka ba\u015fhekimlik onay\u0131 ve Ba\u015fhekimlik m\u00fchr\u00fc re\u00e7etelerde bulunmas\u0131 gerekmektedir. 7* Klopidogrel (Plavix) kullan\u0131m\u0131nda yap\u0131lan hatan\u0131n; Asa ve Gis intolerans\u0131 mevcuttur ibaresi oldu\u011fu halde Coraspin adl\u0131 ilac\u0131n verildi\u011fi, bu durumda ise Coraspin adl\u0131 ilac\u0131n kesintiye neden oldu\u011fu bildirilmi\u015ftir. Raporda sadece G\u0130S intolerans\u0131 mevcuttur ibaresinin yeterli oldu\u011fu bildirilmi\u015ftir. 8* Kan \u00dcr\u00fcnleri \u0130\u00e7in \u00d6rnek Rapor: a- Kanama Raporu: Rapor s\u00fcresi 3 g\u00fcnd\u00fcr. Medullaya bu konu ile ilgili olarak yeni te\u015fhis kodu eklendi\u011finden  hastan\u0131n elinde ila\u00e7lar\u0131 oldu\u011fu halde sistem \u00f6demektedir. Bu te\u015fhis Kodu : 08.01.13.01- Akut kanama ya da cerrahi giri\u015fimler \u00f6ncesi fakt\u00f6r noksanl\u0131klar\u0131na ba\u011fl\u0131 hastal\u0131klar. A\u00e7\u0131klama k\u0131sm\u0131nda ise \u00f6rnek olarak : SOL AYAK B\u0130LE\u011e\u0130 AKUT HEMARTROZU NEDEN\u0130YLE HEDEF FAKT\u00d6R D\u00dcZEY\u0130N\u0130 %50’YE \u00c7IKARACAK \u015eEK\u0130LDE 50\u00dc\/KG\/DOZ DAN 3 G\u00dcN KULLANMASI UYGUNDUR. VA: 20KG b- Normal Rapor:     Fakt\u00f6r D\u00fczeyi %1 ve \u00fczerinde olan hastalarda:HASTANIN B\u0130R AY\u0130\u00c7\u0130NDE \u00dc\u00c7TEN FAZLA KANMA ATA\u011eI GE\u00c7\u0130RMES\u0130 NEDEN\u0130YLEPROF\u0130LAKS\u0130 PROGRAMINA ALINMI\u015eTIR. MADDE \u0130SM\u0130,KULLANIM DOZU VE ADED\u0130 BEL\u0130RT\u0130LEN HEMOF\u0130L\u0130 A PROF\u0130LAKS\u0130S\u0130 \u0130LE \u0130LG\u0130L\u0130 \u0130LA\u00c7LARI KULLANMASI GEREKMEKTE OLUP HASTA KATILIM PAYINDAN MUAFTIR.HAFTALIK DOZ 4500 \u00dcN\u0130TED\u0130R. YAKLA\u015eIK (20-30 \u00dc\/KG\/G\u00dcN) HAFTADA \u00dc\u00c7 G\u00dcN VER\u0130LECEKT\u0130RFAKT\u00d6R VIII D\u00dcZEY\u0130 %01 HEDEF FAKT\u00d6R D\u00dcZEY\u0130 %20 \u0130NH\u0130B\u0130T\u00d6R D\u00dcZEY\u0130 – KG:90 1) FAKTOR VIII Parenteral[1X3] Yanl\u0131z 1 (Bir) Kalemdir Fakt\u00f6r D\u00fczeyi %1 alt\u0131nda olan hastalarda: HEMOF\u0130L\u0130 A.FAKT\u00d6R D\u00dcZEY\u0130 %0,7 SAPTANDI.\u0130NH\u0130B\u0130T\u00d6R NEGAT\u0130FT\u0130R.HASTA PROF\u0130LAKT\u0130K PROGRAMA ALINMI\u015eTIR. FAKT\u00d6R TEDAV\u0130S\u0130 20-40 U\/KG\/G\u00dcN KULLANMASI UYGUNDUR.(HAFTALIK DOZ 4.500 \u00dcN\u0130TE)   Re\u00e7ete : Kanama re\u00e7etelerinde te\u015fhis olarak kanama oldu\u011fu, di\u011fer durumlarda ise re\u00e7etede profilaksi uyguland\u0131\u011f\u0131 belirtilecektir.   9* Kanser raporlar\u0131ndaki k\u00fcr tedavilerinde etken madde k\u00fcr tedavisinde ise ; ka\u00e7 k\u00fcr kullan\u0131laca\u011f\u0131 dozuyla birlikte belirtilmesi gerekmektedir. \u00d6rnek: Hasta 2 k\u00fcr Melfalan, 8 k\u00fcr Bortezomid, 4 k\u00fcr talidomid gibi. Her re\u00e7ete 1 k\u00fcrl\u00fck verilecektir. A\u00e7\u0131klama b\u00f6l\u00fcm\u00fcnde ayr\u0131ca di\u011fer bilgiler v\u00fccut y\u00fczey alan\u0131, varsa patoloji merkezin tarih ve numaras\u0131yla birlikte yer almas\u0131 gerekmektedir.     10*  Desmont, Levmont tb. \u0130\u00e7in \u201cMevsimsel Alerjik Rinit\u201d , \u201cAst\u0131m+Alerjik Rinit\u201d veya \u201cY\u0131l boyu devam eden Alerjik Rinit\u201d te\u015fhislerinden birinin olmas\u0131 yeterli.         11* Majistral terkiplerin 10 g\u00fcnl\u00fck dozdan fazla haz\u0131rland\u0131\u011f\u0131 ve alkol \u00e7evirmelerin yap\u0131lmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir.       \u00d6rnek 1: Eou de Goulard 1000 cc                         S: 3*10 cc \u015eeklinde re\u00e7ete edilen bir preperat\u0131n g\u00fcnl\u00fck kullan\u0131m\u0131 30 cc olarak belirtildi\u011finden en fazla 10 g\u00fcnl\u00fck kullan\u0131m olan 300 cc haz\u0131rlanabilir ve hesaplama 300 cc \u00fczerinden yap\u0131l\u0131r. Hesaplama: Eau de Goulard Eczac\u0131l\u0131kta kullan\u0131m oran\u0131 %2 Kur\u015fun subasetat i\u00e7erir. 100              2 Kur\u015fun subasetat 300        x X= 6 cc Kur\u015fun subasetat kullan\u0131l\u0131r. Eczac\u0131l\u0131kta \u00e7e\u015fme suyu ile haz\u0131rlanan tek preperat oldu\u011fundan kullan\u0131lacak olan \u00e7e\u015fme suyu ise 300-6= 294 cc \u00c7e\u015fme suyu kullan\u0131larak medullada hesaplan\u0131r. Medullada majistral giri\u015f b\u00f6l\u00fcm\u00fcne \u00e7e\u015fme suyu ilave edilmi\u015ftir.   \u00d6rnek 2: Alkol borik % 3 30 cc                         S:1*3 cc Hesaplama : Preperatta istenilen Alkol derecesi belirtilmemi\u015f ise % 70 lik Alkol kullan\u0131l\u0131r. 100       3 gr Borik asit 30         X = 0.9 gr Borik asit   Kulland\u0131\u011f\u0131m\u0131z saf alkol\u00fcn derecesi % 96 l\u0131k oldu\u011fundan 30 cc kullan\u0131lacak alkol\u00fc % 70 li\u011fe \u00e7evirmek i\u00e7in   96\u00b0 alkolden hareketle 30 ml 70\u00b0 alkol haz\u0131rlanacakt\u0131r..   V1x d 1= V2xd2   V1, :\u0130stenen alkol\u00fcn ml miktar\u0131 d1, :\u0130stenen alkol\u00fcn %, h\/h miktar\u0131 V2: Eldeki alkolden al\u0131nmas\u0131 gereken ml miktar\u0131 d2: Eldeki alkol\u00fcn %, h\/h miktar\u0131   30×70=V2X96 V2=30×70 = 21,875 ml.          96        21,875 ml % 96 h\/h alkolden al\u0131n\u0131p, ar\u0131t\u0131lm\u0131\u015f su ile mez\u00fcrde 30 ml’ye tamamlan\u0131r.   Borik asit :0.9 gr Saf alkol : 21,875 ml Distile su ile 30 ml tamamlan\u0131r. 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\u015eanl\u0131urfa Eczac\u0131 Odas\u0131","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/urfaeo.kolaysoft.com.tr\/index.php\/2012\/12\/07\/sgk-recete-inceleme-biriminden-duyuru\/","og_locale":"tr_TR","og_type":"article","og_title":"SGK RE\u00c7ETE \u0130NCELEME B\u0130R\u0130M\u0130NDEN DUYURU - \u015eanl\u0131urfa Eczac\u0131 Odas\u0131","og_description":"SGK RE\u00c7ETE \u0130NCELEME B\u0130R\u0130M\u0130NDEN DUYURU   SGK Re\u00e7ete \u0130nceleme biriminden g\u00f6revli olan meslekta\u015flar\u0131m\u0131z\u0131n, incelemeden sonra \u00f6deme yapmak i\u00e7in \u00f6rneklemeleri h\u0131zland\u0131rm\u0131\u015f olup Ankara ve Adana SGK \u0130l M\u00fcd\u00fcrl\u00fcklerinden inceleme deste\u011fi al\u0131nm\u0131\u015ft\u0131r. . Ancak a\u015fa\u011f\u0131da g\u00f6r\u00fclen ve bir\u00e7o\u011funun iade edilmek zorunda kal\u0131nd\u0131\u011f\u0131 veya kesintiye neden olarak  ma\u011fduriyet ya\u015fanmamas\u0131 i\u00e7in a\u015fa\u011f\u0131da belirtilen hususlar\u0131 hat\u0131rlatma ihtiyac\u0131 do\u011fmu\u015ftur.   1* Re\u00e7ete arkas\u0131 bilgilerinin daha \u00f6nceki y\u0131llara g\u00f6re  daha d\u00fczenli geldi\u011fi ancak \u00e7ok az say\u0131da baz\u0131 bilgilerin eksik geldi\u011fi(\u0130la\u00e7lar\u0131 alan ki\u015finin bilgileri adres, telefon, T.C, \u0130mza) 2* Medulla provizyon sistemine Dr. Bilgilerinin yanl\u0131\u015f girildi\u011fi 3* Re\u00e7ete dozu rapor dozunu a\u015fmas\u0131 kesintiye neden olmaktad\u0131r. 4* E\u015fde\u011fer ila\u00e7 verilme durumunda yaz\u0131lan ilac\u0131n etken madde\/maddelerinin dozuna dikkat edilmesi gerekti\u011fi( Augmentin 600 ile 400 e\u015fde\u011fer de\u011fil, Pediasure plus ile Pediasure sade e\u015fde\u011fer de\u011fil, Augmentin 1 gr 14 tb ile Augmentin 1 gr 10 tb E\u015fde\u011ferdir. Sistemden e\u015fde\u011fer olarak girilmeyen ila\u00e7lar i\u00e7in \u00e7\u0131kan fark \u00f6rneklemeyle kesintiye neden olmaktad\u0131r.) 5* Rapor kodu ile te\u015fhis kodu uyumlu olmal\u0131d\u0131r. \u00d6rnek olarak Te\u015fhis Kodu 04.03-Disritmiler (I44-I45) (I47-I49) Raporda Belirtilen ICD 10 Kodu: (I44-I45) veya (I47-I49) aral\u0131klar\u0131nda olmal\u0131d\u0131r. 6* Yatan Hasta re\u00e7etelerinde Ba\u015fhekimlik onay\u0131n\u0131n bulunmad\u0131\u011f\u0131 bunun yerine ba\u015fhekimlik m\u00fchr\u00fcn\u00fcn yap\u0131ld\u0131\u011f\u0131ndan dolay\u0131 iade edildi\u011fi bildirilmi\u015ftir. Mutlaka ba\u015fhekimlik onay\u0131 ve Ba\u015fhekimlik m\u00fchr\u00fc re\u00e7etelerde bulunmas\u0131 gerekmektedir. 7* Klopidogrel (Plavix) kullan\u0131m\u0131nda yap\u0131lan hatan\u0131n; Asa ve Gis intolerans\u0131 mevcuttur ibaresi oldu\u011fu halde Coraspin adl\u0131 ilac\u0131n verildi\u011fi, bu durumda ise Coraspin adl\u0131 ilac\u0131n kesintiye neden oldu\u011fu bildirilmi\u015ftir. Raporda sadece G\u0130S intolerans\u0131 mevcuttur ibaresinin yeterli oldu\u011fu bildirilmi\u015ftir. 8* Kan \u00dcr\u00fcnleri \u0130\u00e7in \u00d6rnek Rapor: a- Kanama Raporu: Rapor s\u00fcresi 3 g\u00fcnd\u00fcr. Medullaya bu konu ile ilgili olarak yeni te\u015fhis kodu eklendi\u011finden  hastan\u0131n elinde ila\u00e7lar\u0131 oldu\u011fu halde sistem \u00f6demektedir. Bu te\u015fhis Kodu : 08.01.13.01- Akut kanama ya da cerrahi giri\u015fimler \u00f6ncesi fakt\u00f6r noksanl\u0131klar\u0131na ba\u011fl\u0131 hastal\u0131klar. A\u00e7\u0131klama k\u0131sm\u0131nda ise \u00f6rnek olarak : SOL AYAK B\u0130LE\u011e\u0130 AKUT HEMARTROZU NEDEN\u0130YLE HEDEF FAKT\u00d6R D\u00dcZEY\u0130N\u0130 %50’YE \u00c7IKARACAK \u015eEK\u0130LDE 50\u00dc\/KG\/DOZ DAN 3 G\u00dcN KULLANMASI UYGUNDUR. VA: 20KG b- Normal Rapor:     Fakt\u00f6r D\u00fczeyi %1 ve \u00fczerinde olan hastalarda:HASTANIN B\u0130R AY\u0130\u00c7\u0130NDE \u00dc\u00c7TEN FAZLA KANMA ATA\u011eI GE\u00c7\u0130RMES\u0130 NEDEN\u0130YLEPROF\u0130LAKS\u0130 PROGRAMINA ALINMI\u015eTIR. MADDE \u0130SM\u0130,KULLANIM DOZU VE ADED\u0130 BEL\u0130RT\u0130LEN HEMOF\u0130L\u0130 A PROF\u0130LAKS\u0130S\u0130 \u0130LE \u0130LG\u0130L\u0130 \u0130LA\u00c7LARI KULLANMASI GEREKMEKTE OLUP HASTA KATILIM PAYINDAN MUAFTIR.HAFTALIK DOZ 4500 \u00dcN\u0130TED\u0130R. YAKLA\u015eIK (20-30 \u00dc\/KG\/G\u00dcN) HAFTADA \u00dc\u00c7 G\u00dcN VER\u0130LECEKT\u0130RFAKT\u00d6R VIII D\u00dcZEY\u0130 %01 HEDEF FAKT\u00d6R D\u00dcZEY\u0130 %20 \u0130NH\u0130B\u0130T\u00d6R D\u00dcZEY\u0130 – KG:90 1) FAKTOR VIII Parenteral[1X3] Yanl\u0131z 1 (Bir) Kalemdir Fakt\u00f6r D\u00fczeyi %1 alt\u0131nda olan hastalarda: HEMOF\u0130L\u0130 A.FAKT\u00d6R D\u00dcZEY\u0130 %0,7 SAPTANDI.\u0130NH\u0130B\u0130T\u00d6R NEGAT\u0130FT\u0130R.HASTA PROF\u0130LAKT\u0130K PROGRAMA ALINMI\u015eTIR. FAKT\u00d6R TEDAV\u0130S\u0130 20-40 U\/KG\/G\u00dcN KULLANMASI UYGUNDUR.(HAFTALIK DOZ 4.500 \u00dcN\u0130TE)   Re\u00e7ete : Kanama re\u00e7etelerinde te\u015fhis olarak kanama oldu\u011fu, di\u011fer durumlarda ise re\u00e7etede profilaksi uyguland\u0131\u011f\u0131 belirtilecektir.   9* Kanser raporlar\u0131ndaki k\u00fcr tedavilerinde etken madde k\u00fcr tedavisinde ise ; ka\u00e7 k\u00fcr kullan\u0131laca\u011f\u0131 dozuyla birlikte belirtilmesi gerekmektedir. \u00d6rnek: Hasta 2 k\u00fcr Melfalan, 8 k\u00fcr Bortezomid, 4 k\u00fcr talidomid gibi. Her re\u00e7ete 1 k\u00fcrl\u00fck verilecektir. A\u00e7\u0131klama b\u00f6l\u00fcm\u00fcnde ayr\u0131ca di\u011fer bilgiler v\u00fccut y\u00fczey alan\u0131, varsa patoloji merkezin tarih ve numaras\u0131yla birlikte yer almas\u0131 gerekmektedir.     10*  Desmont, Levmont tb. \u0130\u00e7in \u201cMevsimsel Alerjik Rinit\u201d , \u201cAst\u0131m+Alerjik Rinit\u201d veya \u201cY\u0131l boyu devam eden Alerjik Rinit\u201d te\u015fhislerinden birinin olmas\u0131 yeterli.         11* Majistral terkiplerin 10 g\u00fcnl\u00fck dozdan fazla haz\u0131rland\u0131\u011f\u0131 ve alkol \u00e7evirmelerin yap\u0131lmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir.       \u00d6rnek 1: Eou de Goulard 1000 cc                         S: 3*10 cc \u015eeklinde re\u00e7ete edilen bir preperat\u0131n g\u00fcnl\u00fck kullan\u0131m\u0131 30 cc olarak belirtildi\u011finden en fazla 10 g\u00fcnl\u00fck kullan\u0131m olan 300 cc haz\u0131rlanabilir ve hesaplama 300 cc \u00fczerinden yap\u0131l\u0131r. Hesaplama: Eau de Goulard Eczac\u0131l\u0131kta kullan\u0131m oran\u0131 %2 Kur\u015fun subasetat i\u00e7erir. 100              2 Kur\u015fun subasetat 300        x X= 6 cc Kur\u015fun subasetat kullan\u0131l\u0131r. Eczac\u0131l\u0131kta \u00e7e\u015fme suyu ile haz\u0131rlanan tek preperat oldu\u011fundan kullan\u0131lacak olan \u00e7e\u015fme suyu ise 300-6= 294 cc \u00c7e\u015fme suyu kullan\u0131larak medullada hesaplan\u0131r. Medullada majistral giri\u015f b\u00f6l\u00fcm\u00fcne \u00e7e\u015fme suyu ilave edilmi\u015ftir.   \u00d6rnek 2: Alkol borik % 3 30 cc                         S:1*3 cc Hesaplama : Preperatta istenilen Alkol derecesi belirtilmemi\u015f ise % 70 lik Alkol kullan\u0131l\u0131r. 100       3 gr Borik asit 30         X = 0.9 gr Borik asit   Kulland\u0131\u011f\u0131m\u0131z saf alkol\u00fcn derecesi % 96 l\u0131k oldu\u011fundan 30 cc kullan\u0131lacak alkol\u00fc % 70 li\u011fe \u00e7evirmek i\u00e7in   96\u00b0 alkolden hareketle 30 ml 70\u00b0 alkol haz\u0131rlanacakt\u0131r..   V1x d 1= V2xd2   V1, :\u0130stenen alkol\u00fcn ml miktar\u0131 d1, :\u0130stenen alkol\u00fcn %, h\/h miktar\u0131 V2: Eldeki alkolden al\u0131nmas\u0131 gereken ml miktar\u0131 d2: Eldeki alkol\u00fcn %, h\/h miktar\u0131   30×70=V2X96 V2=30×70 = 21,875 ml.          96        21,875 ml % 96 h\/h alkolden al\u0131n\u0131p, ar\u0131t\u0131lm\u0131\u015f su ile mez\u00fcrde 30 ml’ye tamamlan\u0131r.   Borik asit :0.9 gr Saf alkol : 21,875 ml Distile su ile 30 ml tamamlan\u0131r. 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