醫(yī)學(xué)英語教學(xué)課件：Unit 7 Medication Safety

OralInterpretation31Audio-visualExercises1ListeningComprehension2Unit7MedicationSafety114LanguageFocus2PartConceptPart1Audio-visualExercisesTask1MedicineCabinetDrugsandHerbalSupplementsGlossaryReviewTask2TrueorFalseStatementTask4NoteTakingTask3Short-AnswerQuestionsGetfamiliarwiththefollowingwordsandexpressionsandmatchthemwiththeirChineseequivalents.Unit7:Task1—GlossaryReraction10.medication11.devastating12.contraceptive13.post-menopausal14.pharmacologic15.anesthetic16.anesthesia17.inconjunctionwith18.ingredient46811212Unit7：Task1—GlossaryReview()A.一批；一群 ()B.終止；截止；滿期()C.騙??；扯掉 ()D.破壞性的 ()E.補充()F.避孕藥物19.lotion20.ointment21.thermometer22.bandage23.syrup24.peroxide25.antacid26.permeate13137515Unit7：Task1—GlossaryReview()G.草本植物的 ()H.效力；功效()I.絕經(jīng)后的()J.藥用的；治病的()K.免疫學(xué)家()L.麻醉藥1.eraction10.medication11.devastating12.contraceptive13.post-menopausal14.pharmacologic15.anesthetic16.anesthesia17.inconjunctionwith18.ingredient19.lotion20.ointment21.thermometer22.bandage23.syrup24.peroxide25.antacid26.permeate16910181426Unit7：Task1—GlossaryReview()M.麻醉()

N.干擾；相互影響()O.藥物；藥劑()P.成分；要素()Q.藥理的 ()R.滲入；滲透1.eraction10.medication11.devastating12.contraceptive13.post-menopausal14.pharmacologic15.anesthetic16.anesthesia17.inconjunctionwith18.ingredient19.lotion20.ointment21.thermometer22.bandage23.syrup24.peroxide25.antacid26.permeate231720252419Unit7：Task1—GlossaryReview()S.糖漿()

T.與……共同()U.軟膏；藥膏()V.解酸劑；抗酸劑()W.漂白；消毒劑；過氧化物()X.洗液；洗劑1.eraction10.medication11.devastating12.contraceptive13.post-menopausal14.pharmacologic15.anesthetic16.anesthesia17.inconjunctionwith18.ingredient19.lotion20.ointment21.thermometer22.bandage23.syrup24.peroxide25.antacid26.permeate22Unit7：Task1—GlossaryReview21()Y.溫度計；體溫表()Z.繃帶；包帶1.eraction10.medication11.devastating12.contraceptive13.post-menopausal14.pharmacologic15.anesthetic16.anesthesia17.inconjunctionwith18.ingredient19.lotion20.ointment21.thermometer22.bandage23.syrup24.peroxide25.antacid26.permeateWatchthefirstpartofthevideoclip“MedicineCabinet”anddecidewhetherthefollowinginformationisTrue(T)orFalse(F).Unit7:Task2—TorFStatement

MedicineCabinetScriptTaskII1.Mostminorillnessescanbemanagedathomeifyouhaveamedicinecabinet.2.Thereisboundtobeatop10listofthingspeopleneedinthemedicinecabinet.3.Oneproblemwithmostmedicinecabinetsisthattheyareinthebathroom.4.Aclearplasticcontainerispreferableforsafestorageofmedicine.Unit7:Task2—TorFStatement____________________5.Teethinggelisn’tthemust-haveforbabies.6.Adigitalthermometeristhemust-haveforbabies.7.BandagesandBand-Aidsareincludedinthemust-have.8.Hydrogenperoxideiseffectivefortwoweeksonceitisopenedup.Unit7:Task2—TorFStatement____________________BethRuyak:Nearly80percentofillnessesareminorandcanbemanagedathomeifyouhavetheproperresources.JenniferHarrisontakesapeekinsidethemedicinecabinetinourFYI.Harrison:Openyouraveragemedicinecabinetandthere’sboundtobeajumbleoflotionsandointments…throwinout-of-datemedicationsandafewbeautyproducts.Harrison:Helpinguscleanup,clearoutandrestockthemedicinecabinetispharmacistRobertMowers.Robert,istheresuchathingasatop10listofthingsweneedtohaveinthemedicinecabinet?Unit7:Task2—TorFStatementMowers:Itsortofdependsonthepatient’sage,sexandfamilylife.Harrison:There’sactuallythreedifferenttop10lists,dependingonifyouareababy,achildoranadult.Asforthecabinetitself,itneedsatotaloverhaul.Mowers:Ithinkthemedicinecabinethasabadname,andmostmedicinecabinetsareinthebathroomrightnexttotheshower.Harrison:Andhere’stheproblem…thatshowerproducesalotofsteam.Mowers:Thissteampermeateseverywhereinyourbathroom, anditgetsinsideyourmedicinecabinetandgetsinsideyourbottlesofmedicines.Thismoisturecanmakeyourmedicinedecomposefaster.Harrison:Soforgetthebathroomcabinetandoptforaclearplasticcontainerlikethiswithalid.Storeyourmedicinemustsinasafe,dryplace,andwhatarethosemedicinemusts?Let’sfindout.Monica:Thisiswherewekeepeverythingthatwelockup.Wedon’twantthekidsgettinginthere.Harrison:HelpinguswiththecountdownismotheroftwoMonicaVonich.Startingatthebottomofthelist…Itemnumber10.Monica:WehaveBullFrogsunscreen.Mowers:Iwouldrecommendnothinglessthansunprotectionfactorspf15.Harrison:Itemnumbernine:Floss.Harrison:Doyourguysflossdaily?Monica:Yes.Harrison:Andyourkids?Monica:Idothem.Iflossthekids!

Harrison:Forbabies,flossisn’tthemust-have,butteethinggelis.Tosoothesoregums.Itemnumbereight:Athermometer,adigitaloneforthefamily,andforbabies,arectalthermometer.Harrison:Itemnumberseven:bandagesandBand-Aids.Monica:Band-Aids.Mower:Forsomeoddreason,childrenthinkifyouputaBand-Aidonit,itfeelsbetter.Harrison:Itemnumbersix:hydrogenperoxide,andmakesureitworks.Ifitdoesn’tbubbleup,itisn’teffective.Mowers:Onceyouopenupyourhydrogenperoxide,it’sprobablygoodforanothertwoweeks.Harrison:Onceyouopenthis,youhavetwoweekstogothroughit.Monica:OkayandIjustlearnedthat.Watchthesecondpartofthevideoclipandgiveashortanswertoeachofthefollowingquestions.Unit7:Task3—Short-AnswerQuestionsScriptTaskIIIMedicineCabinetUnit7:Task3—Short-AnswerQuestions1.

Itemnumberfiveonthelistis

2.Whatistheuseofsyrupofipecac,numberfouritemonthelist?

3.Whatisnumberthreeitemonthelist?

4.Itemnumbertwois

differentcreamsorointments_____________________________________________.Toinducevomiting_____________________________________________.Digestivesystemhelpers_____________________________________________.Coldcures_____________________________________________.Unit7:Task3—Short-AnswerQuestions5.Whatisnumberoneitemonthelist?

6.Whatisthewarningabouttheuseofaspirinforchildren?

7.Onetipforyouaboutthemedicinecabinetistogothrough

twiceayearandeliminate

Feverreducers_____________________________________________.Childrenunderfifteenshouldn’thaveaspirin_____________________________________________.over-the-countermedicines________________________anythatarepasttheirexpirationdates_____________________________________________.Harrison:We’rehalfwaythroughthelistanditemnumberfiveiscream—differentcreamsorointmentsdependingonwhoyouare.Forbabies,havediaperrashointmentsonhand.Foradults,ointmenttoputoncutsandscrapes.Mowers:SometimesyoucanputsomethingonherelikeBacitracinPolymyxinBontopofthecutandthensealwiththeBand-Aidandthatwillhelpithealalittlefaster.Harrison:Butdon’tuseanythingwithhydrocortisoneonchildrenundertwo.Itemnumberfour—thatlittlebottlewiththatfunnyname.Unit7:Task3—Short-AnswerQuestionsMonica:That’sonethingI’mbigon.Wehavesyrupofipecac.Mowers:Iwouldanticipatekeepingitinthehouse,however,neverusingit.Harrison:Syrupofipecacisusedtoinducevomiting,butshouldonlybeusedafterconsultationwithapoisoncontrolcenterandinextremesituation.Mowers:Sometimesit’sbettertogetthechildtoamedicalcenterorfacilityandhavethepatient’sstomachpumpedorothertreatmentmodalityusedfirst.Monica:GasX.Harrison:That’sgood. Thatbringsustoitemnumberthree:digestivesystemhelpers.Foradults,antacidorheartburnhelp.Forbabies,Mylicondroptoeasestomachpains.Mowers:There’salotofcontroversyrightnow.DoesMyliconorSimethiconwork,yetforsomepatientsitdoes,soIdon’tthinkit’sgoingtohurtthebabytousethem.Harrison:Itemnumbertwo:coldcuresortheclosestthingtoit.AgeneralcoldformulaforadultandDimetappforlittleones. Itemnumberone:feverreducers.Mowers:AndthatcouldbeaMotrinsuspension,IbuprofensuspensionoritshouldbesomethingasaspirinoritshouldbesomethingasTylenol.Harrison:Childrenunderfifteenshouldn’thaveaspirinwhileaspirinmaybethebestchoiceforolderadults.Andspeakingoflittleguysorgals,it’salsogoodtohavePedialytefluidonhandforfever.Sothosetop10listreallycanvary,butstockuponthebasics.Monicahadthemall.Andalittleextratoo.Monica:Hairgel!BethRuyak:Wejustcan’tlivewithoutthosehairproducts!Onemoreproducttipforyou:It’sagoodideatogothroughyourprescriptionsandover-the-countermedicinestwiceayearandeliminateanythatarepasttheirexpirationdates.B

— BethRuyakH

—

HarrisonMs—

MowersMa—

Monica

MedicineCabinetB:

Nearly80percentofillnesses

areminorandcanbemanagedat

homeifyouhavetheproper

resources.JenniferHarrisontakes

apeekinsidethemedicinecabinet

inourFYI.H:

Openyouraveragemedicine

cabinetandthere’sboundtobea

jumbleoflotionsandointments…

throwinout-of-datemedicationsUnit7:

Part

1—

Video

Script(I)

andafewbeautyproducts.H:

Helpinguscleanup,clearoutand

restockthemedicinecabinetis

pharmacistRobertMowers.Robert,

istheresuchathingasatop10list

ofthingsweneedtohaveinthe

medicinecabinet?Ms:

Itsortofdependsonthepatient’s

age,sexandfamilylife.

H:

There’sactuallythreedifferenttop10lists,dependingonifyouarea

baby,achildoranadult.Asforthe

cabinetitself,itneedsatotal

overhaul.Ms:Ithinkthemedicinecabinethasa

badname,andmostmedicine

cabinetsareinthebathroomright

nexttotheshower.H:

Andhere’stheproblem…that

showerproducesalotofsteam.Ms:

Thissteampermeates

everywhereinyourbathroom,and

itgetsinsideyourmedicinecabinet

andgetsinsideyourbottlesof

medicines.Thismoisturecanmake

yourmedicinedecomposefaster.H:

Soforgetthebathroomcabinetand

optforaclearplasticcontainerlike

thiswithalid.Storeyourmedicine

mustsinasafe,dryplace,and

whatarethosemedicinemusts?

Let’sfindout.Ma:

Thisiswherewekeepeverything

thatwelockup.Wedon’twantthe

kidsgettinginthere.H:

Helpinguswiththecountdownis

motheroftwoMonicaVonich.

Startingatthebottomofthelist…

Itemnumber10.Ma:

WehaveBullFrogsunscreen.Ms:Iwouldrecommendnothingless

thansunprotectionfactorspf15.H:Itemnumbernine:Floss.H:

Doyourguysflossdaily?Ma:Yes.H:

Andyourkids?Ma:Idothem.Iflossthekids!

H:

Forbabies,flossisn’tthemust-

have,butteethinggelis.Tosoothe

soregums.Itemnumbereight:A

thermometer,adigitaloneforthe

family,andforbabies,arectal

thermometer.H:Itemnumberseven:bandagesand

Band-Aids.Ma:

Band-Aids.Ms:

Forsomeoddreason,children

thinkifyouputaBand-Aidonit,it

feelsbetter.H:

Itemnumbersix:hydrogen

peroxide,andmakesureitworks.If

itdoesn’tbubbleup,itisn’t

effective.Ms:

Onceyouopenupyourhydrogen

peroxide,it’sprobablygoodfor

anothertwoweeks.H:

Onceyouopenthis,youhavetwo

weekstogothroughit.Ma:

OkayandIjustlearnedthat.H:

We’rehalfwaythroughthelistand

itemnumberfiveiscream—

differentcreamsorointments—

dependingonwhoyouare.For

babies,havediaperrashointments

onhand.Foradults,ointmentto

putoncutsandscrapes.Ms:

Sometimesyoucanput

somethingonherelikeBacitracin

PolymyxinBontopofthecutand

thensealwiththeBand-Aidand

thatwillhelpithealalittlefaster.H:

Butdon’tuseanythingwith

hydrocortisoneonchildrenunder

two.

Itemnumberfour—thatlittlebottle

withthatfunnyname.Ma:

That’sonethingI’mbigon.We

havesyrupofipecac.Ms:

Iwouldanticipatekeepingitinthe

house,however,neverusingit.H:

Syrupofipecacisusedtoinduce

vomiting,butshouldonlybeused

afterconsultationwithapoison

controlcenterandinextreme

situation.Ms:

Sometimesit’sbettertogetthe

childtoamedicalcenterorfacility

andhavethepatient’sstomach

pumpedorothertreatment

modalityusedfirst.Ma:

GasX.H:

That’sgood.Thatbringsustoitem

numberthree:digestivesystem

helpers.Foradults,antacidor

heartburnhelp.Forbabies,Mylicon

droptoeasestomachpains.Ms:

There’salotofcontroversyright

now.DoesMyliconorSimethicon

work,yetforsomepatientsitdoes,

soIdon’tthinkit’sgoingtohurtthe

babytousethem.H:

Itemnumbertwo:coldcuresorthe

closestthingtoit.Ageneralcold

formulaforadultandDimetappfor

littleones.

Itemnumberone:feverreducers.Ms:

AndthatcouldbeaMotrin

suspension,Ibuprofensuspension

oritshouldbesomethingasH:

Childrenunderfifteenshouldn’thaveaspirinwhileaspirinmaybethebestchoiceforolderadults.Andspeakingoflittleguysorgals,it’salsogoodtohavePedialytefluidonhandforfever.Sothosetop10listreallycanvary,butstockuponthebasics.Monicahadthemall.Andalittleextratoo.M:

Hairgel!B:

Wejustcan’tlivewithoutthose

hairproducts!Onemoreproduct

tipforyou:It’sagoodideatogo

throughyourprescriptionsand

over-the-countermedicinestwicea

yearandeliminateanythatare

pasttheirexpirationdates.Watchthevideoclip“DrugsandHerbalSupplements”andtakenotesaccordingtothecuesgivenbelow.Unit7:Task4—NoteTakingScriptTaskIVDrugsandHerbalSupplements1.Factorstoconsiderbeforechoosinganherbalsupplement:

A.

B.

2.Reasonsfortheseconsiderations

A.B.HerbalsupplementsarenotrequiredtogetFDAapprovalHerbalsupplementsarenotrequiredtogothroughyearsofstudiesSafetyUnit7:Task4—NoteTakingEfficacy________________________________________________________________________________________________________________________________________________________________________________________________________________3.Findingsaftertestingwhatisinsomeherbalsupplements

A.

B.

4.Whatyouneedtocheckwhenyoubuyaherbalsupplement

A.B.C.AnexpirationdateInformationregardingthemanufacturersnameandaddressHavingnothingofwhat’sadvertisedontheboxUnit7:Task4—NoteTakingHavingacompletelydifferentsubstanceinthem_______________________________________________________________________________________________________________________________________________________________________________________________________________________Contactinformation___________________________________________5.Examplesofherbalsupplementshavingpotentialhealthrisks

A.SaintJohn’swort:

B.Warfarin:Affectingthelevelsofabloodthinningmedication,levelsoforalcontraceptives,interferingwithmedicationtakenbypatientswhohavehadorgantransplantsUnit7:Task4—NoteTakingAlteringthelevelofbloodthinning_________________________________________________________________________________________________________________________________________________________________________________________________________________________________5.Examplesofherbalsupplementshavingpotentialhealthrisks

C.GingkoBiloba:D.Redclover:E.Kavaandvalerian:CausingproblemsforpatientswhoareonbloodthinningmedicationUnit7:Task4—NoteTaking______________________________________________________________________________________Increasingyourriskofbleeding___________________________________________Reactwithanesthesia___________________________________________Unit7:Task4—NoteTaking6.Advicetothosewhohavepesky,personalhealthproblems

A.

B.

C.

Tolookforregular,over-the-counterremedies___________________________________________Tocheckwithadoctorandmakesuretheyarenotreflectiveofamoreseriousproblem______________________________________________________________________________________Tocheckwithaphysicianbeforetakinganyherbalsupplements______________________________________________________________________________________B—BethRuyakH

—HostG—Dr.GundlingDrugsandHerbalSupplementsB:

Wespendabout$3billionayearonherbalsupplements.That’stwicetheamountwespentjustfiveyearsago.So,it’simportanttoaskiftheseproductsaresafe,oriftheyareawasteofmoneythatcaninsomecircumstancesbedangerous.H:

Nexttimeyouhaveacold,youmaywanttothinktwicebeforeUnit7:

Part

1—

Video

Script(II)

choosinganherbalsupplementto

relieveyoursymptoms.Notonly

becauseitmaynotwork,but

becauseitmayalsobedangerous.G:

Theimportantthingtoknowis

they’renotrequiredtogetFDA

approval.Andwhatthatmeansis

thatthey’renotrequiredtogo

throughthemanyyearsandmany,

manymillionsofdollarsand

studiesrequiredfordemonstration

ofsafetyandefficacy.H:

Theseherbs,whichhavecrossed

overfromhealthfoodstoresinto

supermarketsanddrugstores,are

notregulatedbythegovernment,

soit’spossiblethatyouwon’tknow

exactlywhatyouaregetting.G:

Somethatyoupurchasearevery

highquality,andwhenyou

comparebatchtobatchyoucan

findthesameconcentrationof

activeingredients.Butsomeof

them,whenyouactuallytestwhat

isinthem,theyhavenothingof

what’sadvertisedonthebox,or

theymayhaveadifferent

substancecompletelyinthere.H:

Dr.KatherineGundling,an

immunologistwithUCDavis

MedicalCenter,suggeststhatby

smartshopping,youcantryto

ensurethatyou’regettingahigher

qualityproduct.G:

Youwanttomakesurethatithas

anexpirationdate,soyouhave

someideaofhowlongit’sbeenon

thecounterandthatitwillstillhave

somemedicinalqualitytoit.And

theotherthingis,there

shouldbeinformationregarding

themanufactureronthebox,

preferablythemanufacturer’s

nameandaddressandcontact

information.H:

It’sbadenoughthatyoumaybe

gettingrippedoffifyoubuyherbs

thatdon’tcontainwhattheyliston

theirlabels.Butevenworse,you

mayberiskingyourhealth,

becausetakingherbal

supplementswithcertain

prescriptionmedicationscanresult

inpotentiallydangerous

interactions.OneexampleisSaint

John’swort,apopularherbthat’s

takentoeasemilddepression.G:

St.John’swortlowersthelevelsof

Digoxin,animportantheart

medication.Italsoaffects

thelevelsofabloodthinning

medication,Warfarin,sometimes

calledCoumadin,andcanalterthe

levelofbloodthinningandhave

tremendouslydevastatingeffects

onpeoplewhorequirethisblood

thinningmedicationtostayalive.H:

SaintJohn’swortcanalsoaffect

levelsoforalcontraceptivesand

caninterferewith

medicationtakenbymanypatients

whohavehadorgantransplants.

Anotherpopularherb,Gingko

Biloba,isthoughttoenhance

memory.Butit,too,maycause

problemsforpatientswhoareon

bloodthinningmedication.G:

Anotheronemorecommonlybeing

takenbyalotofwomeninthe

post-menopausalperiod

isredclover,becauseredcloverhasanumberofsubstancesinitthatit’sthoughtmighthelpwithsomeofthesymptomsofmenopause.However,redcloverhasaveryhighconcentrationofnaturalCoumarins,whichistheplantonwhichCoumadinorWarfarinisbased.Andsoifyou

takeveryhighconcentrations

enhancetheeffectofyourblood

thinningmedicationandincrease

yourriskofbleeding.H:

Studieshavealsoshownthat

specificherbscanreactwith

anesthesia.G:

Therearesomemedications—

herbalproducts—inparticular,

KavaandValerian,thathaveclear

pharmacologiceffects,

soeitheranti-anxietyeffectsor

relaxationeffectsthataretrueand

real.Buttheproblemisthatif

you’retakingthoserightbeforeyou

haveananesthetic,itmaytake

longerforyoutocomeoutfrom

thatanesthesia.H:

Anesthesiologistsarenowtelling

patientstostoptakingherbal

supplementsatleasttwo

weeksbeforesurgery.Sowithall

thesewarnings,isitevenworthit

totakethem?G:

Ithinkthatifpeoplehavepesky,

personalhealthproblems,Ithink

it’saveryreasonablething,if

they’reotherwisehealthy,tolook

forregular,over-the-counter

remedies.Ontheotherhand,ifit’s

somethingthat’snot

resolvingitselfquicklyoreasily,

it’salwaysagoodideatocheck

withadoctorandmakesureit’s

notreflectiveofamoreserious

problem.H:

Andpatientswhoareon

prescriptionmedicationshould

alwayscheckwithaphysician

beforetakinganyherbal

supplements.Justbecause

it’s“natural”doesnotmeanit’s

safe.G:

Physiciansarelearningvery

quicklywhichofthesesubstances

canbeusedsafelyandwhich

cannotinconjunctionwithother

medications.Butit’sstillalargely

unknownarea,andwe’retryingto

learnasquicklyaswecan.B:

Manyproductsnowhaveherbaladditives,butcheckthelistofingredients.Ifit’sdownnearthebottom,thereprobablyisn’tenoughofittocauseanydruginteraction.Andforanyquestions,ofcourse,askyourdoctor.2PartConceptPart2ListeningComprehensionListentoapassage“SafetyQuestionsaboutDrugs”andcompletethefollowingguidedsummary.Task5SummaryScriptTaskVUnit7:Task5—SummarySymptomsSide-effectSeveralpainmedicinesintheUnitedStateshavebeenlinkedtoanincreaseinheartattacksandstrokes.Celebrexisapopularpainmedicineforpeoplewhosufferfrom(1),butanewstudyshowsthathighlevelsofCelebrexincrease(2).Arecentstudyhasalsoraisedsafetyquestionsaboutthepainmedicinenaproxen,soldasAleve,whichcanincrease(3)

.thebonediseasearthritistheriskofheartattack___________________theriskofheartattacksandstrokes____________________________________________________Unit7:Task5—SummaryActionstotakeTheFDAsaysitistooearlytosaywhatactionmightbetakenonCelebrexandAleve.Theagencycan(4).Oradrugcompanycan(5).ThishappenedinSeptemberwhenMerckandCompanystoppedsellingitspopulararthritispainmedicinecalledVioxx.legallyremove,orrecall,aharmfulproductfromthemarketplace

_____________________________________________________withdrawaproduct________________Unit7:Task5—SummaryCriticismAlternativesTherecallofVioxxhasledtocriticismabouttheFDA,whichhasbeensaidtobe(6).SafetyconcernsaboutVioxx,CelebrexandAlevemayleaddoctorstoconsider(7)

,anotherformofpaintreatment,toeasethesufferingofpeoplewithpainintheirkneescausedbyarthritis.unwillingtoadmitpossiblesafetyproblemswithdrugsthatithasalreadyapproved_________________________________________________________________________

traditionalC