Therapeutic Drug Monitoring : Handling & Reporting

Prepared by :

Nur Nisreen binti Osman Nazir

Pegawai Farmasi UF41

Hospital Bachok

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1. Fill in all the tick part

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2. Tekan “Add Sample”

• Make sure add JENIS sample yang betul
• Timing sample yang SEPATUTNYA (ikut buku)

3. Make sure semua info betul dan tekan confirm

4. Tekan “Details” dan masukkan SAMPLING TIME yang tertera di borang TDM

• boleh jadi lain dengan sampling time yang sepatutnya

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THE ACTUAL TIME TAKEN yang ditulis di borang TDM

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**JANGAN TERTINGGAL KALAU ADA 2 SAMPLE!!

5. Isi semua yang tertera dan tekan save

Pharmacy-Based

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01/01/2026 07:30 AM

6. Proceed to reporting

7. Tekan “Details” dan masukkan value result

Refer to Pharmacist Notes

Template Reporting

TDM2600000003 - Vancomycin HCl 500mg/10ml Injection - Refer to Pharmacist Notes

Result Value :

Pre :5.34 mg/L

Post :14.16 mg/L

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IV Vancomycin 250mg OD 31/12/2025 @ 8AM

Calculated AUC24: 231.41 mghr/L

Ke: 0.043 /hr

t1/2: 15.98 hr

TDM Assessment:

Calculated AUC24 is 231.41 which is subtherapeutic level. Suggest to increase dose to IV Vancomycin 500mg OD starting 3/1/26 @ 8AM.

Kindly remonitor pre and post level on 4/1/26 @ 8am.

Kindly re-monitor renal profile.

Informed to Dr Aiman on 2/1/26 @ 2.34 PM

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Discussed with: PF Nisreen

Report prepared by: PF Wahida

Report checked by: PF Nisreen

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RED: Will be generated by PhIS once completed step 7

Blue: Must be written by Pharmacist

Green: Will be updated by Penyelaras TDM

8. Write report - Template boleh rujuk slide sebelumnya

FINAL STEP!

9. Tekan “Save Report”

• JANGAN TEKAN CONFIRM (hanya di confirm oleh penyelaras sahaja)