Universiti Teknologi Mara: Faculty of Health Sciences

UNIVERSITI TEKNOLOGI MARA
FACULTY OF HEALTH SCIENCES
________________________________________________________________
BACHELOR OF PHYSIOTHERAPY (Hons.)

HS244
KNOW YOUR MEDICINE (UPH654)
CASE STUDY ASSESSMENT (20%)
STUDENT HANIS NUR AIN BINTI MD YUSOF

NAME
STUDENT ID 2020879232
GROUP HS2444E
PROGRAMME DEGREE IN PHYSIOTHERAPY
SUBMISSION 21st MAY 2021
DATE
LECTURER MRS. NUR SABIHA BINTI MD HUSSIN
Name: Mrs. S
Age: 69 years old
Weight: 55.0kg
Height: 159cm
BMI (Weight/Height): 21.8kg/m2 (Normal)
Current Medication: Sodium citrotartrate 4g
Past Medication: Prochlorperazine maleate 5mg (PRN), Sodium citrotartrate 4g
Social history: Retired teacher, currently not working. Stay with son and living a sedentary
lifestyle.
Current medical condition: Mild Urinary Tract Infection
Past medical condition: Migraine, Mild Urinary Tract Infection
Medicine information
Generic name:
Sodium citrotartrate
Brand name:
Ural Effervescent Granules
Specific indication:
Relief of discomfort in mild UTI; symptomatic relief of dysuria; to enhance the action of
certain antibiotics, especially some sulphonamides; in gout as urinary alkalinisers to
prevent crystallisation or urates and dissolution of uric acid stones.
Strength of the medicine:
Sodium bicarbonate (1.76g), Citric acid, anhydrous (0.72g), Sodium citrate, anhydrous
(0.63g), Tartaric acid (0.89g). 4g/sachet
Dose of medicine:
4g to 8g (1 to 2 sachets) dissolved in cold water qds (four times a day) or as prescribed
Instruction:
Take within 30 minutes after a meal or bedtime snack. Dissolves in cold water before
consuming, qds (four times a day) or as prescribed. Ensure sufficient water intake.
Formulation:
Each 4g sachet contains:
Sodium bicarbonate (1.76g), Citric acid, anhydrous (0.72g), Sodium citrate, anhydrous
(0.63g), Tartaric acid (0.89g).
Also contains Nature Identical Lemon Flavour oil, Terpeneless and saccharin sodium.
Each sachet contains 4g of white effervescent granules powder to be dissolved in cold
water to give clear colourless liquid.
Route of administration:
Oral
Registration number:
MAL05072037XCR
Medicine storage:
Store at temperature below 30°C.
Shelf life: 36 months.
Must be stored out of public access, preferably in a locked room or a locked cabinet
securely attached to the wall or floor.
Contraindication:
Renal failure or hypernatremia; in conjunction with hexamine mandelate or hexamine
hippurate therapy because an acidic urine is needed. Caution is advised in overt and occult
cardiac failure. Concomitant use of urinary alkalinisers and quinolone antibiotics should be
avoided; crystalluria may be more likely to occur in alkaline urine.
Adverse reaction:
Mild laxative effect. Systemic alkalosis or hypernatraemia if prolonged or excessive use.
Use in pregnancy and lactation:
Pregnant mother: Studies about the effect of citrates on pregnancy women have not done
yet.
Lactation: Drug administration on nursing mother should be given with caution.
Shape of medicine:
Effervescent granules.
Colour of medicine:
White powder in green packaging.
Photo:
References
Abbot medicine. (2017). Ural Effervescent Granules for Gout and Urinary Tract Health
https://www.medicine.abbott/content/dam/bss/divisionalsites/epd/Malasia/Documents/ot
c/PI_Ural.pdf
New South Wales Ministry of Health. (2015). Standing Order for supply of Sodium Citrotartrate
https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0005/286781/Sodium_Citrotartr
ate_NDEC_Standing_Order.pdf
MIMS Malaysia. (2021). Ural Drug Info https://www.mims.com/malaysia/drug/info/ural?type=full
Sodium citrotartrate 4g.Specific product characteristic.2017

University of Washington (n.d.). Understanding expressions of drug amounts.
http://courses.washington.edu/pharm309/calculations/Lesson2.pdf
WebMD (2021). What should I Know Regarding Pregnancy, Nursing and Administering SODIUM
CITRATE-CITRIC ACID to Children or the Elderly? https://www.webmd.com/drugs/2/drug-
3023/sodium-citrate-citric-acid-oral/details/list-precautions
Case study assessment rubric UPH654 Know Your Medicine (20%)
Faculty of Pharmacy, UiTM
Student’s name : HANIS NUR AIN BINTI MD YUSOF
Student’s ID: 2020879232
Category 4 3 2 1 Score
(Total=20mar
ks)
Case Summary (X1) It covers all It covers It covers It covers

FOUR THREE TWO only ONE
Case information: information information information informatio
1. Weight/Heig about the about the about the n about
ht (BMI) subject subject subject the subject
2. Comprehen
sive social
history
3. Comprehen
sive medical
history
4. Comprehen
sive past
medication
history
Content It covers all It covers It covers It only

completeness (X2) the information essential basic covers a
about the information information little
medicine of about the about the information
choice medicine of medicine of about the
choice choice medicine of
choice
Content accuracy All information The The The

(X1) about the information informati information
medicine is about the on about about the
very accurate medicine has the medicine
two or three medicine has more
mistakes has four than five
to five mistakes
mistakes
Content organization Information is Information Information is The

(x0.5) clear and is organized not entirely informatio
very well and organized n appears
organized sequential and to be
and in sequential disorganiz
sequential ed
order
Content Comprehensi Quite Insufficient Limited
references (x0.5) ve list of comprehensi use of use of
reliable and ve list of reliable reliable
updated reliable and and and
evidence- updated updated updated
based references list of list of
references. references reference
s

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UNIVERSITI TEKNOLOGI MARA

FACULTY OF HEALTH SCIENCES

BACHELOR OF PHYSIOTHERAPY (Hons.)

CASE STUDY ASSESSMENT (20%)

STUDENT HANIS NUR AIN BINTI MD YUSOF

BMI (Weight/Height): 21.8kg/m2 (Normal)

Current Medication: Sodium citrotartrate 4g

Past Medication: Prochlorperazine maleate 5mg (PRN), Sodium citrotartrate 4g

Current medical condition: Mild Urinary Tract Infection

Past medical condition: Migraine, Mild Urinary Tract Infection

MIMS Malaysia. (2021). Ural Drug Info https://www.mims.com/malaysia/drug/info/ural?type=full

Sodium citrotartrate 4g.Specific product characteristic.2017

Faculty of Pharmacy, UiTM

Student’s name : HANIS NUR AIN BINTI MD YUSOF

Student’s ID: 2020879232

Case Summary (X1) It covers all It covers It covers It covers

Content It covers all It covers It covers It only

Content accuracy All information The The The

Content organization Information is Information Information is The

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