Monday, June 21, 2010 | By: siti suhaili

Warfarin Diet

Tahniah buat kawan2 yg dah berkerjaya. Smoga kerjaya korang diberkatiNya. Raya ni siap la korang, mesti mau kasi angpau pada anak2 buah.. HUHUhu.

OK. Ni pasal Diet with Warfarin medication. Ayat hari tu ada tanya, tak sempat nak YM dgn dia. Rasanya u all da tau dan lagi mantap dari su, ni just utk ulangkaji n tak nak bagi su sendiri lupa. Or at least utk information adik2 kita (if ada yg baca la). Kalau ada silap sila betulkan ye.. especially spe2 yg da jadi Clinical dietitian tu. =P


APE ITU WARFARIN? ---> sejenis Anticoagulant.

Biasa diberi kpd post-op patient, tp bukan sume post-op pt dapt warfarin kan?
Kalau di IJN, patient yang diagnosed w Artrial Fibrilation (AF)biasanya akan dapat warfarin ni(AF--->denyutan jantung biasanya tak consistent, menyebabkan pressure dalam one of the heart chamber pun x consistent, so tendency utk heart wall damage tu ada.Kalau luka, coagulation factor akan bertindak dan risikonya.. trombosis.
Ada yg ambil temporary dan ada yg permanent. Pt with mechanical valve akan ambil warfarin for the rest of his life.

Drug-Nutrient Interaction.

Pengambilan warfarin ni ada interaction dengan Vitamin K. As u all know, vitamin K membantu dalam blood coagulation (penggumpalan darah) dan ia sudah pasti counter act dgn warfarin dan reduce drug efficacy. Begitu jg coenzyme Q10, yg molekulnya bersifat seperti vitamin K.
Wednesday, June 16, 2010 | By: mazu

My 1 month +++ as catering dietitian =)

Assalamualaikum dearest friends,

ape khabar rakan2? windu korg semue~ da lame x bkak blog.. kat mane lagik batch diet kte nk update2 n story2 if bkan kat cni kan? =) anyhow, just nk add a lil bit more ape yg ija tulis psl pengalaman die since i was a cat diet once ~~ ( mcm da lame je~ huhu) xde la.. takut da terlupe nanti...

so, geng da bertambah @ BESTA (ilman, ija, mazu, hidayah n farhana + 2 seniors kak aini & k. ain) byknye~~~~ =) tp i n kak ain da kuar =( .. frankly, sgt sdey tgglkan hosp serdang tho sebulan je kat sane. to date, rasenye yg kosong lagik hosp penang + ppum (cz they wanna add another dietitian over there) & besta ade perancangan nk ade 2 dietitians kat stp outlet.. but dat is just future planning~ keje yg related ngan course kite rasenye byk je kan? cume kite nk ke x je la~

getting back to d main agenda~ being a catering dietitian was fun but tiring =)) job satisfaction very high. i actually reached workplace @ 8am ( nk sampai serdang 1jam cz jam ape sme) n sampai umah @8 - 9 pm .. long hours cz byk keje + elak jam.

sepanjang jadik cat dietitian @ hosp serdang i ( lain sket dpd ija cz die kat cpu):

~plan for the menu of hosp serdang ( kebetulan br tka contract br so need new menu) menu ade- normal diet (spicy, nonspicy, vegetarian & western) + therapeutic diet = DD,SD, LS, LPHOS, LPOTA, combination). bile plan menu kene liaise ngan JDS (dietitian, pa,co) ~~~ job description yg ni paling payah skali.. considering kte fresh grad n plan 2 cycle menu. sakit pale.. but bykkkk sgt apply clinical knowledge =))