{"id":4861,"date":"2012-06-14T18:20:00","date_gmt":"2012-06-14T15:20:00","guid":{"rendered":"https:\/\/sanliurfaeo.birodam.org.tr\/index.php\/2026\/01\/19\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\/"},"modified":"2026-01-19T11:09:37","modified_gmt":"2026-01-19T08:09:37","slug":"sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin","status":"publish","type":"post","link":"https:\/\/sanliurfaeo.birodam.org.tr\/index.php\/2012\/06\/14\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\/","title":{"rendered":"SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTERAL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) TEB RP L-ARG\u0130N\u0130N"},"content":{"rendered":"
\n
\n SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTEREL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR)\n<\/div>\n
\n 1-Toz Mamalar\u0131n Giri\u015fi<\/strong>. \u00d6l\u00e7ek hesab\u0131: \u00d6ncelikle \u00fcr\u00fcn\u00fcn Medulla Provizyon sistemine nas\u0131l kaydedildi\u011fini bilmemiz gerekmektedir. Bunun i\u00e7in; Medulla ana sayfas\u0131ndaki ila\u00e7 bilgisi butonu t\u0131klan\u0131r. A\u00e7\u0131lan kutucu\u011fa \u00fcr\u00fcn\u00fcn ad\u0131 yaz\u0131l\u0131r ve sorgulamas\u0131 yap\u0131l\u0131r. Daha sonra a\u00e7\u0131lan sayfada sol \u00fcst taraftaki \u201cTek Doz Miktar\u0131na\u201d bak\u0131l\u0131r. Bu miktar 1 adet \u015feklinde ise 1*1 \u015feklinde girilen tarife g\u00f6re g\u00fcnde 1 kutu olarak alg\u0131lan\u0131r. Tek Doz miktar\u0131 5 gr veya daha farkl\u0131 gr \u00f6l\u00e7e\u011finde belirtilmi\u015f ise 1*1 \u015feklindeki tariflerde ise g\u00fcnde 5 gr olarak sistem taraf\u0131ndan alg\u0131lanmaktad\u0131r.\n<\/div>\n
\n Toz Mamalar 3 ayl\u0131k tedavi dozunda verilebilmektedir.\n<\/div>\n
\n PREGOM\u0130N AS 400 GR<\/span>: Medulla Provizyon sistemine Tek Doz Miktar\u0131 5 gr olarak girilmi\u015ftir. Sisteme 2*1 olarak i\u015flendi\u011finde g\u00fcnl\u00fck 10 gr olarak hesaplan\u0131r.\n<\/div>\n
\n FANTOMALT  400 GR, BEBELAC LF 400 GR-PEPT\u0130 JUNIOR-SOYA, PROT\u0130FAR 225 GR,PKU, OS 1, GALACTOM\u0130N 19 400 GR, MILUPA SOM 600 GR, MSUD 1 500 GR <\/span>: Medulla Provizyon sistemine Tek Doz Miktar\u0131 1 Adet olarak girilmi\u015ftir.\n<\/div>\n
\n \u00d6rnek 1:<\/span> Pregomin AS 400 Gr. 5 kutu 4*1 veya 4*5 Gr veya 4*1 \u00f6l\u00e7ek \u015feklinde yaz\u0131l\u0131 ise sisteme 4*1 olarak girilecektir.\n<\/div>\n
\n \u00d6rnek 2 :<\/span> Fantomalt 400 Gr 10 kutu 4*1 veya 4*5 Gr veya 4*1 \u00f6l\u00e7ek \u015feklinde raporda yaz\u0131l\u0131 ise sisteme giri\u015fi i\u00e7in: G\u00fcnl\u00fck 20 gr. Oldu\u011fundan \u00fcr\u00fcn 20 g\u00fcnde 1 kutu olacak \u015fekilde hastaya verilmesi gerekmektedir. Sisteme 1*1 (20 g\u00fcn) olarak girilmesi gerekmektedir. 4*1 (20 g\u00fcn) olarak girilir ise 20 g\u00fcnde 4 kutu olarak sistem alg\u0131lad\u0131\u011f\u0131ndan yanl\u0131\u015f doz giri\u015fi yap\u0131lm\u0131\u015f olur ve 3 ay toplam\u0131nda 5 kutu verilmesi gereken bir durumda 10 kutu verilerek kesintiye neden olmaktad\u0131r.\n<\/div>\n
\n 2<\/strong>–Kalori ihtiyac\u0131 , Tedavi \u015femas\u0131 ve Maman\u0131n ad\u0131<\/strong> mutlaka raporun a\u00e7\u0131klama k\u0131sm\u0131nda belirtilmeli. Re\u00e7ete dozu ve bu re\u00e7ete dozuna g\u00f6re hesaplanan kalori ihtiyac\u0131 rapor dozunu a\u015fmamal\u0131d\u0131r. Baz\u0131 raporlar\u0131n a\u00e7\u0131klama k\u0131sm\u0131nda birden fazla mama ismi yaz\u0131lmaktad\u0131r. Bu gibi durumlarda mamalar\u0131n toplam dozu ve toplam kalorisi hesaplanarak verilmeli ve raporda belirtilen g\u00fcnl\u00fck kalori ve dozu a\u015fmamal\u0131d\u0131r.\n<\/div>\n
\n \u00d6rnek : <\/span>Raporun a\u00e7\u0131klama k\u0131sm\u0131nda Pediasure mama 4*1 ve Fortini mama 4*1 olup G\u00fcnl\u00fck Kalori ihtiyac\u0131 1600 kcal olarak belirtildi\u011finde : Pediasure 200 kcal, Fortini ise 300 kcal dir. Raporda belirtildi\u011fi gibi re\u00e7ete edildi\u011finde 4*200 + 4*300= 2000 kcal eder ve rapor dozu a\u015f\u0131lm\u0131\u015f olur. Bu durumda  g\u00fcnl\u00fck 2 kutu Pediasure veya 2 kutu Fortini eksik verilerek yada g\u00fcnl\u00fck 1 kutu Pediasure ve   1 Kutu Fortini eksik verilerek sisteme giri\u015fi yap\u0131lmas\u0131 gerekmektedir.\n<\/div>\n
\n Pediasure 4*1 Fortini2*1(1400Kalori )<\/span> ya da Pediasure 2*1 Fortini 4*1(1600Kalori<\/span>)\n<\/div>\n
\n vaya Pediasure 3*1 Fortini 3*1(1500 Kalori)<\/span> \u015feklinde olmal\u0131d\u0131r.\n<\/div>\n
\n *Raporun a\u00e7\u0131klama k\u0131sm\u0131nda Pediasure mama 3*1 Fortini mama 4*1 \u015feklinde ise ve re\u00e7etede Pediasure 4*1 , Fortini 4*1 \u015feklinde yaz\u0131lm\u0131\u015f ise hesaplamalar\u0131 yaparken Pediasure mama 3*1 olarak de\u011ferlendirilmesi gerekmektedir.\n<\/div>\n
\n 3-Tan\u0131 ve Te\u015fhis Kodlar\u0131n\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 : <\/strong>Web sayfam\u0131z\u0131n Formlar ve Dilek\u00e7eler B\u00f6l\u00fcm\u00fcnde Eczac\u0131ya Faydal\u0131 Formlar ad\u0131 alt\u0131nda Sosyal G\u00fcvenlik Kurumunun yay\u0131nlam\u0131\u015f oldu\u011fu Te\u015fhis Kodlar\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131lmal\u0131 ICD 10 Kodlar\u0131n\u0131n listesi yer almaktad\u0131r. Bu listeden faydalanabilirsiniz. \u0130laca ait medulla bilgisinden bak\u0131ld\u0131\u011f\u0131nda baz\u0131 ICD 10 kodlar\u0131 ve te\u015fhis kodlar\u0131 yer almaktad\u0131r.\n<\/div>\n
\n \u00d6rnek 1 :<\/span> Rapordaki tan\u0131 Kodu Kanser ICD 10 Kodu C00 \u2013C97 veya D00-D48. Te\u015fhis Kodu 02.00. web sayfam\u0131zdaki listeden bak\u0131ld\u0131\u011f\u0131nda bu tan\u0131 kodlar\u0131 ile te\u015fhis kodlar\u0131n\u0131n uyumlu oldu\u011fu g\u00f6r\u00fcl\u00fcr ve muaf olarak verilir.\n<\/div>\n
\n \u00d6rnek 2 :<\/span> Rapordaki tan\u0131 Kodu Q90 Down Sendromu ,Te\u015fhis Kodu 10.08 veya 15.04 olsun. Web sayfam\u0131zdaki listeden bak\u0131ld\u0131\u011f\u0131nda bu tan\u0131 ile te\u015fhis kodunun uyumlu olmad\u0131\u011f\u0131 <\/span>g\u00f6r\u00fclmektedir. bu durumda kat\u0131l\u0131m pay\u0131ndan muaf olarak verilemez. Q90 Down Sendromu ile 20.00 Te\u015fhis Kodu ile Kat\u0131l\u0131m payl\u0131 verilmesi gerekmektedir. Sonu\u00e7 olarak Down Sendromunda mamalar kat\u0131l\u0131m payl\u0131d\u0131r.\n<\/div>\n
\n \u00d6rnek 3 : <\/span>En \u00e7ok yap\u0131lan hata te\u015fhis koduna bak\u0131larak verilmesidir. Te\u015fhis kodu 10.08 Oral Beslenmenin m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 Kronik n\u00f6rom\u00fcsk\u00fcler Hastal\u0131klar veya 15.04 Do\u011fu\u015ftan metabolik ve Kal\u0131tsal hastal\u0131klar ve Ba\u011f\u0131rsak Operasyonundan olu\u015fan malabsorbsiyonlar te\u015fhisine bak\u0131p Rapordaki tan\u0131n\u0131n bu te\u015fhislere uygunlu\u011funa bak\u0131lmadan verildi\u011finde Hata yap\u0131labilmektedir.\n<\/div>\n
\n UYARI:<\/span><\/span>10.08 ile uyumlu ICD 10 Tan\u0131 Kodlar\u0131   <\/span>ve 15.04. ile uyumlu ICD 10 Tan\u0131 Kodlar\u0131 web sayfam\u0131zda yer almaktad\u0131r. Rapordaki Te\u015fhis kodu 10.08 veya 15.04 ise muaf olup olmad\u0131\u011f\u0131n\u0131 bu listeden anlayabilirsiniz. Belirtilen Te\u015fhis kodlar\u0131n kar\u015f\u0131s\u0131ndaki ICD 10 kodu ve tan\u0131 kodlar\u0131nda muaft\u0131r. Ancak raporda belirtilen Te\u015fhis Kodu 10.08 veya 15.04 olup bu kodlar ile uyumlu olmayan tan\u0131 yer al\u0131yor ise medulla te\u015fhis kodlar\u0131n\u0131 g\u00f6rd\u00fc\u011f\u00fcnden kat\u0131l\u0131m payl\u0131 olmas\u0131 gereken bu raporu muaf olarak \u00f6deyecektir bu da kesintiye neden olmaktad\u0131r. Ma\u011fduriyet ya\u015fanmamas\u0131 i\u00e7in te\u015fhis ve tan\u0131 kodlar\u0131n\u0131n kar\u015f\u0131la\u015ft\u0131rmalar\u0131na dikkat etmemiz gerekmektedir.\n<\/div>\n
\n NOT 1:<\/span> T\u00fcrk Eczac\u0131lar\u0131 Birli\u011fi taraf\u0131ndan haz\u0131rlanm\u0131\u015f olan TEBRP son g\u00fcncellemesi ile s\u0131ral\u0131 da\u011f\u0131t\u0131mda olan mama ve ila\u00e7lar\u0131n bilgisine \u201cC Grubu\u201d Butonu ve uyar\u0131s\u0131 eklenmi\u015ftir. \u0130la\u00e7 veya mama ismini arama bo\u015flu\u011funa yazd\u0131\u011f\u0131n\u0131zda gelen ila\u00e7 \u00f6zet bilgisinde \u201cC\u201d uyar\u0131s\u0131n\u0131 g\u00f6receksiniz veya \u201cC Grubu S\u0131ral\u0131 Da\u011f\u0131t\u0131m\u201d Butonunu t\u0131klad\u0131\u011f\u0131n\u0131zda Genel bilgiler, Organ nakli \u0130la\u00e7 isimleri, T\u00fcp Bebek \u0130la\u00e7lar\u0131 ve Oral Beslenme Sol\u00fcsyonlar\u0131n\u0131n isimlerini g\u00f6rebilirsiniz. Bu listede yer alan ila\u00e7 veya mama isimlerini t\u0131kland\u0131\u011f\u0131nda ilaca ait \u00f6zet bilgi ve SUT Bilgileri gelmektedir.\n<\/div>\n
\n *S\u0131ral\u0131 re\u00e7eteye tabi re\u00e7eteler Medulla provizyon sisteminde C grubuna atmaktad\u0131r. C grubu re\u00e7eteler \u00f6rnekleme y\u00f6ntemiyle incelenmeyecek olup TAMAMI \u0130NCELENECEKT\u0130R.\n<\/div>\n
\n NOT 2:<\/span> Enjekt\u00f6r \u015ferhi olmad\u0131\u011f\u0131ndan dolay\u0131 kesintiler yap\u0131lmaktad\u0131r. Ampul\/Flakonlu Re\u00e7etelerde sisteme enjekt\u00f6r de girilmi\u015f ise re\u00e7ete arkas\u0131na:\n<\/div>\n
\n \u2026\u2026.Kalem\u2026\u2026Adet \u0130lac\u0131 \u2026\u2026Adet Enjekt\u00f6r Ald\u0131m. Ka\u015fesi bas\u0131larak veya yaz\u0131 ile yazarak hastaya imzal\u0131tmal\u0131d\u0131r.\n<\/div>\n
\n NOT 3: <\/span>L-Arginin 3*1 ,4*2 veya daha farkl\u0131 tariflerde re\u00e7ete edilmekte. L-Arginin \u00f6l\u00e7e\u011fi 2 gr oldu\u011fundan 3*1= 6 gr, 4*2 =16 gr g\u00fcnl\u00fck doz olarak hesaplanarak 10 g\u00fcnl\u00fck tedavi dozunda verilmesi gerekmektedir.3*1 den toplamda 60 gr, 4*2 den toplamda 160 gr \u00fczerinden majistral giri\u015fi yap\u0131lacak olup geri \u00f6deme birimi de bu hesaplama \u00fczerinden \u00f6deme yapacakt\u0131r. Ancak Re\u00e7ete ye 3*5 gr veya 4*5 gr \u015feklinde yaz\u0131lm\u0131\u015f ise 3*5gr i\u00e7in toplamda 150 gr, 4*5gr i\u00e7in toplamda 200 gr olarak sisteme girilecektir.\n<\/div>\n
\n T\u00fcm Meslekta\u015flar\u0131m\u0131za Duyurulur.\n<\/div>\n
\n  \n<\/div>\n
\n  \n<\/div>\n
\n KOM\u0130SYON \u00dcYELER\u0130<\/span>\n<\/div>\n
\n Ecz.Mustafa KUTLUO\u011eLU\n<\/div>\n
\n Ecz.C\u00fcneyt YAVUZ\n<\/div>\n
\n Ecz.Servet KILI\u00c7\n<\/div>\n
\n Ecz.M.Ali \u00dc\u00c7K\u00d6K\n<\/div>\n
\n Ecz.M.Umut AKINCI\n<\/div>\n
\n Ecz.Mehmet F\u0130TK\u0130\n<\/div>\n
\n SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -1 (<\/span><\/span><\/strong>MOR VE TURUNCU RE\u00c7ETELER<\/span><\/span><\/strong>) 27.04.2012 DUYURUSU<\/span><\/span><\/strong><\/a>\n<\/div>\n
\n  \n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTEREL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) 1-Toz Mamalar\u0131n Giri\u015fi. \u00d6l\u00e7ek hesab\u0131: \u00d6ncelikle \u00fcr\u00fcn\u00fcn Medulla Provizyon sistemine nas\u0131l kaydedildi\u011fini bilmemiz gerekmektedir. Bunun i\u00e7in; Medulla ana sayfas\u0131ndaki ila\u00e7 bilgisi butonu t\u0131klan\u0131r. A\u00e7\u0131lan kutucu\u011fa \u00fcr\u00fcn\u00fcn ad\u0131 yaz\u0131l\u0131r ve sorgulamas\u0131 yap\u0131l\u0131r. Daha sonra a\u00e7\u0131lan sayfada sol \u00fcst taraftaki \u201cTek Doz Miktar\u0131na\u201d bak\u0131l\u0131r. Bu miktar 1 adet \u015feklinde ise 1*1 \u015feklinde girilen tarife g\u00f6re g\u00fcnde 1 kutu olarak alg\u0131lan\u0131r. Tek Doz miktar\u0131 5 gr veya daha farkl\u0131 gr \u00f6l\u00e7e\u011finde belirtilmi\u015f ise 1*1 \u015feklindeki tariflerde ise g\u00fcnde 5 gr olarak sistem taraf\u0131ndan alg\u0131lanmaktad\u0131r. Toz Mamalar 3 ayl\u0131k tedavi dozunda verilebilmektedir. PREGOM\u0130N AS 400 GR: Medulla Provizyon sistemine Tek Doz Miktar\u0131 5 gr olarak girilmi\u015ftir. Sisteme 2*1 olarak i\u015flendi\u011finde g\u00fcnl\u00fck 10 gr olarak hesaplan\u0131r. FANTOMALT  400 GR, BEBELAC LF 400 GR-PEPT\u0130 JUNIOR-SOYA, PROT\u0130FAR 225 GR,PKU, OS 1, GALACTOM\u0130N 19 400 GR, MILUPA SOM 600 GR, MSUD 1 500 GR : Medulla Provizyon sistemine Tek Doz Miktar\u0131 1 Adet olarak girilmi\u015ftir. \u00d6rnek 1: Pregomin AS 400 Gr. 5 kutu 4*1 veya 4*5 Gr veya 4*1 \u00f6l\u00e7ek \u015feklinde yaz\u0131l\u0131 ise sisteme 4*1 olarak girilecektir. \u00d6rnek 2 : Fantomalt 400 Gr 10 kutu 4*1 veya 4*5 Gr veya 4*1 \u00f6l\u00e7ek \u015feklinde raporda yaz\u0131l\u0131 ise sisteme giri\u015fi i\u00e7in: G\u00fcnl\u00fck 20 gr. Oldu\u011fundan \u00fcr\u00fcn 20 g\u00fcnde 1 kutu olacak \u015fekilde hastaya verilmesi gerekmektedir. Sisteme 1*1 (20 g\u00fcn) olarak girilmesi gerekmektedir. 4*1 (20 g\u00fcn) olarak girilir ise 20 g\u00fcnde 4 kutu olarak sistem alg\u0131lad\u0131\u011f\u0131ndan yanl\u0131\u015f doz giri\u015fi yap\u0131lm\u0131\u015f olur ve 3 ay toplam\u0131nda 5 kutu verilmesi gereken bir durumda 10 kutu verilerek kesintiye neden olmaktad\u0131r. 2–Kalori ihtiyac\u0131 , Tedavi \u015femas\u0131 ve Maman\u0131n ad\u0131 mutlaka raporun a\u00e7\u0131klama k\u0131sm\u0131nda belirtilmeli. Re\u00e7ete dozu ve bu re\u00e7ete dozuna g\u00f6re hesaplanan kalori ihtiyac\u0131 rapor dozunu a\u015fmamal\u0131d\u0131r. Baz\u0131 raporlar\u0131n a\u00e7\u0131klama k\u0131sm\u0131nda birden fazla mama ismi yaz\u0131lmaktad\u0131r. Bu gibi durumlarda mamalar\u0131n toplam dozu ve toplam kalorisi hesaplanarak verilmeli ve raporda belirtilen g\u00fcnl\u00fck kalori ve dozu a\u015fmamal\u0131d\u0131r. \u00d6rnek : Raporun a\u00e7\u0131klama k\u0131sm\u0131nda Pediasure mama 4*1 ve Fortini mama 4*1 olup G\u00fcnl\u00fck Kalori ihtiyac\u0131 1600 kcal olarak belirtildi\u011finde : Pediasure 200 kcal, Fortini ise 300 kcal dir. Raporda belirtildi\u011fi gibi re\u00e7ete edildi\u011finde 4*200 + 4*300= 2000 kcal eder ve rapor dozu a\u015f\u0131lm\u0131\u015f olur. Bu durumda  g\u00fcnl\u00fck 2 kutu Pediasure veya 2 kutu Fortini eksik verilerek yada g\u00fcnl\u00fck 1 kutu Pediasure ve   1 Kutu Fortini eksik verilerek sisteme giri\u015fi yap\u0131lmas\u0131 gerekmektedir. Pediasure 4*1 Fortini2*1(1400Kalori ) ya da Pediasure 2*1 Fortini 4*1(1600Kalori) vaya Pediasure 3*1 Fortini 3*1(1500 Kalori) \u015feklinde olmal\u0131d\u0131r. *Raporun a\u00e7\u0131klama k\u0131sm\u0131nda Pediasure mama 3*1 Fortini mama 4*1 \u015feklinde ise ve re\u00e7etede Pediasure 4*1 , Fortini 4*1 \u015feklinde yaz\u0131lm\u0131\u015f ise hesaplamalar\u0131 yaparken Pediasure mama 3*1 olarak de\u011ferlendirilmesi gerekmektedir. 3-Tan\u0131 ve Te\u015fhis Kodlar\u0131n\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 : Web sayfam\u0131z\u0131n Formlar ve Dilek\u00e7eler B\u00f6l\u00fcm\u00fcnde Eczac\u0131ya Faydal\u0131 Formlar ad\u0131 alt\u0131nda Sosyal G\u00fcvenlik Kurumunun yay\u0131nlam\u0131\u015f oldu\u011fu Te\u015fhis Kodlar\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131lmal\u0131 ICD 10 Kodlar\u0131n\u0131n listesi yer almaktad\u0131r. Bu listeden faydalanabilirsiniz. \u0130laca ait medulla bilgisinden bak\u0131ld\u0131\u011f\u0131nda baz\u0131 ICD 10 kodlar\u0131 ve te\u015fhis kodlar\u0131 yer almaktad\u0131r. \u00d6rnek 1 : Rapordaki tan\u0131 Kodu Kanser ICD 10 Kodu C00 \u2013C97 veya D00-D48. Te\u015fhis Kodu 02.00. web sayfam\u0131zdaki listeden bak\u0131ld\u0131\u011f\u0131nda bu tan\u0131 kodlar\u0131 ile te\u015fhis kodlar\u0131n\u0131n uyumlu oldu\u011fu g\u00f6r\u00fcl\u00fcr ve muaf olarak verilir. \u00d6rnek 2 : Rapordaki tan\u0131 Kodu Q90 Down Sendromu ,Te\u015fhis Kodu 10.08 veya 15.04 olsun. Web sayfam\u0131zdaki listeden bak\u0131ld\u0131\u011f\u0131nda bu tan\u0131 ile te\u015fhis kodunun uyumlu olmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. bu durumda kat\u0131l\u0131m pay\u0131ndan muaf olarak verilemez. Q90 Down Sendromu ile 20.00 Te\u015fhis Kodu ile Kat\u0131l\u0131m payl\u0131 verilmesi gerekmektedir. Sonu\u00e7 olarak Down Sendromunda mamalar kat\u0131l\u0131m payl\u0131d\u0131r. \u00d6rnek 3 : En \u00e7ok yap\u0131lan hata te\u015fhis koduna bak\u0131larak verilmesidir. Te\u015fhis kodu 10.08 Oral Beslenmenin m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 Kronik n\u00f6rom\u00fcsk\u00fcler Hastal\u0131klar veya 15.04 Do\u011fu\u015ftan metabolik ve Kal\u0131tsal hastal\u0131klar ve Ba\u011f\u0131rsak Operasyonundan olu\u015fan malabsorbsiyonlar te\u015fhisine bak\u0131p Rapordaki tan\u0131n\u0131n bu te\u015fhislere uygunlu\u011funa bak\u0131lmadan verildi\u011finde Hata yap\u0131labilmektedir. UYARI:10.08 ile uyumlu ICD 10 Tan\u0131 Kodlar\u0131   ve 15.04. ile uyumlu ICD 10 Tan\u0131 Kodlar\u0131 web sayfam\u0131zda yer almaktad\u0131r. Rapordaki Te\u015fhis kodu 10.08 veya 15.04 ise muaf olup olmad\u0131\u011f\u0131n\u0131 bu listeden anlayabilirsiniz. Belirtilen Te\u015fhis kodlar\u0131n kar\u015f\u0131s\u0131ndaki ICD 10 kodu ve tan\u0131 kodlar\u0131nda muaft\u0131r. Ancak raporda belirtilen Te\u015fhis Kodu 10.08 veya 15.04 olup bu kodlar ile uyumlu olmayan tan\u0131 yer al\u0131yor ise medulla te\u015fhis kodlar\u0131n\u0131 g\u00f6rd\u00fc\u011f\u00fcnden kat\u0131l\u0131m payl\u0131 olmas\u0131 gereken bu raporu muaf olarak \u00f6deyecektir bu da kesintiye neden olmaktad\u0131r. Ma\u011fduriyet ya\u015fanmamas\u0131 i\u00e7in te\u015fhis ve tan\u0131 kodlar\u0131n\u0131n kar\u015f\u0131la\u015ft\u0131rmalar\u0131na dikkat etmemiz gerekmektedir. NOT 1: T\u00fcrk Eczac\u0131lar\u0131 Birli\u011fi taraf\u0131ndan haz\u0131rlanm\u0131\u015f olan TEBRP son g\u00fcncellemesi ile s\u0131ral\u0131 da\u011f\u0131t\u0131mda olan mama ve ila\u00e7lar\u0131n bilgisine \u201cC Grubu\u201d Butonu ve uyar\u0131s\u0131 eklenmi\u015ftir. \u0130la\u00e7 veya mama ismini arama bo\u015flu\u011funa yazd\u0131\u011f\u0131n\u0131zda gelen ila\u00e7 \u00f6zet bilgisinde \u201cC\u201d uyar\u0131s\u0131n\u0131 g\u00f6receksiniz veya \u201cC Grubu S\u0131ral\u0131 Da\u011f\u0131t\u0131m\u201d Butonunu t\u0131klad\u0131\u011f\u0131n\u0131zda Genel bilgiler, Organ nakli \u0130la\u00e7 isimleri, T\u00fcp Bebek \u0130la\u00e7lar\u0131 ve Oral Beslenme Sol\u00fcsyonlar\u0131n\u0131n isimlerini g\u00f6rebilirsiniz. Bu listede yer alan ila\u00e7 veya mama isimlerini t\u0131kland\u0131\u011f\u0131nda ilaca ait \u00f6zet bilgi ve SUT Bilgileri gelmektedir. *S\u0131ral\u0131 re\u00e7eteye tabi re\u00e7eteler Medulla provizyon sisteminde C grubuna atmaktad\u0131r. C grubu re\u00e7eteler \u00f6rnekleme y\u00f6ntemiyle incelenmeyecek olup TAMAMI \u0130NCELENECEKT\u0130R. NOT 2: Enjekt\u00f6r \u015ferhi olmad\u0131\u011f\u0131ndan dolay\u0131 kesintiler yap\u0131lmaktad\u0131r. Ampul\/Flakonlu Re\u00e7etelerde sisteme enjekt\u00f6r de girilmi\u015f ise re\u00e7ete arkas\u0131na: \u2026\u2026.Kalem\u2026\u2026Adet \u0130lac\u0131 \u2026\u2026Adet Enjekt\u00f6r Ald\u0131m. Ka\u015fesi bas\u0131larak veya yaz\u0131 ile yazarak hastaya imzal\u0131tmal\u0131d\u0131r. NOT 3: L-Arginin 3*1 ,4*2 veya daha farkl\u0131 tariflerde re\u00e7ete edilmekte. L-Arginin \u00f6l\u00e7e\u011fi 2 gr oldu\u011fundan 3*1= 6 gr, 4*2 =16 gr g\u00fcnl\u00fck doz olarak hesaplanarak 10 g\u00fcnl\u00fck tedavi dozunda verilmesi gerekmektedir.3*1 den toplamda 60 gr, 4*2 den toplamda 160 gr \u00fczerinden majistral giri\u015fi yap\u0131lacak olup geri \u00f6deme birimi de bu hesaplama \u00fczerinden \u00f6deme yapacakt\u0131r. Ancak Re\u00e7ete ye 3*5 gr veya 4*5 gr \u015feklinde yaz\u0131lm\u0131\u015f ise 3*5gr i\u00e7in toplamda 150 gr, 4*5gr i\u00e7in toplamda 200 gr olarak sisteme girilecektir. T\u00fcm Meslekta\u015flar\u0131m\u0131za Duyurulur.     KOM\u0130SYON \u00dcYELER\u0130 Ecz.Mustafa KUTLUO\u011eLU Ecz.C\u00fcneyt YAVUZ Ecz.Servet KILI\u00c7 Ecz.M.Ali \u00dc\u00c7K\u00d6K Ecz.M.Umut AKINCI Ecz.Mehmet F\u0130TK\u0130 SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -1 (MOR VE TURUNCU RE\u00c7ETELER) 27.04.2012 DUYURUSU  <\/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-4861","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oda"],"yoast_head":"\nSUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTERAL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) TEB RP L-ARG\u0130N\u0130N - \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:\/\/sanliurfaeo.birodam.org.tr\/index.php\/2012\/06\/14\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTERAL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) TEB RP L-ARG\u0130N\u0130N - \u015eanl\u0131urfa Eczac\u0131 Odas\u0131\" \/>\n<meta property=\"og:description\" content=\"SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTEREL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) 1-Toz Mamalar\u0131n Giri\u015fi. \u00d6l\u00e7ek hesab\u0131: \u00d6ncelikle \u00fcr\u00fcn\u00fcn Medulla Provizyon sistemine nas\u0131l kaydedildi\u011fini bilmemiz gerekmektedir. Bunun i\u00e7in; Medulla ana sayfas\u0131ndaki ila\u00e7 bilgisi butonu t\u0131klan\u0131r. A\u00e7\u0131lan kutucu\u011fa \u00fcr\u00fcn\u00fcn ad\u0131 yaz\u0131l\u0131r ve sorgulamas\u0131 yap\u0131l\u0131r. Daha sonra a\u00e7\u0131lan sayfada sol \u00fcst taraftaki \u201cTek Doz Miktar\u0131na\u201d bak\u0131l\u0131r. Bu miktar 1 adet \u015feklinde ise 1*1 \u015feklinde girilen tarife g\u00f6re g\u00fcnde 1 kutu olarak alg\u0131lan\u0131r. Tek Doz miktar\u0131 5 gr veya daha farkl\u0131 gr \u00f6l\u00e7e\u011finde belirtilmi\u015f ise 1*1 \u015feklindeki tariflerde ise g\u00fcnde 5 gr olarak sistem taraf\u0131ndan alg\u0131lanmaktad\u0131r. Toz Mamalar 3 ayl\u0131k tedavi dozunda verilebilmektedir. PREGOM\u0130N AS 400 GR: Medulla Provizyon sistemine Tek Doz Miktar\u0131 5 gr olarak girilmi\u015ftir. Sisteme 2*1 olarak i\u015flendi\u011finde g\u00fcnl\u00fck 10 gr olarak hesaplan\u0131r. FANTOMALT  400 GR, BEBELAC LF 400 GR-PEPT\u0130 JUNIOR-SOYA, PROT\u0130FAR 225 GR,PKU, OS 1, GALACTOM\u0130N 19 400 GR, MILUPA SOM 600 GR, MSUD 1 500 GR : Medulla Provizyon sistemine Tek Doz Miktar\u0131 1 Adet olarak girilmi\u015ftir. \u00d6rnek 1: Pregomin AS 400 Gr. 5 kutu 4*1 veya 4*5 Gr veya 4*1 \u00f6l\u00e7ek \u015feklinde yaz\u0131l\u0131 ise sisteme 4*1 olarak girilecektir. \u00d6rnek 2 : Fantomalt 400 Gr 10 kutu 4*1 veya 4*5 Gr veya 4*1 \u00f6l\u00e7ek \u015feklinde raporda yaz\u0131l\u0131 ise sisteme giri\u015fi i\u00e7in: G\u00fcnl\u00fck 20 gr. Oldu\u011fundan \u00fcr\u00fcn 20 g\u00fcnde 1 kutu olacak \u015fekilde hastaya verilmesi gerekmektedir. Sisteme 1*1 (20 g\u00fcn) olarak girilmesi gerekmektedir. 4*1 (20 g\u00fcn) olarak girilir ise 20 g\u00fcnde 4 kutu olarak sistem alg\u0131lad\u0131\u011f\u0131ndan yanl\u0131\u015f doz giri\u015fi yap\u0131lm\u0131\u015f olur ve 3 ay toplam\u0131nda 5 kutu verilmesi gereken bir durumda 10 kutu verilerek kesintiye neden olmaktad\u0131r. 2–Kalori ihtiyac\u0131 , Tedavi \u015femas\u0131 ve Maman\u0131n ad\u0131 mutlaka raporun a\u00e7\u0131klama k\u0131sm\u0131nda belirtilmeli. Re\u00e7ete dozu ve bu re\u00e7ete dozuna g\u00f6re hesaplanan kalori ihtiyac\u0131 rapor dozunu a\u015fmamal\u0131d\u0131r. Baz\u0131 raporlar\u0131n a\u00e7\u0131klama k\u0131sm\u0131nda birden fazla mama ismi yaz\u0131lmaktad\u0131r. Bu gibi durumlarda mamalar\u0131n toplam dozu ve toplam kalorisi hesaplanarak verilmeli ve raporda belirtilen g\u00fcnl\u00fck kalori ve dozu a\u015fmamal\u0131d\u0131r. \u00d6rnek : Raporun a\u00e7\u0131klama k\u0131sm\u0131nda Pediasure mama 4*1 ve Fortini mama 4*1 olup G\u00fcnl\u00fck Kalori ihtiyac\u0131 1600 kcal olarak belirtildi\u011finde : Pediasure 200 kcal, Fortini ise 300 kcal dir. Raporda belirtildi\u011fi gibi re\u00e7ete edildi\u011finde 4*200 + 4*300= 2000 kcal eder ve rapor dozu a\u015f\u0131lm\u0131\u015f olur. Bu durumda  g\u00fcnl\u00fck 2 kutu Pediasure veya 2 kutu Fortini eksik verilerek yada g\u00fcnl\u00fck 1 kutu Pediasure ve   1 Kutu Fortini eksik verilerek sisteme giri\u015fi yap\u0131lmas\u0131 gerekmektedir. Pediasure 4*1 Fortini2*1(1400Kalori ) ya da Pediasure 2*1 Fortini 4*1(1600Kalori) vaya Pediasure 3*1 Fortini 3*1(1500 Kalori) \u015feklinde olmal\u0131d\u0131r. *Raporun a\u00e7\u0131klama k\u0131sm\u0131nda Pediasure mama 3*1 Fortini mama 4*1 \u015feklinde ise ve re\u00e7etede Pediasure 4*1 , Fortini 4*1 \u015feklinde yaz\u0131lm\u0131\u015f ise hesaplamalar\u0131 yaparken Pediasure mama 3*1 olarak de\u011ferlendirilmesi gerekmektedir. 3-Tan\u0131 ve Te\u015fhis Kodlar\u0131n\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 : Web sayfam\u0131z\u0131n Formlar ve Dilek\u00e7eler B\u00f6l\u00fcm\u00fcnde Eczac\u0131ya Faydal\u0131 Formlar ad\u0131 alt\u0131nda Sosyal G\u00fcvenlik Kurumunun yay\u0131nlam\u0131\u015f oldu\u011fu Te\u015fhis Kodlar\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131lmal\u0131 ICD 10 Kodlar\u0131n\u0131n listesi yer almaktad\u0131r. Bu listeden faydalanabilirsiniz. \u0130laca ait medulla bilgisinden bak\u0131ld\u0131\u011f\u0131nda baz\u0131 ICD 10 kodlar\u0131 ve te\u015fhis kodlar\u0131 yer almaktad\u0131r. \u00d6rnek 1 : Rapordaki tan\u0131 Kodu Kanser ICD 10 Kodu C00 \u2013C97 veya D00-D48. Te\u015fhis Kodu 02.00. web sayfam\u0131zdaki listeden bak\u0131ld\u0131\u011f\u0131nda bu tan\u0131 kodlar\u0131 ile te\u015fhis kodlar\u0131n\u0131n uyumlu oldu\u011fu g\u00f6r\u00fcl\u00fcr ve muaf olarak verilir. \u00d6rnek 2 : Rapordaki tan\u0131 Kodu Q90 Down Sendromu ,Te\u015fhis Kodu 10.08 veya 15.04 olsun. Web sayfam\u0131zdaki listeden bak\u0131ld\u0131\u011f\u0131nda bu tan\u0131 ile te\u015fhis kodunun uyumlu olmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. bu durumda kat\u0131l\u0131m pay\u0131ndan muaf olarak verilemez. Q90 Down Sendromu ile 20.00 Te\u015fhis Kodu ile Kat\u0131l\u0131m payl\u0131 verilmesi gerekmektedir. Sonu\u00e7 olarak Down Sendromunda mamalar kat\u0131l\u0131m payl\u0131d\u0131r. \u00d6rnek 3 : En \u00e7ok yap\u0131lan hata te\u015fhis koduna bak\u0131larak verilmesidir. Te\u015fhis kodu 10.08 Oral Beslenmenin m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 Kronik n\u00f6rom\u00fcsk\u00fcler Hastal\u0131klar veya 15.04 Do\u011fu\u015ftan metabolik ve Kal\u0131tsal hastal\u0131klar ve Ba\u011f\u0131rsak Operasyonundan olu\u015fan malabsorbsiyonlar te\u015fhisine bak\u0131p Rapordaki tan\u0131n\u0131n bu te\u015fhislere uygunlu\u011funa bak\u0131lmadan verildi\u011finde Hata yap\u0131labilmektedir. UYARI:10.08 ile uyumlu ICD 10 Tan\u0131 Kodlar\u0131   ve 15.04. ile uyumlu ICD 10 Tan\u0131 Kodlar\u0131 web sayfam\u0131zda yer almaktad\u0131r. Rapordaki Te\u015fhis kodu 10.08 veya 15.04 ise muaf olup olmad\u0131\u011f\u0131n\u0131 bu listeden anlayabilirsiniz. Belirtilen Te\u015fhis kodlar\u0131n kar\u015f\u0131s\u0131ndaki ICD 10 kodu ve tan\u0131 kodlar\u0131nda muaft\u0131r. Ancak raporda belirtilen Te\u015fhis Kodu 10.08 veya 15.04 olup bu kodlar ile uyumlu olmayan tan\u0131 yer al\u0131yor ise medulla te\u015fhis kodlar\u0131n\u0131 g\u00f6rd\u00fc\u011f\u00fcnden kat\u0131l\u0131m payl\u0131 olmas\u0131 gereken bu raporu muaf olarak \u00f6deyecektir bu da kesintiye neden olmaktad\u0131r. Ma\u011fduriyet ya\u015fanmamas\u0131 i\u00e7in te\u015fhis ve tan\u0131 kodlar\u0131n\u0131n kar\u015f\u0131la\u015ft\u0131rmalar\u0131na dikkat etmemiz gerekmektedir. NOT 1: T\u00fcrk Eczac\u0131lar\u0131 Birli\u011fi taraf\u0131ndan haz\u0131rlanm\u0131\u015f olan TEBRP son g\u00fcncellemesi ile s\u0131ral\u0131 da\u011f\u0131t\u0131mda olan mama ve ila\u00e7lar\u0131n bilgisine \u201cC Grubu\u201d Butonu ve uyar\u0131s\u0131 eklenmi\u015ftir. \u0130la\u00e7 veya mama ismini arama bo\u015flu\u011funa yazd\u0131\u011f\u0131n\u0131zda gelen ila\u00e7 \u00f6zet bilgisinde \u201cC\u201d uyar\u0131s\u0131n\u0131 g\u00f6receksiniz veya \u201cC Grubu S\u0131ral\u0131 Da\u011f\u0131t\u0131m\u201d Butonunu t\u0131klad\u0131\u011f\u0131n\u0131zda Genel bilgiler, Organ nakli \u0130la\u00e7 isimleri, T\u00fcp Bebek \u0130la\u00e7lar\u0131 ve Oral Beslenme Sol\u00fcsyonlar\u0131n\u0131n isimlerini g\u00f6rebilirsiniz. Bu listede yer alan ila\u00e7 veya mama isimlerini t\u0131kland\u0131\u011f\u0131nda ilaca ait \u00f6zet bilgi ve SUT Bilgileri gelmektedir. *S\u0131ral\u0131 re\u00e7eteye tabi re\u00e7eteler Medulla provizyon sisteminde C grubuna atmaktad\u0131r. C grubu re\u00e7eteler \u00f6rnekleme y\u00f6ntemiyle incelenmeyecek olup TAMAMI \u0130NCELENECEKT\u0130R. NOT 2: Enjekt\u00f6r \u015ferhi olmad\u0131\u011f\u0131ndan dolay\u0131 kesintiler yap\u0131lmaktad\u0131r. Ampul\/Flakonlu Re\u00e7etelerde sisteme enjekt\u00f6r de girilmi\u015f ise re\u00e7ete arkas\u0131na: \u2026\u2026.Kalem\u2026\u2026Adet \u0130lac\u0131 \u2026\u2026Adet Enjekt\u00f6r Ald\u0131m. Ka\u015fesi bas\u0131larak veya yaz\u0131 ile yazarak hastaya imzal\u0131tmal\u0131d\u0131r. NOT 3: L-Arginin 3*1 ,4*2 veya daha farkl\u0131 tariflerde re\u00e7ete edilmekte. L-Arginin \u00f6l\u00e7e\u011fi 2 gr oldu\u011fundan 3*1= 6 gr, 4*2 =16 gr g\u00fcnl\u00fck doz olarak hesaplanarak 10 g\u00fcnl\u00fck tedavi dozunda verilmesi gerekmektedir.3*1 den toplamda 60 gr, 4*2 den toplamda 160 gr \u00fczerinden majistral giri\u015fi yap\u0131lacak olup geri \u00f6deme birimi de bu hesaplama \u00fczerinden \u00f6deme yapacakt\u0131r. Ancak Re\u00e7ete ye 3*5 gr veya 4*5 gr \u015feklinde yaz\u0131lm\u0131\u015f ise 3*5gr i\u00e7in toplamda 150 gr, 4*5gr i\u00e7in toplamda 200 gr olarak sisteme girilecektir. T\u00fcm Meslekta\u015flar\u0131m\u0131za Duyurulur.     KOM\u0130SYON \u00dcYELER\u0130 Ecz.Mustafa KUTLUO\u011eLU Ecz.C\u00fcneyt YAVUZ Ecz.Servet KILI\u00c7 Ecz.M.Ali \u00dc\u00c7K\u00d6K Ecz.M.Umut AKINCI Ecz.Mehmet F\u0130TK\u0130 SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -1 (MOR VE TURUNCU RE\u00c7ETELER) 27.04.2012 DUYURUSU  \" \/>\n<meta property=\"og:url\" content=\"https:\/\/sanliurfaeo.birodam.org.tr\/index.php\/2012\/06\/14\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\/\" \/>\n<meta property=\"og:site_name\" content=\"\u015eanl\u0131urfa Eczac\u0131 Odas\u0131\" \/>\n<meta property=\"article:published_time\" content=\"2012-06-14T15:20:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-19T08:09:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sanliurfaeo.birodam.org.tr\/wp-content\/uploads\/2025\/09\/urfaeo-logo2.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"768\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Yeni Admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Yazan:\" \/>\n\t<meta name=\"twitter:data1\" content=\"Yeni Admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 dakika\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/index.php\\\/2012\\\/06\\\/14\\\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/index.php\\\/2012\\\/06\\\/14\\\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\\\/\"},\"author\":{\"name\":\"Yeni Admin\",\"@id\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/#\\\/schema\\\/person\\\/f482a8288e46359eb9acced6151e1120\"},\"headline\":\"SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTERAL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) TEB RP L-ARG\u0130N\u0130N\",\"datePublished\":\"2012-06-14T15:20:00+00:00\",\"dateModified\":\"2026-01-19T08:09:37+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/index.php\\\/2012\\\/06\\\/14\\\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\\\/\"},\"wordCount\":1173,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/index.php\\\/2012\\\/06\\\/14\\\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/wp-content\\\/uploads\\\/2025\\\/09\\\/urfaeo-logo2.png\",\"articleSection\":[\"ODA\"],\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/index.php\\\/2012\\\/06\\\/14\\\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/index.php\\\/2012\\\/06\\\/14\\\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\\\/\",\"url\":\"https:\\\/\\\/sanliurfaeo.birodam.org.tr\\\/index.php\\\/2012\\\/06\\\/14\\\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\\\/\",\"name\":\"SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTERAL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) TEB RP L-ARG\u0130N\u0130N - 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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:\/\/sanliurfaeo.birodam.org.tr\/index.php\/2012\/06\/14\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\/","og_locale":"tr_TR","og_type":"article","og_title":"SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTERAL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) TEB RP L-ARG\u0130N\u0130N - \u015eanl\u0131urfa Eczac\u0131 Odas\u0131","og_description":"SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -2 : (ENTEREL BESLENME SOL\u00dcSYONLARI VE TOZ MAMALAR) 1-Toz Mamalar\u0131n Giri\u015fi. \u00d6l\u00e7ek hesab\u0131: \u00d6ncelikle \u00fcr\u00fcn\u00fcn Medulla Provizyon sistemine nas\u0131l kaydedildi\u011fini bilmemiz gerekmektedir. Bunun i\u00e7in; Medulla ana sayfas\u0131ndaki ila\u00e7 bilgisi butonu t\u0131klan\u0131r. A\u00e7\u0131lan kutucu\u011fa \u00fcr\u00fcn\u00fcn ad\u0131 yaz\u0131l\u0131r ve sorgulamas\u0131 yap\u0131l\u0131r. Daha sonra a\u00e7\u0131lan sayfada sol \u00fcst taraftaki \u201cTek Doz Miktar\u0131na\u201d bak\u0131l\u0131r. Bu miktar 1 adet \u015feklinde ise 1*1 \u015feklinde girilen tarife g\u00f6re g\u00fcnde 1 kutu olarak alg\u0131lan\u0131r. Tek Doz miktar\u0131 5 gr veya daha farkl\u0131 gr \u00f6l\u00e7e\u011finde belirtilmi\u015f ise 1*1 \u015feklindeki tariflerde ise g\u00fcnde 5 gr olarak sistem taraf\u0131ndan alg\u0131lanmaktad\u0131r. Toz Mamalar 3 ayl\u0131k tedavi dozunda verilebilmektedir. PREGOM\u0130N AS 400 GR: Medulla Provizyon sistemine Tek Doz Miktar\u0131 5 gr olarak girilmi\u015ftir. Sisteme 2*1 olarak i\u015flendi\u011finde g\u00fcnl\u00fck 10 gr olarak hesaplan\u0131r. FANTOMALT  400 GR, BEBELAC LF 400 GR-PEPT\u0130 JUNIOR-SOYA, PROT\u0130FAR 225 GR,PKU, OS 1, GALACTOM\u0130N 19 400 GR, MILUPA SOM 600 GR, MSUD 1 500 GR : Medulla Provizyon sistemine Tek Doz Miktar\u0131 1 Adet olarak girilmi\u015ftir. \u00d6rnek 1: Pregomin AS 400 Gr. 5 kutu 4*1 veya 4*5 Gr veya 4*1 \u00f6l\u00e7ek \u015feklinde yaz\u0131l\u0131 ise sisteme 4*1 olarak girilecektir. \u00d6rnek 2 : Fantomalt 400 Gr 10 kutu 4*1 veya 4*5 Gr veya 4*1 \u00f6l\u00e7ek \u015feklinde raporda yaz\u0131l\u0131 ise sisteme giri\u015fi i\u00e7in: G\u00fcnl\u00fck 20 gr. Oldu\u011fundan \u00fcr\u00fcn 20 g\u00fcnde 1 kutu olacak \u015fekilde hastaya verilmesi gerekmektedir. Sisteme 1*1 (20 g\u00fcn) olarak girilmesi gerekmektedir. 4*1 (20 g\u00fcn) olarak girilir ise 20 g\u00fcnde 4 kutu olarak sistem alg\u0131lad\u0131\u011f\u0131ndan yanl\u0131\u015f doz giri\u015fi yap\u0131lm\u0131\u015f olur ve 3 ay toplam\u0131nda 5 kutu verilmesi gereken bir durumda 10 kutu verilerek kesintiye neden olmaktad\u0131r. 2–Kalori ihtiyac\u0131 , Tedavi \u015femas\u0131 ve Maman\u0131n ad\u0131 mutlaka raporun a\u00e7\u0131klama k\u0131sm\u0131nda belirtilmeli. Re\u00e7ete dozu ve bu re\u00e7ete dozuna g\u00f6re hesaplanan kalori ihtiyac\u0131 rapor dozunu a\u015fmamal\u0131d\u0131r. Baz\u0131 raporlar\u0131n a\u00e7\u0131klama k\u0131sm\u0131nda birden fazla mama ismi yaz\u0131lmaktad\u0131r. Bu gibi durumlarda mamalar\u0131n toplam dozu ve toplam kalorisi hesaplanarak verilmeli ve raporda belirtilen g\u00fcnl\u00fck kalori ve dozu a\u015fmamal\u0131d\u0131r. \u00d6rnek : Raporun a\u00e7\u0131klama k\u0131sm\u0131nda Pediasure mama 4*1 ve Fortini mama 4*1 olup G\u00fcnl\u00fck Kalori ihtiyac\u0131 1600 kcal olarak belirtildi\u011finde : Pediasure 200 kcal, Fortini ise 300 kcal dir. Raporda belirtildi\u011fi gibi re\u00e7ete edildi\u011finde 4*200 + 4*300= 2000 kcal eder ve rapor dozu a\u015f\u0131lm\u0131\u015f olur. Bu durumda  g\u00fcnl\u00fck 2 kutu Pediasure veya 2 kutu Fortini eksik verilerek yada g\u00fcnl\u00fck 1 kutu Pediasure ve   1 Kutu Fortini eksik verilerek sisteme giri\u015fi yap\u0131lmas\u0131 gerekmektedir. Pediasure 4*1 Fortini2*1(1400Kalori ) ya da Pediasure 2*1 Fortini 4*1(1600Kalori) vaya Pediasure 3*1 Fortini 3*1(1500 Kalori) \u015feklinde olmal\u0131d\u0131r. *Raporun a\u00e7\u0131klama k\u0131sm\u0131nda Pediasure mama 3*1 Fortini mama 4*1 \u015feklinde ise ve re\u00e7etede Pediasure 4*1 , Fortini 4*1 \u015feklinde yaz\u0131lm\u0131\u015f ise hesaplamalar\u0131 yaparken Pediasure mama 3*1 olarak de\u011ferlendirilmesi gerekmektedir. 3-Tan\u0131 ve Te\u015fhis Kodlar\u0131n\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 : Web sayfam\u0131z\u0131n Formlar ve Dilek\u00e7eler B\u00f6l\u00fcm\u00fcnde Eczac\u0131ya Faydal\u0131 Formlar ad\u0131 alt\u0131nda Sosyal G\u00fcvenlik Kurumunun yay\u0131nlam\u0131\u015f oldu\u011fu Te\u015fhis Kodlar\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131lmal\u0131 ICD 10 Kodlar\u0131n\u0131n listesi yer almaktad\u0131r. Bu listeden faydalanabilirsiniz. \u0130laca ait medulla bilgisinden bak\u0131ld\u0131\u011f\u0131nda baz\u0131 ICD 10 kodlar\u0131 ve te\u015fhis kodlar\u0131 yer almaktad\u0131r. \u00d6rnek 1 : Rapordaki tan\u0131 Kodu Kanser ICD 10 Kodu C00 \u2013C97 veya D00-D48. Te\u015fhis Kodu 02.00. web sayfam\u0131zdaki listeden bak\u0131ld\u0131\u011f\u0131nda bu tan\u0131 kodlar\u0131 ile te\u015fhis kodlar\u0131n\u0131n uyumlu oldu\u011fu g\u00f6r\u00fcl\u00fcr ve muaf olarak verilir. \u00d6rnek 2 : Rapordaki tan\u0131 Kodu Q90 Down Sendromu ,Te\u015fhis Kodu 10.08 veya 15.04 olsun. Web sayfam\u0131zdaki listeden bak\u0131ld\u0131\u011f\u0131nda bu tan\u0131 ile te\u015fhis kodunun uyumlu olmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. bu durumda kat\u0131l\u0131m pay\u0131ndan muaf olarak verilemez. Q90 Down Sendromu ile 20.00 Te\u015fhis Kodu ile Kat\u0131l\u0131m payl\u0131 verilmesi gerekmektedir. Sonu\u00e7 olarak Down Sendromunda mamalar kat\u0131l\u0131m payl\u0131d\u0131r. \u00d6rnek 3 : En \u00e7ok yap\u0131lan hata te\u015fhis koduna bak\u0131larak verilmesidir. Te\u015fhis kodu 10.08 Oral Beslenmenin m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 Kronik n\u00f6rom\u00fcsk\u00fcler Hastal\u0131klar veya 15.04 Do\u011fu\u015ftan metabolik ve Kal\u0131tsal hastal\u0131klar ve Ba\u011f\u0131rsak Operasyonundan olu\u015fan malabsorbsiyonlar te\u015fhisine bak\u0131p Rapordaki tan\u0131n\u0131n bu te\u015fhislere uygunlu\u011funa bak\u0131lmadan verildi\u011finde Hata yap\u0131labilmektedir. UYARI:10.08 ile uyumlu ICD 10 Tan\u0131 Kodlar\u0131   ve 15.04. ile uyumlu ICD 10 Tan\u0131 Kodlar\u0131 web sayfam\u0131zda yer almaktad\u0131r. Rapordaki Te\u015fhis kodu 10.08 veya 15.04 ise muaf olup olmad\u0131\u011f\u0131n\u0131 bu listeden anlayabilirsiniz. Belirtilen Te\u015fhis kodlar\u0131n kar\u015f\u0131s\u0131ndaki ICD 10 kodu ve tan\u0131 kodlar\u0131nda muaft\u0131r. Ancak raporda belirtilen Te\u015fhis Kodu 10.08 veya 15.04 olup bu kodlar ile uyumlu olmayan tan\u0131 yer al\u0131yor ise medulla te\u015fhis kodlar\u0131n\u0131 g\u00f6rd\u00fc\u011f\u00fcnden kat\u0131l\u0131m payl\u0131 olmas\u0131 gereken bu raporu muaf olarak \u00f6deyecektir bu da kesintiye neden olmaktad\u0131r. Ma\u011fduriyet ya\u015fanmamas\u0131 i\u00e7in te\u015fhis ve tan\u0131 kodlar\u0131n\u0131n kar\u015f\u0131la\u015ft\u0131rmalar\u0131na dikkat etmemiz gerekmektedir. NOT 1: T\u00fcrk Eczac\u0131lar\u0131 Birli\u011fi taraf\u0131ndan haz\u0131rlanm\u0131\u015f olan TEBRP son g\u00fcncellemesi ile s\u0131ral\u0131 da\u011f\u0131t\u0131mda olan mama ve ila\u00e7lar\u0131n bilgisine \u201cC Grubu\u201d Butonu ve uyar\u0131s\u0131 eklenmi\u015ftir. \u0130la\u00e7 veya mama ismini arama bo\u015flu\u011funa yazd\u0131\u011f\u0131n\u0131zda gelen ila\u00e7 \u00f6zet bilgisinde \u201cC\u201d uyar\u0131s\u0131n\u0131 g\u00f6receksiniz veya \u201cC Grubu S\u0131ral\u0131 Da\u011f\u0131t\u0131m\u201d Butonunu t\u0131klad\u0131\u011f\u0131n\u0131zda Genel bilgiler, Organ nakli \u0130la\u00e7 isimleri, T\u00fcp Bebek \u0130la\u00e7lar\u0131 ve Oral Beslenme Sol\u00fcsyonlar\u0131n\u0131n isimlerini g\u00f6rebilirsiniz. Bu listede yer alan ila\u00e7 veya mama isimlerini t\u0131kland\u0131\u011f\u0131nda ilaca ait \u00f6zet bilgi ve SUT Bilgileri gelmektedir. *S\u0131ral\u0131 re\u00e7eteye tabi re\u00e7eteler Medulla provizyon sisteminde C grubuna atmaktad\u0131r. C grubu re\u00e7eteler \u00f6rnekleme y\u00f6ntemiyle incelenmeyecek olup TAMAMI \u0130NCELENECEKT\u0130R. NOT 2: Enjekt\u00f6r \u015ferhi olmad\u0131\u011f\u0131ndan dolay\u0131 kesintiler yap\u0131lmaktad\u0131r. Ampul\/Flakonlu Re\u00e7etelerde sisteme enjekt\u00f6r de girilmi\u015f ise re\u00e7ete arkas\u0131na: \u2026\u2026.Kalem\u2026\u2026Adet \u0130lac\u0131 \u2026\u2026Adet Enjekt\u00f6r Ald\u0131m. Ka\u015fesi bas\u0131larak veya yaz\u0131 ile yazarak hastaya imzal\u0131tmal\u0131d\u0131r. NOT 3: L-Arginin 3*1 ,4*2 veya daha farkl\u0131 tariflerde re\u00e7ete edilmekte. L-Arginin \u00f6l\u00e7e\u011fi 2 gr oldu\u011fundan 3*1= 6 gr, 4*2 =16 gr g\u00fcnl\u00fck doz olarak hesaplanarak 10 g\u00fcnl\u00fck tedavi dozunda verilmesi gerekmektedir.3*1 den toplamda 60 gr, 4*2 den toplamda 160 gr \u00fczerinden majistral giri\u015fi yap\u0131lacak olup geri \u00f6deme birimi de bu hesaplama \u00fczerinden \u00f6deme yapacakt\u0131r. Ancak Re\u00e7ete ye 3*5 gr veya 4*5 gr \u015feklinde yaz\u0131lm\u0131\u015f ise 3*5gr i\u00e7in toplamda 150 gr, 4*5gr i\u00e7in toplamda 200 gr olarak sisteme girilecektir. T\u00fcm Meslekta\u015flar\u0131m\u0131za Duyurulur.     KOM\u0130SYON \u00dcYELER\u0130 Ecz.Mustafa KUTLUO\u011eLU Ecz.C\u00fcneyt YAVUZ Ecz.Servet KILI\u00c7 Ecz.M.Ali \u00dc\u00c7K\u00d6K Ecz.M.Umut AKINCI Ecz.Mehmet F\u0130TK\u0130 SUT KOM\u0130SYONU \u00c7ALI\u015eMASI -1 (MOR VE TURUNCU RE\u00c7ETELER) 27.04.2012 DUYURUSU  ","og_url":"https:\/\/sanliurfaeo.birodam.org.tr\/index.php\/2012\/06\/14\/sut-komisyonu-calismasi-2-enteral-beslenme-solusyonlari-ve-toz-mamalar-teb-rp-l-arginin\/","og_site_name":"\u015eanl\u0131urfa Eczac\u0131 Odas\u0131","article_published_time":"2012-06-14T15:20:00+00:00","article_modified_time":"2026-01-19T08:09:37+00:00","og_image":[{"width":1024,"height":768,"url":"https:\/\/sanliurfaeo.birodam.org.tr\/wp-content\/uploads\/2025\/09\/urfaeo-logo2.png","type":"image\/png"}],"author":"Yeni Admin","twitter_card":"summary_large_image","twitter_misc":{"Yazan:":"Yeni Admin","Tahmini okuma s\u00fcresi":"6 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