S/c Fondaparinox 2.5mg OD/7.5mg OD S/c Heparin 5000u BD/7500u BD S/c Morphine 5mg/7.5mg TDS S/c Clexane 40mg/60mg OD
Mist calminative 15mls TDS Mist Na Citrate 15mls/30mls OD T EES 400mg BD T Zinnat 250mg BD T Ponstan 500mg TDS T Voltaren 50mg TDS T Papase 11/11 TDS T Gelusil 11/11 TDS IV Maxolon 10mg TDS C Celebrex 200mg BD /400mg OD C Tramal 50mg/75mg TDS T Arcoxia 90mg OD Syp MMT 15mls TDS Syp Benadryl 15mls TDS T Piriton 4mg/8mg TDS IV hydrocortisone 200mg stat, 100mg QID T Cilostazol (claudication pain) 100mg OD T Aspirin 150mg OD/300mg STAT IM nubain 20mg stat T/IV Bisolvon 8mg TDS T Labetolol 100mg TDS T Adalat 10mg TDS T Methyldopa 250mg TDS Ural sachet 1/1 BD/TDS IV/T lasix 20/40/80 mg BD IM/IV Pethidine 50mg T Rocaltriol 0.25 mcg OD T calcium lactate 600mg BD T levenogestrel 1.5mg stat Inj Ertapenem 1gm OD Inj Piptaz 3.375g T/IV Tranexamic acid 500-1000mg TDS IV Tramal 50 mg/75mg TDS IV Maxolon 10 mg TDS IV Cefuroxime 1.5 stat, 750mg TDS IV Unasyn 1.5g STAT and TDS IV Cefobid 2g stat, 1g BD IV Ceftriaxone 2g stat, 2g/1g OD IV Cefepime 2g stat, 1g BD IV Meropenem 500mg tds/qid IV Imipenem 500mg tds/qid IV Ampicillin 2gm Stat 1gm QID IV Cloxacillin 1g STAT, 1g/500mg QID IV Flagyl 500mg TDS IV Augmentin 1.2g STAT, TDS T Augmentin 625 mg BD T Unasyn 375mg BD T Doxycycline 200mg stat, 100mg bd T Cloxacillin 500mg QID T Azithromycin 500mg OD T Flagyl 400mg TDS C Tramal 50mg/75mg TDS T Maxolon 10mg TDS T Doxazosin 4mg OD T Finasteride 5 mg OD T Cardura 4mg ON T Hytrin 4mg ON
LYTIC COCKTAIL IV Actrapid 10u STAT IV ca gluconate 10% 10cc in 10 minutes IV Dextrose 50% 50cc
CORRECTION OF ELECTROLYTES:
Corrected Ca : (40-albumin)x0.02 + serum calcium If <2 , fast correct : IV Calcium Gluconate 1amp in 100cc NS over 1H
K+ correction K+ deficit : 3.5-serum K x BW(kg) x 0.04 K+ require : (1mmol/kg/d) 1mmol x BW kg Total req : (K deficit + K require)/ 13.4 mmol
*from mmol change to g divide by 13.3* *For female :0.6 , male :0.4*
Fast correct : IV 1g KCl in 100cc NS over 1H Slow dose : T. Slow K 1.2g tds Mist KCl 15ml tds Maintainance dose : IV 1g KCL in each pint
Fast PO4 correction IV Potassium Dihydrogen PO4 (K2H2PO4) 1amp in 100 cc NS/1 H
Fast Mg2 correction IV MgSO4 2.4g in 50cc NS/30 min IV MgSO4 1amp in 100cc NS/1H
Na+ correction Mild : NS drip 3 pint Mode : Severe : 3% 100cc NS slow infusion over 6H, repeat Na after fast correct. Not more than 10mmol/24H
COVER FOR ACS T Aspirin 300mg STAT T plavix 300mg STAT
Maintenance: T Aspirin 150mg OD T plavix 75mg OD S/c fonda 2.5mg OD/ s/c clexane 40mg OD(renal impairment)
BOWEL PREP 2 days before - low residual diet 1 days before: RP normal - fleet phosphosoda 45ml BD x 1/7 RP abnormal - Foltran 2L/3L On day of scope: Ravin enema II/II stat Or fleet enema I/I stat Do PR!