Tab.
Ecosprin (Aspirin) 75mg
0 + 1 + 0 (A/M)- Continue
Tab. Betaloc (Metoprolol) 25/50 mg
1+0+1
Tab. Pantonix (Pantoprazole) 20mg
1 + 0 + 1 – SOS
Spray Anril (Nitroglycerin)
2 puffs stat and SOS- Continue
Tab. GTN 2.6mg
1 + 1 + 0 – 1 month
Tab. Atova (atorvastatin) 20mg
0 + 0 + 1 -Continue
Tab. Rivotril(clonazepam) 0.5mg
0 + 0 + 1 – 14 days
Rx on DC:
Tab. Ecosprin (Aspirin) 75mg
0 + 1 + 0 (A/M)- Continue
Tab. Atova (atorvastatin) 20mg
0 + 0 + 1 -Continue
Tab. GTN 2.6mg
1 + 1 + 0 -Continue
Tab. Betaloc (Metoprolol) 25/50 mg
1+0+1
Rx on admission:
Date:
Time:
Propped up position
O2 inhalation: High flow
Diet:04
Inj. Lasix (Frusemide) 20mg
2 amp IV stat and BD (8am and 4pm)
Spray Anril (Nitroglycerin)
2 puffs stat and every 5-10 mins until systolic BP<110mm of HG
Tab. Ramoril (Ramipril) 1.25/2.5mg 0+0+1 (ACEI/ARNI/Vasodilator)
Tab. Carvista (Carvidilol) 6.25mg 12+0+1/2
Tab. Spirocard (Spironolactone) 25 mg 1+1+0
Rx on admission:
Date:
Time:
Absolute bed rest
Diet: 04
O2 inhalation 4-6L/min
Stat and SOS
Tab. Ecosprin (Aspirin) 75mg
4 tabs that then 0 + 1 + 0 (A/M)
Tab. Clopid (Clopidogrel) 75mg 4 tabs that then 0 + 1 + 0 (A/M)
Tab. Pantonix (Pantoprazole) 20mg 1 + 0 + 1
Spray Anril (Nitroglycerin) 2 puffs stat and SOS
Tab. GTN 2.6mg 1 + 1 + 0
Tab. Atova (atorvastatin) 20mg 1 tab stat then 0+0+1
Tab. Rivotril(clonazepam) 0.5mg 0+0+1
Inj. Pethidine 100mg ½ amp IV stat and SOS
Inj. Emistat 8mg/4ml 1 amp IV stat and SOS
Inj. Cardinex (Enoxaparin) 60mg 1 PFS S/C stat and BD around the umbilicus- Upto
hospitalization
Spray Anril (Nitroglycerin)
2 puffs stat and SOS- Continue
Tab. GTN 2.6mg
1+1+0-1 month
Tab. Atova (atorvastatin) 20mg
0+0+1-Continue
Tab. Rivotril (Clonazepam) 0.5mg
0+0+1-14 days
Inj. STK (streptokinase) 1.5 million/unit
1 vial dissolved in 5ml of supplied solvent then further mixed with 95ml NS IV
@100microdrops/min
Inj. Cotson (Hydrocortisone) 100mg
1 vial IV stat
If streptokinase cannot be given:
Inj. Cardinex (Enoxaparin) 60mg
1 PFS S/C stat and BD around the umbilicus- Upto hospitalization
If there is heart failure:
Inj. Lasix (Frusemide) 20mg
2 amp IV stat and BD (8am and 4pm)
If there is cardiogenic shock:
Inj. Dopamine + Inf. NS/5%DA 500ml
IV @ 32microdrops/min
PCI: If presented within 12 hours and There is ST elevation or new bundle branch
block
Contraindications to thrombolytic therapy:
1. Active internal bleeding
2. Previous subarachnoid or intracerebral haemorrhage
3. Uncontrolled hypertension
4. Recent surgery (within 1 month)
5. Recent trauma (including traumatic resuscitation)
6. High probability of active peptic ulcer
Rx on DC:
Tab. Ecosprin (Aspirin) 75mg
0+1+0 (A/M)- 1 year
Tab. Clopid (Clopidogrel) 75mg
0+1+0 (A/M)- Continue
Tab. Pantonix (Pantoprazole) 20mg
1+0+1-SOS
Tab. Betaloc (Metoprolol) 25/50 mg [In anterior MI]
1+0+1
Tab. Ramoril (Ramipril) 1.25/2.5mg [In anterior MI]
1+0+0
O2 inhalation 4-6L/min Stat and SOS
Tab. Ecosprin (Aspirin) 75mg 4 tabs that then 0 + 1 + 0 (A/M)
Tab. Clopid (Clopidogrel) 75mg 4 tabs that then 0 + 1 + 0 (A / M)
Tab. Pantonix (Pantoprazole) 20mg 1 + 0 + 1
Spray Anril (Nitroglycerin) 2 puffs S/L stat and SOS
Tab. GTN 2.6mg 1 + 1 + 0
Tab. Atova (atorvastatin) 20mg 1 tab stat then 0 + 0 + 1
Tab. Rivotril(clonazepam) 0.5mg 0 + 0 + 1
Inj. Pethidine 100mg ½ amp IV stat and SOS
Inj. Vergon (Prochlorperazine mesilate) 12.5mg/ml 1 amp IV stat and SOS
Tab. Betaloc (Metoprolol) 25/50 mg 1 + 0 + 1 [Not given if Systolic BP<105mg,
HR<65/min, pulmonary oedema]
Tab. Ramoril (Ramipril) 1.25/2.5mg 1 + 0 + 0
Bed rest: Change posture 2 hourly
Diet: 01, carbohydrate rich
Inj. Ceftron (Ceftriaxone) 1gm
1 vial IV stat and BD
Tab. Rifagut (Rifaximin) 200mg 1+0+1
Syrup. Avolac (Lactulose) 3.35gm/5ml 6 TSF TDS
Enema simplex
Stat
Inj. Konakion (Vit K) 1 amp IM stat and daily for 5 days
Please, Monitor the vital signs regularly Maintain intake output chart
Tab. Spirocard (Spironolactone) 100mg 1 + 1 + 0
Tab. Fusid (Frusemide) 40mg 1 + 1 + 0
Cap. Ometid (Omeprazole) 20mg 1 + 0 + 1 (B/M)
Tab. Rifagut (Rifaximine) 200mg 1 + 0 + 1 .
Syrup. Avolac (Lactulose) 3.35gm/5ml 3. TSF TDS
Tab. Indever (Proponolol) 40mg
Maintain intake output chart
Inj. Amoxi (Amoxicillin) 500mg
1 vial IV stat and TDS
Tab. Metryl (Metronidazole) 400mg
Inj. Gentin (Gentamicin) 80mg/2ml
1 amp IV stat and TDS- 7 days
Tab. Xpa (PCM) 500mg 2+2+2 (A/M)- If fever present
Aspiration of pus: If
✓ >5cm in diameter
Poor response to antibiotic
Rx of DC:
Cap. Seclo (Omeprazole) 20mg
1+0+1 (B/M)- 1 month
Tab. For (Domperidone) 10mg
1+1+1 (B/M) – 1 month
Syrup. Avolac (Lactulose) 3.35gm/5ml
3 TSF TDS – If constipation present
Inf. 5% DA 1L+ DNS 1L IV @20 drops/min
Cap. Seclo (Omeorazole) 20mg 1+0+1 (B/M)
Tab. Domin (Domperidone) 10mg 1+1+1 (B/M)
Syrup. Avolac (Lactulose) 3.35gm/5ml
3 TSF TDS
If there is deep jaundice:
Inj. Konakion (Vit K)
1 amp IM stat and daily for 5 days
If there is itching:
Tab. Ursocal (Ursodeoxycholic acid) 150 mg
1+0+1
Diet: 01, avoid alcohol
Tab. Napadol (Paracetamol+Tramadol) 325+37.5mg
Tab. Pansos (Pantoprazole) 20mg 1+0+1
Tab. Amit (Amitryptiline) 25mg 0+0+1
Tab. Zymet (Pancreatin) 325mg
Rx of DM (If present)
Rx on DC:
Tab. Napadol (Paracetamol+Tramadol) 325+37.5mg
1+1+1-If pain present
Tab. Pansos (Pantoprazole) 20mg 1+0+1-Continue
Tab. Amit (Amitryptiline) 25mg
0+0+1-1 month
Tab. Zymet (Pancreatin) 325mg
2+2+2- Continue
Tab. Napadol (Paracetamol+Tramadol) 325+37.5mg
Tab. Pansos (Pantoprazole) 20mg
1+0+1
Tab. Amit (Amitryptiline) 25mg
0+0+1
Tab. Zymet (Pancreatin) 325mg
2+2+2
Tab. Cefotil (Cefuroxime) 500 mg
1+0+1-total 7 days
Tab. Anadol (Tramadol) 50 mg
1+1+1- If pain present
Tab. Emistat (Ondansetron) 8mg
1+1+1
Cap. Seclo (Omeorazole) 20mg
1+0+1 (B/M)
Inf. NS 1L+ DNS 2L IV @ 30 drops/min daily
Inj. Cefotil (Cefuroxime) 1.5 gm 1 vial IV stat and TDS
Inj. Nalbun-2 (Nalbuphine) 20mg/1ml 1 amp IM stat and TDS
Inj. Emistat (Ondansetron) 8mg/4ml 1 amp IV stat and TDS and SOS
Inj. Seclo (Omeorazole) 40mg 1 vial IV stat & BD
Inj. Cardinex (Enoxaparin) 60mg 1 PFS S/C stat and BD around the umbilicus
If hypocalcemic tetany: Inj. Calcium gluconate 10% 1gm/10ml 1 amp with IV slowly
over 20 mins stat
If RBS≥10mmol/L: Inj. Actrapid HM (S100,U100) 6+6+4 (+2) S/C 15 mins before
meal
For pain and bloating:
Tab. Rostil (Mebeverine) 135 mg
1+0+1-continue
Tab. Amit (Amitryptiline) 25mg
Ars of age 0+0+1-continue
If diarrhoea predominant:
Tab. Rifagut (Rifaximin)550
1+0+1-14 days
Tab. Amit (Amitryptiline) 25mg
0+0+1-continue
If constipation predominant: Syrup. Avolac (Lactulose) 3.35gm/5ml 3 TSF TDS- Till
constipation persists
Tab. Cortan (Prednisolone) 20mg
2+0+0-1 month
Tab. Imuran (Azathioprine) 50mg
1+0+1-continue
Cap. Seclo (Omeorazole) 20mg
1+0+1 (B/M)- 1 month
Tab. Calbo-D
1+0+1-1 month
NPO-TFO: If vomiting, toxic megacolon or intestinal obstruction
২।
Found
GI
Inf. Hartsol 1 L+5%DNS 1L+5%DA
Gh
1L IV@30 drops/min
C
As
Inj. Ceftron (ceftriaxone) 1gm 1 vial IV stat and BD
Inj. Cotson (Hydrocortisone) 100mg/ Inj. Solupred (Methyl prednisolone) 40mg/ml 1
vial IV stat and 1 vial QDS/ 1.5ml IV stata and OD
OPR PL
Inj. Toradol (Ketorolac) 30mg/1ml 1 amp IM stat and TDS
Tab. Mesagut (Mesalazine)400mg
2+0+2-Continue
Or,
Tab. Salazine (Sulfasalazine) 500mg [If coexisting arthropathy]
1+0+0-7 days
1+0+1-7 days
1+0+2-7 days
2+0+2—Continue
Cap. Seclo (Omeorazole) 20mg
1+0+1 (B/M)- 1 month
Tab. Calbo-D
1+0+1-1 month
Inj. Remicade (Infliximabe) 100mg+ Inf. NS 100ml
IV @12 drops/min stat
Or,
Ciclosporin (2mg/kg)
NPO-TFO: If vomiting, toxic megacolon or intestinal obstruction
Inf. Hartsol 1L+5%DNS 1L+5%DA
1L
IV@30 drops/min
Inj. Ceftron (ceftriaxone) 1gm
1 vial IV stat and BD
Inj. Cotson (Hydrocortisone) 100mg/ Inj.
Solupred (Methyl prednisolone) 40mg/ml
1 vial IV stat and 1 vial QDS/ 1.5ml IV stat and OD
Inj. Toradol (Ketorolac) 30mg/1ml
1 amp IM stat and TDS
Inj. Seclo (Omeprazole) 40mg
1 vial IV stat and BD
Inj. Claxo (Enoxaparin) 60mg/0.6ml
1 PFS S/C stat and BD [1mg/kg/dose]
Blood transfusion: If Hb<10gm/dl
Omen P view dome
USG
NPO-TFO
OF suction: 2 hourly
Inf. Hartsol 1 L+5%DNS 1L+5%DA 1L IV@30 drops/min
Inj. Ceftron (ceftriaxone) 1gm 1 vial IV stat and BD
Inj. Metro (Metronidazole) 500mg/100ml 1 bottle IV stat and TDS
Inj. Emistat (Ondansetron) 8mg/4ml 1 amp IV stat and TDS and SOS
Inj. Anadol (Tramadol hydrochloride) 100mg/2ml 1 amp IM stat & TDS and SOS
Inj. Seclo (Omeorazole) 40mg 1 vial IV stat & BD
Inf. NS 1L+ DNS 2L IV @ 30 drops/min daily
Inj. Anadol (Tramadol hydrochloride) 100mg/2ml
1 amp IM stat & TDS and SOS
Inj. Emistat (Ondansetron) 8mg/4ml 1 amp IV stat and TDS and SOS
Inj. Seclo (Omeorazole) 40mg 1 vial IV stat & BD
Inf. Hartsol 2 L+ NS 1L IV@30 drops/min
Inj. Ceftron (ceftriaxone) 1gm 1 vial IV stat and BD
Inj. Seclo (Omeorazole) 40mg 1 vial IV stat & BD
Blood transfusion: If patient is actively bleeding with low blood pressure and
tachycardia
Endoscopy with intervention: Within 24 hours after adequate resuscitation
Rx of underlying cause: If its due to vericeal bleeding: Inf. DA 1L+ Inj. Stilamin
(Somatostatin) 3mg/amp 2 amp 40 ml IV stat Then, IV @ 10 drops/min- 5 days
Syrup. Avolac (Lactulose) 3 TSF stat and TDS
If its due to bleeding PUD:
Inj. Seclo (Omeorazole) 40mg 2 vial IV stat & then,
Inf. NS 1L+ Inj. Omeorazole 40mg 5 vial IV @ 10 drops/min [8mg/hour]
