CHEMOTHERAPY

 


Ø      Prescribe for a child Suffering from acute rheumatic fever

Rx        Inj Crystalline penicillin                     10 lakh unit

            Tab Diclofenac sodium                        300 mg

            Dispense 21 such ampules and 15 such tablets.

            Administer 1 ampule i.v. 3 times a day for 7 days

            Take one tablet thrice daily after food

 

Ø      Prescribe for a pt. Suffering from Enteric fever

Rx        tab. Ciprofloxacin                   300 mg

            Dispense 20 such tablets.

Take 1 tablet twice daily for 10 days. Review after 10 days.

 

Ø      Prescribe for a pt. Suffering from pulmonary Tb.

Rx        tab. Isoniazid                           300 mg

            Dispense 180 such tablets; Take 1 tab daily for 6 months

            Tab. Rifampicin                      600mg

Dispense 180 such tablets; Take 1 Tablet daily for 6 months

            Tab. Ethambutol                     900 mg

            Dispense 60 tablets; Take 1 tab daily for 2 months

            Tab. Pyrazinamide     

            Dispense 60 such tablets; Take 1 tablet daily for 2 months

            Tab. Pyridoxine

            Dispense 180 such tablets; Take 1 tablet daily for 6 months

                  Come for review after every month

 

Ø      Prescribe for a woman Suffering from uncomplicated UTI

Rx        Tab. Cotrimoxazole                160/ 800 double strength

            Dispense 20 such tablets

            Take 1 tablet twice daily for 10 days

                  Drink plenty of water of tender coconut.

 

Ø      Prescribe for a pt. Suffering from amoebic dysentery

Rx        tab. Mebendazole                               400 mg

            Dispense 21 such tablets

            Take 1 tablet thrice daily for 7 days. Review after 7 days. Do not consume alcohol.

 

Ø      Prescribe for a pt. Suffering from amoebic liver abscess

Rx        tab. Metronidazole                             400 mg

            Dispense 21 such tablets

            Take 1 tab thrice daily for 7 days

            Tab. Chloroquine phosphate                 250 mg

            Dispense 46 such tablets.

Take 2 tablet twice daily for 2 days followed by 1 tab twice daily for 19days; review after 21 days, Take tablet after food.

 

Ø      Prescribe for a pt. Suffering from streptococcal tonsillitis

Prescribe for a pt. Suffering from pneumococcal pneumonia

Rx        Cap. Amoxycillin                    500mg

            Dispense 21 such tablets

            Take 1 capsule 3 times a day for 7 days. Review after 1 week

 

Ø      Prescribe for a pt. Suffering from Shigellosis

Rx        tab. Ampicillin                         500 mg

            Dispense 21 such tablets

Take 1 tab thrice daily for 7 days

 

Ø      Prescribe for a pt. Suffering from vivax malaria acute attack

Rx        Tab Chloroquine sulphate        500 mg (300mg base)

            Dispense 5 such tablets

            Take two tab immediately, 1 tablet after 8 Hrs, 1 tablet after 24 Hrs, 1 tablet after 48 Hrs.

            Tab. Primaquine                     26.3 mg salt (15 mg base)

            1 tablet daily for 14 days

 

Ø      Prescribe prophylaxis for vivax malaria

Rx        Tab. Chloroquine                    1g salt (600 mg base)

Take one tablet every week. Start 1 week prior to the journey, while in endemic area & 4 week after leaving endemic area

Tab. Primaquine                     26.3 mg salt (15 mg base)

Take 1 tablet daily for last 14 days

 

Ø      Prescribe for a pt. Suffering from Ringworm infection

Rx        Cream Cotrimazole                 1%

                        Dispense 1 tube. Apply twice daily over the affected area after bath.

 

ANTIHELMINTIC

 

Ø      Prescribe for a pt. Suffering from hook worm infestation

Rx        Tab. Mebendazole                  100mg

            Dispense 6 tablets, take 1 tablet twice daily for 3 days.

            Tab Ferrous sulphate 200 mg

            Dispense 90 tablets, take 1 tablet thrice daily for 30 days

            Review after 1 month

 

Ø      Prescribe for a pt. Suffering from round worm infestation

Rx        Tab. Mebendazole                  100mg

            Dispense 6 tablets. Take 1 tabllet twice daily for 3 days

 

Ø      Prescribe for a pt. Suffering from tape worm infestation

Rx        Tab. Niclosamine                                500mg

            Dispense 4 tablets.

Initially take 2 tablets, chew & swallow with water. After 1 hour take another 2 tablet, chew and swallow with water.

            Tab. Magnisium sulphate                  15g

            To be dissolved in 200 ml of water & taken after 2 Hrs after the second dose.

 

Ø      Prescribe for a pt. Suffering from mixed worm infestation

Rx        Tab. Mebrndazole                              100mg

            Dispense 6 tablets.

            Take 2 tablet daily for 3 days

            Tab. Ferrous sulphate                        200mg

            Dispense 90 tablets. Take 1 tablet thrice daily for one month

            Review after 1 month

 

Ø      Prescribe for a pt. Suffering from Filariasis

Rx        Tab Diethyl Carbamazine citrate        100mg

            Dispense 63 tablets. Take 1 tablet thrice daily for 21 days

            Tab. Pheniramine maliate                    25 mg

            Dispense 15 tablet. Take 1 tablet thrice daily for 5 days

            Review after 3 weeks

 

HORMONES:

 

Ø      Prescribe for a pt. Suffering from myxedema

Rx        Tab. Thyroxine sodium           100mg

            Dispense 30 tablets

            Take 1 tablet daily at morning on empty stomach. Review after 1 month

 

Ø      Prescribe for a pt. Suffering from Diabetic keto acidosis

Rx        Inj. Regular insulin                 10 Unit stat

            Start infusion of 6 unit/Hr; {0.1 unit/Kg/Hr)

            Inj Normal saline                    6 bottles

            Start infusion     first ½ Hr: 2 Bottles, Next 1 Hr: 2 Bottles, Next 2 Hr: 2 Bottles

            Monitor serum potassium and supplement if required

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