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ER Medications:
- Hydrocortisone 100
mg/vial – Give 200
mg TIV (Except PTB)
- Furosemide 20
mg/ampule
For cough:
- Erdosteine
300mg/cap TID x 5
days
DRIPS
Infusion rate: 2-5 mcg/kg/min Dobutamine dose =Dobutamine drip rate (cc/hr) x Dobutamine factior
Maximun: 20-50 mcg/kg/min cc/hr Body weight in kg
ER Meds: ER Meds:
- HNBB 10 mg/amp - HNBB 10 mg/amp
- Metoclopromide 10 mg/ amp - Metoclopromide 10 mg/ amp
- Omeprazole 40 mg/vial - Tramadol + Paracetamol 37.5mg + 325mg / amp,
- Paracetamol 300 mg / amp - Loading Dose: Ceftriaxone 1g vial x 2
UROLITHIASIS APD
Labs to request: Labs to request:
- Urinalysis - 12 Lead ECG
- CBC with PC - Chest Xray
- BUN, Crea - CBC with PC
- KUB ultrasound - Urinalysis
- Na, K, SGPT, SGOT
ER Medications: - BUN, Crea
- If patient is in severe pain you can give:
Tramadol 50 mg / ml – 1 ml TIV ER Medications:
SE: Nausea and vomiting - Omeprazole 40 mg/vial – Give 1 vial TIV
- HNBB 20 mg/ amp – Give 1 amp
Home Medications:
- Potassium Citrate tablet TID x 3 months Home Medications:
- Sambong tablet TID x 3 months - Omeprazole 40 mg – Take 30 mins before breakfast
- Tramadol + Paracetamol 37.5mg + 325 mg tablet for 14 days
BID or PRN for pain - Aloh mgoh (maalox) TID after meals 5 days
- HNBB 10 mg TID 3 days
Nicardipine drip
- 10 mg in 90 cc PNSS to run at 10 cc/hour
- Titrate by increments of 5 cc/hour (To maintain
BP (<150/90)
Home Meds:
- Either continue current maintenance medications
OR
- Amlodipine 10 mg / tab OD
- Irbesartan 150 mg / tab OD
- Prepare a Hypertensive work up (CBC with PC,
BUN, Crea, Urinalysis, 12-L ECG, Na, K, Chest
Xray, SGPT, SGOT, Lipid profile)
HYPOKALEMIA HYPERKALEMIA
K deficit = (3.5 - actual) /0.27) ×100 - Potassium >5.5
- Decreased renal potassium excretion – Most
Labs to request AT ER: common cause
- 12 Lead ECG
- Na, K Labs to request AT ER:
- CBC with PC - 12 Lead ECG
- Urinalysis - Na, K
- CBC with PC
ER Medications: - Urinalysis
Kalium durule tablet
- 10 meqs S/Sx:
- 1 tablet every hour - Predominantly CARDIAC in nature
- (0.1 Increased in Potassium) - Sinus arrest
- V tach /V Fib
KCL drip - Sinus bradycardia
- 1amp - 40 meqs / amp - Asystole
- 5 meqs/hour x 8 hours
- 80 cc PNSS in soluset + 30 meqs KCl (0.2 Classic ECG:
Increased in Potassium) - Peaked T waves
- Loss of P wave
- Widened QRS complex
- Sinusoidal pattern
Management:
1. Cardioprotection
- From arrhythmic effects of hyperkalemia
- 10 ml of 10% Ca gluconate (Give thru IV push 2-3
minutes)
- Dose should be repeated if no changes in ECG
2. Cellular districution
- Shifts potassium inside the cells
a. GI solution: D50-50 + RI
- MC side effect is Hypoglycemia therefore
should follow D10 Water at 50-75 cc/hr
b. Salbutamol nebulization