ER Platinum =) Made by: Dr.

Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Cv Drug Name (Brand) Dosage Form # Sig: Indication/ Case Contraindicati Cost Notes
(Generic) encountered on
Cefuroxime Axetil 500 mg tab 14 Take one tablet Cat bite Hypersensitivi Enteral 2nd
Axim every 12 hours -planter wound, ty to generation
nail Cephalosporin cehalospor
s in

GI
disturbances:
Diarrhea, N/V
Ciprofloxacin Acipro *500mg Tab 14 *1 tablet every -Plantar Hypersensitivi Quinolone
Baxolyn 750mg 12 hours puncture ty antibiotics
Ciclodin -Lower resp
Ciflamax (bid) Take 2x tract infections Less
Aecipro daily for 7-14 -upper resp tract efficacy:
Brucipro days infections *do not
-skin and soft take with
tissue infx dairy
-Complicated products
UTI *do not
use alone
Orphenidrine + Norgesic 50mg/650m tab 9 Take one tablet -Pain -Caution
Paracetamol forte g every 8hrs as -Headache Sedation
needed for pain -Pregnancy
Amoxicillin Aclav 250/50 1 Give 4ml every Pedia/trauma Penicillin
(pedia) Auget 8hrs for 7 days

Paracetamol 250/50 1 Give 4ml every Pedia/ trauma

Pedia 6 hours as
needed for pain
Amoxicillin- 250-500mg Bites, Dogs/ Hypersensitivi Penicillin
Clavulanate 8 hrly cats ty
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

or
500-875mg
12 hrly

Adult:
625mg
Paracetamol 500mg Tab 10 PAIN -Cat bit
Take one tablet -headache
every 6 hours -dental pain
as needed for -post -operative
pain -pain
-post traumatic
FEVER mm pain
take one tablet
every 4 hours
for fever greater
or equal to
37.8C
Metronidazole Flagyl 500mg Tab 21 Take 1 tab -Amoebiasis
every 8 hours -LBM
for 7 days -Blood streaked
stools
Ciprofloxacin 500mg Tab 14 Take 1 tab -LBM
every 12 hours -Amoebiasis
for 7 days
Racecadotril Diatril 100mg Cap 9 Take 1 tab -Diarrhea
Hidrasec every 8 hours
Drasel 30 *200mg *tab *18 for active
Racecore diarrhea for 3
days

*Take 1 tablet
3x a day until
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

with formed
stool
ORS Sachet 3 Mix 1 sachet to
1 glass of water
*10 as volume per
volume
replacement
Bacillus Clausii (Erceflora) 2B/5mL vial 10 1 vial 2x a day Active diarrhea
for 5 days
*9
*drink 1 vial 3x
a day for 3 days
Diphenhydramine Benadrex anti-
Benaxil histamine
Benadryl
Hydrocortisone
Ranitidine Anacids,
anti refulx
agents,
anti
ulcerants
Dexketoprofen Ketesse TAB tab Mild to Nausea and NSAID
12.5mg moderate vomiting *should
every 4-6 hr intensity like be taken
musculo- on an
or skeletal pain empty
-dental pain stomach,
25mg every -low back pain 30 mins
8 hrs before
meals
IV IM
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

50 mg every
8-12 hrs
Tramadol + Dolcet 37.5mg/325 tab 10 *1 tab every -slipped disc
Paracetamol mg every 8hrs as -Moderate to
needed for pain severe pain

1-2 tabs every

4-6 hrs as
needed for pain
relief up to a
max of 8tabs/
day
Rifaximin Normix 200mg Tab 9 3 times/ day for -Travelers antibiotics
3 days diarrhea
-IBS
- hepatic
encephalopathy
Mefenamic acid Ponstan 500mg Tab 3 times/day -pain and NSAIDS
inflammation
Tramadol + TDL plus 325mg/37.5 tab 1-2 tab every 4- Moderate to
Paracetamol mg 6 hr, Max severe acute and
8tab/day chronic pain
-associated w/
diagnostic
procedure and
surgery
Montelukast Na + Co- Altria/ 10mg/5mg tab 5 Take one tablet Relief of Antihista
Levocetirizine Co-Altria once a day at symptoms mine and
diHCL ped bed time for 5 associated w/ antiallergi
Zykast days seasonal and cs
perennial
allergic rhinits
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Levodroprop Levopront Adult/childn syrup 1 tid Symptomatic Cough

izine >12 yrs: relief of cough and cold
10ml preparatio
ns
Butamirate Sinecod Adult: 2-3 tab Symptomatic Cough
Forte tab daily at 8 treatment of suppressa
or 12 hr cough of nts
intervals various origins
Celecoxib 200mg tab 6 200mg/ day in -Osteoarthritis NSAID
1 or 2 divided -Rheumatoid
doses arthritis
-ankylosing
200mg bid spondylitis

*take 1 capsule
per orem, 2 a
day as needed
Etoricoxib Arcoxia *90mg tab 6 1 tab once a day -signs & sx of Active peptic NSAID
for severe pain OA &RA ulceration or
OA: -acute gouty GI bleeding
30mg arthritis
60mg -primary
dysmenorrhea
RA, -moderate to
ankylosing severe acute
spondylitis post-op pain
& post-op associated w/
dental pain: dental surgery
60mg and abdominal
90mg gynecological
surgery
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Ferrous sulfate + 300mg/ tab 1 tab once a day Anemia -Vitamins

folic acid 250mcg &
Minerals
-
antianemi
cs
Trimycin Bacitracin Dermacological Topical
200u Diseases antibiotic

Neomycin
3mg

Polymyxin
B sulfate
4,000u
Neomycin Cream/ clean the Skin infections Antibiotic
ointment affected area s/
and apply bid Aminogly
coside
Sulfamethoxazole- Co- Antibacter
Trimethoprim trimoxazole ial
combinati
Bactrim ons

Cotrim
Co-amoxiclav 312.5mg/ml
Paracetamol 250mg/5ml
Sinupret (Radix) dragees 30 Sig: Take 2 Post nasal drip
dragees every 8
hours for 5 days
Desloratadine (Aerius) 5mg Tab 5 Sig: take one Seasonal and
tab once a day perennial
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

at bedtime for 5 allergic rhinitis

days and urticaria
B-complex tab 30 Sig: take one
tablet once a
day at breakfast
Hydrite Sachet sachet 6 1 sachet in 200 LBM
ml of water, Vomiting
drink at volume
per volume
replacement
Spasmomen Motilium *40mg Capsule 9 1 capsule 3x a Abdominal
Bromide day as needed spasm and pain
Domperidone *Tablet *12 for pain

*Take 1 tablet
3x a day for
crampy
abdominal pain

Racecadotril 100 Capsule 9 Take one Diarrhea

capsule every 8
hours

1 capsule 3x a
day as needed
for active
diarrhea
Co-Amoxiclav 625mg/tab Tab 14 Take 1 tab 2x a
day for 7 days
21
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

take one tablet

every 8 hours
for 7 days
Difflam gargle 1 Gargle 15 ml
for 30 seconds
with 1-3 hour
intervals
Betamethasone + Claricort 250mcg/5m tab 10 Take one tablet
Loratadine g every 12 hours
for 5 days
Sulbutiamine Arcalion 200mg Tab 14 Take one tablet
every 12 hours
for 7 days
Betahistine Serc 24mg Tab 6 Take 1 tab 2x
daily for 3 days
Difflam Spray bottle 1 Take 2 puffs
every 4 hours
as needed for
throat pain
Lansoprazole Prevacid 30mg Tab 15 Take 1 tablet -GERD
once a day, 20 -acid related
mins before dyspepsia
breakfast

Terbinafine Lamisil 1% Cream 1 Apply locally -Fungi

cream/gel/spray on affected -tinea cruris
area every 12 -tinea pedis
hours -Cutaneous
candidiasis
Metoclopramide Plasil 10mg Given IM or -anti emetic
TIV
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Azithromycin 500mg Tab 5 Take 1 tablet

once day for 5
days
Bactidol Gargle Bactidol Bottle 1 Give 10-15ml
Oral every 12 hours
Antiseptic after meals
Domperidone (Motilium) 10mg tab 21 1 tab every 8
hours for 7
days
Acyclovir (Zovirax) 800mg Tab 35 Take 1 tab Chicken Pox
every 4 hours Herpes
to omit
*Acyclovir *1 evening dose
CREAM
*apply thinly
over the
affected area
3-4x a day
Cetirizine (Virlix) 10mg tab 14 Take one tablet cold or allergy
before bedtime symptoms such
as sneezing,
itching, watery
eyes, or runny
nose
Eperisone (Myonal) 50mg Tab 9 1 tablet 3x a Spastic Paralysis
day after meals
*15
*take 1 table
every 8 hours
for 5 days

Pinene Rowatinex 31mg Cap 21 Take 1 cap For renal and

every 8 hours urinary disorders
for 7 days including
urolithiasis.
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Difflam Spray Bottle 1 2 puffs every 4

hours as
needed for
throat pain
Lanzoprazole Prevacid 30mg tab 15 Take 1 tablet
once a day, 20
minutes before
breakfast
Loratidine + tab 1 tab bid for 5
Betahistamine days
Clarithromycin 1 tab bid for 7
days
N-Acetylcysteine Fluimacil 600mg Tab 5 1 tab dissolved
in ½ glass of
water once a
day at bedtime
for 5 days
Ebastine + Co-Aleva 10mg/500ugs tab 6 One tablet Allergic
Betamethasone BID conditions
Inosiplex Immunosin tab 21 Take 1 tab 3x
a day for 7
days

Mupirocin ointment 1 Apply on antibiotic

affected area
2x a day
Pantoprazole 40 mg Cap 14 Take 1 cap
once daily 30
minutes
before
breakfast
Potassium Citrate 10meq 9 Take 1 tablet
every 8 hours
for 3 days
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Macrodantin (nitrofurantoin) 100mg Tab 14 Take one UTI

tablet every
12 hours for 7
days
Neomycin Otic drops 1 Apply 2 drops
Drops on affected
ear 3x a day
Gaviscon 1 Take 10 ml
every 4 hours
as needed for
pain, after
meals
Tobramycin Tobrex drops 1 1-2 drops
every 6 hours
on effected
eye
Combivent (ipratropium + 500mg/2.5mg puff 1 -Take 2 puffs BAIAE
Salbutamol) every 12
Duavent hours as
needed for
difficulty of
breathing
-nebulize 3x a
day as needed
for difficulty
of breathing

Methylprednisolone 60mg Tab 3 Take one arthritis, blood disorders,

tablet once a severe allergic reactions,
*16mg day for 3 certain cancers, eye
days conditions,
skin/kidney/intestinal/lung
*Take 1 tab diseases, and immune
2x a day for 3 system disorders
days and then
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

once a day
for the next 3
days

Cephalexin 500mg Tab 21 Take 1 tab Infections, URTI

every 8 hours Ear infection,
for 7 days Skin infection
UTI
Seretide (Fluticasone Puffs inhaler 1 2 puffs as
propionate/ needed
salmeterol 50/25
Xinafoate)
125/25

250/25
Montelukast 10mg Tab 5 1 tab at night/ BAIAE
bedtime for 5
*14 days

*Take 1 tab
once at
bedtime for
2weeks
Co-Aleva Ebastine 10mg/500mcg Tab 6 1 tablet Bid
Betamethason
e
Inosiplex (immunosin) 500mg Tab 21 Take 1 tab 3x Anti viral
a day for 7
days
Clindamycin 150-450mg tab 14 Take 2 tablets
for 7 days
*300mg
Q6-8hrs
Hydroxyzine Iterax 50mg Tab 10 Take 1 tab a
diHCL day as
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

*25mg *5 needed for

itchiness

*Take 1
tablet every 8
hours as
needed for
itchiness

cetirizine 10mg OD Tab Take 1 tablet

once a day
Or 5 mg BID before bedime

Bisacodyl Dulcolax 5mg OD tab Take one tablet Laxative

Suppository once a day at
night Overnight
relief
Peroxicam 20mg BID tab Take one tablet Pain Killer
twice a day for
pain Non-Steroidal
anti-
inflammatory
Hyoscine-N-bu- Buscopan 10mg Tab Take one tablet Acute GI,
tylbromide every 8 hours biliary and
(HNBB) as needed for genitourinary
pain spasm
Ibuprofen 200-400mg tab Take one tablet Mild to
4-5 hourly as every 4 hours moderate pain
needed as needed for ,
pain Dysmenorrhoea
Amlodipine 5mg Tab 15 Take one tablet
once a day ,
morning
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Losartan 50mg Tab 15 Take 1 tablet

before before
bedtime
Polynerv 1000 Vitamin B 500mg tab 30 Take 1-2 Neuritis,
complex tablets daily poyneuritis
Cervical
and ,shoulder
arm syndrome
Alcoholism

Prednisone 40mg tab 10 Take 1 tab 2x Allergic

a day for 5 conditions
days
Cinnarizine Stugeron 25mg Tab 14 1 tablet 2x a Labyrinthine
day for 7 disorders
*75mg Tab 21 days with (vertigo,
food dizziness,
tinnitus,
*1 tablet 3x a nystagmus,
day for 7 N/V)
days after
meals, as
needed for
dizziness
Piracetam Nootropil 800mg tab Myoclonus
Alzheimers
disease,
Dementia
Memory
dysfunction
Alcoholism
Tranexamic Acid Ranexid 100mg/ml Ampule 15 Take 1 g
every 12
hours
Bromazepam Lexotan 3mg tab Anxiety Benzodiazepines
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Tension
6mg agitation
Tranexamic Acid Hemostan 500mg Cap 1 cap 3x a
day for 5
days

Also for 3
days
Benzoxonium Cl Orofar-L 0.5mg/ .05mg Bottle 1 Gargle 15ml
+ Lithium HCl Gargle per mL soln every 8
hours
Rosuvastatin Crestor 20mg tab 60 One tab once
Preventa a day for 60
days

Silymarin Liveraide 140mg/bid/tid cap 60 1 capsule Hepatic

Hepavit once a day diseases
Legalon for 60 days
Liver Plus
*bid/ tid
Potassium Kalium *750mg/tab tablet 9 Take one tab Hypokalaemia
Chloride Durules every 8 hours
Adult: as for 3 days
prophylaxis:
20 mEq daily.
As treatment:
40-100 mEq
daily in 2-4
divided doses

Max: 40
mEq/dose;
150 mEq
daily
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Dosage is
individualized
based on
serum k
levels
Telmisartan 40mg Tablet 30 Take 1 tab High Blood
once a day pressure
Clonidine Catapres 75mcg Tablet 10 Take 1 tablet High blood
under the pressure,
tongue for BP attention deficit
hyperactivity
disorder
-anxiety
disorder
-tic disorders
Clonazepam 2mg Tablet 3 Take ½ tab at -seizure
bedtime disorders
-panic disorder
Sambong Re-Leaf forte 500mg Tablet 42 4 tab or 2 -Anti-
tab forte tab 3x a urolithiasis
day for 7
days
Cloxacillin 500mg/ tab Tablet 28 Take one
tablet every 6
hours for 7
days
Fluocinolone Aplosyn Otic 250mg/otic Bottle 1 Instill 3 drops Otitis Externa
Acetonide drops on affected
ear for 3x a Eczema of the
day for 7 outer ear
days

*2-3 drops 3x
a day for 5
days
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Oresol Sachet sachet 15 Dissolve 1

sachet in 200
ml of water

Drink for
volume
replacement
Lactulose Bottle 1 Take 30 ml
once a day at
night

Stop if
having more
than 3 bowel
movements/
day

*take 15-
30ml as a
single dose
or 2 divided
doses for 3
days
Human Anti- Berirab 300IU/2ml vials 5 As directed
Rabies
Immunoglobulin *Based
on wt.

Flutiform MDI 125/5 1 2 puffs 2

mg/inhaler times a day
Sultamicillin 750mg Tab 14 Take one-tab Otitis media,
2x a day for Respiratory
7 days tract infections,
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

UTI,
Uncomplicated
gonorrhoea
Aspirin Bayer 80mg Tab 7 Take one tab
once a day
ISDN Isordil Oral tab 5- tab 3 Take 1 tab
30 mg qid. sublingual as
Isosorbide SL tab 5-10 *6 needed for
Dinitrate mg 2-3 hrly. chest pain

*take 1 tablet
sublingual
every 8 hours
as needed for
chest pain
Propanolol 10mg tab 3 Take one-tab
3x a day as
needed for
anxiety

Loratadine 10mg tab 10mg once

daily or 5
5mg mg 12 hrly
Kamillosan Bottle 1 Apply 2 Anti-
puffs of inflammatory
kamillosan properties of
spray chamomile and
solution to the antibacterial
the sore effect of the
throat 3x a essential oils to
day. Best create a spray
after meals solution that is
fit to relieve a
sore throat
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Ranitidine 150mg tab Oral: Histamine H2

treatment: Antagonist
300mg 150mg 2x
daily, or 300
mg once
daily after
the evening
meal or at
bedtime;
maintenance
of healing:
150 mg
once daily
at bedtime

Olopatadine Instill 1 H1 antagonist

drop into
each Allergic
affected eye conjunctivitis
once daily
Stugeron 75mg capsule 9 TID after
Forte meals PRN
for
Dizziness
Pataday, Instill 1 Allergic
Pazeo drop into Conjunctivitis
each
affected eye
once daily
Patanol Instill drop Allergic
into each Conjunctivits
affected eye
2x daily
(allowing 6
to 8 hours
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

between
doses)

Insulin human Humulin R 100 iu in 1 Injection

ml
Ginkgo Biloba Tebokan 40mg/tab tab Take 1 tab Disturbances in
every 8 cerebral
hours as performance
needed for (decreasing
dizziness intellectual
capacity and
vigilance) w/
the following
symptoms:
dizziness,
tinnitus,
headache,
deficient
memory and
emotional
instability w/
anxiety
Levetiracetam Keppra 500mg Tab 60 Take one
tablet BID
Esomeprazole Nexium 40mg Tab 7 Take 1 PPI, reduces
tablet once stomach acids,
a day for 7 dyspepsia,
days PUD, GERD
atorvastatin Lipitor 20mg tab 9 Take 1 Statins, lipid
tablet once lowering agent
a day before
bedtime
Ambroxol 30mg Tab 6 Take one Mucolytic
tablet every agent which
8 hours reduces the
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

thickness of the
sputum
Phenylpropanolamine tab 15 Take 1 tab Decongestant
every 8 Tx of nasal
hours for 7 congestion
days associated with
common cold,
allergies, hay
fever
Nystatin ointment 1 Apply on aphthous ulcer
affected
area every 8
hours

Procaterol 25mcg Tab 5 Take 1 tab bronchodilator

once a day
for 5 days
febuxostat 40mg Tab 14 Take 1 tab Treat excess
once a day uric acid in the
for 2 blood
weeks (hyperuricemia)
Metronidazole Dazomet 500mg/100mL Iv Amoebiasis
infusion
Ketorolac 20mg Tab 5 Tale 1 tab
once a day
as needed
for pain
Budesonide + Symbicort Inhaler 1 Inhale
Formoterol every 12
hours 2
puffs
Metformin 500mg Tab 180 Take 1 tab
3x a day
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Diosmin + Daflon tab 120 Take 2 Multivitamin

Hesperidin tabs once a Treatment of
day venous
insufficiency,
Venous leg
ulcer
Chlorpheniramine Neo Per 5 mL SYR Syrup 60 m1 / Adult 1-2 Control of
Maleate/ Bromexan 2mg/100mg/5mg 1 bottle tsp tid. cough and nasal
Guaifenesin/ Childn ½- congestion due
Phenylpropanolamine 1 tsp tid to common
colds, sinusitis,
and other resp
infections and
allergy

Levocetirizine synactiv 5mg/ 1mg tab 7 Adult & Short-term

diHCL/ adolescent treatment of ur-
betamethasone Na ≥15 yr 1 ticaria & inter-
phosphate tab once mittent peren-
daily. nial or persistent
allergic rhinitis.

Phenylpropanolamine Nasatapp 15mg/12mg tab 15 Take 1 Allergic &

HCL/ tablet vasomotor or
brompheniramine every 8 other
maleate hours for hyperactive
5 days nasal disorders
& acute coryza.
Relief of nasal
congestion &
hypersecretion.
Doxycycline 100mg Tab 14 Take one
tab every
12 hours
for 1 week
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Tramadol 50mg Tab 6 Take one

tablet
every 12
hours as
needed for
pain
Naproxen 500mg Tab 5 Take 2 tab Headaches, NSAID
every 8 muscle aches,
hours as tendonitis,
needed for dental pain, and
pain menstrual
cramps.
Reduces
swelling and
joint stiffness
caused by
arthritis,
bursitis, and
gout attacks
Hypromellose 1 Instill 1-2 relieve dryness
eyedrops drops 3x a and irritation
day caused by
reduced tear
flow
Rebamipide Mucosta 100mg Tab 3x/day Gastroprotective
agent, gastric
ulcer, gastritis
Cefixime 200mg Tab 14 Take 1 tab
every 12
hours for
7 days

Carbenoxolone gel 1 Apply to

lesions 4x
daily after
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

meals and
at bedtime

General: Awake, conscious, coherent, NICRD

HEENT: anicteric sclera, pink palpebral conjunctiva
No nasal discharge, No tonsillopharyngeal congestion
HEART: Adynamic Precordium, Normal Rate, Regular Rhythm
LUNGS: symmetrical chest expansion, Clear Breath sounds
STOMACH: Soft Abdomen, Non tender, no rebound & direct tenderness,
EXTREMITIES: Full equal pulses, Grossly Normal Extremities, Capillary Refill Time < or equal 2 sec

RICE: REST, ICE, COMPRESS, ELEVATE

PNLR (K LOSS) Diarrhea , Metabolid acidosis

PNSS (NA LOSS) Vomiting, HypoCl, aklalosis

HYPERTENSIVE WORKUP
CBC
CXRAY
BUN/ CREA
FBS
BUA
U/A
LIPPROF
SGPT SGOT
SE

FIT TO WORK:
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

May resume customary activity in relation to described illness

PACS:
LOGIN: RVOLLERO
PW: 654321

Cranial NERVES:
I: Cranial
II: Light and Visual Perception, Visual Acuity, Reactive pupils
III: pupillary constriction
III, IV, VI: Extra ocular eye movement, Pattern
V: Mastication
VI: Lateral Rectus
VII: Face, Proprioception
VIII: auditory
IX, X: Gag
XI: shrug
XII: Lingual

ANIMAL BITE:
• Please secure consent for treatment
• Perform wound care of bite area
• Give the following
o Tetanus Toxoid .5ml IM
o Tetanus IgM 250 iu IM
o Verorab 2-1-1 regimen IM
o Rabies Ig (based on kg body wt requirement) ___ ml IM ANST ( )
• MGH once meds is given
• H/M
• Advise wound care c/o patient
• Advise TCB for any eventualities
• Advised to complete subsequent vaccination schedule
• Advised
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

Example Calculation for Berirab

Wt. x 0.133 cc

= 7.0cc/ 2 = 4vial

DENGUE
• IgM: NOW
• IgG: PAST

Protocol: Patient with CVD BLEED

• Patient seen and examined
• History and Physical Examination done
• Secure Consent for Management
• O2 Canula
• IVF PNSS 1L, __ cc/ hour
• Citicholine 2gm, TIV now
• Mannitol 20% 300cc bolus now
• DX
o Plain Cranial CT Scan
o ECG
o CBC
o PT/PTT
o BUN/CREA
o SE
• Keep patient Euglycemic and slight hypothermic @ all times
• Moderate high back rest
• Keep head elevated 30 degrees at midline
• VS monitoring q1
• Refer to IM for ICU Admission
• REFER

Protocol: Intubated patient

ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

• Triage as critical care

• Quick Paddle, Asystole
• CPR started with bag mask valve
• 30:2
• Intubated 7.5mm diameter ETT
• Fixed at 21 cm, upper incisor
• Venoclysis, PNSS IL KVO
• Epinephrine 1mg 1st dose given
• CPR continued every 2 minutes
• Pulse checked ( - )
• Epinephrine 2nd dose given
→
Death protocol (example)
• 210pm pronounced dead, (month day year)
• Post mortem care
• Autopsy suggested
• Death Certificate given
o DX
▪ DEAD ON ARRIVAL
▪ TIME OF ARRIVAL:
▪ TIME OF DEATH:

Protocol for stroke patient:

• CBC, PT/PTT, BUN/CREA
• ECG
• CBG
• Cranial CT scan
• O2 Canula
• Citicholine 2mg
• IL PNSS 12 hours

Protocol for intubated Patient:

• Patient Seen and Examined
• Hx and PE Done
ER Platinum =) Made by: Dr. Jon-Raoul Acupan, 1st Year Resident, EM (LAST UPDATE, 12-9-18)

• Secure consent for management

• DX
o ECG
o CXR
• CBG STAT
• Secure airway, intubate using 7.5 ET, Secure at level 20
• Hook to bag valve at 100% FiO2
• IVF:
o PNSS ILx 8 hrs
• MEDS:
o Citicholine 1gm TIV
o Nicardipine Drip: 10mg +
▪ PNSS x 100cc/hr titrate
▪
▪ To maintain BP less than or equal to 140/80
o Mannitol 20%, 200cc, TIV now
• DX:
o Plain cranial CT scan
o CBC
o BUN, CREA
o Na, K, CL
o 12lead ECG
• Advise Admission to ICU
• Refer

Calculation for MAP

MAP = ((2 * Diastolic BP) +Systolic BP)/ 3

MAY RESUME NORMAL CUSTOMARY ACTIVITY IN RELATION TO PREVIOUSLY DESCRIBED INJURIES