DOCTOR’S ORDERS

Cardiorespiratory arrest
1CPCR started
2 Endotracheal intubation
3 CPCR continued
4 Shift the patient to MICU
Acute myocardial infarction
1 Pulse rate BP chart
2 Inj Morphine 3mg IV Stat +
Inj Phenergan 25mg IV Stat
3 Tab DISPIRIN 325mg Stat
4 O2 inhalation
5 propped up position
6 ICCU consultation
Unstable angina
1 Inj ENOXAPARINE 0.4 ml s/c BD
2 Tab ECOSPIRINE 150mg 0—1—0
3 Tab CLOPIDOGREL 75mg 1—0—0
4 Tab METOPROLOL 25mg 1—1—1
5 Tab CAPTOPRIL 6.25MG 1—1—1(to be
stepped up)
6 Tab SORBITRATE 10mg 1—1—1
Acute left ventricular failure
1Inj LASIX 60mg IV Q8h
2 Inj MORPHINE 3mg IV stat +
Inj PHENERGAN 25 Mg IV stat
3 O2 inhalation
4 Propped up position
5 ICCU consultation
 Acute severe asthma
1Nebulise with SALBUTAMOL 1ml in 4ml
NS stat
2 Inj DERIPHYLLINE 1amp IV Q8H
3 Inj EFCORLIN 2OOmg IV stat
4 IVF 2ONS
5 O2 inhalation
6 MICU consultation
Acute renal failure
1 Intake-output chart
2 Intake=output +600ml
3 Inj CP 20LU iv Q6h
4 Inj Soda bicarb 30ml IV Q6h
5 Inj Calcium gluconate 10ml slow IV Q8h
6 Inj Ranitidine 50mg IV Q8h
7 Inj 25%D 100ml IV Q8h
8 IVF—2O NS
9 Nephrology reference
Chronic renal failure

 1 Intake—output chart
 2 Intake=Output+600ml
 3 Tab Amlodipine 5mg 1—0—0
 4 Tab Pantoprazole 40mg 1—0—0 (b/f)
 5 Tab Shellcal 1—0—0
 6 Salt restricted protein restricted diet
Snake bite
 1. 6hourly CT monitoring
 2. I/O chart
 3. 4th hourly temp chart
 4. Inj CP 20LU IV Q6h ATD
 5. Inj Cloxacillin 500mg IV Q6h ATD
 6. Inj ASV 10 vials in 1O5%D over 90
minutes ATD
7 local wound care
Upper GI bleed
 1 PR BP chart
 2 Immediate blood trnsfusion 1unit
 3 IVF 2O NS over 1 hour
 4 Syrup Sucralfate 2tsp Q4h
 5 RT aspiration
 Status epilepticus
1 Inj Diazepam 5mg IV over 10 minutes
stat
2 Inj 25%d 100ml IV stat
3 Inj Eptoin 100mg IV Q8h
4 Inj Ampicillin 500mg IV Q6H ATD
Diabetic ketoacidosis
 1 Hourly RBS USA chart I/O chart
 2 4th hourly electrolyte chart
 3 4th hourly temp chart
 4 Inj Regular Insulin 50U in 1O NS at 8
drops/minute(5u/hour)
 5 IVF 2ONS over 1 hour
1ONS over next 1hour
6 Inj Ampicillin 5oomg IV Q6h ATD
7 Continuos bladder drainage
Hepatic encephalopathy
 1 4th H temp chart
 2 I/O chart
 3 Inj Cefotaxime 1g IV q8h
 4 Inj Pantoprazole 40mg IV OD
 4 Inj Vit K 1amp S/C OD
 5 Cap Ampicillin 500mg QID
 6 Bowel wash BD
 7 Salt restricted protein restricted diet
Cerebrovascular accidents
 1 4th hourly temp chart
 2 Inj Mannitol 100ml IV Q 6h
 3 Inj Ciprofloxacin 200mg IV BD
 4 Tab Ecospirin 150 mg 1—0—0 (a/f)
 5 Oral glycerine 1oz TDS
 6 Ryeles tube feeding
 7 Continuos bladder drainage
Organophosphorus poisoning
 1 Inj Atropine 50mg IV stat
 2 Inj Atropine 40mg IV Q8h each in 1O 5%D
 3 Inj Ampicillin 500mg IV Q6h ATD
 4 Tab Distenil 60 tab stat
 5 Syrup Cremaffin 1oz TDS
 6 RT aspiration
 7 Continuos bladder drainage
Near drowning
 1 Inj CP 20LU IV Q6H ATD
 2 Inj Metrogyl 500mg IV Q8H
 3 O2 Inhalation
Weil’s disease
 1 4th hourly temp chart
 2 I/O chart
 3 Inj CP 20 LU iv Q 6h ATD
 4 Tab Paracetamol 1SOS
 5 IVF– 2O Ns
Acute pyogenic meningitis
 1 4th hourly temp chart
 2 Inj CP 40 LU iv Q4h ATD
 3 Inj Ceftriaxone 1g IV BD ATD
 4 Inj Phenytoin 100mg IV Q8h