CONSULTANT: DR.

RAY VARRERA CHIEF COMPLAINT MEDICATIONS

CHIEF COMPLAINT MEDICATIONS URTI Bioflu TID
Abdominal pain + Metochlopramide 1 amp IV now Loratadine 10 mg/tab ODHS
vomiting Buscopan 1 amp IV now Synactiv 1 tab ODHD X 7 days
Omeprazole (Acifre) 40 mg/tab Co- amoxiclav 1 gm BID x 7 days
Insurance: Omeprazole 80mg IV bolus Cough with normal Co- amoxiclav 1 gm BID x 7 days
AGE Buscopan 10 mg/tab q6h x 2 days, then PRN CBC Azithromycin 500 mg/tab OD X 3 days
ORS Abdominal pain Omeprazole 40 mg IV
HSR Claricort 1 tab BIDX 5-7 days Buscopan 1 amp IV
Levocetirizine ODHS X 7 days Elevated BP Maximize the dose of maintenance
Prednisone 1 tab BID X 5 days medications (Amlodipine: 10 mg/day and
Diphenhydramine 50mg/tab ODHS Losartan: 100 mg/day) after 1 hour
UTI Ciprofloxacin 500 mg/tab BID X 7days Chest pain Omeprazole 40 mg IV
If with vomiting Cefuroxime 250 mg/tab BID x 7 12- L ECG
days HSR Diphenhydramine 25 mg/tab TID X 5 days
ALT: Doxycycline 100 mg/tab BID X 7 days ALT: Chlorphenamine, Loratadine or
Packed field + DM: Cefexime 200mg/tab BID X Fexofinadine (Telfast)
7 days then rpt U/A after 3 days Dizziness Betahistine 16 mg/tab BID X 7days
Dizziness Betahistine 24 mg/tab x 2 days Cinnarizine 75 mg/tab BID X 7days
Stugeron forte 75 mg/tab OD PRN Then, Serc PRN (older pts)
Gout Colchicine 0.5mcg TID x 2-3 days, then BID for 5 Hyperventilation Brown paper bag only, if pt insists request
days then OD x 30 days for Serum Na, K and ical
Celecoxib 200 mg/tab BID x 5 days BAIAE + wheezing Predinose 10 mg/tab TID (< 60 yo)
Tramadol 50 mg/tab for breakthrough pain Prednisone 20 mg/tab BID with meals (>60
Start as maintenance: yo) x 5 days
Allopurinol 100 mg/tab OD Allergy, motion Nalbuphine + promethazine (Phenergan)
Febuxostat 40 mg/tab OD (chronic sickness, nausea and
asymptomatic, pls check the crea clearance if vomiting and pain
<30ml/min, do not exceed the dose 40mg/day
Systemic Staph. Vancomycin 2 tabs TID X 7 days
SVI + tonsillitis Clarithromycin 500 mg/tab BID or Infection
Co- amoxiclav 1 gm/tab BID X 7 days
Varicella zoster Acyclovir 800 mg/tab Q6H X 5days
BAIAE (young pts) Nebulize with Salbutamol plain x 3 cycles, 1st (chicken pox)
dose + Budesonide 500 mcg (immunocompetent,
Hydrocortisone 200 mg IV >40 kg)
MGH Meds:
Varicella zoster ADVISED admission
Zykast 1 tab ODHS X 7 days
(chicken pox)
Salbutamol Plain neb BID
(immunocompromised)
Prednisone 20 mg/tab BID X 5 days (if w/
Shingles Acyclovir 800 mg/tab Q4H while awake (5X
wheezing)
daily) x 7- 10 days
BAIAE + COPD USN with Salbutamol + Ipratropium (Duavent) x
(8am- 12nn- 4pm- 8pm- 12mn)
3 cycles
Pregabalin (Gabica) 75 mg/tab BID PRN
BAIAE + cough USN with Salbutamol + Mucosolvan 2 cc Celecoxib 200 mg/tab BID PRN
variant Etoricoxib (Starcox) 120 mg/tab PO now
BAIAE + pneumonia Ambroxol Tramadol + Paracetamol (TDL plus) 1 tab
q6H PRN
Cough > 3 days Request CXR- PAL
CONSULTANT: DR. ALEMIL TAMBANILLO Co- amoxiclav 1 gm BID x 7 days
Azithromycin 500 mg/tab OD X 5 days
BRANDS: Hypokalemia 3 banana per meal added to diet
Co- amoxiclav (Augmentin) >60 yo add serum creatinine
Cefexime (Tergecef)
Levocetirizine diHCl 5mg + Betamethasone 1mg Na phosphate
(Synactiv) DIAGNOSTICS and THERAPEUTICS:
Diphenhydamine (Benadryl) § Atypical pneumonia: CLARITHROMYCIN
Loratadine 5mg + Betamethasone 250 mcg (Claricort) § CXR- all older patients who present with COUGH
Omeprazole 40 mg/tab (Risek) § GI sxs: stool exam, if with normal result, repeat S/E after another
Azithromycin (Zithromax) 2- 3 hrs prior discharge
Ciprofloxacin (Ciprobay) § HPN: check liver functions (Amlodipine), if increased SGPT start
Loratadine (Allerta) à antihistamine Amlodipine at 2.5 mg/day and creatinine for Losartan.
Domperidone (Motilium) à anti- emetic § Chest pain: 12- L ECG
Aluminum hydroxide (Kremil- S) à BPUD, GERD § Acute Appendicitis: U/A and CBC
Na alginate, NaHCO3, CaCO3 (Algina) 1- 2 sachets 4x a day à § > 6 weeks LMP and irregular: pregnancy test
GERD § VARICELLA- CBC
Levocetirizine + Montelukast (Monti plus) 1 tab ODHS

SEFF CAUSAPIN, MD DEPARTMENT OF EMERGENCY MEDICINE