OP POISONING

*Gastric lavage & preservation of gastric content for MLP

*Police information
*Inj Ceftriaxone 1g I.V BD
*Inj Pantop 1 vial I.V OD
*Inj Laxix 2 amp I.V stat  Furosemide (Oedema)
*IVF 5% D/W ʘ II + Inj PAM 2 amp I.V drip slow continuously Pralidoxine
(Antidot for OP poisoning)
*Inj Atropin 4 ampI.V stat then 1 amp I.V every 15 min till full atropinisation
*Inj Dexona 1 amp I.V BD  Dexomethasone (Asthma, Severe allergic reaction)
*Inj Anafortam 1 amp I.V stat  Camylofin + PCM (Abd pain)

CELPHOS POISONING
*Gastric lavage & preservation of gastric content for MLP
*Inj MgSo4 2 amp I.V stat then sos
*Police information
*Inj Ceftriaxone 1g I.V BD
*Inj Pantop 1 vial I.V OD
*IVF RL ʘ I
*IVF NS ʘ II
*Inj Lasix 1 amp I.V stat
*Mucain gel 3 tsp X 3
*Foley’s catherisation

ASCITIS
*Tab Lacilactone BD or Inj Lasix 1 amp I.V stat  Furosemide + Spironolactone
(Oedema)
*Tab Rifagut 400mg BD  Rifaximin (IBD)
*Inj Ceftriaxone 1g I.V BD
*Inj Pantop 1 vial I.V OD
SUSPECTED SNAKE BITE (Ptosis +ve)
*Inj 6-8 vial AVS in NS ʘ I after skin sensitivity test
*Inj Atropin 1 amp I.V BD then,
*Inj Neostigmine 1 amp I.V after QID after 30 min of atropine inj
*Inj Tetvac 1 amp I.M stat
*Inj Ceftriaxone 1g I.V BD
*Inj Pantop 1 vial I.V OD
Adverse effect
*Inj Adrenaline 1 amp I.M stat
*Inj Avil 1 amp I.V stat

SCORPION STING
*Inj Ceftriaxone 1g I.V BD
*Inj Pantop 1 vial I.V OD
*Inj Dilona 1 amp I.M stat
*Inj Epsoline 1 amp I.V stat  Phenytoin (Seizure)
*Xylocaine infiltration locally
*Tab minipress XL 2.5mg TDS  Prazosin- alpha blocker (BP)
*IVF 5% D10 ʘ I

SEIZURE
*Inj Epsolin 1 amp I.V slowly  Phenytoin
*Inf 20% Manitol 200cc I.V Tds
*Inj PCM 1 amp I.M slowly then sos
*IVF RL ʘ IV I.V slowly
*Inj Dexona 1 vial I.V BD
*Inj Diazepam I.V stat then sos
*Inj Lasix 1 amp I.M stat
CVA (Unconcious, BP= 155/115, Babiski incre)
*O2 inhalation
*Inf Manitol 200cc I.V Tds
*Tab Dipin 10mg S.L
*Inf 10% D/w ʘ I
*Inj Lasix 1amp I.V slowly stat
*Inj Ceftriaxone 1g I.V BD
*Inj Pantop 1 vial I.V OD
*Inj Citicolin 1 amp I.V stat  (Stroke, head injury, alzeimer)
*Ryle’s tube
*Foley’s catherisation

SUDDEN LOSS OF CONCIOUSNESS, BREATHLESSNESS< BP=160/90

*Inj Ceftriaxone 1g I.V BD
*Inj Pantop 1 vial I.V OD
*Tab Dipin 40mg S.L stat
*Inj Deriphyline 1 amp I.V BD  (Asthma)
*Inf 20% Manitol 150cc I.V TDS
*Inj Efcorline 1vial I.V stat  Hydrocortisoner (When crept & ronchi +ve)
*Inj Dexona 1 vial I.V stat
*Nebulisation c Duoline & Budecot

SEVERE HEADACHE , BP Incr

*Inj Ceftriaxone 1g I.V BD
*Inj Pantop 1 vial I.V OD
*Tab Telvas 20mg OD  Telmisartan (BP)
*Inj Phenargan 1 amp I.V stat Promthazin- Anaphylaxis, antiemetic (Calm the pt)
*Inj Lasix 1 amp I.V stat
*Inj Deriphyline 1 amp I.V stat  (Asthma)

HYPOGLYCEMIA
*Inj 25% glucose 25ml X 4amp I.V stat
*Inf 10% Dextrose IV stat
LOOSE MOTION, VOMITING
*Inf Metron 100cc I.V BD
*Inf Cipro 100cc I.V BD
*Inj Pantop 1 vial I.V OD
*Inj Meftal-spas 1 amp I.V stat then sos  Dicyclomine + Mefenamic acid (Abd
pain)
*IVF RL ʘ II
*IVF NS ʘ II
*ORS as explained

MI= CHEST PAIN, Age>40 yr

*Tab Aspirin 75mg- 4 tab to be chewed stat
*Tab Sorbitrate 5mg S.L stat then sos  Isosorbid Dinitrate
*Tab Clopidogrel 75 mg OD  (Anti platelet)
*Tab Monit 20mg BD  Isosorbid mononitrate
*Inj Phenargan 1 amp I.V stat  Promethazine- Anaphylaxis, antiemetic (Calm the
pt)
*Inj Fortwin 1amp I.V stat  Pentazocin (Moderate to severe pain)
*Tab Trika 0.25mg BD  Alprazolam (Short term anxiety)
*Tab Revelol XL 50mg sos  Metoprolol succinate (Angina, HF, BP)
*Tab Tormid 10mg OD  Torasemide (Diuretics- oedema, BP)
*Tab Atchol 40mg stat  Atorvastin (High cholesterole)

SUDDEN CHEST PAIN SINCE TODAY MORNING & SWEATING

*O2 inhalation
*Inj Pantop 1 vial I.V BD
*Inj Lupinox 40mg 1 amp S.C  Enoxaparin (DVT, Pumonary embolism)
*Tab Clopitab-A 4 tab stat then 1 tab daily  Aspirin + Clopidogrel
*Tab Monit 20mg TDS
*Inj Dilona 1 amp I.M stat
*Tab Sorbitrate 5mg S.L stat then sos
*Tab Tenam 2.5mg stat  Enalapril (BP)