Cough, Cold, Fever Running nose

• Tab Azythromycin 500 mg 1 Tab OD*5days

• Tab Paracetamol 650mg 1 Tab ODPC*3days (& SOS)
• Syp Ascoril D 10 ml BD*5days for dry cough, Syp Ascoril LS 5ml TDS*7days for wet cough.
• Tab Montek-LC 1 Tab ODHS*7days (/Levocetrizine)
• Tab C-immune 1 Tab ODPC*15days (/A-Z Gold)
• Tab Pan-40 1 Tab ODAC*7days
• Tests
RAT & RTPCR for Covid-19
• It fever>3 days test CBC, ESR, Scrub Typhus IgM, MP-MPDA
• If fever>5 days IgG-IgM Ab Test, Typhi Dot IgM Test
• ER (SOS)

Pain in abdomen

• Tab Drotin 1 Tab BDPC*5days

• Tab Pan-40 1 Tab ODAC*7days
• Tests
Plan for USG, whole abdomen
Plan for straight X-Ray abdomen erect posture
Blood CBC, LFT, Amylase Lipase Test
• ER (SOS)

Nausea and Vomiting

• Tab Domperidone 20 mg 1 Tab TDAC*3 days

• Tab Zofer-MD 1 Tab TDS*3days

Nausea and Vomiting and Vestibular disorder vertigo and migraine and antianxiety

• Tab Prochlorperazine 5 or Stametil 5 1 Tab TDS*5 days(upto 30mg max and 12 weeks)

Loose motions

• ORS intake frequently

• Tab Metrogyl 400 1 Tab TDS*5days
• Capsule Bifilac 1 cap BD*5 days
• Emuflora 1 sachet BD*5days
• ER (SOS)

Cut injury

H/O RTA (Road Traffic Accident) at about (Time) on (Date) leading to (position)

• Inj TT 0.5 ml stat im

• Tab Co-Amoxyclav 625 1 Tab Tds*5days
• Tab Pan-40 1 Tab ODAC*7days
• Tab Paracetamol 650 1 Tab (SOS)
 • T-bact oinment to be applied locally twice daily*5days
• Dressing to be done with Povidone Iodine daily
• ER (Stat)

Itching over skin or general skin infection

• Tab Fluconazole 150mg once weekly*2 or Cotrimoxazole applied locally BD

Itching

• Tab Cetrizine 5mg 1 Tab ODHS*7days

• Tab Pan-40 1 Tab ODAC*7days
• Visit to nearest Govt Hospital at dermatology department
• ER (SOS)

Eye irritation or Eye Wash or Dry eyes

• Carboxymethyl Cellulose 0.5% 1 to 2 drops

• Chloramphenicol ointment for bacterial infections not more than 5 if no improvement in 2 days
ER SOS

Diabetes

RBS= <140

• Carb free diet

• Life style modification

RBS= 140-200

• Tab Metformin 500 1 Tab BD*continued

RBS= 200-275

• Tab Metformin 500 1 Tab BD*continued

• Tab Glimepiride 1 mg 1 Tab ODAC*continued

RBS= 275-375

• Tab Metformin 500 1 Tab BD*continued

• Glimepiride 2 mg 1 Tab ODAC*continued

BP

140-160/90-110

• Tab Amlo-5 1 Tab OD*Continued

160-170/90-110

• Tab Amlo-5 1 Tab OD*continued

• Tab Telma-20 1 Tab OD*continued
170-180/100-110

• Tab Amlo-5 1 Tab OD*continued

• Tab Telma-40 1 Tab OD*continued

>180/100-110

• ER stat

Pregnant Mother (LMP, EDD, G4 Da+b+c )

1st Trimester

• Tab Folic acid 1 Tab OD*continued for 6 months

• Tab Doxinate 1 Tab OD SOS for vomiting
• Test
Plan USG for FPP (18-20 week)
Pregnancy Profile Test
• ER SOS
• Attend to G&O OPD stat at nearest Govt Medical Hospital with all reports

After 3rd trimester

• Tab IFA 1 Tab OD*Continued

Acute Chest Pain

• Tab Sorbitrate 5 mg 1 Tab sublingual STAT C/I if pulse<=60

• Tab Pan 40 1 Tab ODAC*5days
• Investigations
Trop-T STAT
ECG 12 Lead STAT
Chest X-ray PA view STAT
• ER STAT

Chest Pain for 2-3 days

• Tab Zerodol-P 1 Tab BDPC*3 days

• Tab Pan-40 1 Tab ODAC*5days
• Test
ECG 12-lead stat
Trop-T stat
• ER stat

UTI

• Tab Levofloxacin 500 1 Tab OD*7days

• Tab Urispas 200 1 Tab BD*5days
• Syp Alkasol 10 ml BD*5days
Constipation

• Syp Duphalac 10 ml ODHS*7days (If loose stool then stop immediately)

Body pain

• Tab Paracetamol 650 1 Tab BDPC*3days

• Tab Brufen 400 1 Tab BD*3days
• Tab Calcium 1 Tab OD*1month

Weakness

• A-Z Gold 1 Tab ODPC*15 days

Worm infection (diarrhea with blood and mucus in the stool, abdominal pain, nausea, unexplained
weight loss)

• Tab Albendazole 400 1 Tab stat

• After 2 weeks 1 Tab

Chicken Pox

• Acyclovir 5 times daily

Tuberculosis (Chronic Cough>14 days )

• Investigations
Plan for Chest X-ray PA view
Sputum for AFB
CBNAAT
• Cap Doxy 100 mg 1 cap BD*5 days
• Tab Pan 40 1 tab ODAC*5 days
• Syp Ascoril 10ml BD*5 days
• Refer to RNTCP center at nearest Govt. health facility
• ER SOS

Gout ( Bone and joint pain, Swelling of joints and great toe, attack of pain suddenly and at night)

• Give uric acid test (Normal range 3.5 to 7.2 mg/dL)

• Tab Febuxostat 20 or 40 OD*30 days till normal range returns
• Have lots of water with it.

For Children ( 5-10 Kg) ( According to weight increase the dose )

• Syp Co-Amoxyclav 228.5mg /5ml 4ml TDS*5 days = Chronic Fever

• Syp Salbutamol 2mg/5ml 4ml BD*5days = Cough
• Syp Paracetamol 125mg/5ml 4ml BDPC*3 days and SOS = Fever
• Syp Cetrizine 5mg/5ml 4ml ODHS*5 days = Runny nose
• Syp Ondem 2mg/5ml 4ml BD*3 days = Vomiting
• Syp Metrogyl 100mg/5ml 4ml TDS*5days = Loose Motions