Practical

Prescription
• It is a written order by a registered medical practitioner to a
pharmacist intending the ingredients (drugs) he would like to
administer to his patient with clear instruction to the pharmacist for
its preparation and dispensing and a very clear instruction to the
patient for its use.
• Parts of Prescription:
1. Superscription
2. Inscription
3. Subscription
4. Transcription
5. Signature
Name of Patient Dr.
Age Degree
Sex Reg. No.
Address Address
Date

Rx
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Advise to the pharmacist

Advise to the patient

Signature
Write a complete prescription for an adult
patient suffering from status epileptics
• Rx
• Maintain airway – lateral decubitus, Nasal trumpets, O2 suction
• Inj. Dextrose 5% IV (hypoglycemia)
• Inj. Lorazepam (0.1 mg/kg over 30 - 60 seconds upto 6 mg) IV, may repeat in
5 mins.
• IV midazolam (0.5 – 0.3 mg/kg) or IM midazolam (0.2 mg/kg upto 10 mg)
• Inj. Levetiracetam 1 gm IV over 15 – 20 min
• Inj. Sod. Valproate 1 gm IV over 15 – 20 min
• Inj. Phenytoin 1 gm IV over 15 – 20 min
• Inj. Propofol 2mg/ kg loading dose over 5 min, then infusion 10 mg/kg/hr
• Inj. Pentobarbital 5 mg/ kg over 10 min, then 1- 5 mg/kg/hr for 24 hr.
Write a complete prescription for an adult
patient suffering from status Asthmaticus
• Rx
• Maintain airway, O2,Propt up position
• Nebulization with salbutamol 2.5 mg + Ipratropium Bromide 0.5 mg
intermittent inhalation driven by O2
• Inj. Hydrocortisone hemisuccinate 100 mg i.v. stat, followed by 100 - 200 mg
4-8 hourly infusion: may take upto 6 hours to act.
• Inj. Aminophylline 250-500 mg diluted in 20-50 ml glucose (5%) solution IV
over 20 - 30 min
• Inj MgSO4 2 gm stat
• Intubation and mechanical ventilation, if needed.
• Inj. Sodium Bicarbonate IV
Write a complete prescription for an adult patient suffering
from Acute amebic dysentery with abdominal colic
• Rx

• Injection Metronidazole 100 ml IV TDS for 5 days

• Tablet dicyclomine 10 mg TDS
• Tablet Paracetamol 650 mg SOS
• ORS
Write a complete prescription for an adult patient suffering from Acute
Bacillary Dysentery

• Rx

• Injection Ciprofloxacin 100 ml IV BD for 5 days

• Tablet Paracetamol 650 mg SOS for fever
• Tablet Ondansetron 4 mg BD
• Oral rehydration solution
Write a complete prescription for an adult patient suffering from
Plasmodium Vivax Malaria

Rx
• Tab. Chloroquine Phosphate 250 mg contains 150 mg base
• 1st dose – 600 mg base (10 mg/kg) (4 tab) stat
• 2nd dose – 300 mg base (5 mg/kg) (2 tab) after 8 hours and
• 3rd dose – 300 mg base (5mg/kg) (2 tab) after 24 hours
• 4th dose – 300 mg base (5mg/kg) (2 tab) after 48 hours
• (total 25 mg/kg over 3 days)
• Tab. Primaquine 15 mg (0.25 mg/kg) daily × 14 days
• Tab. Paracetamol 500 mg S.O.S
Skill station: Routes of drug administration –
Subcutaneous Route (Insulin syringe)
1) Identify the instrument and route of drug administration for
which it is used
• Instrument – Insulin Syringe.
• Use – for subcutaneous drug administration

2) Give 2 advantages of this route

• Slow and sustain release of drug
• Drug will act for longer duration
3) Which drug is commonly administered by using this instrument?
• Insulin
4) What advice should be given to the patient after administering
drug through this route?
• Patient should not rub the site of injection
Adverse drug reaction - Lipodystrophy
1) Identify the given adverse drug reaction
 Lipodystrophy
2) Name of drugs causing this adverse drug reaction.
 Insulin injection
 Oral corticosteroid

3) Enumerate Clinical Indications of drugs causing this ADR (adverse

drug reaction).
 Oral corticosteroid – Inflammatory bowel diseases, autoimmune
conditions.
 Insulin injection – Diabetes mellitus

4) Identify the type of the given adverse drug reactions.

 Type B (Bizarre)