Practical Class

Short Prescription
• Write a prescription for an adult suffering from Acute Attack of Angina
Rx
Tab Glyceryl trinitrate 2.5 mg sublingual
• Write a prescription for an adult suffering from Nasal congestion.

Rx
Nasal drops – Xylometazoline (0.05 – 0.1%) topically BD.
• Write a prescription for an adult suffering from Delirium Tremens.

• Rx
• Tab Diazepam 10 mg orally three times a day
• Write a prescription for an adult suffering from Mountain Sickness

• Rx

• Tab Acetazolmaide 250 mg BD

• Write a prescription for an adult suffering from Anaphylactic Shock

• Rx

Inject adrenaline 0.5 mg (0.5 ml of 1 in 1000 solution for adult) i.m.

Repeat every 5- 10 min in case patient does not improve or improvement is
transient.
• Write a prescription for an adult suffering from Vertigo

• Rx

• Tablet Cinnarizine 25 mg TDS for 7 days

• Write a prescription for an adult suffering from spasmodic abdominal
pain

• Rx

• Tablet Dicyclomine 10 mg two times a day

• Write a prescription for an adult suffering from POAG

• Rx

Timolol eye drop 0.25% - 1 to 2 drops BD

• Write a prescription for an adult suffering from Inoperable
Pheochromocytoma

• Rx

• Tab Phenoxybezamine 10 mg BD
• Write a prescription for an adult suffering from Insomnia

• Rx

• Tab Zolpidem 10 mg HS
• Write a prescription for an adult suffering from Malarial Fever (P. Vivax)

• 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
• Write a prescription for an adult suffering from Malarial Fever (P.
Falciparum)

• 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)
• Write a prescription for an adult patient suffering from Thyrotoxicosis

Rx

Tab Propylthiouracil 150 mg TDS

• Write a prescription for an adult patient suffering from Perioperative
hypertension

• Rx
Inj Esmolol 0.5 mg/kg/min IV loading dose over 1 min.
Then 0.05 mg/kg /min IV maintenance dose
• Write a prescription for an adult patient suffering from Myasthenia
Gravis
• Rx

Tab Pyridostigmine 60 mg TDS

• Write a prescription for an adult patient suffering from Hypertension
during pheochromocytoma surgery

• Rx
Inj Phentolamine 5 mg IV bolus stat.
• Write a prescription for an adult patient suffering from Mania

• Rx

• Inj Haloperidol 5 mg/ ml IM Stat

• Write a prescription for an adult patient suffering from Insulin
induced Hypoglycemia.

• Rx
20 – 50 ml of 35 – 50 % of glucose.
Start continuous IV infusion of glucose 10 – 20% at 50 -200 ml/hr
• Write a prescription for an adult patient suffering from Acute Attack
of Bronchial Asthma.

• Rx

• Nebulization with salbutamol 2.5 - 5 mg every 20 minutes for three

doses, and then 2.5– 10 mg every 1–4 hours as needed
• Write a prescription for an adult patient suffering from Diazepam
Poisoning

• Rx
• Inj Flumazenil 200 micrograms administered intravenously over 15
seconds.
• If the required level of consciousness is not obtained within 60 seconds, a
further dose of 100 micrograms can be injected and repeated at 60-
second intervals, up to a maximum dose of 1000 micrograms. 
• Write a prescription for an adult patient suffering from community
acquired pneumonia.

• Rx

Tab Clarithromycin 200 mg BD for 7 days

• Write a prescription for an adult patient suffering from Pneumocystis
Pneumonia.

• Rx
• Tablet Cotrimoxazole (80 mg Trimethoprim and 400 mg Sulfamethoxazole)
BD for 5 days
• Write a prescription for an adult patient suffering from Intestinal
Amebiasis

• Rx
Tablet Metronidazole 400 mg three times a day for 5 days
• Write a prescription for an adult patient suffering from
Pseudomembranous colitis

• Rx

Tablet Vancomycin 125 mg every 6 hours for 10 days 

• Write a prescription for an adult patient suffering from Type 2 lepra
reactions.

• Rx

Tab Clofazimine 200 mg

• Write a prescription for an adult patient suffering from Postural
Hypotension.

• Rx

Tab Midodrine 5 mg orally

• Write a prescription for an adult patient suffering from Narcolepsy.

Rx

Tab Modafinil 250 mg orally QID

• Write a prescription for an adult patient suffering from the
hypotension during spinal anesthesia

• Rx

Inj Ephedrine 50 mg/ml IV given slowly

• Write a prescription for an adult patient suffering from Acute
Morphine poisoning.

• Rx

• Inj Naloxone 0.4 - 0.8 mg IV every 2 – 3 mins until satisfactory

respiration and consciousness are obtained
• Write a prescription for an adult patient suffering from Cholera

• Rx

• Tab Doxycycline 200 mg BD for 7 days

OSPE
Adverse drug reaction
  • Identify the cause of dark brown coloured
 
urine

• Name 2 drugs causing brown coloured urine

• What advice should be given to patient

Dark Brown Colored Urine

1 Identify the cause of dark brown coloured urine

• Liver disease viral hepatitis, cirrhosis of liver, severe dehydration, rhabdomyolysis (break down of muscle
tissue)

2 Write name of 2 drugs causing brown colour urine.

• Chloroquine, Primaquine, Metronidazole, nitrofurantoin, Cascara, senna.

3 What advice should be given to patient?

• Urine may be dark brown in colour in morning because of overnight dehydration. Take plenty of water
during day time to avoid brown colour of urine due to dehydration.
Identify the route of drug administration

1. Identify the route of drug administration

2. Give 2 advantages of this route
3. Mention other drugs administered by this
route
4. What advice should be given to the patient
before instilling eye drops

Routes of drug administration – Topical route

1. Identify the route of drug administration
•The given route of administration is Topical (Conjunctival)
2. Give 2 advantages of this route
Drug can be self-administered.
Drug is absorbed quickly from the site of administration.
3. Mention 2 drugs administered by this route
Tropicamide, Timolol, Brinzolamide
4. What advice should be given to the patient before instilling eye drops?
•Eye should be widely open while instilling the eye drops and eye should be closed for some
time after instilling the eye drops to ensure proper absorption of the drug.
Identification of Instrument

1. Identify the given instrument

2. Mention the use of this instrument
3. Mention one advantages of using this
instrument
4. Mention one disadvantages associated with
the use of this instrument
 1. Identify the given instrument
•Name of the instrument – Tail flick analgesiomemter
2. Mention the use of this instrument
•To record the response of an animal to painful stimulus, before and after administration
of analgesics.
3. Mention one advantage of using this instrument
•Mechanically gentle process for comparison of analgesic activity of drugs
4. Mention one disadvantage associated with the use of this instrument
•Injuries to the animals is one of the major drawback
Case
1. Identify the cause of the symptoms

• Hypoglycaemia (low blood sugar levels <80 mg/dl) is important cause of the symptoms of this patient who is receiving
Insulin for the treatment of Diabetes.

2. How will you confirm cause of the symptoms?

• For the confirmation hypoglycaemia random blood sugar estimation has to be done.

3. Mention other adverse effects associated with the use of this drug.

• Lipodystrophy, Insulin allergy, Insulin resistance, Weight gain.

4. What action should be taken with drug?

• Dose of the Insulin must be reduced

• Patient should be advised to carry glucose biscuits while walking or during exercise
Dosage form

1. Identify the given dosages form

2. Enumerate drugs given in this dosage form.
3. Name two condition where Medication given
in this dosage form.
1. Identify the dosage form.

 Nebulizer.

2. Enumerate drugs given in this dosage form.

 Bronchodilators like albuterol, ipratropium

 Steroids like budesonide, formoterol

3. Name two condition where Medication given in this dosage form.

 Asthma

 COPD
Thank You