Antara tugas HO ialah order ubat, kalau tak order tunggu je la akak2 SN bising nnti. “Dr dh order ubat ke”, “Order sekarang Dr, akak nk ambik kat farmasi ni”.
Pastu masa round mesti MO atau SP akan tanya, ubat dh indent ke?
Awal2 mungkin agak overwhelming la nk ingt dose and frequency, tapi lama2 ubat yg perlu kita order tu lebih kurang sama je. Dia jd muscle memory sbb repetitively order.
Gastric acid prophylaxis
- iv ranitidine 50mg on and to ot
- iv maxolon 10mg ot call
- sodium citrate 30mls ot call
S/c Fondaparinox 2.5mg OD/7.5mg OD
S/c Heparin 5000u BD/7500u BD
S/c Morphine 5mg/7.5mg TDS
S/c Clexane 40mg/60mg OD
T Ranitidine 150mg BD
IV Ranitidine 50mg TDS
Mist carminative 15mls TDS
Mist Na Citrate 15mls/30mls OD
T EES 400mg BD
T Zinnat 250mg BD
T Ponstan 500mg TDS
T Voltaren 50mg TDS
T Papase 11/11 TDS
T Ponstan 500mg TDS
T Gelusil 11/11 TDS
IV Maxolon 10mg TDS
C Celebrex 200mg BD /400mg OD
T Arcoxia 90mg OD
Syp MMT 15mls TDS
Syp Benadryl 15mls TDS
T Piriton 4mg/8mg TDS
IV Hydrocortisone 200mg stat, 100mg QID
T Cilostazol (claudication pain) 100mg OD
T Aspirin 150mg OD/300mg STAT
IM Nubain 20mg stat
Syp Benadryl 15mls TDS
T/IV Bisolvon 8mg TDS
T Labetolol 100mg TDS
T Adalat 10mg TDS
T Methyldopa 250mg TDS
Ural sachet 1/1 BD/TDS
IV/T lasix 20/40/80 mg TDS
IM/IV Pethidine 50mg
T Rocaltriol 0.25 mcg OD
T Calcium Lactate 600mg BD
T Levonogestrel 1.5mg stat
Inj Ertapenem 1gm OD
Inj Piptaz 3.375g
IV/T Tranexamic acid 500-1000mg TDS
IV/C Tramal 50mg TDS
IV/T Maxolon 10 mg TDS
T Doxazosin 4mg OD
T Finasteride 5 mg OD
T Cardura 4mg ON
T Hytrin 4mg ON
Antibiotics
IV Cefuroxime 1.5 stat, 750mg TDS
IV Unasyn 1.5g STAT and TDS
IV Cefobid 2g stat, 1g BD
IV Ceftriaxone 2g stat, 2g/1g OD
IV Cefepime 2g stat, 1g BD
IV Meropenem 500mg tds/qid
IV Imipenem 500mg tds/qid
IV Ampicillin 2gm Stat 1gm QID
IV Cloxacillin 1g STAT, 1g/500mg QID
IV Flagyl 500mg TDS
IV Augmentin 1.2g STAT, TDS
T Augmentin 625 mg BD
T Unasyn 375mg BD
T Doxycycline 200mg stat, 100mg bd
T Cloxacillin 500mg QID
T Azithromycin 500mg OD
T Flagyl 400mg TDS
Lytic cocktail
IV Actrapid 10u STAT
IV Calcium Gluconate 10% 10cc in 10 minutes
IV Dextrose 50% 50cc
Fast correct
IV KCL 2g/1g in 200cc/100cc over 1 hour/2 hour
IV KH2PO4 1 ampoule in 250cc NS/4H
IV Mgso4 1 ampoule in 100cc NS/4H
IV KH2PO4 1 ampoule in 500 cc NS /12H
Sedation
Midazolam 0.1mg/kg
Syrup chlorhydrate 50mg/kg
OAC/PAC regime
C Omeprazole 40mg BD
T Ampicillin 1g BD
T Clarithromycin 500mg BD
Then C Omeprazole 40mg OD
Hematinics
T FeSO4 200/400mg OD/BD (Ferrous Fumarate)
T Vit B Co I/I, II/II OD/BD
T folic acid I/I, II/II OD/BD
Ascorbic acid 100mg OD/BD
Bowel prep
2 days before – low residual diet
1 days before:
RP normal – fleet phosphosoda 45ml BD x 1/7
RP abnormal – Foltran 2L/3L
On day of scope:
Ravin enema II/II stat
Or fleet enema I/I stat
Do PR!
Daflone regime
Anusol
Tab. Daflone ll/ll TDS 4/7
Tab. Daflone ll/ll BD 3/7
Tab. Daflone ll/ll OD 1/52
Eradication therapy
T. Pantoprazole 40mg BD 1/52
T. Amoxicillin 1g BD 1/52
T. Clarithromycin 500mg BD 1/52
(40 – alb x 0.02) + ca = corrected ca
Might subject to changes, and differ per hospital.
