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Drug of Choice

The document provides a list of various medications organized by category including antibiotics, pain relievers, antihypertensives, diabetes medications, cardiovascular drugs, and more. For each medication, dosage instructions are given. The document contains a significant amount of medical information presented in a structured format.

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0% found this document useful (0 votes)
114 views9 pages

Drug of Choice

The document provides a list of various medications organized by category including antibiotics, pain relievers, antihypertensives, diabetes medications, cardiovascular drugs, and more. For each medication, dosage instructions are given. The document contains a significant amount of medical information presented in a structured format.

Uploaded by

alexa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PURPLE GLADIATOR KODIG & DRUGS

Antibiotics Pain Relievers and Muscle Relaxants


● Cefixime ● HNBB 10mg/tab
○ 400 mg/tab: Take 1 tab once a day for 7 days ○ Take 1 tab every 8 hours as needed for pain
○ 200mg/tab: Take 1 tab every 12 hours for 7 ● Celecoxib 200mg/cap
days ○ Take 1 cap every 12 hours for 5 days
● Ceftriaxone 2g TIV ● Paracetamol 500 mg/tab
○ Once a day ○ Take 1 tab every 4 hours for Temp?37.8
● Cefuroxime 500 mg/tab ● Paracetamol + Orphenadrine Citrate (Norgesic)
○ Take 1 tab every 12 hours for 7 days 650mg/50mg/tab
● Ciprofloxacin 500 mg/tab ○ Take 1 tab every 8 hours as needed for pain
○ Take 1 tab every 12 hours for 7 days ● Eperisone 50 mg
● Co-Amoxiclav 625 mg/tab ○ Take 1 tab 3x a day for 5 days
○ IM/Surg: Take 1 tab every 12 hours for 7d ● Ibuprofen 200mg/tab
○ ENT: Take 1 tab every 8 hours for 7 days ○ Take 1 tab every 12 hours as needed for pain
○ Surg: 1 tab 2x a day for 7 days - ● Tramadol 50 mg/tab
wound/Abrasion ○ Take 1 tab as needed for SEVERE pain
● Clindamycin 300mg/tab ● Tramadol HCl + Paracetamol (Dolcet) 37.5/325
○ Take 1 tab every 6 hours for 7 days mg/tab
● Cloxacillin 500 mg ○ Take 1 tab every 8 hours as needed for pain
○ Take 1 tab every 6 hours for 7 days ● Diclofenac 50mg/tab - for musculoskeletal/joint
● Sultamicillin 750 mg/tab ○ 1 tab TID as needed for pain
○ Take 1 tab every 12 hours for 7 days ● Ketorolac 10 mg
○ ENT: Take 1 tab every 8 hours for 7 days ○ 1 tab every 6 hours as needed for pain
● Azithromycin 500mg/tab ● Etoricoxib 120 mg/tab or 90mg/tab
○ Take 1 tab once a day for 5 days ○ 1 tab now
● Amoxicillin + Clauvanic acid 65mg/tab BID for 5 days ○ 1 tab once a day for 5 days
● Mupirocin Ointment 20mg/g ● Parecoxib
○ Apply to affected area 3x a day for 7 days ● In ER - 40mg IV now
● Metronidazole 500mg/tab
○ 1 tab every 8 hours for 5 days
● Piperacillin-Tazobactam 4.5g IV
○ Now then every 8 hours
● Fosfomycin 3g/sachet
○ Dissolve 1 sachet in half glass water and take
as a single dose AFTER meals
○ Prophylaxis of UTI

Acid Peptic Disease/GERD Cough


● Pantoprazole 40mg/tab 1. Productive: Mucolytic
○ FOR ER: 40mg IV now ○ N-acetylcysteine (Fluimucil) 600mg
○ FOR HOME MEDS: Take 1 tab 30 mins before i. Dissolve in half glass water and drink
breakfast at night
■ 2-4 weeks: Peptic Ulcer 2. Dry: Antitussive
■ 4 weeks: GERD ○ Butamirate citrate (Sinecod forte) 50mg/tab
● Omeprazole 40mg/tab i. 1 tab TID for 5 days
○ Take 1 tab 30 mins before breakfast for 7 days
● Metoclopramide 10mg/tab
○ Take 1 tab every 8 hours for nausea/vomiting
○ In ER - 10mg IV
● Algina sachet
○ 1 sachet 3x a day after meals
● Gaviscon
○ Take 1 sachet 3x a day 1 hour after meal
● Ranitidine 150 mg/tab
○ Take 1 tab OD for 5 days

Vertigo/Motion Sickness/Nausea and Vomiting Colds


● Metoclopramide (Plasil) 10 mg/tab ● Sinupret forte
○ Take 1 tab every 8 hours as needed for ○ 1 tab TID for 5 days
vomiting ● Mometasone Fuorate - runny nose
● Meclizine (Bonamine) 25mg/tab ○ 2 sprays on nostril once a day at bedtime for
○ Take 1 tab every 8 hours 2 weeks
● Betahistine 24mg/tab ● Sodium Chloride nasal spray - stuffy nose
○ Take 1 tab every 12 hours for 2 weeks ○ 2 sprays on nostril 3x a day for 7 days
● Cinnarizine 25 mg/tab ● Phenylephrine HCl + Chlorphenamine Maleate +
○ 1 tab 3x a day for nausea or vomiting Paracetamol (Nafarin - A) Clogged
○ Take 1 tab every 8 hours for 5 days

Hypertensive Drugs Diabetes


● Amlodipine 5mg/tab ● Metformin 500 mg/tab
○ 1 tab once a day ○ Take 1 tab once a day
● Perindopril + Amlodipine 3.5/2.5 mg/tab ● Gliclazide 60 mg
● Carvedilol 12.5 mg/tab or 6.5mg/tab ○ 1 tab once a day
○ 1 tab BID ● Glimepiride
● Propranolol 10mg/tab ● D50 50mL push for hypoglycemia
○ 1 tab TID
○ Take 1 tab as needed for palpitations every 12
hours
● Nebivolol 5mg/tab
○ 1 tab 3x a day
● Losartan 50 mg/tab - 100mg/tab
○ Take 1 tab once a day
● Irbesartan 300mg/tab - w/DM
○ Take 1 tab once a day
● Clonidine 75 mcg/tab
○ Dissolve 1 tab sublingual as needed for BP
>160/90
● Spironolactone 25 mg/tab
○ 1 tab once a day
● Enalapril 5mg/tab
○ 1 tab once a day
● Telmisartan 80mg/tab
○ 1 tab once a day
● Indapamide (thiazide diuretic) 1.5mg/tab
○ 1 tab twice a day
● Nicardipine drip - Emergency
Crisis: Hypertensive urgency or emergency
Urgency: Acute rise in blood pressure without acute
end-organ damage; diastolic blood pressure usually >120
mmgHG
Emergency: Acute rise in blood pressure with acute
end-organ damage; diastolic blood pressure usually >120
mmHg
Safe BP - 160/90
Cardio Drugs Hyperlipidemia
● Aspirin 80 mg/tab ● Atorvastatin 50 mg/tab or 80 mg/tab
○ Take 1 tab once a day ○ Take 1 tab once a day at bedtime
● Clopidogrel 75 mg/tab ● Rosuvastatin 10mg/tab or 20mg/tab
○ Take 1 tab once a day ○ Take 2 tab once a day
● Trimetazidine TMZ 35mg/tab ● Simvastatin 20mg
○ 1 tab once a day ○ 1 tab once a day
● Nifedipine 60 mg/tab
○ 1 tab twice a day
● Calcium Gluconate
○ Cardioprotective
● Atropine IV - Bradycardia
○ First dose 0.5-1mg bolus
○ Repeat every 3-5 min
○ Max 3 mg
● SD Dopamine 5mcg/kg/hr
○ AF in SVR
● Adenosine - for SVT

UTI Sore Throat/Tonsillitis


● Fosfomycin 3g/sachet ● Benzydamine + Chlorhexidine (Difflam) oral
○ Dissolve 1 sachet in half glass water and take ○ Gargle 15 ml undiluted for 30 sec, 3x a day for
as a single dose at least 1 hour before or at 7 days
least 2 hours after meal ● Difflam throat spray
● Ciprofloxacin 500 mg/tab ○ Instill 2-3 sprays TID for throat pain
○ Take 1 tab every 12 hours for 7 days ○ ENT: Instill 2-3 sprays on throat 3x a day for 7
● HNBB (Buscopan) 10 mg.tab days
○ 1 tab TID as needed for pain ● Difflam lozenge
Notes: ○ Dissolve 1 lozenge every 6 hours for throat
- Female, Reproductive Age, Hypogastric and Flank Pain clearance
- No need for Urinalysis expect UTI
- Recurrent if: 3 in 1 year or 2 in 6 months
Asthma /Obstructive Respi Antihistamine/Runny Nose/Itchy Nose/Clogged
● Salbutamol + Ipratropium Nebulization ● Levocetirizine + Montelukast (Zykast)
○ Nebulize 1 nebule every 6 hours for 3 days ○ Take 1 tab OD for 7 days
then as needed ○ ENT: Take 1 tab once a day at bedtime for 2
● Salmeterol + Fluticasone Propionate (seretide) 25 weeks
mcg/125mcg ● Methylprednisolone 16mg/tab
○ 2 puff every 12 hours for 2 weeks ○ Take 1 tab BID a day for 5 days
● Salbutamol + Ipratropium MDI ● Mometasone Furoate - runny nose
○ 2 puff every 6 hours ○ 2 sprays on nostril once a day at bedtime for
● Budesonide + Formoterol 2 weeks
○ 1 puff twice a day ● Sodium Chloride nasal spray - stuffy nose
● Hydrocort (Corticosteroid) ○ 2 sprays on nostril 3x a day for 7 days
● Sinupret Forte - clogged
○ Take 1 tab every 8 hours for 5 days
● Phenylephrine HCl + Chlorpheniramine Maleate +
Paracetamol (Nafarin - A) Clogged
○ Take 1 tab every 8 hours for 5 days
● Loratadine + Betamethasone (Claricort) 5mg/250mcg
● 1 tablet twice a day for 7 days

Hyperthyroidism Hypothyroidism
● Methimazole 10mg/tab
○ 1 tab BID

Muscle Sprain/Musculoskeletal Strain Bleeding


● Eperisone 50 mg/tab ● Tranexamic Acid 500 mg/tab
○ 1 tab TID - for frozen shoulder, muscle strain ○ Take 1 tab every 8 hours for 3-5 days
● Diclofenac 50mg/tab - for musculoskeletal/joint
○ 1 tab TID as needed for pain Notes: PMH: ask for NSAID use, risk for H. pylori, chronic
● Ketoprofen gel (Fastum) obstructive lung disease, chronic renal insufficiency,
○ Apply to affected area 3x a day for pain
● Ice compress every 4 hours for 20-30 mins
● Elevate foot at same level
Ear Infection Constipation/Fecal Stasis
● Ofloxacin otic drops ● Lactulose - Osmotic
○ Instill 5 drop on R/L ear 2x a day for 7days ○ Take 30cc once a day at bedtime. Hold if BM
● Neomycin sulfate + Triamcinolone Acetonide + >2
gramicidin + nystatin otic drops (Vendicom) ● Bisacodyl - Stimulant
○ Instill 3 drops on R/L ear 3x a day for 7 days ○ 5mg OD before bedtime
● Polymyxin B + Neomycin + Fluocinolone otic drops ○ If you don't feel pooping
○ Instill 3 drops on R/L ear 3x a days for 7 days ● Dulcolax suppository
○ Insert 2 suppository per anal canal
Kidney Stones Diarrhea
● Potassium Citrate 1080mg/tab ● Racecadotril 100mg/tab
○ Take 1 tab 2x a day for 7 days ○ Take 1 tab 3x a day until formed stool
● Rowatinex ● KCL tablet 750 mg/tab
○ Take 1 tab 3x a day for 5 days ○ Take 1 tab 3x a day for 6 doses
○ Sambong forte 500mg - 1 tab 3x a day ● ORS Sachet
○ Dissolve in 1 glass of water then drink for
every episode of loose stool
● Pedialyte 30
○ Give 100-200 mL via sips of water as needed
● Bacillus Clausii (Erceflora)
○ 1 nebule once a day for 5 days
● Zinc Sulfate 55.5mg/mL
○ Give 5mL once a day for 14 days
● Flotera Tablet
○ 1 chewable tablet twice a day for 5 days
● Vitamin B-complex, iron, buclizine hydrochloride
○ Take 1 cap once a day
○ For increase appetite
Misc: Gout
● Pregabalin 50 mg/tab ● Colchicine 50 mcg/tab
○ 1 tab BID ○ Take 1 tab 3x a day for 5 days
○ Anti-neuropathic pain/Anti-convulsant ○ HOLD if with loose stools
● Gabapentin 300 mg/tab ● Febuxostat 40mg, 80mg, 120 mg
○ 1 tab BID ○ Take 1 tab once a day
● Neomycin sulfate + Triamcinolone Acetonide +
gramicidin + nystatin otic drops (Vendicom)
○ Instill 3 drops on R/L ear 3x a day for 7 days
● Mineral oil
○ Instill to earfill on R/L ear for 10-15 mins 3x a
day for 7 days
● Vitamin B Complex
○ In PNSS 1L x 100cc/hr
○ If intoxicated (alcohol)-
Difficulty Sleeping Seizures/Anti-convulsants
● Diphenhydramine (Benadryl) 50mg/tab ● Diazepam 5 mg TIV
○ Take 1 tab once a day at bedtime for difficulty ● Clonazepam 2 mg/tab
of sleeping ○ Take ½ tab once a day at night
● Melatonin 2 mg ○ Take ¼ tab once a day at night
○ Take 1 tab once a day, 1-2 hours before ● Levetiracetam 500 mg IV
bedtime ○ every 12 hours
○ To treat epilepsy
● Lacosamide 100mg/tab
○ 1 tab every 12 hours
○ Partial onset Seizures

Notes:
- Scarring usually in the temporo-parietal area
Supplements/Correction Hypersensitivity Reaction (Whole Body)
● Vitamin C + Zinc ● Diphenhydramine 50 mg IV now
○ Take 1 tab once a day ● Hydrocortisone 200 mg IV now
● Ferrous Sulfate + Folic Acid ● Epinephrine 0.3 IM
○ Take 1 tab once a day
● NaCl tab 1g Take home medication:
○ 3x a day for 6 doses (For Sodium correction) ● Diphenhydramine 50mg/tab - 1 tab once a day
● NaHCO3 100 meqs IV (for sodium correction) ● Prednisone 10mg/tab - 1 tab twice a day
● KCl Tablet (Kalium Durule)
○ 1 tab TID (for Potassium correction) for 6
doses
● KCl tablet > KCl IV
○ Tablet is more tolerable
Substance Ingestion Bruise
● Within 6 hours of ingestion: Activated Charcoal, then ● Cold Compress for 15 minutes, 4-5x daily for first 3
after 30 mins - 1 hour give Na Sulfate days, then warm compress thereafter until swelling
subsides
For transfusion: Chronic Venous Insufficiency
4 units PRMC properly typed & crossmatched ● Cilostazol 50mg/tab
● 1 tab twice a day
● Sulodexide 250LSU/cap
● 1 cap twice a day
BPH
● Tamsulosin 400mcg - 1 tab once a day at night
Category 3 Animal Bite Notes:
Chart Order: ● ERIg dose formule
● Tetanus Toxoid 0.5 mL TIM ○ Patient’s Weight in KG x 40
● Tetanus Ig 250 IU TIM ■ ERIg 3,200 IU TIM ()ANST
● Anti-Rabies 0.5 mL TIM ● Anti-Rabies Vaccination Card (Brand Names)
● ERIg dose TIM () ANST ○ Verorab - 4 doses (Day 0, 3,7,14)
○ Speeda - 5 doses (Day 0,3,7, 14,21)

IM Cases Management
UGIB LGIB
● S&S: Hematemesis, Melena (14-5days), Hyperactive ● S&S: Hematochezia
Bowel sounds, Elevated BUN ● DDX: Bleeding Diverticulosis; Internal Hemorrhoids;
● DDX: Bleeding Peptic Ulcer Disease, Esophageal Malignancy; Inflammatory Bowel disease, Vascular
Varices, Dieulafoy lesion, Mallory Weiss Tear, Erosive Ectasias, Colitis, Postpolypectomy Bleeding
Disease; Neoplasms, Vascular Extasias, Prolapse ○ Rare: Solitary rectal ulcer syndrome, Trauma,
Gastropathy Varices, Fistula, AVM, Radiation or Ischemic
● Management: Colitis
○ NPO ● Management:
○ D5 NSS x 80 cc/hr ○ NPO
○ CBC, Na, K, BUN, Crea, CBG, PT/PTT, 12LECG, ○ D5 NSS x 80 cc/hr
CXR, UA, WA CT w/ contrast ○ CBC, Na, K, BUN, Crea, CBG, PT/PTT, 12LECG,
○ Ceftriaxone 2g IV OD, Metronidazole 500 mg CXR, UA, WA CT w/ contrast
IV TID, Pantoprazole 40 mg IV BID, Tranexamic ○ Ceftriaxone 2g IV OD, Metronidazole 500 mg
Acid 500 mg, IV TID IV TID, Pantoprazole 40 mg IV BID, Tranexamic
Acid 500 mg, IV TID
Stroke Stroke Management: CVD Bleed
Ictus: Time last seen normal ● Mannitol 150 mg TSIV push every 8 hours
<4.5h + no bleed → tpa ○ For decompression
<4h → CT scan to rule out Bleed; wala pang makikitang infarct ● Atorvastatin 20 mg/tab
>4-5hs or days → MRI ○ 1 tab once a day
MRI if you are suspecting infarct ● Citicoline 1g TIV every 12 hours
Bleed at posterior → MRI since may bone na nakaharang ● Pantropazole 40 mg TIV once a day
Treat Territorial Infarct and Hemorrhage as one ● Metoclopromide 10 mg TIV every 8 hours for nausea
or vomiting
INFARCT: NIHSS ● For infarct: loading dose of Aspirin 80mg 2 tabs,
HEMORRHAGE: ICH Atorvastatin 80mg, and Citicoline 1g TIV
Loss of balance/Dizziness CC → Occipital area → MRI Disposition:
● Monitor CBG 3x a day premeal
● Monitor MAP 110-130 for permissive hypertension
● Monitor vital signs and record
● Measure input and output and record
Atrial Fibrillation Supraventricular Tachycardia
Types: Slow Ventricular Response, Moderate Ventricular - Narrow QRS Complex
Response, Rapid Ventricular Response - Rate 150-250 bpm
- No P waves - Regular, P waves may or may not be present
- Irregularly, Irregular Rhythm Management:
Management: Vagal Maneuvers: Carotid massage, Diving reflex, Valsalva
Rate Control and Rhythm Control maneuver
Chronic AFib: Rate Control Only ● Adenosine 6 mg rapid IV push followed by 20 mL
● Slow: Atropine/Dopamine flush, repeat as neededx 2 with 12 mg each time
● Moderate: Calcium channel blocker/Beta-blocker/ ● Diltiazem 0.25 mg/kg/IV over 2 minutes OR
Digoxin ● Verapamil 0.15 mg/kg/IV over 1 minute
● Rapid: Adenosine/Diltiazem ● Beta-blocker to control rate
● Cardioversion: if <48 hrs duration OR if >48 hrs
anticoagulate before cardioversion
● Ivabradine - to slow heart rate w/o BP effect
● Apixaban - anticoagulant
CHA2HS2-VASc
HASBLED
Notes: Due to multiple micro re-entry of impulse vs (atrial
flutter which is due to multiple macro re-entry of impulse)
Basic ECG ACS
Rate:
Irregular: counts 30 big box → count number of R waves 12L ECG
14 R waves x 10 sec = 140 bpm Troponin I
Regular: 1500/small boxes ng R-R interval CBC, Na, K, Bun, Creatinine, SGPT, SGOT, PT, PTT, CBG, CXR
Rhythm: consistent/inconsistent number of boxes between R
intervals Load the following medication:
Axis: Lead I (+ or -) and AVF (+ or -) ● Aspirin 50mg 4 tabs
Interval: ● Clopidogrel 75mg 4 tabs
Hypertrophy: V1 (Amplitude of S waves) + V5 or V6 ● Atorvastatin 80mg 1 tab
(Amplitude of R waves) = Total ● Enoxaparin 0.6cc SC
- If > than 35 → LVH is present ● Enalapril 50mg?? 1 tab
- “Sokolow Lyon” ● Carvidolol 6.25mg 1 tab
OR R in aVL ≥ 11 mm ● Pantoprazole 40mg 1 tab
Infarct: St segment elevation/depression, T wave inversion,
pathologic Q waves
Miscellaneous
● V1 and V6
○ MaRRoW - Right Bundle Branch Block
○ WiLLiaM - Left Bundle Branch Block
HISALS
High Lateral: I, AVL,
Inferior: II, III, AVF
Septal: V1 and V2
Anterior: V3 and V4
Lateral: V5 and V6

STROKE Radiology Reading: PRIM


Penetration
WRITING THE DIAGNOSIS: Rotation
Inspiratory Effort:
CVD Infarct Motion
[Hyperacute/Acute/Subacute/Chronic] CVD Infarct, [right/left]
[ MCA/ACA/PCA territory], [cortical/subcortical], probably PA view: to know cardiomegaly; winged scapula
[cardioembolic/non-embolic], NIHSS, MRS, * AP view:
* If cardioembolic: + CHADVASc, HASBLED score
Intracerebral Hemorrhage
[Hyperacute/Acute/Subacute/Chronic] ICH, [ # cc by Kothari],
[right/left] [ __/casuloganglionic area], [subcortical], probably
[hypertensive], NIHSS, MRS
Subarachnoid Hemorrhage
[Hyperacute/Acute/Subacute/Chronic] SAH, probably location
of ruptured aneurysm (ACOM/PCOM/MCA), NIHSS, Hunt and
Hess Grade, Fisher Scoring
ABC pO2 levels
A: pCO2/0.8
B: [713 x FiO2] - A 80 normal
C: [(80 ÷ (p02 ÷ B)) + A] ÷ 713 x 100 60-80 mild
45-59 moderate
Ung sagot sa C. Ayun ung basis king i increase or decrease ung <40 severe
o2 supplement
ARDS severity (PFratio)
Fio2 300 normal
21% - room 200-300 mild
24% - 1lpm 100-200 moderate
28% - 2lpm <100 severe
32% - 3lpm
36% - 4lpm Mask: 6 to 10 L/minute
40% - 5lpm Nasal Cannula: only good for 5L
44% - 6lpm Anything above 10L per minute, increased risk for potential
48% - 7lpm bleeding for prolonged use
52% - 8lpm
56% - 9lpm
60% - 10lpm
ABG Normal Range
pH 7.35-7.45
PaCO2 35-45 mmHg
HCO3 22-26 mEq/L
Anion 8-12

Electrolyte Hyponatremia: NaCl tablet


Hypernatremia: Normal Saline → 5% dextrose
Hypokalemia: IV repletion
- <10 mEq/h (unmonitored setting)
- 40 mEq/h (continuous ECG monitoring)
Hyperkalemia:
- K+ removal: Kayexalate/Nebulized albuterol/Dialysis
- Shift K+: Glucose/ Insulin/NaHCO3 1 ampule IV
- Counteract cardiac effects: Calcium gluconate 5-10 mL
of 10% solution
Hypocalcemia:
- Asymp: Oral or IV Calcium
- Acute Symp: IV 10% calcium gluconate
- Note: Associated deficit in magnesium, potassium,
and pH must also be corrected; hypocalcemia will be
refractory to treatment if coexisting hypomagnesemia
Hypercalcemia: PNSS

Pseudohyponatremia from hyperglycemia


Corrected Na: measured Na 6 [(1.6 (glucose -100))/100]
● 131 + (1.6(350 - 100))/100]
○ 131 + 4 = 135
Osmolarity
2Na + (BUN/2.80 + (Glucose/18)
262 + 5 + 19 = 286
Conversion of labs Insulin Sliding Scale
FBS 4 units - Give 180-220
mmol/L x 18 = mg/dL 6 units - 221-260
8 units - 261-300
Cholesterol, HDL, LDL 10 units - >300
mmol/l÷0.0259 = mg/dL
Triglycerides
mmol/l÷0.011 = ng/dL

Lipid Goal: Less than 55 ng/dL


DKA HHS
- Hyperglycemia - Severe Hyperglycemia (elevated osmolality)
- Metabolic acidosis - pH >7.3
- Ketonemia (elevated betahydrocybutyrate) - Minimal or negative ketonemia
- Volume depletion - Profound volume depletion
- Young> Elderly; T1DM > T2DM - Elderly > Young; T2DM, 20% w/o hx of T2DM
- Acute Presentation - Longer, protracted course of illness

Surgery Cases at ER
Hemorrhoids Cholecystitis/Choledocholesistitis
● Diosmin + Hesperidin (Daflon)
○ 2 tablets twice a day for 7 days
● Policresulen + Cinchocaine HCl (Faktu)
○ Apply every after bowel movement for 7 days

Appendicitis Acute Pancreatitis
● MANTRELS/ALVARADO SCORING ● Pantropazole 40 mg IV
● CT scan is the golden standard ● Metoclopramide 10 mg IV
● Ultrasound for Pedia/Pregnant ● Diag:
● Suspect ruptured if pxt has RLQ pain for 3 days ○ Urinalysis, 12L ECG, PT,
● Surgery definitive treatment ○ CBC, Na, K, BUN, Crea, Ionized Calcium
○ SGPT, Amylase, Lipase
○ WACT with Contrast
○ Hydrate PNSS x 100cc/hr
○ Ketorolac 30 mg IV now
BISAP
B: Bun > or = 25 mg/dl

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