Very Common Cases & Their TTT Flashcards
What is the most commonly used antibiotic to treat UTI in ER? Dosage
Cefaks ( Cephalosporin ) 500mg injection
What’s the most commonly used antibiotic for tonsillitis in ER? Dosage?
Rocephin ( ceftriaxone= cephalosporines 3rd generation)
1mg IV for moderate
2mg IV for sever
Advice follow up with ENT
Gastritis ?
URTI
LRTI
Dehydration
Ovarian cyst
Af
MI
Thumb injury/inflammation
Clean, dressing, anti-inflammatory tablet for 5 days
Mangment of Pharyngitis ?
Labs ; CBC, CRP, ???
DRUGS; IV or IM
Antihistamines
Vitamin C
Panadol
Bronchitis
Pneumonia
What’s the management of neck pain in ER?
Request xray ( MRI is better but first Xray is done otherwise insurance will not accept MRI order)
Give Mydocalm ( tab 50-150 mg×2
Nausea
Give Zofran ( Ondansetron ) IV 2mg over 15 minutes
( tab is 4,8,24 mg )
Abdominal pain
Buscopan ( antispasmodic ) IV 20mg
Oral 10mg
Management of panic attack ?
Give Dormicum ( midazolam ) = benzodiazepine ( given to help ptn relax ) IV 1mg 0ver 2 minutes
Urticaria/ allergy
Give :
NS
Hydrocortisone100- 200 max
Chlorohistol IV 20mg is the max
Home prescription :
antihistamine = Telfast ( fexofenadine hydrochloride) 180mg × 1 daily
{ if the ptn wants another drug, we can give Desloratidine 5mg once daily }
Gupisone ( prednisone ) can also be given 20mg × once daily ×3
Diphenhydraamine 50mg ( Antihistamines )
Sore throat managment?
Augmentine ( amoxiciline/ clavulanate ) tablet 500-825mg or extended release tablet 1000mg ×2×10
Antihistamine
Constipation management?
Order Xray
Enema ( incase of ptn took dulcolax already)
Papatation + dizziness ( pulse is normal ) what’s the management?
Chest x ray ( SOB )
ECG
CBC
Random blood sugar
Electrolytes
TSH
Medication:
NS
Nebulizer
History of low back pain, ptn was told there was pressure on the nerves causes his pain , MRI was done by neurologist before, mana9?
Perfalgan
Voltaren
Vitamin B12 injection
Ptn had seizure for first time, management? Possible cause?
The cause was postcoital seizure because of the rupture of aneurysm chich caused subarachnoid haemorrhage
Check blood gases ( usually there’s metabolic acidosis )
CT scan was done
Was given dormicum because ptn was agitated
Was given zofran for his nausea
Ptn shifted to ICU for coiling surgery
Chest pain ( muscular ) managment?
Order chest xray
Order POC test ( troponin, d-dimer )
Muscle relaxant was given
Voltaren
Perfalgan
Palpitations
Transverse mylitis
Throat pain
Pulmonary embolism
Headache
Agitation maybe alcohol
Panic attacks
Head trauma
Case with fracture of the ankle , management?
Split
Give painkillers
Nexium
Aspirin because ptn is >45 years to prevent DVT
Sepsis ( because of diabetic foot ) managment?
Give fluid full speed if there’s hypotension to prevent septic shock
Give Imipenem and Cilastatin IV ( if not available give flagyl with ceftriaxone )
Insert Catheter
Sift to ICU
Pulled elbow
Xreay was done
Ibuprofen was given ( child 4 years )
Lower abdominal pain ( female ) managment
Point in History:
LMP, UTI symptoms, ovarian
Order :
US : Abdomen , pelvis
Order: CBC, CRP, Creatinine, Urine
Give : buscopan IV stat
Gotex stat
Perfalgan stat
Management of Afib
ABC
Attached monitor
IV access
ECG
Echo
Give B-blockers
Anticoagulants direct or Warfarin
For hypotension, give Atropine
If there’s known foci, ablasion is done
