Thursday, 23 June 2016

Drug of Choice for different diseases

Drug of Choice for different diseases

DRUG OF CHOICE

D.M , Renal failure with chest infection....Cipro in full dose
D.M with psuedomonal infection....Cipro
D.M type 1 with increased morning glucose...regular
& intemediate insuline twicw daily
D.M with intermittent claudication , weak pulses & HTN..... Ca channel blockers
Sulphonylurea induced hypoglycemia....Glucagon
Hypeglycemic Coma....Regular Insuline

Terminal cancer patients with pain...Morphine
Pain of MI....Morphine

2 yrs old with 3rd episode of wheezing in last 6 months....Salbutamol Nebulization
Occasional intermittent asthma....Salbutamol
Emergency measure for hyperkalemia...Salbutamol
Renal failure, K 6.8 , HCO3 15 , ECG tall T waves.... I/V Ca Gluconate ( Hyperkalemia)
Malignant pleural effusion...Tetracyclin
High grade fever , chills, headache, myalgia, WORKING NEAR ANIMALS...... Tetracyclin
Enteric fever ....Cipro
Pulmonary Anthrax....Cipro
Traveler's diarrhoea....Norfloxacin
Fvere with coated tongue and leucopenia....Ofloxacin
Systemic fungal infection....Amphotericin B
PCR positive HCV....Interferone & Ribavarin
Atypical Pneumonia....Macrolide ( Erythromycin)
6o yrs old with Meningitis ( Polymorphs)...Ceftriaxone
Meningococcal meningitis in elderly with no drug allergy....Penicillin
Acute lobar pneumonia....Gentamycin
Rheumatic Valvular Disease plus fever....Inj. Penicillin & Gentamycin
Amoebic liver abscess....Tinidazole
Tapeworm infestation...Niclosamide

Breathless on exertion with b/L basal crepts.... Diuretic & ACE inhibitor
CCF with previous IHD...Diuretic & ACE inhibitor
B/L Basal crept, Orthopnea and raised JVP ( CCF)...Furosemide
B/l Crepts with MI....Furosemide
Acute left Ventricular Failure...Furosemide I/V
Increased Ventricular rate( Sinus Tachycardia ) .....Verapamil
Dyspnea withh irregular pulse, B.P 130/70, Atrial fibrillation....Digoxin with Diuretic
Cardiogenic shock....Dopamin & Dobutamine
IHD with palpitation, dyspnea, syncope. QRS( 140 to 200 / min) ....Lignocain
Wolfparkinson Atrial Fibrillation....Radiofrequency Ablation
Chest pain with acute Q wave for 6 hours....I/V Streptokinase followed with Heparin

Organophosphate poisoning....Paralidoxime
Diabetic Gastroparesis....Metoclopramide
To reduce IOP....Pilocarpine
62 Years old with HTN , Hypelipidemia & Prostatism.....Alpha Blockers
62 Years old with HTN , Hypelipidemia & Prostatism.....Alpha Blockers
Ascending mountain sickness...Acetzolamide
PreOperative B.P control in Pheochromocytoma....Both Alpha and Beta Blocker
Penicillin reaction...Adrenaline

Anti convulsant for pre eclampsia....MgSO4
HTN in Pregnancy...Methyldopa
Mitral stenosis with atrial fib. ( in pregnancy)....I/V Heparin
Thyrotoxicosis in pregnancy...PTU
Post Delivery uterine bleeding....Ergometrine
Post Delivery uterine bleeding with ATONY....Oxytocin
Nursing mother with HSV genitalis...Acyclovir
HCV keratoconjunctivitis...Trifluridine

Breast C.A post menopausal....Tamoxifen
Endometriosis...Danazole
Pget's disease...Calcitonin
Resting tremors and loss of facial expressions....Orphenadrine
CRF with anemia, Hb 6.5...Erythropoeitin with I/V Iron

Feritin 1000 micro gram / L with Hb 8 and pigmentation...Deferroxamine
Warfrin reversal....FFP
CML....Hydroxyurea

Acute Rheumatoid Arthritis...Methotrexate
Relapsing minimal change disease .... Immunosuppresants
Partial Abscence seizures...Ethusuximide
Acute Attack of Ulcerative colitis.....I/V Corticisteroids
GI Bleed with CLD ... Inj Terlipressin >>>> Inj Octreotide
Mast cell stabilization ...Disodium Cromoglycate
Achalasia cardia in 34 yrs old.....Pneumatic dilatation
Hematemesis, Jaundice with mild spleenomegally.... Best is Band ligation

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