Upper Abdominal Pain

Inv:

1. CBC ESR

2. RBS

3. Urine R/M/E

4. S. Creatinine

5. S. Electrolyte

6. SGPT

7. S. Lipase

8. ECG

9. USG of W/A

Rx:

1. NPO - TFO

2. Inf. N/S 1L + 5% DNS 1L

I/V @ 30 d/m

3. Inj. Norvis/Algin [Tiemonium Methylsulphate]

1 amp I/V Stat & TDS

4. Inj. Maxpro 20 [Esomeprazole]

1 vial I/V Stat & BD

5. Inj. Anadol 100 mg [ Tramadol Hydrochloride]

1 amp I/V Stat & SOS

ব্যথা না কমলে Inj. Nalbun 2 [Nalbuphine]

1 amp I/M Stat

6. Inj. Zofra 8 mg [Ondansetron]

1 amp I/V Stat & SOS - TDS

7. অস্থির লাগলে Inj. Sedil [Diazepam]

1 amp I/M Stat & SOS

or, Tab Pase 0.5 mg [Clonazepam]

0+0+1

8. Syp. Maganta Plus [Magaldrate + Simethicone Chewable]

2/3 TSF - TDS

Lower Abdominal Pain

1. Diet: N

2. Inj. Norvis/Algin [Tiemonium Methylsulphate]

1 amp I/V Stat & TDS

3. Inj. Maxpro 20 [Esomeprazole]

1 vial I/V Stat & BD

4. Inj. Anadol 100 mg [ Tramadol Hydrochloride]

1 amp I/V Stat & SOS

ব্যথা না কমলে Inj. Nalbun 2 [Nalbuphine]

1 amp I/M Stat

5. Inj. Ceftriaxone 1 g

1 vial I/V Stat & BD

6. Inj. Zofra 8 mg [Ondansetron]

1 amp I/V Stat & SOS - TDS

7. N/S if needed

8. Urinary discomfort থাকলে

Syp. Citra- K [Potassium Citrate + Citric Acid]

2 TSF mixed ē half glass of water - BD

9. Continuous Catheterization if needed

10. Edema থাকলে- O2 inhalation SOS

PUD

Syp. Maganta Plus [Magaldrate + Simethicone Chewable]

2 TSF - TDS (A/M)

PUD Discharge

1. Tab. Esoral 20 [Esomeprazole]

1+0+1 - 15 days

2. Tab. Zofra ODT 8 mg [Ondansetron]

1+1+1 - বমি/বমি ভাব হলে খাবার আগে

3. Syp. Gaviflux (২ ফাইল) [Sodium Alginate + Sodium Bicarbonate + Calcium Carbonate]

২ চামচ করে দিনে ৩ বার। খাবার ১ ঘণ্টা পরে - ১৫ দিন।

Hiccup

Tab. Bacofen 10 [Baclofen]

1+0+1

Back Pain

1. Inf. H/S 1L

I/V @ 15 d/m - Daily

2. Inj. Omeprazole 20

1 vial I/V BD

3. Tab. Beklo 10

1+0+1

4. Tab. Napa 500

1+1+1

5. Tab. Xinc B

1+0+1