FRACGP PART 2:TELEHEALTH CONSULTATION : DOCTORS BAG

BASICS :

- BP MONITOR + APPROPRIATE CUFF SIZE

- PULSE OXIMETER
- DIGITAL THERMOMETER
- GLUCOMETER + LANCET + TEST STRIP
- PAIN SCORE RULER
- HAND SANITIZERS

PPE : FACE MASK , FACE SHIELD , GLOVES , HAND SANITIZERS , APRON

CVS / RS / PA : STETHOSCOPE

CNS : TENDON HAMMER , TORCH LIGHT , TONGUE DEPRESSOR , ORANGE STICK , COTTON WICK ,

MSK : SKIN MARKER , MEASURING TAPE ,

- FRACTURE : SLING , SPLINT , BANDAGES , TAPE

- L/W OR A/W : GAUZE , GAMGEE , BANDAGES , TAPE , NS / HYDROGEN PEROXIDE FOR
IRRIGATION , SUTURE SET , DRESSING SET, TOPICAL POVIDONE / FLAVIN / TOPICAL ANTIBIOTICS
IM ATT 0.5 CC , PORTABLE SHARP BIN , CLINICAL WASTE BAG

BLOOD TAKING / BRANULLA INSERTION : GLOVES , ALCOHOL SWAB , TORNIQUETTE , COTTON SWAB ,
TAGADERM , BRANULLA , SYRINGE , BLOOD SPECIMEN TUBES , PORTABLE SHARP BIN , CLINICAL WASTE
BAG

URINARY CATH : CBD BAG , TUBING , KY JELLY LUBRICANT , URINE SPECIMEN BOTTLE

NG TUBE : TUBE , KY JELLY LUBRICANT , 10CC SYRINGE , STETHOSCOPE

O2 : PORTABLE O2 TANK , FM/NP , TUBING , AMBU BAG

INVESTIGATIONS : URINE DIPSTICK , UPT , GLUCOMETER , COVID-19 RTK AG TEST KIT , PORTABLE ECG

VISION : OPTHALMOSCOPE , SNELLEN CHART , ISHIHARA CHART

HEARING : OTOSCOPE , TUNING FORK 512HZ

REFERRAL LETTER , PEN , DOCTORS , OFFICIAL CHOP

*consent / offer chaperone / ensure privacy / thank pt after examining – for any examinations*
 EMERGENCY MEDICATIONS:

1) Anaphylaxis :
- O2
- IM adrenalin 0.5ml (1:1000 dilution ) – MID ANTEROLAT ASPECT OF THIGH , rpt every 5-15mins
as needed
- IV hydrocortisone 200mg
- IVD NS 1-2 pints rapid infusion – 2 large bore branulla
- Neb salbutamol
 Peads : IV NS rapid bolus 20ml/kg
 Peads : IM adrenaline 0.15 / 0.3 / 0.5ml (1:1000 dilution)
 Peads : IV hydrocortisone 25-200mg

2) MI :
- O2
- S/L GTN
- Crushed T. Aspirin 300mg
- IV Morphine 2.5 – 5.0 mg

3) AEBA / AECOAD :
- MDI Salbutamol 1st cycle : 5 puffs – each puff 10 breaths – rest 20 mins
- IV hydrocortisone 200mg
- 2nd cycle : 1 puff MDI Salbutamol + 4 puff MDI Duolin – each puff 10 breaths – rest 20 mins

4) Hypoglycemia
- IV D50% 50CC
- IVD D5% / D10%
- O2

5) Febrile fits
- Supp PCM 125/250mg
- Supp diazepam 0.5mg/kg

6) Adult seizure
- IM/IV diazepam 10mg
- Supp diazepam 0.5mg/kg

7) Fall with fracture : pain control

- IM Voltaren 75mg (pain score 1-3)
- IM Tramal 50mg (pain score 4-6)
- IM pethidine 25- 50mg (pain score >7)

8) Fall with laceration / abrasion / bleeding wound

- IM ATT 0.5 cc
- IM Voltaren 75mg

9) Acute psychosis
- IM Haloperidol 2mg

10) Epistaxis
- Ribbon gauze
- IV Tranexamic acid 1gm

11) Covid -19

- T. Paxlovid (nirmatrelvir 300mg + ritonavir 100mg BD x 5 days)

12) Severe pain