Prescriei antibioticul/ chimoterapicul de elecie la un bolnav cu Dg: Rp/ Eritromicin cp. 200mg AO nr. I DS oral, 2 cp. la 6 ore, 7 zile
2. Angin acut streptococic. Alergie la penicilin Rp/ Eritromicin cp. 200mg AO nr. I DS oral, 2 cp. la 6 ore, 7 zile
3. Pneumonie pneumococica Rp/ Penicilina G flac. 1.000.000 UI Flac. nr. XXVIII DS i.m., 1 flac. la 6 ore, 7 zile # Rp/ Ser fiziologic f. 10ml F. nr. XXVIII DS solvent pt. Penicilina G
4. Stafilococie cutanat Rp/ Oxacilin caps. 500mg Caps. nr. XXVIII DS oral, 1 caps. la 6 ore, 7 zile
5. Bronit acut Rp/ Ciprobay cp. 500mg AO nr. I DS oral, 2x1 cp/zi
6. Febr tifoid Rp/ Clorafenicol caps. 250mg Caps. nr. LXXX DS oral, 2 caps. la 6 ore, 10 zile
7. Pielonefrit acut Rp/ Norfloxacin cp. 400mg Cp. nr. XX DS oral, 1 cp. la 12 ore, 10 zile
8. T.B.C. pulmonar, form uoar, luna III de tratament Rp/ Isoniazid cp. 300mg AO nr. I DS oral, 2 cp/zi, 3 zile/sptmn # Rp/ Sinerdol caps. 300mg AO nr. I Ds oral, 2 caps/zi, 3 zile/sptmn
9. Infecie urinar joas (Cistopielit) Rp/ Ciprofloxacin cp. 500mg Cp. nr. X DS oral, 1 cp. la 12 ore, 5 zile
Rp/ Biseptol cp. AO nr. I DS oral, 2 cp. la 12 ore, 5 zile
10. Meningit acut Rp/ Rocephin flac. 1g Flac. nr. XX DS i.m, 1 flac. la 12 ore, 10 zile
11. Infecie biliar acut Rp/ Amoxicilin caps. 500mg Caps. nr. XXVIII DS oral, 1 caps. la 6 ore, 7 zile
12. Profilaxia secundar a reumatismului articular acut Rp/ Moldamin flac. 1.200.000 UI Flac. nr. VI DS i.m. profund, 1 flac/lun # Rp/ Ser fiziologie f. 10ml F. nr. VI DS solvent pt. Moldamin
13. Candidoz vaginal Rp/ Clotrimazol cp. vaginale 100mg AO nr. I DS intravaginal, 1 cp/zi, 6 zile, seara la culcare
14. Zona zoster Rp/ Zovirax cp. 800mg Cp. nr. XXV DS oral, 5x1 cp/zi, 5 zile
Rp/ Aciclovir cp. 800mg AO nr. I DS oral, 5x1 cp/zi, la 4 ore, 7 zile
Rp/ Aciclovir unguent AO nr. I DS aplicaii locale
Prescriei tratamentul la un bolnav cu Dg: 1. Glaucom cronic Rp/ Isoptocarpine soluie oftalmic 2% Flac. nr. I DS instilaii n sacul conjunctival 6x1 pictur/zi n ambii ochi
2. Rinofaringit acut Rp/ Olynt spray nazal 0,1% AO nr. I DS instilaii nazale, 3x1 puf/zi, 5 zile # Rp/ Paracetamol cp. 500mg AO nr. I DS oral, 3x1 cp/zi, 5 zile 3. Bronit cronic Rp/ Acetilcistein cp. 200mg AO nr. I DS oral, 3x1 cp/zi # Rp/ Miofilin cp. 100mg AO nr. I DS oral, 3x1 cp/zi
4. Astm bronic uor Rp/ Bricanyl Turbohaler AO nr. I DS inhalator, 2 pufuri la interval de 5 min, n criza de astm bronic
5. HTA. Insuficien renal cronic Rp/ Digoxin cp. 0,25mg AO nr. I DS oral, 1 cp/zi, 6 zile/sptmn # Rp/ Enalapril cp. 10mg Cpr. nr. LX DS oral, 2x1 cp/zi # Rp/ Furosemid cp. 40mg AO nr. I DS oral, cp/zi # Rp/ Spironolacton cp. 50mg AO nr. I DS oral, 1 cp/zi # Rp/ Atenolol cp. 50mg Cp. nr. XXX DS oral, 1 cp/zi
7. HTA form medie Rp/ Lisinopril cp. 10mg AO nr. I DS oral, 1 cp/zi # Rp/ Indopamid cp. 1,5mg AO nr. I DS oral, 1 cp/zi, dimineata
8. HTA form uoar. Diabet zaharat tip II cu obezitate Rp/ Enalapril cp. 10mg AO nr. I DS oral, 2x1 cp/zi
9. Cardiopatie ischemic. Angin pectoral de efort Rp/ Nitroglicerin spray 0,4 mg/puf AO nr. I DS sublingual, la nevoie, 1 puf # Rp/ Isosorbit Dinitrat cp. 10mg AO nr. I DS oral, 2x1 cp/zi, la 6-8 ore interval (ora 8 si 14 ) # Rp/ Atenolol cp. 50mg AO nr. I DS oral, 1 cp/zi # Rp/ Aspenter cp. 75mg AO nr. I DS oral, 1 cp/zi
10. Fibrilaie artial cronic Rp/ Digoxin cp. 0,25mg AO nr. I DS oral, 1 cp/zi, 5 zile/saptaman # Rp/ Trombostop cp. 2mg AO nr. I DS oral, 1 cp/zi, cu controlul INR
11. Insuficient circulatorie cerebral cronic
12. Anemie feripriv Rp/ Ferrogrodumet cp. 100mg AO nr. I DS oral, 1 cp/zi, postprandial, 3 luni # Rp/ Vitamina C cp. 200mg AO nr. I DS oral, 3x1 cp/zi
13. Anemie megaloblastic Rp/ Vitamina B f. 50g/ml F. nr. XXXVI DS i.m, iniial 2 f/zi 14 zile, apoi 2 f/sptmn 4 sptmni, apoi 2 f/lun toat viaa # Rp/ Acid folic cp. 5mg AO nr. I DS oral, 1 cp/zi
14. Ulcer duodenal. Infecie cu Helicobacter Pylori Rp/ Omeprazol cp. 20mg AO nr. I DS oral, 2x1 cp/zi, 4 sptmni # Rp/ Amoxacilin cp. 1g Cp. nr. XXVIII DS oral, 2x1 cp/zi, 14 zile # Rp/ Claritromicin cp. 500mg Cp. nr. XXVIII DS oral, 2x1 cp/zi, 14 zile
15. Reumatism cronic degenerativ. Gastrit cronic Rp/ Moldamin flac. 1.200.000 UI AO nr. I DS i.m, 1 flac. la 10 zile, se dizolv n 5ml ap distilat # Rp/ Maalox cp. AO nr. I DS oral, 3x1 cp/zi, la 90 de min. dup mas
16. Neoplasm uterin stadiul IV (tratament analgezic) Rp/ Morfin f. 2% AO nr. I DS subcutanat, 3x1 f/zi
17. Nevroz anxioas Rp/ Diazepam cp. 10mg AO nr. I DS oral, 3x1 cp/zi
18. Insomnie cronic Rp/ Diazepam cp. 10mg AO nr. I DS oral, 2x1 cp/zi
19. Diabet zaharat tip II. Sarcin luna a 5-a Rp/ Lente MC flac. Flac. nr. X DS subcutanat 1 flac. dimineaa la ora 11
20. Alergodermie Rp/ Aerius cp. 5mg Cp. nr. V DS oral, 1cp/zi, dimineaa, 5 zile
Prescriei tratamentul de urgen n urmtoarele afeciuni acute: 1. ocul anafilactic - ADRENALIN : se poate administra i.v. sau i.m. ncepnd cu 0,5mg, doz care se poate repeta - HEMISUCCINAT DE HIDROCORTIZON de la 100mg pn la 1000mg - ANTIHISTAMINIC H1 : Romergan i.m. sau Clemastin i.v. 2. Criza de astm bronic Criza de oxigenoterapie : - Spray cu -simpaticomimetrice cu durat scurt de aciune - Salpotamol - Ferbutalin Spray 1-2 pufuri la interval de cteva minute - Fenoterol Maxim 8 pufuri/zi !!!! - Miofilin - Hemisuccinat de nitrocortizon, f. i.v. - Antibioterapie, dac criza a fost declanata de o infecie bacterian
3. Edem pulmonar acut Oxigenoterapie FUROSEMID f. i.v. DIGOXIN NITROGLICERIN n perfuzie i.v.
5. Criz de tahicardie paroxistic supraventricular In atac : prima msur MANEVRE VAGALE dac NU cedeaz ADENOZIN i.v. dac NU cedeaz VERAPAMIL f. i.v. daca NU cedeaz DIGOXIN dac NU Prevenirea recderilor : -blocante orale sau blocante de calciu sau Digoxin
cedeaz CONVULSIE ELECTRIC
6. Tahicardie ventricular Dac este bine tolerat se administreaz LIDOCAIN (XILIN) i.v. iniial 1mg/kg corp sau 100 mg, apoi n perfuzie i.v. cu ritmul de 1-3 mg/min Alternative la Lidocain : CONVERSIE ELECTRIC sau AMIODARON i.v. sau MEXILETIN i.v Prevenirea recderilor : Amiodaron sau -blocante
7. Criza hipertensiv Captopril 25mg sublingual Furosemid daca NU
scade 8. Colica biliar NO-SPA (Drotaverin) f. i.v, i.m. sau PAPAVERIN f. i.m. PIAFEN (Metamizol + 2 antispastice) f. i.m, i.v. SCOBUTIL f. KETONAL f. i.m. (Ketoprofen)
9. Colica renal Rp/ Papaverin cp. 100mg AO nr. I DS oral, 3x1 cp/zi # Rp/ Piafen f. F. nr. IX DS i.v, 3x1 f/zi
10. Criza epileptic Administrare injectabil de FENOBARBITAL, DIAZEPAM sau FENITONIN