- The patient presented with limb weakness, unconsciousness, vomiting, and headache after a stroke. Their treatment plan included bed rest, NG tube feeding, IV fluids and antibiotics, oxygen supplementation, and medications to manage symptoms like anxiety, pain, and constipation. - The patient was also diagnosed with diabetes mellitus based on their blood sugar levels. Their treatment included insulin, IV fluids, antibiotics, and close blood sugar monitoring. - Additional conditions like hypertension, asthma, and COPD were treated with medications tailored to each condition.

1. Rx of Stroke patient.
------------------------------
-H/0 Limb weakness
-H/0 Unconsciousness
-H/0 Vomiting,Headach
-Bed rest with posture change 2 hourly.
-NG Tube feeding.
-O inhalation-SOS
-NOP suction.
-Inf. N/S (1L)
I/V @10 dpm stat daily.
-Inj. Ceftriaxone-(1gm)
1 vial I/V stat daily.
-Inj. Losectil-(40mg)
1 vial I/V stat BD.
-Tab.Ramil(2.5mg)
0+0+1
★-Inj.Dexa/Roxadex (please don't use in case
of DM Pt).
1amp I/V stat & 6 hourly
2

2. Tab. Repose---50mg
1
2
+ 0 + 0
Tab.Lozicum--- 1mg
1
2
+
1
2
+ 1
1
2
Tab. Sizonil--- 1mg
0 + 1 + 0
Inj. Halopid
1amp I/V stat & SOS
Inj. Perkinil
1amp I/V stat & SOS
Or
Inj. Sedil
1amp + 10CC D/W I/V stat
Syp. Avolac
3TSF & TDS
Or
Supp. Glysup
4 stick P/R stat
ANXIETY DISORDER
RESTLESSNESS
CONSTIPATIONA

3. ORS mixed 𝑒̅
1
2
L of wter and drink after each purgation.
Tab. Receca-100mg
1 + 1+ 1
Inj. Emistat-8mg
1amp I/V stat & daily.
Tab. Emistat-8mg
1+0+1
Or
Tab. Vergon-5mg
1 + 0+ 1
Or
Tab. Anset-8mg
1 + 1+ 1
DIARHOEA
VOMITING

4. Tab. Napa Extended-665mg
1 + 1+ 1
Or
Supp. Voltalin
1 stick P/R stat & SOS
Or
Inj. Pethidine
1amp I/V stat & SOS
Tab. Vergon
1amp I/V stat & SOS
Syp. KT
2TSF mixed 𝑒
⃗
1
2
𝐿 Water.
Level K powder
1TSF mixed 𝑒
⃗⃗⃗
1
2
𝐿 of water + 2TSF syp. Avolac TDS.
PAIN
HYPOKALEMIA
HYPERKALEMIA

5. Inf. 25% Nutridex-100ml
I/V stat running
Inf. 10% DA -1L
I/V @ 10 dpm stat & daily.
Tab. Don-A
1 + 1+ 1
Inj.Algin
1amp I/V stat & 8 hourly.
Inj. Anadol-100mg
1 amp I/m stat & SOS.
Inj. Emistat-8mg
1amp I/V stat & BD
HYPOGLYCAEMIA
ABDOMINAL PAIN
ANOREXIA

6. Inf. 5% DNS-1L
I/V stat & daily.
Tab. P/C-500mg
1+1+1
Or
Supp. Napa-500mg
1 stick P/R stat
FBS ≥7.0 mmol/L
2HABF ≥11.1
HbA1C ≥6.5℅
C/F: polyuria, polydipsia, and polyphagia, along with lassitude, nausea, and blurred vision.
Dx: C/F+ Any one para meter.
Or Two para meter are positive.
weakness
FEVER
Diagnosis of Diabetes Mellitus:

7. -Bed rest
-Diet: NG tube feeding/Normal.
-Inf. N/S—3L
1000ml I/V stat running then,
I/V @ 30 dpm.
-Inj. Ceftriaxone—1gm
1 vial I/V stat & 12 hourly.
-Inj. Maxsulin R
10 units I/M stat.
-Inj. Seclo—40mg
1 vial I/V stat & 12 hourly.
-Continuous catheterization.
-Please maintain diabetic chart.
-Inf. Maxslin-R 50 unit+ N/S 50ml
I/V @ 4 micro dpm.
-Please maintain blood sugar 1 hourly.
DKA

8. Inj. GTN/Anril--50mg/10ml
1amp +40ml N/S
I/V @ 0.3ml/hour
Transfer to ICU.
<55 years: ACE-i/ARB:
Tab. Losarten /Osartil-50mg
0+0+1
Tab. Ramipril-5mg
0+0+1
Valsarten-(40/80)
0+0+1
>55 years: C2+ Channel Blocker(CCB)
Tab. Amdocal-5mg
0+0+1
Tab. Cildip-(5mg/10mg)
0+0+1
Tab. Nitin-10mg
0+0+1
Tab. Nidipin-10mg
1+1+1
Tab. Nidipin-SR
1+1+1
Tab. Cardizem SR(30-240mg)
1+0+1
Tab. Cardizem SR
1+0+1
HTN Urgency:
Antihypertensivedrug with doses.

9. ★Diuretics:
1)Thiazide:
i)Hydrochlorothiazide
Tab. Acuren-25mg
1+0+0
ii)Indapamide
Tab. Hypen -(1.5-2.5)
1+0+0
Tab. Hypen SR-(1.5mg)
1+0+0
2)Frusemide:
Tab. Fusid/Frusin/Lasix-(40mg)
1+0+0
3)Spirolactone:
Tab. Spirocard-100mg
1+0+0
B-Blocker:
Bisoprolol(2.5-10mg)
Tab. Bislol-(2.5mg)
0+0+1
★ACEi+CCB-(If not controlled by ACEi)
Tab. Bizoran/Duopres(5/20)
0+0+1
Tab. Abecab(5/20)(amlodipine+olmesartan)
0+0+1
Tab. Amlosartan(5/80)
0+0+1
★ACEi+Diuretics:
Tab. Losardil plus100/12.5mg)
1+0+0
A+C/A+D কাজ না করলে,A+C+D এ drug দিল া।
so,BothAbecab+Hypen SR will given.
Tab. Abecab-5/20
0+0+1
Tab. Hypen SR-1.5mg
0+0+1

10. If A+C+D don't work,Add Bislol(B-blocker) with them at morning.
If not work,then
Add, @-blocker:
Tab. Prazopress(1/2mg)-Highst 20mg.
1+1+1.

11. -Bed rest with propped up position.
-Diet: Normal.
-O inhalation-sos
-Nebulization with windel plus-6hourly and Budicort solution -12hourly.
-Inj. Cotson
1 vial I/V stat and TDS
-Tab. Monas-10mg
0+0+1
-Tab. Fexo-120mg
0+0+1
-Tab. Docopa-200mg
1+0+1
-Bexitrol-F Bexicap 50/250
1+0+1 use with Bexihaler
-Azmasol Bexicap
1+0+1 use with Bexihaler.
BRONCHIAL ASTMA
2

12. -Bed rest with propped up position.
-O inhalation(Low flow)-sos
-Nebulization with windel plus-6hourly and . Budicort solution -12hourly.
-Inj. Cotson
1 vial I/V stat and TDS
-Inj. Ceftriaxone-1gm
1 vial I/V stat and 12 hourly.
-Bexitrol-F Bexicap 50/250
1+0+1 use with Bexihaler
-Azmasol Bexicap
1+0+1 use with Bexihaler.
COPD
2