Age/Sex: 83 years old/ Male Address: B7 L5A BuenavistaSubdBagongSilangBalanga City Bataan Date of Admission: February 2, 2017 Date of Discharge: February 4, 2017 Attending Physician: Dr. Marie Joan Veneracon Loy Admitting Diagnosis: Retinal Detatchment, Right eye Final Diagnosis: s/p Pars Plana Vitrectomy, Scleral Buckling, membrane peeling, air fluid exchange, endolaser, silicone oil injection, Right eye Patient/ Room: 178134/702
DRUG DOSAGE MECHANISM OF ACTION INDICATION CONTRAINDICATIONS ADVERSE EFFECTS
Acetazolamide 250 mg/ tablet, the drug forces the kidneys to Prophylaxis of high Hypersensitivity to Drowsiness, paraesthesia, ataxia, 1 tablet every 12 excrete bicarbonate, the altitude sickness, sulphonamides; sodium or dizziness, thirst, anorexia, hours for 1 conjugate base of carbonic acid. Acute closed angle potassium depletion, hepatic headache; confusion, malaise, week By increasing the amount of glaucoma, Epilepsy insufficiency; hepatic cirrhosis; depression; GI distress, metabolic bicarbonate excreted in the hyperchloraemic acidosis; severe acidosis, polyuria, urine, the blood becomes more renal impairment; severe hyperuricaemia, renal calculi, acidic. Acidifying the blood pulmonary obstruction; chronic nephrotoxicity, hepatic stimulates ventilation, which noncongestive angle-closure dysfunction. increases the amount of oxygen glaucoma; adrenocortical Potentially Fatal: Rarely, skin in the blood insufficiency. Pregnancy, lactation reactions or blood dyscrasias. Prednisolone eyedrops 1 drop Decreases inflammation by Steroid responsive Acute, untreated purulent occular Increase intraocular pressure with acetate every two hours suppression of PMN’s and inflammation of the infections. Acute superficial optic nerve damage and visual (PREDFORTE ) on the right eye reversal of increased capillary palpebral and herpes simplex, varicella and field defects. Posterior permeability bulbar, cornea and most other viral diseases of the subcapsular cataract formation anterior segment cornea and conjuctiva secondary ocular infection from fungi or viruses Atropine sulfate eyedrops 1 drop mechanism of action involves Mydriasis &/or Primary glaucoma or a tendency Prolonged use may produce local every 8 hours, blocking the contraction of the cycloplegia. For toward glaucoma. irritation. OD circular pupillary sphincter cycloplegic Hypersensitivity. muscle, which is normally refraction, for stimulated by acetylcholine pupillary dilation release, thereby allowing the desired in acute radial pupillary dilator muscle inflammatory to contract and dilate the pupil conditions of the iris & uveal tract. Ketorolac 30 mg IV TID Analgesic, can also replace Special Precautions: in patients GI reactions, nausea, dyspepsia, one dose morphine in situations involving with impaired renal function. drowsiness, headache, sweating mild to moderate pot op pain History of GIT disease, edema, bradycardia, palpitation, anaphylactoid reactions, elderly, hypotension, chest pain coagulation disorders. Avoid driving and operating machinery Mefenamic acid 500 mg/tablet Inhibits prostaglandin synthesis Pain, headache, GIT ulceration or inflammation GI disturbances, bleeding, P.O by decreasing the activity of the muscular and drowsiness, dizziness enzyme, cyclooxygenase, which traumatic pain, results in decrease formation of dental pain, post-op the protaglandin precursor & post partum pain, dysmenorrhea Levofloxacin eyedrops 1 drop Semi-synthetic antibacterial Treatment of CAP, Age<19 y/o, hypersensitivity, Diarrhea, nausea, anorexia, (Oftaquix) every 3 hours, agent that inhibits bacterial acute bacterial pregnancy and lactation. stomatitis, insomnia, headache & OD DNA gyrase, necessary for exacerbation of dizziness. Joint pai, pruritus, supercoiling of the DNA, chronic bronchitis, eczema, increased liver enzymes, thereby preventing DNA acute maxillary phlebitis. replication in susceptible sinusitis, UTI. bacteria
Dr. Marck Reyes Jeanne Mara Gopeng/ Agreda, Angelini S.
A Novel Therapy of Eosinophilic Esophagitis-Treatment of Eosinophilic Esophagitis Using A Single Dose of Intramuscular Corticosteroid and Proton Pump Inhibitor