Prescriptions Part 1

CVS-1
A 50-year-old man presented with complaints of swelling of
both legs for the last 3 weeks and mild breathlessness for 2
weeks.
On examination: Heart rate = 80 beats /minute, BP = 130/90
mm Hg.
On auscultation S1 and S2 were heard with S3 gallop and
bilateral basal crepitations.
Radiological examination of the chest revealed obliteration of
the cardio phrenic angle.
Echocardiogram revealed a Left Ventricular Ejection Fraction of
36%.
He is diagnosed with congestive heart failure. Give a suitable
prescription for this patient.
Dr (write your name here)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: 3.4.23

Mr Raja, 50 years, male

HR = 80 /min
Diagnosis: Congestive Heart Failure BP = 130/90 mm
Hg
Rx EF = 36%
Tab. RAMIPRIL 2.5 mg 1-0-0 x 2 weeks
Tab. FUROSEMIDE 40 mg 1-0-0 x 2 weeks

Healthy diet, restrict salt to 4 gm/day

Review after 2 weeks with repeat serum creatinine & potassium

Signature
CVS-2
A 40-year-old man complained of headache 3-5 days in a week
for the last one month.
On examination his blood pressure was 160/90 mm of Hg and
it was consistently elevated on three separate occasions.
All the other systems and investigations were found to be
normal.
What is your probable diagnosis? Give a suitable prescription
for this patient.
Dr (write your name here)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: 3.4.23

Mr Raja, 40 years, male

BP = 160/90 mm
Diagnosis: Essential Hypertension (Stage 2) Hg

Rx
Tab. AMLODIPINE 2.5 mg 1-0-0x 1 month
Tab. HYDROCHLORTHIAZIDE 25 mg 1-0-0 x 1 month

Regular exercise (at least 30 minutes brisk activity, 5 days a week),

weight loss, healthy diet, restrict salt to 6 gm/day

Review after 1 month

Signature
CVS-3
A 60-year-old female came to the OPD with complaints of
sweating, palpitation and chest pain on exertion, which was
relieved by rest, for the past 3 weeks.
On examination her Heart rate was 74 beats /min,
Respiratory rate 18 /min
Blood pressure 118/76 mm of Hg.
ECG showed ischemic changes.
She was diagnosed with chronic stable angina. Give a suitable
prescription for this patient.
Dr (write your name here)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: 4.4.23

Mrs Rajeswari, 60 years, female

HR = 74 /min
Diagnosis: Stable Angina RR = 18/ min
BP = 118/76
Rx mm Hg
Tab. METOPROLOL 25 mg 1-0-1 x 1 month
Tab. GLYCERYL TRINITRATE 0.3mg sublingual whenever required

Regular exercise (at least 30 minutes brisk activity, 5 days a week),

weight loss, healthy diet

Review after 1 month

Signature
CVS-4
A 40-year-old male patient underwent master health checkup.
All of his investigations were normal, except for the lipid
profile. His BMI was 25. Physical examination was normal. He
was advised to try non-pharmacological measures - dietary
changes & regular exercise. Lipid profile was repeated after 6
weeks.
Total cholesterol = 320 mg/dl
LDL = 190 mg/dl
TG = 280 mg/dl
HDL = 35 mg/dl

What is your probable diagnosis? Prescribe for this patient.

Dr (write your name here)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: 3.4.23

Mr Rajendran, 40 years, male, BMI = 25

Diagnosis: Dyslipidemia

Rx
Tab. ATORVASTATIN 20 mg 0-0-1 x 3 months

Restrict dietary fat to less than 20% of total daily intake, regular
exercise

Review after 3 months with repeat fasting lipid profile

Signature
CVS-5

A 28-year-old female complained of tiredness and lethargy.

On examination, she was found to be pale. HR = 80 beats/

min

Blood investigations showed a Hemoglobin of 7 gm/dl, with

microcytic hypochromic RBCs. All other investigations were
normal.

What is your probable diagnosis? Prescribe for this patient.

Dr (write your name here)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date:
3.4.23

Ms Lalita, 28 years, female

HR = 80 /min
Diagnosis: Iron deficiency Anemia (Hb 7 gm/dl)

Rx
Tab. FERROUS SULFATE 200 mg 1-0-1 x 3 months

Eat iron rich foods & citrus fruits. Do not eat iron tablet along with milk, tea
or coffee
Review after 3 months with repeat Hb

Signature
AUTOCOIDS – 1

A 22-year-old female came with complaints of severe lower

abdominal pain during menstruation. She described the pain
as “very severe” and that she usually absented herself from
college on the 1st day of menstruation. Her cycles were regular
and bleeding was heavy and associated with passage of clots.
Clinical examination & Ultrasound abdomen was normal.
Prescribe for this patient.

Diagnosis – Primary Dysmenorrhoea

Dr (write your name)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: ______

Ms Hema, 22 years, female

Diagnosis: Primary Dysmenorrhea

Rx
Tab. MEFENAMIC ACID 25o mg 1-0-1 x 3 days– after food (Take on 1st 3
days of menstrual cycle)
Tab. DICYCLOMINE 20 mg whenever required – 10 tablets – after food

Review after 3 months

Signature
ANS-1

A 20-year-old male was trimming his garden, when he was

stung by a bee. Soon after, he developed swelling of his face
and lips, an urticarial rash over his torso. His breathing
became labored & his voice was hoarse. He was rushed to the
nearby hospital. On examination, he was mildly cyanotic and
had bilateral wheeze. Prescribe for this patient.

Diagnosis – Acute anaphylaxis

Dr (write your name)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: _____

Mr Shyam, 20 years, male

Diagnosis: Acute anaphylaxis

Rx
Inj. ADRENALINE (1:1000) 0.5 ml IM - to be given immediately
Inj. CHLORPHENIRAMINE 2 mg IV - to be given immediately
T. CHLORPHENIRAMINE 2 mg 1-0-1 x 3 days

Review after 3 days

Signature
ANS – 2

20-year-old Ms. Kala experiences vomiting whenever she

travels to hilly areas. Prescribe suitable drug(s) for this patient
who is to embark on a picnic trip by bus to a hilly area.

Diagnosis – Motion sickness

Dr (write your name)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: _____

Ms Kala, 20 years, female

Diagnosis: Motion Sickness

Rx
HYSOCINE patch – 1 patch
(Stick the patch behind the ear 5-6 hours before beginning the
journey)

Review if symptoms persist while using the patch

Signature
RS – 1

21-year-old Miss. Rani comes to your OPD with a history of

dyspnoea and wheeze during the night for at least 2 times in a
week, has FEV1 of 70%. She is diagnosed to have moderate
persistent asthma. Prescribe suitable drugs for this patient.

Diagnosis – moderate persistent bronchial asthma

Dr (write your name)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: _____

Ms Rani, 21 years, female HR = 80 /min

BP = 118/80 mm Hg
Diagnosis: moderate persistent bronchial asthma
RR = 18/ min
Rx
SALBUTAMOL inhaler 100 mcg / puff – 1 puff whenever required
FORMOTEROL (6mcg) + BUDESONIDE (200mcg) inhaler – 1 puff twice a day
x 1 month

Inhaler to be used with spacer. Gargle & rinse mouth & throat thoroughly
with water after each use of inhaler
Review after 2 weeks

Signature
GIT – 1

A 55-year-old sales executive presented to your clinic with the

complaints of upper abdominal pain. The pain is burning in
nature, aggravated by fasting and relieved by taking food.
History reveals that he frequently skips his meals. An upper GI
endoscopy reveals a reflux esophagitis. Prescribe suitable
drug(s) for this patient.

Diagnosis – GERD
Dr (write your name)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: ____

Mr Raja, 55 years, male

Diagnosis: GERD

Rx
Tab. PANTOPRAZOLE + DOMPERIDONE 40mg 1-0-0 x 4 weeks (45 minutes
before food)
Syp SUCRALFATE 2tsp whenever required

Avoid spicy meals, caffeine, tamarind, citrus. Take meals on time

Review after 1 month.

Signature
GIT – 2

An 18-year-old college student comes to the OPD in the

morning with 4 episodes of vomiting over the past 6 hours. He
gives a history of consumption of food from a road-side food
stall the previous night. On examination, his lips and tongue
appear dry. BP is 110/70 mm Hg & pulse is 80/min. Prescribe
for this patient.

Diagnosis – Food Poisoning

Dr (write your name)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: _____

Mr Shyam, 18 years, male

Diagnosis: Food Poisoning

HR = 80 /min
Rx BP = 110/70 mm
Inj. ONDANSETRON 8mg IV - to be given immediately, Hg
followed by Tab. ONDANSETRON 4mg whenever required, to be taken 30 minutes
before food
ORS solution 1L– to be taken in sips
Lactobacillus sachet 1-0-1 x 3 days

Reconstituted ORS not to be consumed after 24 hours.

Review if symptoms persist

Signature
GIT - 3

Mr. Kumar, a 32-year-old sales executive, presents to the clinic

with upper abdominal pain, burning in nature relieved by food.
Investigations showed a positive urea breath test. Prescribe
suitable drug(s) for eradication of H. pylori for him.
Dr. (write your name)
Saveetha Medical College Hospital
Reg No 57311
Telephone No: 044- 6672 6616 Date: _____

Mr. Kumar, 32 years, male

Diagnosis: Peptic ulcer due to H. pylori infection

Rx
Cap. OMEPRAZOLE 20 mg 1-0-1 x 7 days (45 minutes before food)
Cap. AMOXYCILLIN 1 gram 1-0-1 x 7 days (after food)
Tab. CLARITHROMYCIN 500 mg 1-0-1 x 7 days (after food)

Review after 1 week

Signature
GIT – 4

50-year-old Mr Raman comes to your clinic with complaints of

constipation for the past few weeks. He complains that he
does not pass stool everyday, and when he does pass stool, he
has to strain to pass hard stools. Write a suitable prescription.
Dr (write your name)
Saveetha Medical College Hospital
Reg No 67890
Telephone No: 044- 6672 6616 Date: ______

Mr Raman, 50 years, male

Diagnosis: Constipation

Rx
PSYLLIUM HUSK powder 15gm in 200ml warm water 0-0-1 x 1 month
Tab. BISACODYL 5mg whenever required – 10 tablets

Drink at least 2L water & eat at least 2 cups vegetables everyday. Daily physical
exercise

Review after 1 month

Signature