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Patient’s Name: Awitan, Renalyn Date Admitted: May 30, 2008 Age/Sex: 2 ½ /F Admitting Diagnosis: CNS Infection (TB Meningitis vs Bacterial) Final Diagnosis: CNS Infection probably secondary to 1. Brain abscess 2. Bacterial mengitis 3. TB meningitis Probably secondary to CSOM Pneumonia, severe With some signs of dehydration Physician–in-charge: Dr. Nunez/Arollado/Reyes Clerk-in-charge: Florentino/Kalalo/Lingao/Liwag/Lopez

Hospital No. 1841722 Address: 1130 Pasaje Del Carmen Quiapo, Manila

DRUG INDEX Drug and dosage Phenytoin 7.5 mg q 6 hours Mode of action Indication Tonic-clonic and psychomotor seizures, prevention and treatment of seizures occurring during or following neurosurgery Contraindication Sinus bradycardia, SA block, 2nd and 3rd degree AV blocks, patients with Adam-Stoke syndrome. Drug interaction Plasma concentration increased by some antibiotics and other anticonvulsants, cimetidine, coumarin anticoagulant, disulfiram, INH, some phenothiazines, phenylbutazone, sulfinpyrazone; decreased by carbamazepine, sucralfate. Adverse drug reaction GI disturbances; ataxia, slurred speech; diplopia, nystagmus and mental confusion with headache, dizziness, gingival hyperplasia, hirsutism, hyperglycemia, osteomalacia. Preparation 30mg capsule 100mg capsule

Ranitidine 10 mg q 8 hours NaHCO3 9 meqs + equal amount of water Ceftriaxone 300 mg q 8 hours

Chemical antacid

Indigestion, hyperacidity, & heartburn Treatment of infection of the respiratory ad urinary tract; sepsis, meningitis, infections of the bones, joints and soft tissues; intra-abdominal infections, genital infections, infections in immunocompromised patients, perioperative prophylaxis Cerebral edema, edema, hemolysis prevention, ocular hypertension, prevention and/or treatment of the oliguric phase of acute renal failure, may prevent


Prolonged use may increase Na levels in the body Aminoglycosides GI disorders, pruritus, urticaria, allergic dermatitis, edema, exanthema, erythema multiforme, eosinophilia, hematoma or bleeding, thrombocytopenia, leucopenia, granulocytopenia, hemolytic anemia, headache, dizziness, anaphylactic reaction, pain at injection site and phlebitis. More Frequent: dry mouth, nausea, polydipsia, headache, polyuria, vomiting. Less Frequent: blurring of vision, dizziness, hives, skin rash. Rare or Very Rare: allergic dermatitis, allergic

Tab 325 mg, 650 mg Vial 1g x 1’s

Inhibits bacterial cell wall synthesis

Hypersensitivity to cephalosporins

Mannitol 23 mL OD

induces diuresis mainly by elevating the osmotic pressure of the glomerular

Hypersensitivity, kidney problems, liver problems (e.g., cirrhosis), heart disease, lung

lithium, aminoglycoside antibiotics

5%, 10%, 15%, 20%, 25% parenteral injection

filtrate to such an extent that the tubular reabsorption of water and solutes is hindered.

or reverse acute functional renal failure before there is evidence of tubular necrosis or multiple vascular thrombosis

Isoniazid 200 mg/5 mL 2 mL OD

Inhibits synthesis of mycolic acid

TB, Tuberculous meningitis and other extra-pulmonary forms of the disease.

or breathing problems (e.g., pulmonary edema), nervous system problems, chemical disorders (e.g., acid/base balance, electrolyte disorders Liver disease

reactions, chest pain, chills, difficulty urination, electrolyte imbalance, fever, pulmonary congestion, renal failure, swelling of feet or legs, tachycardia, thrombophlebitis

Para-amino salicylic acid

Rifampicin 200 mg/5 mL 3 mL OD

TB and leprosy, infections caused by sensitive microorganisms, meningococcal carriers, Gonorrhea

Pyrazinamide 250 mg/ 5 mL 5 mL OD

Pulmonary and extra-pulmonary TB. Combination with other TB drugs.

Hypersensitivity. Jaundice. 1st trimester pregnancy, premature and newborn infant. Hyperuricaemia, gouty arthritis, severe hepatic damage. Renal and hepatic failure

Anticoagulants, OC

Nausea, vomiting and other GI effects. Peripheral neuropathy due to pyridoxine deficiency, convulsions, optic neuritis, psychotic reactions, liver damage, especially for those > 35 yrs, necrosis, blood disorders. Skin reactions; GI intolerance; flu-like syndrome; reddish discoloration of contact lenses, urine, sputum and lacrimal fluid.

300mg tablet 100mg/5mL syrup

450mg capsule 200 mg/5 mL syrup

Paracetamol 100 mg q 4 hours

A weak prostaglandin inhibitor in peripheral tissues with significant anti-inflammatory effects.

Pyrexia of unknown origin. Fever and pain with common childhood disorders, tonsillitis, upper respiratory tract infections, postimmunizaton reactions, after tonsillectomy and other conditions. Prevention of febrile convulsions, headache, cold, sinusitis, musclepain, arthritis and toothache.

Coumarin anticoagulants

Hepatotoxicity, anorexia, nausea, vomiting, arthralgias, malaise, fever, sideroblastic anemia, difficulty in micturition. Photosensitivity, skin rashes, hyperuricaemia. Hemtological, skin and other allergic reactions

500mg tablet Syrup 250 mg/ 5 mL

150mg/mL x 2mL amp

Streptomycin 240 mg OD, MWF

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