PRESCRIPTION
FOR A PATIENT SUFFERING FROM ACUTE CONGESTIVE CARDIAC FAILURE WITH EDEMA
Name : Doctor’s name:
Age : Reg No.:
Sex:
Address:
DIAGNOSIS:
ACUTE CONGESTIVE CARDIAC FAILURE
Rx
·
Inj. FUROSEMIDE 40mg
Dispense 5
ampoules
One injection
per day for 5 days.
·
Tab. DIGOXIN 0.25mg
Dispense 30
tablets
1 tablet to
be taken once a day for 1 month
·
Tab. ENALAPRIL 5MG
Dispense 30
tablets
1 tablet to
be taken once a day for 1 month
·
Tab. FUROSEMIDE 40 mg
Dispense 30
tablets
1 tablet to
be taken once a day for 1 month
·
POTASSIUM CHLORIDE SOLUTION
Dispense 1
bottle
5 mg orally
to be taken once a day
·
OXYGEN INHALATION in semi upright posture
Signature of the doctor
Date
Comments
Post a Comment