PRESCRIPTION FOR AN ADULT CASE OF ACUTE BRONCHIAL ASTHMA

PRESCRIPTION FOR AN ADULT CASE OF ACUTE BRONCHIAL ASTHMA

Name : Doctor’s name:

Age : Reg No.:

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DIAGNOSIS: ACUTE BRONCHIAL ASTHMA

· Inhalational SALBUTAMOL 100 microgram/ puff

Dispense one metered dose inhaler

Inhale 2 puffs 4 times a day

· BUDESONIDE inhalation 250 microgram/ puff

Dispense one metered dose inhaler

Inhale 1 puff 4 times a day

· Tab. SALBUTAMOL 4mg

Dispense 21 tablets

1 tablet to be taken 3 times a day for 1 week

Review after 1 week

Signature of the doctor

Date

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