Based on the image analysis and medical knowledge, here is a detailed explanation of what is written on this prescription/treatment order:
Handwritten Medical Prescription - Explanation
The note appears to be a brief inpatient treatment order (likely written in a hospital setting). The page number "2" at the top suggests it is the second page of the orders. Here is what each item means:
1) IVF 10 RL (Intravenous Fluid - Ringer's Lactate)
IVF = Intravenous Fluid
RL = Ringer's Lactate (also called Lactated Ringer's Solution)
- Ringer's Lactate is a crystalloid IV fluid commonly used for fluid resuscitation, hydration, and to replace electrolytes.
- It contains sodium, potassium, calcium, chloride, and lactate - closely mimicking the body's own extracellular fluid.
- "10" likely refers to the bottle number/sequence (e.g., the 10th bottle ordered) or a rate/volume specification.
- Used for dehydration, blood loss, surgery, burns, and general fluid maintenance.
2) Tab. PCM (Paracetamol / Acetaminophen)
Tab PCM = Tablet Paracetamol (also known as acetaminophen)
- A common analgesic (painkiller) and antipyretic (fever-reducer).
- Standard adult dose: 500 mg (the "g wy t" after likely reads "given when required" or a frequency such as "TID" or "SOS" - as needed).
- Used for mild to moderate pain, fever, headache, and post-operative discomfort.
- Very safe at standard doses; widely used in hospitals as a first-line pain management drug.
3) Tab. Metronidazole 400 mg (written as "Inj. metrgd 400 wiszt" or similar)
Metronidazole 400 mg = An antibiotic and antiprotozoal medication.
- Effective against anaerobic bacteria (bacteria that thrive without oxygen) and certain parasites.
- Commonly prescribed for:
- Abdominal/gut infections (e.g., appendicitis, bowel surgery prophylaxis)
- Dental infections
- Amoebiasis, giardiasis
- Bacterial vaginosis
- Post-surgical prophylaxis
- Standard adult dose: 400 mg orally every 8 hours (TID) as confirmed by Pye's Surgical Handicraft.
- The "wiszt" or similar notation likely indicates the frequency/route (e.g., "twice daily" or "TID").
"do" at the bottom
This likely means "ditto" - meaning repeat/continue the same instructions, or it could be the start of the next set of orders on the following part of the page.
Summary Table
| Item | Drug | Purpose | Common Dose |
|---|
| 1 | IVF - Ringer's Lactate | IV hydration, electrolyte balance | Per fluid protocol |
| 2 | Tab. Paracetamol (PCM) | Pain relief, fever | 500 mg TID/SOS |
| 3 | Tab. Metronidazole | Antibiotic (anaerobic/protozoal) | 400 mg TID |
This is a typical post-operative or hospitalized patient regimen: IV fluids for hydration, paracetamol for pain/fever, and metronidazole for infection prevention or treatment.
Note: This is a general educational explanation. Actual drug doses, frequencies, and indications should always be confirmed with a licensed healthcare professional and the original prescriber.