General opd & iPd cases with proper treatment with correct doses & fre

General opd & iPd cases with proper treatment with correct doses & frequency department wise

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24 cases across 9 departments are compiled above. Here is a quick index:

#	Department	Case	OPD/IPD
1	Medicine	Hypertension	OPD
2	Medicine	Type 2 Diabetes	OPD
3	Medicine	Community-Acquired Pneumonia	IPD
4	Medicine	COPD Exacerbation	IPD
5	Medicine	Anterior STEMI	IPD/Emergency
6	Surgery	Acute Appendicitis	IPD
7	Surgery	Inguinal Hernia	OPD/Elective
8	Surgery	Peptic Ulcer + H. pylori	OPD
9	Pediatrics	Viral URTI with Fever	OPD
10	Pediatrics	Severe Pneumonia	IPD
11	Pediatrics	Gastroenteritis + Dehydration	OPD/IPD
12	OBG	Severe Preeclampsia	IPD
13	OBG	Gestational Diabetes	OPD
14	OBG	Vaginal Candidiasis	OPD
15	Orthopedics	Colles' Fracture	OPD/IPD
16	Orthopedics	Septic Arthritis	IPD
17	ENT	Acute Otitis Media	OPD
18	ENT	Acute Bacterial Tonsillitis	OPD
19	Ophthalmology	Bacterial Conjunctivitis	OPD
20	Ophthalmology	Acute Angle Closure Glaucoma	Emergency
21	Psychiatry	Major Depressive Disorder	OPD
22	Psychiatry	First Episode Schizophrenia	IPD
23	Dermatology	Tinea Corporis	OPD
24	Dermatology	Psoriasis Vulgaris	OPD/IPD

Important notes:

All doses shown are for average adult patients unless specified (pediatric cases use weight-based dosing)
Always adjust for renal/hepatic function and pregnancy status
Antibiotic selection should be guided by local resistance patterns whenever available
These cases reflect current standard-of-care protocols consistent with WHO, BNF, and Harrison's-based guidelines

Let me know if you want any department expanded further, more cases added, or a downloadable Word/PDF version of this reference.

Paediatric all drugs doses per kg , frequency with duration,route,application case wise & drug classification wise

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Here's a summary of what's covered:

What's Included

Section A - Drug Classification-wise (11 Classes):

Class	Drugs Covered
1. Analgesics/Antipyretics	Paracetamol (oral/rectal/IV), Ibuprofen, Morphine, Fentanyl
2. Antibiotics	Amoxicillin, Co-amoxiclav, Ampicillin, Cloxacillin, Cefazolin, Cefuroxime, Ceftriaxone, Cefotaxime, Pip-Tazobactam, Meropenem, Gentamicin, Azithromycin, Clarithromycin, Metronidazole, Co-trimoxazole, Vancomycin, Ciprofloxacin, Anti-TB (HRZE)
3. Antivirals	Acyclovir, Oseltamivir
4. Antifungals	Fluconazole, Nystatin, Griseofulvin
5. Antiparasitics	Mebendazole, Albendazole, Chloroquine, Artemether-lumefantrine
6. Anticonvulsants	Diazepam, Lorazepam, Phenobarbitone, Phenytoin, Valproate, Levetiracetam, Carbamazepine
7. Respiratory	Salbutamol, Ipratropium, Budesonide, Dexamethasone, Prednisolone, Montelukast, Aminophylline
8. Cardiovascular	Adenosine, Amiodarone, Epinephrine, Dopamine, Furosemide
9. GI Drugs	Ondansetron, Domperidone, Omeprazole, ORS, Zinc
10. Fluids/Electrolytes	NaHCO3, Calcium, Potassium, Mannitol, Dextrose
11. Vaccines	Immunization schedule overview

Section B - 12 Clinical Case Applications with actual dose calculations per kg

Let me know if you'd like this as a downloadable Word or PDF document, or if you need any specific drug/condition expanded further.

Add neonatal (<1 month) drug dosing specific protocols

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Here is a summary index of everything compiled:

What's Covered in This Neonatal Protocol

Sections (10 Drug Classes + 9 Cases):

Section	Content
1. Antibiotics	Ampicillin, Gentamicin (GA+PNA-adjusted intervals), Cefotaxime, Vancomycin (TDM), Penicillin G, Metronidazole, Acyclovir, Azithromycin, Fluconazole - all with GA/PNA dose tables
2. Neurology	Phenobarbitone (load + maintenance + TDM), Phenytoin/Fosphenytoin, Midazolam, Levetiracetam, Pyridoxine, HIE hypothermia protocol
3. Respiratory	Surfactant (Poractant, Beractant), Caffeine citrate (Apnoea of Prematurity), Aminophylline, Dexamethasone (DART protocol), Sildenafil (PPHN)
4. Cardiovascular	Epinephrine (resus + vasopressor), Dopamine, Dobutamine, Digoxin (GA-adjusted), Prostaglandin E1 (duct-dependent CHD), Furosemide, Spironolactone
5. Metabolic/Electrolytes	D10W bolus + GIR calculation formula, Calcium gluconate, Sodium bicarbonate (4.2% only), Vitamin K1
6. Jaundice	Phototherapy thresholds (AAP 2022), Exchange transfusion protocol, IVIG (haemolytic jaundice)
7. Special Infections	Congenital toxoplasmosis (pyrimethamine + sulfadiazine + folinic acid), Congenital syphilis, Congenital CMV (valganciclovir)
8. GI	NEC antibiotic regimen, Ranitidine, Omeprazole, Domperidone (cautions)
9. Pain & Sedation	Morphine, Fentanyl, Sucrose 24%, Midazolam, INSURE protocol (intubation premedication), NAS/NOWS treatment
10. Vitamins & Supplements	Vitamin K, D, A, Iron, Folic acid, Calcium, Phosphate

Clinical Cases (9):

The most critical unique feature of neonatal dosing: Every aminoglycoside and vancomycin interval is determined by gestational age + postnatal age combined - not weight alone. TDM is mandatory for these drugs in all neonates.

Let me know if you'd like this compiled as a downloadable Word document or PDF for bedside/NICU reference.

Mastering Nebulisation complete guide

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Here's what the complete guide covers across 10 parts:

Complete Guide Index

Part	Content
1. Fundamentals	What nebulisation is, MMAD concept, 3 deposition mechanisms (impaction, sedimentation, diffusion), particle size vs. deposition site table
2. Device Types	Jet (pneumatic), Ultrasonic, Vibrating Mesh - full comparison with mechanism, efficiency, pros/cons, which drugs work in each
3. Technique	Step-by-step setup, fill volume (4 mL rule), flow rate (6-8 L/min), positioning, breathing pattern (slow/deep/mouth), mouthpiece vs. mask, ventilator nebulisation (ICU), NIV nebulisation
4. Drugs	Salbutamol, Ipratropium, Budesonide, Adrenaline/Epinephrine, Hypertonic saline (3%/7%), Dornase alfa, NAC, Magnesium sulphate, Tobramycin, Colistin, Aztreonam, Amphotericin, Pentamidine, Ribavirin - all with adult + paediatric doses
5. Clinical Protocols	Acute severe asthma (back-to-back), COPD exacerbation, Croup (Westley severity), Bronchiolitis (RSV), Pneumonia, Neonatal nebulisation, Special situations
6. Drug Compatibility	What can/cannot be mixed in one cup
7. Cleaning	Infection control protocol, replacement schedules
8. Common Errors	15 critical errors with consequences and corrections
9. Nebuliser vs. MDI + Spacer	Evidence-based comparison - when to choose each
10. Quick Reference	One-page summary table of all nebulised drugs

Key pearls to remember:

Optimal particle size = 1-5 μm MMAD for bronchial delivery
Fill volume = 4 mL always; flow rate = 6-8 L/min
Sit upright, breathe slow and deep, use mouthpiece when possible
Ultrasonic nebuliser cannot be used for suspensions (budesonide, steroids)
Always pre-treat with salbutamol before hypertonic saline
Rinse mouth after every ICS nebulisation
In COPD: use air-driven or controlled O2 (not high-flow pure O2)
Nebulised adrenaline in croup = must admit for 4-hour rebound observation

Would you like this as a downloadable PDF or Word document for bedside/teaching use?

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