LIST OF MEDS Ranitidine now NaCl tab Cefuroxime 750 mg IVTT ANST now then q8 Clopidogrel (Plavix) 75mg

now then OD Imdur 30 mg, tablet OD PO (Hold if BP is <100/60) Imdur 60mg tab OD in AM Ansimar 400 mg tab BID po Paracetamol 500mg 1 tab prn for fever Flixotide neb + Duavent neb now then every 4H Azithromycin (Zithromax) 500 mg 1 tab OD Furosemide(Lasix) 40 mg tab OD x 3 days Zykast 5/10 1 tab OD every hs Arixtra 2.5gms OD subcutaneous Avelox 400mg 1tab OD Iterax 10 mg 1 tab BID Verapamil (Isoptin) 40mg 1tab BID Ciprofloxacin 200mg every 8 hrs ANST Multaq 400 mg 1 tab BID

IV PNSS with 100cc D5W D5 .3 NaCl

Oral Adult: 50-100 mg 4 times daily. Adult: Initially, 25 mg at night increased if required up to 25 mg 3-4 times daily. Child: 6 mth-6 yr: 5-15 mg daily, increased to 50 mg/day in divided doses; >6 yr: Initially, 15-25 mg/day, increased up to 50-100 mg/day. Renal impairment: Moderate-severe impairment: Reduce dose by 50%. Hepatic impairment: Reduce total daily dose by 33%. Oral Adjunct to pre- or post-operative sedation Adult: 50-100 mg. Child: 600 mcg/kg. Renal impairment: Moderate-severe impairment: Reduce dose by 50%. Hepatic impairment: Reduce total daily dose by 33%. Intramuscular Prompt control of anxiety or agitation Adult: Initially, 50-100 mg, may repeat every 4-6 hr if necessary. Renal impairment: Dose adjustment is required. Hepatic impairment: Dose adjustment is required.