Dr. Nikhil Mahajan

Dr. Nikhil Mahajan Doctor Nikhil Mahajan is Consultant Cardiologist at Shri Mata Vaishno Devi Narayana Hospital, Kakrya

06/10/2022

Rare Cardiac Procedure

05/05/2021

Conservative treatment for asymptomatic or mildly symptomatic patients.
1) Betadine gargles every 6 hrly.
2) Tab Dolo 650 mg three times a day for 2 to 3 days reduce if fever subsides.
3) if fever persists add Indomethacin 75 mg twice a day for 3 to 5 days.
4) Tab Limcee 1 gm three times a day for 5 to 7 days.
5) Cap Evion 400 mg twice a day for 5 to 7 days.
6) Vit D3 60,000 unit once a day for 3 to 5 days. Max 3 lac units.
7)Alex cough Syp 2 tablespoon three times a day for 5 to 7 days.
8 ) if D dimers are high Inj Celexane 0.4 or 0.6 ml subcutaneous for 5 days.
__________________________
To report if cough worsons or breathing difficulty,chest tightness or uneasiness.
*Narayana Hospital*
Dr. Nikhil Mahajan

05/05/2021

Treatment for those who exhibit changes in Chest CT( CT>10) :
1) Inj Remdesivir 200 mg in 100 ml normal saline stat than 100 mg once a day for 5 days.
2) Ink Magnex forte 1.5 gram twice a day for 5 days.
3) Inj Dexamethasone 8 mg intravenous stat than 4 mg every 6 hrly.
4) Inj LMWH 0.4 ml S/C twice a day for 5 days.
5) Inj Vit D3 ------6 lac units intramuscular stat.
6) cap Evion 400 mg twice a day for 5 days.
7) Tab Limcee 1 gram stat three times a day for 5 days.
8 ) Cap Sumvit once a day for 5 days.
9) Betadine mouth gargles every 6 hrly for 7 days.
10) Alex cough Syp 2 tablespoon three times a day for 7 days.
11) Tab Mucomix 600 mg twice a day for 5 days.
12) cap Indomethacin 75 mg once a day for 6 days.
13) Tab Dolo 650 SOS if temp >100.2
Don't give intravenous fluids
14) oxygen low flow if available @2 litre/minute through nasal cannula.
15) cap Doxy 100 mgs 1 cap BD for 5 days
Send CBC,LFT,RFT after 3 days.
Consult Your physician incase of any further advise.
*Narayana Hospital*
*Dr. Nikhil Mahajan*

05/05/2021

Treatment for those who exhibit changes in Chest CT( CT=5-8) :
1) Tab Dexamethasone 0.5 mg- 4 times a day for 5 days.
2) Inj LMWH 0.4 ml S/C once a day for 5 days.
3) Vit D3 -60000 units a day - total 6 lac units.
4) cap Evion 400 mg twice a day for 5 days.
5) Tab Limcee 1 gram stat three times a day for 5 days.
6) Cap Sumvit once a day for 5 days.
7) Betadine mouth gargles every 6 hrly for 7 days.
8 ) Alex cough Syp 2 tablespoon three times a day for 7 days.
9) Tab Mucomix 600 mg twice a day for 5 days.
10) cap Indomethacin 75 mg once a day for 6 days.
11) Tab Dolo 650 SOS if temp >100.2
Don't give intravenous fluids
12) cap Doxy 100 mgs 1 cap BD for 5 days
Send CBC,LFT,RFT after 3 days.
Consult Your physician incase of any further advise. Oxygen

Rare renal artery coiling for bleeding complications:
31/01/2021

Rare renal artery coiling for bleeding complications:

25/10/2020
27/09/2020
26/09/2020

Treatment for those who exhibit changes in Chest CT :
1) Inj Remdesivir 200 mg in 100 ml normal saline stat than 100 mg once a day for 5 days.
2) Ink Magnex forte 1.5 gram twice a day for 5 days.
3) Inj Dexamethasone 8 mg intravenous stat than 4 mg every 6 hrly.
4) Inj LMWH 0.4 ml S/C twice a day for 5 days.
5) Inj Vit D3 ------6 lac units intramuscular stat.
6) cap Evion 400 mg twice a day for 5 days.
7) Tab Limcee 1 gram stat three times a day for 5 days.
8) Cap Sumvit once a day for 5 days.
9) Betadine mouth gargles every 6 hrly for 7 days.
10) Alex cough Syp 2 tablespoon three times a day for 7 days.
11) Tab Mucomix 600 mg twice a day for 5 days.
12) cap Indomethacin 75 mg once a day for 6 days.
13) Tab Dolo 650 SOS if temp >100.2
Don't give intravenous fluids
14) oxygen low flow if available @2 litre/minute through nasal cannula.
15) cap Doxy 100 mgs 1 cap BD for 5 days
Send CBC,LFT,RFT after 3 days.
Consult Your physician incase of any further advise.
Narayana Hospital
Dr. Nikhil Mahajan

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Narasannapeta

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