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Common OPD Cases

Anemia

Iron deficiency Anemia

Iron deficiency Anemia: Hb< normal, MCV<80

  • If Hb less than 8, Blood transfusion
  • Tab Folic acid 5mg 1x OD
  • Tab Iron-Folic acid (Iberet folic) 1x OD
  • Tab Cyanocobalamin, Thiamine, Vit A, Pyridoxine (Neurobion) 1x OD
  • Inj Iron-Folic acid (Bisleri) 20mg diluted in 100ml N/Saline

Sickle cell anemia

  • Fluid + Good nutrition
  • Antibiotic for infection
  • Oxygen inhalation
  • Tab Folic acid 5mg 1x OD for month
  • Tab Hydroxyurea(Hydrea) 15mg/kg/day
  • Leg ulcer zinc sulphate dressing
  • Transfusion

Thalassemia

  • Tab Folic acid 5mg 1x OD for month
  • Blood transfusion
  • In case of massive blood transfusion, Tab Ferinil 500mg 1x TDS

Hemolytic anemia

  • Tab Prednisolone (Deltacotril) 5mg 1mg/kg/day
  • Tab Folic acid 5mg 1x OD
  • Blood transfusion
  • Splenectomy
  • Inj Cyclophosphamide (Cyclomide) 500mg IV OD

Disclaimer: This guide is an educational reference for healthcare professionals. It does not replace clinical judgement — always follow your hospital's protocols and current guidelines.