case study on Anemia

1. Department of pharmacy practice
Case study on Anemia& vitamin-D
Deficiency
PRESENTED BY:
NAME:JEEVA P
REG NO :P1520004
PHARM.D (P.B) IIYEAR

2. A 23 years female patient was admitted in the hospital.
C/O:
 Pain in right hip for 1 year
 Breathlessness on exertion 1 year
History of present illness: patient was apparently asymptomatic when she developed pain in
the right hip for past 1 year insidious in onset,progressive in nature,radiated to back,
aggravated on walking and relieving radiated in rest.The pain has increased in severity over
the past 4 month. The past also c/o breathlessness on exertion for past 1 year.Insidious in
onset,not associated with noisy breathing,cough. No HO palpitation ,syncope.
Past Medical History : No known comorbids
Past Medication History : NIL
Family History : Nil
Social History : Nil
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SUBJECTIVE EVIDENCES

3. Physical examination:
 Patient is conscious, oriented,
 Temp-Afebrile
 Pulse-102 beats/min
 BP-100/60mmHg↓
 RR-22 breaths/min
 Pallor +
 Short statured,koilonychia +, Arm span -138cm
Systemic examination:
 CVS-S1S2+ no murmurus
 RS-BAE+
 CNS-NFND+
 P/A-Soft
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OBJECTIVE EVIDENCES

4. 4
Laboratory investigations:
mh
OBJECTIVE EVIDENCES
PARAMETERS OBSERVED VALUE NORMAL RANGE
HEMATOLOGICAL
HAEMOGLOBIN 7.2 13-17 g/dl
MCV 66.7 83-101 fl
MCH 16.8 27-32 pg
PCV 28.6 41-59 %
MCHC 25.2 31-35
Other special test:
Calcium 8.3 8.6-10.3 mg/dL
phosphate 2.8 2.8 to 4.5 mg/dL
PERPHERAL SMEAR: RBC: Microcytic hypochromic with Short statured,
koilonychia +, Arm span -138cm.

5. 5
ASSESSMENT
• Iron Deficiency Anemia
• Vitamin D Deficiency

6. DRUG DOSE ROA FREQ
Y
DAY(s)
1 2 3 4 5 6
T.paracetamol 500mg P/O TDS * * * * * *
T. shelcal
(calcium with D3)
500mg P/O BD - * * * * *
Inj.Enficer
(Iron sucrose )
200mg IV OD - * * * * *
T.Folic Acid 5mg P/O BD * * * * * *
T.Neurobion Forte 1mg P/O OD - - - * * *
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PLAN

7.  Drug - drug interaction :NIL
 Drug - food interaction : NIL
 Adverse Reaction : NIL
 Medication Error : NIL
GUIDELINE : For IDA, INJ.ENCIFER and T.folic acid were given by the ASH
(American Society of Haematology).
According to the guideline the given drugs are completely appropriate.
For vitamin D deficiency,According to the ICMR guidelines the given drug are
appropriate.
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CRITICAL CARE ANALYSIS

8. Pharmacist Intervention
 The given drug T.PARA 500mg was continued even after the
indication ceased and it was stopped after the pharmacist
intervened.
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9. Regarding disease:
 Iron deficiency anemia is the most common type of anemia,
and it occurs when your body doesn't have enough of the
mineral iron.
 Body needs iron to make hemoglobin. When there isn't enough
iron in your blood stream, the rest of your body can't get the
amount of oxygen it need
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PATIENT COUNSELING

10. Regarding drugs:
 T.PARA is given for the pain that you have in your hip.
 T.Shelcal will help increase calcium content in your body
 Inj.Encifer is given for increasing the iron content in your body.
 T.Folic acid is given for increasing the iron protein level in blood.
 T.Neurobion forte are adviced is given for the vitamin supplement
and pain in the hip.
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PATIENT COUNSELING

11. Regarding life style modification:
 Anemia is a condition in which you lack enough healthy red blood cells to carry
adequate oxygen to your body's tissues.
 Be sure to drink plenty of fluids to reduce dehydration and include fruits,
vegetables, and fibre in your diet each day.
 Iron pills often make your bowel movements dark or green.
 If you forget to take an iron pill, do not take a double dose of iron the next time you
take a pill.
 Keep iron pills out of the reach of small children.
 Regular medical checkup and treatment are important.
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PATIENT COUNSELING

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