NI...NANI

1. CASE PRESENTATION
ISCHEMIC STROKE
N.LOHITHA
REG NO :
320020
3 PHARM.D

2. CHIEF COMPLAINTS
• Slurred speech
• Deviation of mouth
• Right upper and lower limb
• Abdomen hard

3. ON EXAMINATION
• Drowsiness
• NL fold decrease on right
• Bulk –N
• Tone decreased right upper and lower limbs
• Power 1/5/1/5

4. • Past medical history: DM,HTN
• Past medication history:glyciphage 500mg DM
,amlodipine 5mg HTN
• Past surgical history: NIL
• Occupation:Teacher
• Smoking:NO
• Alcohol: YES
• Diet:Diabetic Diet
• Martial status : Married

5. LABORATORY INVESTIGATIONS
PARAMETERS RESULTS NORMAL VALUE
SERUM CREATININE 1.1mg/dl 0.6-1.4mg/dl
TOTAL CHOLESTROL 190mg/dl 150-250mg/dl
TRIGLYCERIDES 110mg/dl 50-150mg/dl
LDL-CHOLESTROL 39mg/dl >=35mg/dl
HDL-CHOLESTROL 129mg/dl <160mg/dl
VLDL-CHOLESTROL 22mg/dl 10-30mg/dl
SERUM SODIUM 143mmol/L 135-155mmol/L

6. PARAMETERS RESULTS NORMAL VALUES
RBS *190mg/dl 70-150mg/dl
HAEMOGLOBIN 14.2gm% 13.5-18.0gm%
PCV 42% 40-54%
RBC TOTAL COUNT 4.9 millons/cmm 4.5-6.5millons/cmm
PLATELETS COUNT 3.1lakhs/cmm 1.5-4.0lakhs/cmm
WBC TOTAL COUNT *10,000cells/cmm 4000-10000cells/cmm
SERUM POTASSIUM 4.0mmol/L 3.5-5.3mmol/L

7. DIAGNOSIS
• CVA
• AIS
• Right hemiplegia
• RIF age

8. DRUG CHART
BRAND
NAME
DOSE ROA FREQUENCY START
DATE
STOP
DATE
HEPARIN 500IU IV BD 28/1/23 1/2/23
PANTOP 40mg ORAL OD 28/1/23 1/2/23
MEXONPLUS 100ml IV OD 28/1/23 1/2/23
CLOPITAB 75/150mg ORAL OD 28/1/23 1/2/23
ATOCAR 80mg ORAL OD 28/1/23 1/2/23
CITICOLINE 500mg ORAL BD 28/1/23 1/2/23
Metformin 500mg ORAL OD 28/1/23 1/2/23
Cremaffin 30ml ORAL 28/1/23 1/2/23

9. • Patient condition was hemodynamically
stable during discharge.
Review after 10 days
DISCHARGE MEDICATION
BRANDNAME DOSE FREQUENCY
PANTOCID OD 40mg
CLOPITAB-A OD 75/150mg
ATOCAR OD 80mg
METFORMIN BD 500mg
AMLODIPINE OD 5mg