6. ASSESSMENT
Based on the subjective and objective evidence the patient
was diagnosed to have
PYOMETRA
7. DEFINITION
• Pyometra is defined as an
infection in the uterus.
• The uterus is also known as the
womb and is where the
developing foetus is located.
• It is a serious and life threatening
condition that must be treated
promptly and aggressively.
• Pyometra is often the result of
hormonal changes in the
reproductive tract.
8.
9. PATHOPHYSIOLOGY
Progesterone stimulates endometrial
growth and glandular secretion that
provides excellent media for bacteria
Progesterone reduces
myometrium contractility and
maintain cervical closure
Glands fail to empty due to
scarring around the opening of
gland or due to reduce myometrial
contraction
10. Results in cystic
endometrial hyperplasia
(CEH)
During bacteria entering
uterus through vagina or
bloodstream conducive to
bacterial overgrowth
PYOMETRA
11. SYMPTOMS DIAGNOSIS
Ultrasound
CT Scan
MRI Scan
Doppler scanning is
helpful in detecting blood
flow changes
when pyometra complicat
es endometrial cancer.
• Lower abdominal pain
• Purulent vaginal discharge
• Enlarged uterus
• Vomiting
• Loss of appetite
• Depression
• Increased drinking and urinating
• Fever
18. DISCHARGE MEDICATIONS
NO. BRAND NAME GENERIC NAME DOSE DURATION
1. T.TAXIM O CEFIXIME 200 mg BD
2. T.RANTAC RANITIDINE 150 mg
1-0-0 1 week
3. T. LYSER D DICLOFENAC 50
mg+
SERRATIOPEPTIDA
SE 10 mg
1-0-1
19. CLINICAL PHARMACIST ACTIVITIES
DATE DRUG RELATED
PROBLEMS
COMMENTS
22/3/21 NO DRUG FOR
INDICATION
• Hb level is decreased
• c/o constipation, no drug is
prescribed
25/3/21 ENCOUNTERED
ADR
Tramadol induced constipation.
26/3/21 DRUG
INTERACTION
Pentazocine<> Tramadol
Reduced analgesic effect and
increased risk of serotonin
syndrome
20. PATIENT COUNSELLING
DISEASE BASED COUNSELLING
• Pyometra is collection of pus in the uterine cavity with several
aetiologies like malignancy of genital tract more commonly and
sometimes benign lesions and other benign conditions.
• Clinical presentation of pyometra is a whitish discharge per
vaginum and sometimes lower abdominal pain and bleeding per
vaginum also.
21. DIET BASED COUNSELLING
FOODS TO AVOID
• A diet high in trans fat.
• Red meat consumption.
• Gluten.
FOODS TO INCLUDE
• Fibrous foods, such as fruits, vegetables, legumes, and whole grains
• Iron-rich foods, such as dark leafy greens, broccoli, beans, fortified grains, nuts,
and seeds
• Foods rich in essential fatty acids, such as salmon, sardines, herring, trout,
walnuts, chia, and flax seeds
• Antioxidant-rich foods found in colorful fruits and vegetables, such as oranges,
berries, dark chocolate, spinach, and beets
22.
23. DRUG BASED COUNSELLING
T. TAXIM O
• The antibiotic course should be completed
T.RANTAC
• Take the tablet 30 minutes before food or 2 hours after food.
T. LYSER D
• Take it with food to avoid getting an upset stomach
• Take the tablet at a fixed time.
