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A CASE
PRESENTATION ON
ACUTE BRONCHOPNUEMONIA
SUBMITTED BY,
ANVY THANKACHAN
PHARM -D 2nd YEAR
REGNO.:142820474
 A 5 Years old female patient admitted in the
hospital with complaints of Fever, Vomiting,
Cough(with mucus), & Breathing difficulty for 3
days
SUBJECTIVE
Patient name : Ms. X
Age : 5 yrs
Sex : F
Weight: 20 kg
Dept. : PEADEATRIC
IP No: k-8845
DOA :30/01/16
DOD : 5/02/16
Past medical history: Not known
Past medication history: Not known
History Present illness : Fever , Vomiting ,
Cough & Breathing difficulty
OBJECTIVE
VITAL SIGNS
DATE 30/1/16 31/1/16 1/2/16 2/2/16 3/2/16 4/2/16
TEMP. 100.2 F 100.1 F 100F 99.5 F 99F 98.5 F
Investigation Chart
DATE
Albumin Trace
Sugar Nil
Micro pus cells 2-3
Hb 12.1 gm%
TC 62500cell/mm
DC P-56%,L-64%,E-3%
ESR 35mm/ hr
CRP(+VE) 40.9mg/L
30/1/16
DIAGNOSIS
Chest X-Ray : patchy consolidation in the bases of
lungs
Physical Examination : Crackling sound
Wheezing
CBC : ESR increased
Leukocyte count increased
CRP count increased
Sputum Culture : identified causative agent is
Streptococcus pneumoniae
ASSESSMENT
BRONCHOPNEUMONIA
Pneumonia is an inflamation
of the Lung Parenchyma .
 Leading cause of death in children in the developing
world
 Pneumonia is the highest in children under 5 years of
age
CLASSIFICATION
Classified based on 2 Types
1) TYPE : 1
a) LOBAR PNEUMONIA
b) BRONCHOPNEUMONIA
2) TYPE:2
a) COMMUNITY ACQUIRED PNEUMONIA
b) HOSPITAL ACQUIRED PNEUMONIA
BRONCHOPNEUMONIA
Infection of the terminal Bronchioles that
extends in to the surrounding alevoli resulting
in Patchy consolidation of the lung
AETIOLOGY
Bacteria
Viruses (less severe)
Signs & Symptoms
Tachypnea
Nasal Flaring : With
inspiration,the side of the
nostrils flares outwards
Head ache
Pathophysiology
Risk Factors
Risk Factors
Complications
Sepsis
Lung Abscess
Pleural thickening
Respiratory Distress Syndrome
Pneumothorax
PLAN
Therapeutic Goal
 To Relieve Cough
 To Reduce Body Temperature
 To Keep the child breathe easier.
 Keep the child’s air passages moist and better, able
to get rid of offending organism
Standard Medications
 Antiviral Therapy: Zanamivir, Amatadine
 Antipyretics : Paracetamol
 Bronchodilator : Salbutamol
 Oxygen Therapy
 Intravenous fluids : to correct dehydration eg: Isolyte p
 Expectorant/antitussives: Dextromethorphan
 Antihistamines : Cetirizine
 Decongestants : Phenylephrine
Treatment Plan
no TRADE NAME DOSE 30/1/16 31/1/ 1/2/16 2/2/16 3/2/ 4/2/
1 INJ.p.mol 2cc IV Stat &
sos
+ + + + - -
2 INJ.PERISET2mg IV Stat&
sos
+ + + - - -
3 IVF ISOLYTE P - + + + - - -
4 INJ.CLAVAM BD + + + + + +
5 ASTHALIN NEB. 2.5ml Q6H + + + + + +
6 SYP.ALTIME CF JR
5ml/60ml
BD + + + + + +
7 INJ.OFRAMAX IV BD + + + + + +
Q8H
GENERIC NAME USES
PARACETAMOL ANTIPYRECTIC
ONDANSETRON ANTI-EMETIC
SODIUM ACETATE+POTASSIUM
CHLORIDE+MAGNESIUM CHLORIDE
BODY FLUID AND ELECTROLYTE
BALANCE
AMOXICILLIN+CLAVULANIC ACID ANTIBIOTIC
SALBUTAMOL BRONCHODILATOR
AMBROXOL,DEXTROMETHORPHAN,
CETIRIZINE
COUGH
CEFTRIAXONE ANTIBIOTIC
Progress Chart
DATE
ALBUMIN NIL
TC 13500cell/mm
DC P-47%,L-43%,E-1%
ESR 14mm/hr
CRP 9mg/L
3/2/15
Discharge Medications
NO TRADE NAME FREQUENCY PERIOD OF
TREATMENT
1 TAB.MEDMOL 300mg SOS -
2 SYP.CEFOLAC
30ml/2.5ml
BD 5 DAYS
3 SYP.ALTIME CF JR
60ml/5ml
BD 5 DAYS
Get vaccinated
Provide adequate rest
Drink plenty of fluids ,especially Water
Keep your child away from smoking
Frequently check Temperature
Using Humidifier
Get plenty sleep
Pharmacist Interventions
Control of indoor air pollution and promotion of
healthy environment
Adequate Nutrition
Zinc supplementation
Keep your child away from people with symptoms of a
respiratory infection
Practising Good Hygiene
 a case presentation on Acute bronchopneumonia
 a case presentation on Acute bronchopneumonia

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a case presentation on Acute bronchopneumonia

  • 1.
  • 2. A CASE PRESENTATION ON ACUTE BRONCHOPNUEMONIA SUBMITTED BY, ANVY THANKACHAN PHARM -D 2nd YEAR REGNO.:142820474
  • 3.  A 5 Years old female patient admitted in the hospital with complaints of Fever, Vomiting, Cough(with mucus), & Breathing difficulty for 3 days
  • 5. Patient name : Ms. X Age : 5 yrs Sex : F Weight: 20 kg Dept. : PEADEATRIC IP No: k-8845 DOA :30/01/16 DOD : 5/02/16
  • 6. Past medical history: Not known Past medication history: Not known History Present illness : Fever , Vomiting , Cough & Breathing difficulty
  • 8. VITAL SIGNS DATE 30/1/16 31/1/16 1/2/16 2/2/16 3/2/16 4/2/16 TEMP. 100.2 F 100.1 F 100F 99.5 F 99F 98.5 F
  • 9. Investigation Chart DATE Albumin Trace Sugar Nil Micro pus cells 2-3 Hb 12.1 gm% TC 62500cell/mm DC P-56%,L-64%,E-3% ESR 35mm/ hr CRP(+VE) 40.9mg/L 30/1/16
  • 11. Chest X-Ray : patchy consolidation in the bases of lungs Physical Examination : Crackling sound Wheezing CBC : ESR increased Leukocyte count increased CRP count increased Sputum Culture : identified causative agent is Streptococcus pneumoniae
  • 14. Pneumonia is an inflamation of the Lung Parenchyma .
  • 15.  Leading cause of death in children in the developing world  Pneumonia is the highest in children under 5 years of age
  • 16. CLASSIFICATION Classified based on 2 Types 1) TYPE : 1 a) LOBAR PNEUMONIA b) BRONCHOPNEUMONIA 2) TYPE:2 a) COMMUNITY ACQUIRED PNEUMONIA b) HOSPITAL ACQUIRED PNEUMONIA
  • 17. BRONCHOPNEUMONIA Infection of the terminal Bronchioles that extends in to the surrounding alevoli resulting in Patchy consolidation of the lung
  • 19.
  • 20.
  • 23. Nasal Flaring : With inspiration,the side of the nostrils flares outwards Head ache
  • 28. PLAN
  • 29. Therapeutic Goal  To Relieve Cough  To Reduce Body Temperature  To Keep the child breathe easier.  Keep the child’s air passages moist and better, able to get rid of offending organism
  • 30. Standard Medications  Antiviral Therapy: Zanamivir, Amatadine  Antipyretics : Paracetamol  Bronchodilator : Salbutamol  Oxygen Therapy  Intravenous fluids : to correct dehydration eg: Isolyte p  Expectorant/antitussives: Dextromethorphan  Antihistamines : Cetirizine  Decongestants : Phenylephrine
  • 31.
  • 32. Treatment Plan no TRADE NAME DOSE 30/1/16 31/1/ 1/2/16 2/2/16 3/2/ 4/2/ 1 INJ.p.mol 2cc IV Stat & sos + + + + - - 2 INJ.PERISET2mg IV Stat& sos + + + - - - 3 IVF ISOLYTE P - + + + - - - 4 INJ.CLAVAM BD + + + + + + 5 ASTHALIN NEB. 2.5ml Q6H + + + + + + 6 SYP.ALTIME CF JR 5ml/60ml BD + + + + + + 7 INJ.OFRAMAX IV BD + + + + + + Q8H
  • 33. GENERIC NAME USES PARACETAMOL ANTIPYRECTIC ONDANSETRON ANTI-EMETIC SODIUM ACETATE+POTASSIUM CHLORIDE+MAGNESIUM CHLORIDE BODY FLUID AND ELECTROLYTE BALANCE AMOXICILLIN+CLAVULANIC ACID ANTIBIOTIC SALBUTAMOL BRONCHODILATOR AMBROXOL,DEXTROMETHORPHAN, CETIRIZINE COUGH CEFTRIAXONE ANTIBIOTIC
  • 34. Progress Chart DATE ALBUMIN NIL TC 13500cell/mm DC P-47%,L-43%,E-1% ESR 14mm/hr CRP 9mg/L 3/2/15
  • 35. Discharge Medications NO TRADE NAME FREQUENCY PERIOD OF TREATMENT 1 TAB.MEDMOL 300mg SOS - 2 SYP.CEFOLAC 30ml/2.5ml BD 5 DAYS 3 SYP.ALTIME CF JR 60ml/5ml BD 5 DAYS
  • 36. Get vaccinated Provide adequate rest Drink plenty of fluids ,especially Water Keep your child away from smoking Frequently check Temperature Using Humidifier Get plenty sleep Pharmacist Interventions
  • 37. Control of indoor air pollution and promotion of healthy environment Adequate Nutrition Zinc supplementation Keep your child away from people with symptoms of a respiratory infection Practising Good Hygiene