The case study details a 49-year-old male patient diagnosed with acute pancreatitis after presenting with abdominal pain, vomiting, fever, and loss of appetite. Treatment included medications such as pantoprazole, metronidazole, and analgesics, with a focus on managing symptoms and counseling regarding lifestyle changes, particularly concerning alcohol consumption. The patient was discharged after four days with ongoing management strategies and recommended modifications to avoid future complications.

1. CASE STUDY ON ACUTE
PANCREATITIS
PRESENTED BY
MARTIN SHAJI
PHARM D

2. PATIENT DEMOGRAPHIC DATA:
Name prasanth Age : 49 years Gender: Male
Weight : 68 kgs IP no : 5637
Department / Ward : General malemedicine
Date of admission : 1 - 9 -2018
Date of discharge : 5 -9 - 2018

3. CHIEF COMPLAINTS : -
 Abdominal pain since 4days,
 Vomitings since 2 days with3 episodes,
 Fever since 2 days,
 Abdominal discomfort,
 Nausea.
 Loss of appetite

4. PAST MEDICAL HISTORY :
• Known Hypertensive since 5 years
Past Medication History :
• Anti Hypertensive Therapy since 5years
SOCIAL HISTORY :
• Alcoholic since 10 years.

5. ON EXAMINATION: Patient is conscious
coherent and vital signs are as follows:
S
.
N
o
Vital signs Days
1 2 3 4
1Temperature(degrees F) 102 101 99 99
2Blood Pressure(mm of
Hg)
130/90 130/90 120/90 120/90
3Pulse Rate(bpm) 90 89 89 87

6. LABORATORY INVESTIGATIONS :
S.No Parameter Observed range Normal value
1 Hemoglobin 10 gm /dl 11-16.5 gm /dl
2 RBC 4.2 Cell/cum 3.80-5.80 cells/
cum
3 Total count 8000 cells/cum 3500-10000/
cum
4 Serum
Creatinin
e
1.9 mg/dl 0.6-1.1 mg/dl
5 Bilirubin 1.4 mg/dl 0.5-1.1 mg/dl
CT Scan – In CT scan report,damaged tissue was
observed in pancreas.

8. DIAGNOSIS :
Based on the symptoms ,signs and laboratory
reports the case wasdiagnosed as ACUTE
PANCREATITIS.

10. PLANNING: -
•
•
• Continue the same treatment as
suggested by the physician
• Time interval should be maintainedwhile
taking Pantop and Ironsupplements
Avoid taking Diclo and Atenololtogether to
overcome druginteraction.
Blood pressure levels shouldbe
monitored regularly.

11. The treatment was started by following medications
On day 1:
T.pct is given 500mg once daily,I.pantop is given 40
mg iv ,i.metrogyl is given 500mg iv twice daily,T.aten is
given 50mg once daily,T.emecet 8mg is given twice
daily,T.diclo 50mg is given once daily,T.b complex is
given once daily,T.IFA100mg is given once daily
On day2,3:
Symptoms are not reduced ,same treatment was
continued

12. On day 4:
Symptoms were reduced ,patient counselling
was done and was discharged with some of the
medications.

13. DRUGCHAT:-
S.
No
Generic name Brand
name
Frequency Dose ROA Duration of treatment
1 2 3 4
1 T.Paracetamol Colpol OD 500
mg
Oral    
2 Inj.Pantoprazole
Pantop
BD 40 mg IV    
3 Inj.Metronidazole
Metrogyl
BD 500
mg
IV    
4 T.Atenolol Aten OD 50 mg Oral    
5 T.Ondansetron Emecet BD 8 mg Oral   
6 T.Diclofenac Diclo OD 50 mg Oral   
7 T.B-Complex OD 50 mg Oral    
8 T.Iron FolicAcid OD 100
mg
Oral    

14. PHARMACIST INTERVENTIONS
The prescription was rational.
No DDI or ADRs were found.

15. S.No DRUGS FREQUENCY DOSE ROA
1 T.Paracetamol OD- SOS 500 mg Oral
2 T.Pantoprazole OD 40 mg Oral
3 T.Atenolol OD 50 mg Oral
4 T.Diclofenac OD 50 mg Oral
5 T.B-Complex OD 50 mg Oral
6 T.Iron FolicAcid OD 100 mg Oral
DISCHARGE MEDICATION : -

16. LIFESTYLE MODIFICATIONS :- PATIENT
COUNSELLING
 Avoid the alcohol consumption,
 Advice the patient to take the medication daily,
 Avoid the diet which contains highfat
content,
 Do not stop the medicationwithout
consultation of doctor,
 Avoid the drugs which are toxic or
hazardous to Pancreas.

17. Regarding medication
ONDAN(Ondansetron)
It is an antiemetic agent used to treat nausea and
vomiting caused due to certain medical conditions. It works by
blocking the action of a chemical substance that causes nausea
and vomiting
T. RANTAC ( Ranitidine)
It is an anti ulcerative agent and should be taken twice a day before
food
. T.FLAGYL(Metronidazole)
It is an antibiotic used against certain bacteria and protozoa , used to
treat a wide variety of infections induced by microbes but it wont
stand against viruses

18. Paracetamol
650mg BID is used as an anti-pyretic. It act as a pain killer and
also as temp lower. Given for 4 days
B. COMPLEX
The B vitamins are eight water-soluble vitamins that play important
roles in cell metabolism. Supplements containing all eight are
generally referred to as a vitamin B complex. Suggested for 7 days ,
so as to ensure the patients health and improve the resistivity to the
infection.
Tab.Pantop:
It is of 40mg orally preferably
should take 30min before breakfast once a day which decreases acid
secretion in stomach, nausea, vomiting, dizziness, headache,
abdominal distension are common side effects.

19. DISCUSSION :-
Definition :-
Acute pancreatitis is an inflammatory condition ofthe
pancreas, clinically characterised by acute abdominal pain &
elevated levels ofpancreatic enzymes in theblood.
ETIOLOGY :-
* Alcohol
*Gallstones
*Drugs
*Autoimmune
*Genetic
*Abdominal traum
*Infections
*Metabolic -hyperglycemia, hyperparathyroidism,
hypertriglyceridemia

20. SYMPTOMS :
 Abdominal discomfort,
 Abdominal pain,
 Nausea,
 Vomitings,
 Hypertension,
 Pancreatic cell necrosisand
 Dyspnea.

22. Thank you…..