ppt

1. CASE PRESENTATION ON
MYOCARDIAL INFRACTION
Presented by
Anand Krishna.C

2. SUBJECTIVE EVIDENCE
• NAME : XYZ
• AGE : 62yrs
• SEX : Male
• DOA : 13/11/17
• IP NO. : 42170
• DEPT : GMW

3. Reason for admission:
C/o Chest pain radiating to left arm.
Past medical history:
K/C/o Hypertension
Past medication history:
Not said
Social history:
Nothing

4. DATE 13/11 14/11 15/11 16/11
B.P 130/90 140/100 120/80 130/90
OBECTIVE EVIDENCE
Laboratory investigations :

5. Blood Count
 Haemoglobin:14.5g/dl
 Platelets:3 lakh
 WBC: 5600
 Different leucocyte count:
1.Polymorps = 60%
2.Lymphocytes = 20%
3.Basophils = 0.5%
4.Eosinophils = 2%
5.Monocytes = 2%

6. OTHER INVESTIGATIONS
• ECG - ST Elevation
ASSESSMENT
• Acute myocardial infraction
Def: It is the irreversible death of heart
muscles secondary to prolonged lack of
oxygen supply.

8. PLAN:
To reduce symptoms.

9. SL.NO DRUGS Dose Frequency Date of Treatement
Trade Name Generic Name 13/11 14/11 15/11 16/11
1 T.Rosuvas Rosuvastatin 10mg Y Y Y Y
2 T.Lipicure Atorvastatin 10mg Y Y N N
3 T.Cardace Ramipril 2.5mg Y Y Y Y
4 T.Pantop Pantoprazole 40mg Y Y Y Y
5 Inj.Rocephin Ceftriaxone
2g/50
ml Y Y Y Y
6 T.Plevix Clopidogrel 75mg Y Y Y Y
DRUG CHART:

10. DRUG INTERACTION
• Pantoprazole + Clopidogrel
Pantoprozole decreases the effects of
Clopidogrel by affecting hepatic enzyme
CYPZC19 metabolism

11. PATIENT COUNSELLING
• Take medications as prescribed.
• Participate in cardiac rehabilitation.
• Manage risk factors such as hypertension,
hyperlipidemia, diabetes.
• Smoking cessation.
• Reduce weight.
• Eat fat free food.