This document presents a case study of a 42-year-old male patient admitted with cholera. He presented with severe diarrhea for two days, vomiting for one day, and loss of skin elasticity and low blood pressure. Examination of a stool sample under a microscope confirmed the presence of Vibrio cholerae bacteria. He was treated with IV and oral rehydration, antibiotics, and antiemetics. His condition improved over four days of treatment, with blood pressure and symptoms normalizing before discharge with medications and counseling.

1. CASE PRESENTATION ON
CHOLERA
BY;
K.V.VARA PRASAD
(611171602012)

2. PATIENT PROFILE FORM
NAME :M.surayya
AGE :42 Years
Sex :Male
Ward :GENERAL
Weight :68Kgs
Ad date :03/04/14
Dis date :07/04/14

3. REASONS FOR ADMISSION
Severe diarrhoea since 2 days
Vomitings since 1 day
Loss of skin elasticity and low
blood pressure since 1 day

4. PAST MEDICAL HISTORY
Not significant
SOCIAL HISTORY
He is living in unclean
conditions and he is consuming
municipal water
ALLERGIES
Not known allergies

5. PHARMACEUTICAL CARE PLAN
SUBJECTIVE EVIDENSE
•Severe diarrhoea since 2 days
•Vomitings since 1 day
•Loss of skin elasticity and low
blood pressure since 1 day

6. Examination of stool culture under a
special microscope for detecting vibrio
cholerae………Which confirmed that
presence of bacteria.
OBJECTIVE EVIDENCE
SOCIAL HISTORY
He is living in unclean conditions and
he is consuming municipal water

7. DIAGNOSIS
CHOLERA

8. GOALS TO BE ACHIEVED
To treat dehydration
To treat diarrhoea
To reduce vomitings
To correct B.P
To prevent complications like shock,kidney
failure,death
To improve quality of life of the patient

9. TREATMENT OPTIONS
For dehydration
Oral rehydration source(ORS)
Ringer lactose(RL)
Sodium chloride(NS)
For vomitings
 5-HT3 receptor blockers
Ondansetron,Granisetron

10. For diarrhoea
Fluoroquinolones
Ciprofloxacin,norfloxacin,
ofloxacin
Azoles
Ornidazole, Tinidazole

11. Miscellaneous
Loperamide,kaolin-pectin
suspension

12. DRUG DOSE ROA FREQUENCY DAY 1 DAY 2 DAY 3 DAY 4
CIPROFLOXACIN 200mg/
100ml
IV 1-0-1    
ZOFER 2mg/ml IM 1-1-1    X
TAB. NORFLOXACIN 400mg oral 1-0-1    
ANDIAL(LOPIRAMIDE) 2mg oral 1-0-1    
ZENFLOX-OZ
(OFLOXACIN+ORNIDAZO
LE)
200mg
+500m
g
oral 1-0-1    
TAB. RANITIDINE
ORS DRINK
NS
RL
300mg
2bot
2bot
Oral
Oral
IV
IIV
1-1-1
1-1-1
1-0-1
1-0-1
   

13. DAY 1
B.P : 80/60 mm Hg
PR : 80/min
TEMP: 98^F
HR : 90beats/min
C/O ofvomitings
C/O of diarrhoea

14. DAY 2
B.P : 100/70mm Hg
PR : 80/min
TEMP : 98^F
HR : 90beats/min
B.P was slightly improved.
Vomitings were slightly reduced
C/O diarrhoea

15. DAY 3
B.P : 120/90mmHg
PR : 75/min
TEMP : 98.4^F
HR : 80/min
B.P was come to normal
Vomitings are completely reduced
Diarrhoea was slightly reduced

16. DAY 4
B.P : 120/80 mmHg
PR : 70/min
TEMP : 98.4^F
HR : 75beats/min
Patient is discharged with
proper medications

17. GOALS ACHIEVED
Vomitings were reduced on day 3
Blood pressure was come to normal on
day 3
Loose motions were completely reduced
on day 4
Patient recovered from dehydration on
day 3

18. MONITORING PARAMETERS
B.P should be monitored regularly
Body electrolytes levels are also
should be properly monitored
Monitor body temp.

19. PATIENT COUNSELING
ABOUT THE DISEASE
Patient is knowledged about the
signs and symptoms of the disease.
ABOUT THE DRUGS
•Patient is advised to take medication
properly.
•Patient is knowledged about the side
effects of the drugs.

20. ABOUT DIET
Avoid spicy items
Avoid dairy products
Take a lot of fluids
Should drink boiled water
DISCHARGE MEDICATION
Same drugs mentioned in the
drug chart.

21. THANK YOU