CASE STUDY ON ACUTE GASTROENTERTIS

1. CASE ON
ACUTE GASTROENTERITIS
DEEPAK KUMAR
PHARM.D

2. • NAME : X
• AGE : 58
• SEX : MALE
• WEIGHT. : 65KG

3. • CHIEF COMPLAINTS
- H/O PASSING LOOSE STOOLS 5-6 EPISODES,
- H/O NAUSEA
• MEDICAL HISTORY
-K/C/O TYPE 2 DM FOR 10-15 YRS
- H/O ESOPHAGEAL VARICES BANDING DONE
• MEDICATION HISTORY
- INJ. INSULIN BD
• ALLERGIES
-NOT KNOWN
• SOCIAL HISTORY
-KNOWN ALCOHOLIC & SMOKER

4. ON EXAMINATION :
-PATIENT WAS CONSCIOUS & ORIENTED, AFEBRILE, MILD
DEHYDRATED
H&ENT : NORMAL
EYE : NORMAL
CVS : S1S2+
RS : BAE+
CNS :NFND

5. ⮚ECHOCARDIOGRAM
-NO SIGNIFICANT REGIONAL WALL MOTION ABNORMALITY
ENDOSCOPY
-NO SIGNIFICANTS

6. ⮚MOTION ROUTINE
• MACROSCOPICAL EXAMINATION
1. COLOUR : BROWN
2. REACTION :ACIDIC
3. CONSISTENCY : LIQUID SPECIMEN
4. MUCUS :PRESENT
5. BLOOD :NIL
6. OCCULT BLOOD :POSITIVE
• MICROSCOPICAL EXAMINATION
1.OVA : NIL
2.CYST : NIL
3.PUS CELLS : 2-3 CELLS/HPF
4.RBC :1-2 CELLS/HPF
5.BACTERIA : +++
6.OTHERS : NIL

7. •PROVISIONAL DIAGNOSIS
-ACUTE GASTROENTERITIS

8. HAEMATOLOGY TEST

9. LIVER FUNCTION TEST

10. TREATMENT

11. F-FINDING
• FROM LAB INVESIGATIONS
▪ HEMOGLOBIN: DECREASED
▪ ESR: INCREASED
▪ UREA: INCREASED
▪ MOTION ROUTINE: OCCULT BLOOD :+VE
PHARMACIST INTERVENTION

12. A-ASSESMENT
•ESR:
INCREASED ESR MAY BE INDICATES INFECTIONS
•UREA:
INCREASED UREA MAY BE DUE TO DEHYDRATION
•MOTION ROUTINE:
POSITIVE OCCULT BLOOD INDICATES ABNORMAL BLEEDING IN
THE DIGESTIVE TRACT AND IT MAY BE DUE TO ULCERS
•HEMOGLOBIN:
DECREASED LEVEL INDICATES ANEMIA

13. R-RESOLUTION:-
• TREATMENT PLAN INCLUDES
1.INJ PAN
GENERIC NAME : PANTAPRAZOLE
2. INJ CIPRO
GENERIC NAME : CIPROFLOXACIN
-IN THIS CASE IT MAY BE GIVEN FOR BACTERIAL INFECTIONS
3.INJ EMESET
GENERIC NAME : ONDANSETRON
-IT IS GIVEN FOR NAUSEA & VOMITTING
4.CAPSULE VIBACT DS
IT IS FORTIFIEDWITH PROBIOTIC COMPOSITE CONTAINING
LACTOBACILLUS. IT IS USED IN TREATING DIARRHEA

14. 5.ENTEROGERMINA :
• IT IS AN ANTI-MICROBIAL AGENT FOR THE INTESTINE. IT IS USED TO
TREAT ACUTE GASTROENTERITIES
6.CIPLAR
•GENERIC NAME : PROPANOLOL
IN THIS CASE IT IS USED FOR TREATING ESOPHAGEAL VARICES BY
SLOWING THE HEART RATE AND WIDENING THE BLOOD VESSELS
7.ORS
IT IS A COMBINATION OF DEXTROSE AND A NO OF ELECTROLYTES. IT IS
USED TO RESTORE BODY FLUIDS AND ELECTROLYTES LOST DUE TO
DEHYDRATION DURING DIARRHEA OR VOMITTING
8. INJ METRO
GENERIC NAME: METRONIDAZOLE
IT IS USED TO TREAT BACTERIAL INFECTIONS

15. MONITORING:-
COMMUNICATION WITH THE NURSE:
SINCE THE PATIENT IS DIABETIC BLOOD SUGAR LEVEL SHOULD
BE MONITORED DAILY
• DIETERY FOOD HABITS
• REGULAR MAINTENANCE OF MEDICINES AT REGULAR
FREQUENCIES
COMMUNICATION WITH THE DOCTOR:
• UPDATE OF MEDICINES AT THERE CURRENT HEALTH
CONDITIONS IN DIAGNOSIS

16. 1.QUIT SMOKING AND ALCOHOL CONSUMPTION
2.DRINK PLENTY OF WATER
3.TAKE REST
4.REDUCE THE USE OF SALT IN THE DIET

17. THANK YOU