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RTI.pptx
1. Submitted by : AMAR PRASAD CHAUDHARY
III PHARM-D
Submitted to : Dr. Sahilesh Yadav
Asst.Professor
Department of clinical Practice
MALLIGE COLLEGE OF PHARMACY,Silvepura,Bangalore-90
2. LOWER RESPIRATORY TRACT INFECTION
LRTI includes following diseases i.e
Bronchitis : It is defined as the inflammation of bronchiole tract which
affects all age of people mainly occurs in winter season due to presence high
concentration of irritating substance . The most common etiology of
bronchitis are rhinovirus, coronavirus, influenza virus, adenovirus,exposure to
dust ,smoking, genetic factor, bacterial Infection. The sign and symptom are
like coughing , dysponea , cyanosis.
Bronchiolitis : It is a acute viral infection which is mostly caused due to
Respiratory syncosial Virus (RSV), Parainfluenza virus, adeno virus which is
mostly characterized by tachypenia, ronchii, cough combined with fever and
vomiting, hypoxia. It mostly occurs in children from 1 to 3 yrs.
Pneumonia : It is the inflammation of lungs i.e parenchymal cells so it will
mostly affect the alveoli of lungs. It is mainly characterized by alveoli filled
by mixture of inflammatory exudate, bacteria, WBC. The sign and symptom of
pneumonia are fever , chills, tachypenia, tachycardia, dysponea, productive
cough, heamostasis.
3. DEMOGRAPHIC DETAILS
Patient name : xyz
Age : 84 yrs
sex : Male
Department / ward : General / VIP
DOA : 20-7-2017
DOD : 22-7-2017
4. SUBJECTIVE EVIDENCE
COMPLAINTS ON ADMISSION ( C/O )
Cough along with yellowish sputum since 2 days
Shortness of breath
Vomiting
5. PAST MEDICAL HISTORY
Cardiomyopathy
Interstitial lung disease ( ILD)
MEDICATION HISTORY
Tab. DILTIZEM SR 90mg 1-0-0
Tab. ECOSPIRIN- AV 0-1-0
(ASPIRIN 75 mg and atorvastatin 10mg )
6. SOCIAL HISTORY
Appetite : Normal
Diet : mixed
Sleep : normal
Bowel and Bladder : Normal
Social Habits : nothing significant
11. FINAL DIAGNOSIS
From subjective and objective evidence it is
diagnoised that patient is suffering from
LRTI
Bronchial asthma
ILD
cardiomyopathy
12. GOALS OF THERAPY
To provide the symptomatic relief
To prevent the further complication of bronchial asthma
To cure the respiratory tract infection
13. Assessment of current Therapy
Date Brand
name
Generic name Indication Dose Route Freq Time End
date
20-7-017 oxygen oxygen Artificial
respiration
neb PRN 20-7-017
20-7-017 xone cefitriaxone Anti-bacterial 500mg IV 1-0-1 After food 22-7-017
20-7-017 azithral azithromycin Anti-bacterial 500mg PO OD After food 22-7-017
20-7-017 pantodac pantaprazole PPI 40mg PO 1-0-0 before
food
22-7-017
20-7-017 Ascoril expectorant 10ml PO 1-1-1 22-7-017
20-7-017 Vit.D3 Vitamin D3 Vitamin
supplement
1000iu PO 1-0-0 After food 22-7-017
20-7-017 Ecosrin Aspirin Anti-platelet 75mg PO 0-1-1 After food 22-7-017
20-7-017 Channel diltizem Calcium channel
blocker
90mg PO 1-0-0 After food 22-7-017
15. PLANNING
Discharge medication
BRAND
NAME
GENERIC
NAME
DOSE
( mg)
FREQUENCY DAYS INDICATION ROUTE TIME
Zipod CV Cefpodoxime and
clavunate
200 + 125 1-0-1 3 Days Anti-bacterial PO After food
Azithral azithromycin 500mg 1-0-0 3 Days Anti-bacterial PO After food
Pantodac pantaprazole 40mg 1-0-1 3 Days PPI PO before food
Channel SR diltizem 90mg 1-0-0 continue Calcium
channel
blocker
PO After food
Ecosprin AV Aspirin and
atrovastatin
75 + 10 0-1-0 continue Anti
hyperlipidemic
agent
PO After food
16. PHARMACIST INTERVENTION
• All the drugs prescribed were screened for drug interactions and found no
drug interactions.
17. PATIENT COUNSELLING
Do few aerobic exercises to increase respiratory capacity
like yoga , jogging , cycling , morning walk , etc. for about
15 to 20 min
While going in city or air polluted area use mask to prevent
from allergens
Don’t smoke cigarette or passive smoking like smoke from
wood
If you get any kind of unusual bleeding or gastric irritation
please consult with your doctor
Take pantodac 30 min before the food
Try to be protected from cold air during winter season
