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This document summarizes a patient's medical issues and treatment plan. The patient has been diagnosed with hyperlipidemia and hypertension based on subjective reports of weakness and headaches, objective findings of high blood pressure and cholesterol levels, and a family history of premature coronary heart disease. The assessment is that therapy is needed to avoid complications like chronic kidney disease and cardiovascular diseases. The current medication regimen includes atenolol to treat hypertension, pantoprazole for gastric irritation, atorvastatin to lower cholesterol, furosemide for hypertension, and clofibrate for hyperlipidemia. The general goals of treatment are to reduce blood pressure, lower cholesterol, and improve the patient's quality of life.
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The STOPAH trial was a large, multicenter randomized controlled trial that compared prednisolone, pentoxifylline, both, or placebo in over 1,000 patients with severe alcoholic hepatitis. It found that neither prednisolone nor pentoxifylline reduced all-cause mortality at 28 days, the primary outcome. Prednisolone showed a non-significant mortality benefit at 28 days but no benefit at 90 days or 1 year, and was associated with increased infections. The trial demonstrated that neither medication improves short-term survival in severe alcoholic hepatitis.
Anti htn medication.pptx maqsood
This document provides an overview of anti-hypertensive medications. It discusses the different classes of anti-hypertensive drugs including thiazide diuretics, ACE inhibitors, ARBs, calcium channel blockers, beta blockers, and other classes. For each class, it covers indications, mechanisms of action, pharmacokinetics, dosing, adverse effects, drug interactions and other key points. The document is intended as an educational presentation on the treatment of hypertension with pharmacological therapies.
A case study on metabolic acidosis
Metabolic acidosis is a serious electrolyte disorder characterized by an imbalance in the body's acid-base balance. Metabolic acidosis has three main root causes: increased acid production, loss of bicarbonate, and a reduced ability of the kidneys to excrete excess acids.
Metabolic acidosis can be caused by acid accumulation due to increased acid production or acid ingestion; decreased acid excretion; or GI or renal bicarbonate (HCO3−) loss.
The diagnosis is made by evaluating serum electrolytes and ABGs. A low serum HCO3- and a pH of less than 7.40 upon ABG analysis confirm metabolic acidosis. The anion gap (AG) should be calculated to help with the differential diagnosis of the metabolic acidosis and to diagnose mixed disorders.
this is a case study om metabolic acidosis prepared for my academic purpose .
please comment
thank u......
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This lays foundation of scoping research project what are the
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soap analysis
- 2. LIST OF PROBLEMS Hyperlipidemia with Hypertension
- 3. Subjective evidence Generalized weakness Headache Chest pain but no radiation
- 4. Objective Evidence Smoke 1 pack/day Drinks 90 ml of whisky/day BP:144/92 mmHg Total Cholesterol 361 mg/dl
- 5. Assessment Diagnosis: Based on the subjective and objuctive evidence it is diagnosed as Hyperlipidemia with Hypertension Etiology: Family History- premature CHD
- 6. ASSESSMENT OF THERAPY IF INDICATED Yes therapy must in this patient to avoid complications with Chronic kidney disease & Cardio vascular diseases
- 7. Assessment of current therapy Tab. Atenolol 50 mg 1-0-0 ●Chategory : beta-blocker ● Indication : to treat hypertension ● Role : it blocks the beta adrinergic receptor ● Dose : 50 mg ● ADR'S : Hypo kalemia , fatigue
- 8. Tab.Pantoprazole 40mg 1-0-0 Chategory: proton pumb inhibitor Indication: gastric irritation Role: inhibition H+/K+ ATPase enzyme in gastric parytal cells Standerd dose : 10-40mg ADR'S: nausea,vomiting
- 9. Tab.Atorvastatin 10mg 0-0-1 Chategory: HMG CO-A inhibitor Indication: hyperlipidemia Role: it decrease the cholestrol level by inhibiting the enzyme
- 10. Tab.furosemide 40mg 0-0-1 Chategory: loop diuretics Indication: hypertension Role: inhibit Na+Cl- in ascending loop of henly Standerd dose : 20-80mg ADR'S: Edema
- 11. Tab.Clofibrate 500mg 1-0-0 Chategory: fibrate Indication: hyperlipidemia Role: bindes with cholestrol then eliminate ADR'S: constipation
- 12. Planning General goals of treatment: ○ Reduce high blood pressure ○ reduce cholesterol level ○ improve patient quality of life
- 13. LIST OF PROBLEMS