A 45-year-old male presented to the ICU with chest pain, sweating, backache and vomiting. Examination found normal vitals except elevated heart rate. Tests showed elevated cardiac enzymes and ECG changes consistent with ST-elevated myocardial infarction (STEMI). He was treated with fibrinolytics, anticoagulants, antiplatelets and beta blockers. Over subsequent days his symptoms improved and he was discharged on aspirin, clopidogrel, atorvastatin and metoprolol with counseling on cardiac risk factors and medications.
The Subjective, Objective, Assessment and Plan (SOAP).the assessment will identify what the drug related/induced problem is likely to be and the reasoning/evidence behind it. This will include etiology and risk factors, assessments of the need for therapy, current therapy, and therapy options.
Anesthetic management of carotid endarterectomy [autosaved] 2Arun Aru
1. The document describes the anesthetic management of a carotid endarterectomy procedure in a 54-year-old male with a history of stroke and risk factors including diabetes and hypertension.
2. Intraoperatively, the patient was induced with thiopental and intubated, and anesthesia was maintained with desflurane. Monitoring included arterial and central lines.
3. The endarterectomy procedure involved clamping of the internal carotid artery and removal of atherosclerotic plaque from the vessel wall via placement of a carotid stent.
This document defines hypertensive emergencies and discusses their management. It begins by classifying hypertension and defining hypertensive crises. Hypertensive emergencies are acute severe hypertension with signs of target organ damage, while hypertensive urgencies have severe hypertension without organ damage. The document then covers the epidemiology, etiology, pathophysiology, presentation, investigations, and management of hypertensive emergencies. It discusses treating different organ-specific emergencies like stroke, heart failure, and kidney injury. The management involves rapid blood pressure reduction while monitoring for complications. Various intravenous medications are outlined for treating hypertensive emergencies based on the target organ involved.
This document defines hypertensive emergencies and discusses their management. It begins by classifying hypertension and defining hypertensive crises. Hypertensive emergencies are acute severe hypertension with signs of target organ damage, while hypertensive urgencies have severe hypertension without organ damage. The document then covers the epidemiology, etiology, pathophysiology, presentation, investigations, and management of hypertensive emergencies. It discusses treating different organ-specific emergencies like stroke, heart failure, and kidney injury. The management involves rapid blood pressure reduction while monitoring for complications. Various intravenous medications are outlined to treat specific emergencies. Careful titration is needed due to the risk of overtreatment.
A 36-year-old female presented with pain and tingling in her left hand and fingers that progressed to her arm and neck, as well as blurred vision in her right eye for 15 days. MRI revealed acute demyelinating optic neuritis. She was diagnosed with multiple sclerosis and right optic neuritis. Treatment included intravenous methylprednisolone, gabapentin, prednisolone, supplements, amlodipine for hypertension, and pantoprazole for acidity. Her medications, diet, disease monitoring, and follow up were discussed to manage her multiple sclerosis and symptoms.
Case Presentation on Angina Pectoris by Sultan.pptxSultan534908
The document discusses a case of angina pectoris in a 67-year-old male patient. It provides details of the patient's medical history, examinations, diagnostic tests, treatment and counseling. The patient presented with chest pain and was diagnosed with angina pectoris based on ECG showing ST elevation and elevated cardiac markers. He was treated with medications like aspirin, nitroglycerin, statins and antihypertensives. Through treatment, his symptoms improved and he was discharged on secondary prevention medications.
MI (4).ppt myocardial infarction is a type of heart diseaseBindu238662
- A 65-year-old male smoker with a history of hypertension was admitted to the hospital with chest pain radiating to his left shoulder and arm for 3 hours.
- Diagnostic tests confirmed an anterior wall myocardial infarction with elevated cardiac enzymes and ECG changes. The patient was treated with oxygen, analgesics, nitrates, thrombolytics, antiplatelets, statins, and ACE inhibitors over 7 days.
- The patient's symptoms improved and he was discharged on secondary prevention medications and lifestyle modification counseling.
A 45-year-old male presented to the ICU with chest pain, sweating, backache and vomiting. Examination found normal vitals except elevated heart rate. Tests showed elevated cardiac enzymes and ECG changes consistent with ST-elevated myocardial infarction (STEMI). He was treated with fibrinolytics, anticoagulants, antiplatelets and beta blockers. Over subsequent days his symptoms improved and he was discharged on aspirin, clopidogrel, atorvastatin and metoprolol with counseling on cardiac risk factors and medications.
The Subjective, Objective, Assessment and Plan (SOAP).the assessment will identify what the drug related/induced problem is likely to be and the reasoning/evidence behind it. This will include etiology and risk factors, assessments of the need for therapy, current therapy, and therapy options.
Anesthetic management of carotid endarterectomy [autosaved] 2Arun Aru
1. The document describes the anesthetic management of a carotid endarterectomy procedure in a 54-year-old male with a history of stroke and risk factors including diabetes and hypertension.
2. Intraoperatively, the patient was induced with thiopental and intubated, and anesthesia was maintained with desflurane. Monitoring included arterial and central lines.
3. The endarterectomy procedure involved clamping of the internal carotid artery and removal of atherosclerotic plaque from the vessel wall via placement of a carotid stent.
This document defines hypertensive emergencies and discusses their management. It begins by classifying hypertension and defining hypertensive crises. Hypertensive emergencies are acute severe hypertension with signs of target organ damage, while hypertensive urgencies have severe hypertension without organ damage. The document then covers the epidemiology, etiology, pathophysiology, presentation, investigations, and management of hypertensive emergencies. It discusses treating different organ-specific emergencies like stroke, heart failure, and kidney injury. The management involves rapid blood pressure reduction while monitoring for complications. Various intravenous medications are outlined for treating hypertensive emergencies based on the target organ involved.
This document defines hypertensive emergencies and discusses their management. It begins by classifying hypertension and defining hypertensive crises. Hypertensive emergencies are acute severe hypertension with signs of target organ damage, while hypertensive urgencies have severe hypertension without organ damage. The document then covers the epidemiology, etiology, pathophysiology, presentation, investigations, and management of hypertensive emergencies. It discusses treating different organ-specific emergencies like stroke, heart failure, and kidney injury. The management involves rapid blood pressure reduction while monitoring for complications. Various intravenous medications are outlined to treat specific emergencies. Careful titration is needed due to the risk of overtreatment.
A 36-year-old female presented with pain and tingling in her left hand and fingers that progressed to her arm and neck, as well as blurred vision in her right eye for 15 days. MRI revealed acute demyelinating optic neuritis. She was diagnosed with multiple sclerosis and right optic neuritis. Treatment included intravenous methylprednisolone, gabapentin, prednisolone, supplements, amlodipine for hypertension, and pantoprazole for acidity. Her medications, diet, disease monitoring, and follow up were discussed to manage her multiple sclerosis and symptoms.
Case Presentation on Angina Pectoris by Sultan.pptxSultan534908
The document discusses a case of angina pectoris in a 67-year-old male patient. It provides details of the patient's medical history, examinations, diagnostic tests, treatment and counseling. The patient presented with chest pain and was diagnosed with angina pectoris based on ECG showing ST elevation and elevated cardiac markers. He was treated with medications like aspirin, nitroglycerin, statins and antihypertensives. Through treatment, his symptoms improved and he was discharged on secondary prevention medications.
MI (4).ppt myocardial infarction is a type of heart diseaseBindu238662
- A 65-year-old male smoker with a history of hypertension was admitted to the hospital with chest pain radiating to his left shoulder and arm for 3 hours.
- Diagnostic tests confirmed an anterior wall myocardial infarction with elevated cardiac enzymes and ECG changes. The patient was treated with oxygen, analgesics, nitrates, thrombolytics, antiplatelets, statins, and ACE inhibitors over 7 days.
- The patient's symptoms improved and he was discharged on secondary prevention medications and lifestyle modification counseling.
This powerpoint is a case presentation, that explains the case of ADCHF, with comorbidities, comprising HTN, CAD and DLP.
A summary on the recent advancements in HF management, along with justification of therapy provided, has been elucidated.
A note on home remedies and counselling tips has also been provided.
Management of hypertension problems in gpAmir Mahmoud
This document discusses the management of two patients. For the first patient, a 47-year-old man with diabetes and hypertension, the goal blood pressure is less than 140/90 mmHg. ACE inhibitors are recommended due to their benefits for patients with diabetes. For the second patient, a 56-year-old woman with uncontrolled hypertension, the doctor's approach will focus on lifestyle modifications and optimizing her medication regimen given her multiple comorbidities.
Case presentation on Cerebrovascular accident (Stroke)HAMMADKC
This document presents a case report of a 76-year-old male patient admitted to the neurology department with complaints of forgetting, left hand weakness, slurred speech, and incontinence. The patient has a history of hypertension, previous cerebrovascular accident, and fall from bed. Examination and investigations including MRI and angiogram confirmed the diagnosis of cerebrovascular accident. The patient was treated with medications like citicoline, levetiracetam, atorvastatin, and aspirin. His condition improved and he was discharged with advice on medications and lifestyle modifications to prevent further strokes.
The document summarizes the medical history and hospital course of a 52-year-old male patient admitted with weakness on the left side of his body and loss of speech. He was diagnosed with a cerebrovascular accident (CVA) or stroke in the right side of the brain based on his symptoms and a CT scan showing an infarct in the right occipital region. He had a history of hypertension. Over five days in the hospital, he was given treatments including mannitol, phenytoin, antibiotics, amlodipine, and aspirin to control his blood pressure, prevent seizures and infection, and reduce stroke risk. His vital signs and lab results improved before being discharged.
This case presentation summarizes a 51-year-old male patient admitted to the hospital for slurred speech, headache, and facial puffiness. The patient has a history of type 2 diabetes, bronchial asthma, and hypertension. Physical exams and lab results indicated elevated potassium, uric acid, and inflammatory markers. A CT scan showed evidence of old cerebral infarcts. The patient was diagnosed with asthma exacerbation. The treatment plan included medications to control inflammation, blood pressure, cholesterol, and blood sugar. Upon discharge, the patient was counseled on asthma management and medication compliance.
case presentation on cervical spondylosis by naveennaveen ramavatu
A 70-year-old female was admitted with complaints of giddiness, neck pain, headache, and leg pain. Diagnostic tests showed cervical spondylosis and hypertension. She was treated for 5 days with medications including pantoprazole, clopidogrel, rosuvastatin, betahistine, lorazepam, and lactulose. Her symptoms improved and she was discharged on a regimen including pantoprazole, clopidogrel, rosuvastatin, and betahistine to monitor for recurrence of symptoms.
This document summarizes the hospitalization of a 67-year-old male admitted with chest pain. He was diagnosed with a myocardial infarction involving three coronary arteries (triple vessel disease) based on elevated troponin and abnormal ECG. He underwent stent placement in three arteries and was discharged on dual antiplatelet therapy (aspirin and ticagrelor), high-intensity statin, beta blocker, calcium channel blocker, nitroglycerin, and pantoprazole. Counseling focused on medication adherence and risk factor modification.
a case study on burn injury / case presentation on burn injury martinshaji
Damage to the skin or deeper tissues caused by sun, hot liquids, fire, electricity or chemicals.
The degree of severity of most burns is based on the size and depth of the burn. Electrical burns, however, are more difficult to diagnose because they're capable of causing significant injury beneath the skin without showing any signs of damage on the surface.
Symptoms range from a feeling of minor discomfort to a life-threatening emergency, depending on the size and depth (degree) of the burn.
Sunburn and small scalds can often be treated at home. Deep or widespread burns and chemical or electrical burns need immediate medical care, often at specialised burn units.
A burn is a type of injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or radiation (like sunburn). Most burns are due to heat from hot liquids (called scalding), solids, or fire. While rates are similar for males and females the underlying causes often differ.
this is a case study on burn injury , this details about the diagnosis, management, treatment, patient counselling & pharmacist interventions , regarding medication etc , and also describes in detail about all aspects of burn injury .
please comment
thank u
This document summarizes guidelines for the treatment of hypertension based on the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. It defines hypertension and stages of high blood pressure. Lifestyle modifications and drug therapies are recommended, with treatment guided by blood pressure level and risk factors. Initial drug choices include thiazide diuretics, with addition of ACE inhibitors, ARBs, beta blockers, or calcium channel blockers as needed to control blood pressure. Special patient groups benefit from specific drug classes due to compelling indications.
Case presentation on Quadriparesis with Guillain barre syndrome
Quadriparesis is a condition characterized by weakness in all four limbs (both arms and both legs).
The weakness may be temporary or permanent.
Quadriparesis is different from quadriplegia.
In quadriparesis, a person still has some ability to move and feel their limbs.
In quadriplegia, a person has completely lost the ability to move their limbs.
Case Presentation in SOAP format on Ischemic Heart Disease with Acute Coronar...Umme Habeeba A Pathan
Heart diseases are major reason for mortality and morbidity. This is the case on how depression and stress can lead to Heart disease and worsen the QOL of patient. Little changes in food style and your attitude towards your health can save your heart.
1. The patient, a 49-year-old male, presented with perioral numbness, paresthesias in both hands, vertigo, and ataxia.
2. MRI revealed an acute infarct in the right thalamus. He was diagnosed with acute ischemic stroke secondary to the thalamic infarct.
3. He was treated with antiplatelets, anticoagulants, statins, and medications to manage his comorbidities of hypertension, diabetes mellitus type 2, and diabetic neuropathy.
This document provides information on hypertensive emergencies and urgencies, including their classification, evaluation, and management. It defines hypertensive emergencies as severe hypertension with evidence of acute target organ damage, while urgencies involve severe hypertension without organ damage. For emergencies, rapid parenteral treatment is needed to stop organ damage progression while avoiding hypoperfusion. Several parenteral agents are discussed for specific conditions along with their dosing and side effects. The goal is to lower blood pressure gradually to avoid complications. Hypertensive urgencies can often be treated orally as outpatients after initial control.
The patient is an 85-year-old female admitted with swelling of the lower limbs, shortness of breath, and exertional dyspnea. Laboratory investigations revealed anemia and renal dysfunction. Echocardiography showed mitral stenosis and tricuspid regurgitation. She is being treated with antibiotics, diuretics, anticoagulants, and other medications. Her symptoms are improving with treatment. Lifestyle modifications including exercise, a low-salt diet, infection prevention and limiting caffeine are recommended for long-term management of her conditions.
(1) The document discusses the evaluation, classification, and treatment of hypertensive emergencies and urgencies. It defines the differences between the two conditions and outlines the goals and approaches for treating each.
(2) For hypertensive urgencies, the goal is to lower blood pressure within several hours to prevent further increases without causing too rapid of a drop. For emergencies, the goal is to reduce blood pressure more quickly to prevent end-organ damage, while maintaining adequate perfusion.
(3) Several intravenous antihypertensive drugs are discussed as options for treatment in hypertensive emergencies, including nitroprusside, nicardipine, labetalol, and
This document summarizes a presentation given by Prof Kyaw Soe Win on arterial health in hypertension. The presentation covered:
- Cardiovascular diseases are now major causes of mortality, with hypertension as a common risk factor.
- Lifestyle changes like urbanization have led to increased stress and sedentary lifestyles, contributing to rising hypertension rates globally.
- Treating hypertension can significantly reduce cardiovascular outcomes. More intensive control of blood pressure through 24-hour coverage can further reduce risks.
- Choosing antihypertensive drugs that improve arterial health in addition to blood pressure control may maximize cardiovascular protection. Perindopril was highlighted as having properties that protect the endothelium.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
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This powerpoint is a case presentation, that explains the case of ADCHF, with comorbidities, comprising HTN, CAD and DLP.
A summary on the recent advancements in HF management, along with justification of therapy provided, has been elucidated.
A note on home remedies and counselling tips has also been provided.
Management of hypertension problems in gpAmir Mahmoud
This document discusses the management of two patients. For the first patient, a 47-year-old man with diabetes and hypertension, the goal blood pressure is less than 140/90 mmHg. ACE inhibitors are recommended due to their benefits for patients with diabetes. For the second patient, a 56-year-old woman with uncontrolled hypertension, the doctor's approach will focus on lifestyle modifications and optimizing her medication regimen given her multiple comorbidities.
Case presentation on Cerebrovascular accident (Stroke)HAMMADKC
This document presents a case report of a 76-year-old male patient admitted to the neurology department with complaints of forgetting, left hand weakness, slurred speech, and incontinence. The patient has a history of hypertension, previous cerebrovascular accident, and fall from bed. Examination and investigations including MRI and angiogram confirmed the diagnosis of cerebrovascular accident. The patient was treated with medications like citicoline, levetiracetam, atorvastatin, and aspirin. His condition improved and he was discharged with advice on medications and lifestyle modifications to prevent further strokes.
The document summarizes the medical history and hospital course of a 52-year-old male patient admitted with weakness on the left side of his body and loss of speech. He was diagnosed with a cerebrovascular accident (CVA) or stroke in the right side of the brain based on his symptoms and a CT scan showing an infarct in the right occipital region. He had a history of hypertension. Over five days in the hospital, he was given treatments including mannitol, phenytoin, antibiotics, amlodipine, and aspirin to control his blood pressure, prevent seizures and infection, and reduce stroke risk. His vital signs and lab results improved before being discharged.
This case presentation summarizes a 51-year-old male patient admitted to the hospital for slurred speech, headache, and facial puffiness. The patient has a history of type 2 diabetes, bronchial asthma, and hypertension. Physical exams and lab results indicated elevated potassium, uric acid, and inflammatory markers. A CT scan showed evidence of old cerebral infarcts. The patient was diagnosed with asthma exacerbation. The treatment plan included medications to control inflammation, blood pressure, cholesterol, and blood sugar. Upon discharge, the patient was counseled on asthma management and medication compliance.
case presentation on cervical spondylosis by naveennaveen ramavatu
A 70-year-old female was admitted with complaints of giddiness, neck pain, headache, and leg pain. Diagnostic tests showed cervical spondylosis and hypertension. She was treated for 5 days with medications including pantoprazole, clopidogrel, rosuvastatin, betahistine, lorazepam, and lactulose. Her symptoms improved and she was discharged on a regimen including pantoprazole, clopidogrel, rosuvastatin, and betahistine to monitor for recurrence of symptoms.
This document summarizes the hospitalization of a 67-year-old male admitted with chest pain. He was diagnosed with a myocardial infarction involving three coronary arteries (triple vessel disease) based on elevated troponin and abnormal ECG. He underwent stent placement in three arteries and was discharged on dual antiplatelet therapy (aspirin and ticagrelor), high-intensity statin, beta blocker, calcium channel blocker, nitroglycerin, and pantoprazole. Counseling focused on medication adherence and risk factor modification.
a case study on burn injury / case presentation on burn injury martinshaji
Damage to the skin or deeper tissues caused by sun, hot liquids, fire, electricity or chemicals.
The degree of severity of most burns is based on the size and depth of the burn. Electrical burns, however, are more difficult to diagnose because they're capable of causing significant injury beneath the skin without showing any signs of damage on the surface.
Symptoms range from a feeling of minor discomfort to a life-threatening emergency, depending on the size and depth (degree) of the burn.
Sunburn and small scalds can often be treated at home. Deep or widespread burns and chemical or electrical burns need immediate medical care, often at specialised burn units.
A burn is a type of injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or radiation (like sunburn). Most burns are due to heat from hot liquids (called scalding), solids, or fire. While rates are similar for males and females the underlying causes often differ.
this is a case study on burn injury , this details about the diagnosis, management, treatment, patient counselling & pharmacist interventions , regarding medication etc , and also describes in detail about all aspects of burn injury .
please comment
thank u
This document summarizes guidelines for the treatment of hypertension based on the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. It defines hypertension and stages of high blood pressure. Lifestyle modifications and drug therapies are recommended, with treatment guided by blood pressure level and risk factors. Initial drug choices include thiazide diuretics, with addition of ACE inhibitors, ARBs, beta blockers, or calcium channel blockers as needed to control blood pressure. Special patient groups benefit from specific drug classes due to compelling indications.
Case presentation on Quadriparesis with Guillain barre syndrome
Quadriparesis is a condition characterized by weakness in all four limbs (both arms and both legs).
The weakness may be temporary or permanent.
Quadriparesis is different from quadriplegia.
In quadriparesis, a person still has some ability to move and feel their limbs.
In quadriplegia, a person has completely lost the ability to move their limbs.
Case Presentation in SOAP format on Ischemic Heart Disease with Acute Coronar...Umme Habeeba A Pathan
Heart diseases are major reason for mortality and morbidity. This is the case on how depression and stress can lead to Heart disease and worsen the QOL of patient. Little changes in food style and your attitude towards your health can save your heart.
1. The patient, a 49-year-old male, presented with perioral numbness, paresthesias in both hands, vertigo, and ataxia.
2. MRI revealed an acute infarct in the right thalamus. He was diagnosed with acute ischemic stroke secondary to the thalamic infarct.
3. He was treated with antiplatelets, anticoagulants, statins, and medications to manage his comorbidities of hypertension, diabetes mellitus type 2, and diabetic neuropathy.
This document provides information on hypertensive emergencies and urgencies, including their classification, evaluation, and management. It defines hypertensive emergencies as severe hypertension with evidence of acute target organ damage, while urgencies involve severe hypertension without organ damage. For emergencies, rapid parenteral treatment is needed to stop organ damage progression while avoiding hypoperfusion. Several parenteral agents are discussed for specific conditions along with their dosing and side effects. The goal is to lower blood pressure gradually to avoid complications. Hypertensive urgencies can often be treated orally as outpatients after initial control.
The patient is an 85-year-old female admitted with swelling of the lower limbs, shortness of breath, and exertional dyspnea. Laboratory investigations revealed anemia and renal dysfunction. Echocardiography showed mitral stenosis and tricuspid regurgitation. She is being treated with antibiotics, diuretics, anticoagulants, and other medications. Her symptoms are improving with treatment. Lifestyle modifications including exercise, a low-salt diet, infection prevention and limiting caffeine are recommended for long-term management of her conditions.
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(2) For hypertensive urgencies, the goal is to lower blood pressure within several hours to prevent further increases without causing too rapid of a drop. For emergencies, the goal is to reduce blood pressure more quickly to prevent end-organ damage, while maintaining adequate perfusion.
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This document summarizes a presentation given by Prof Kyaw Soe Win on arterial health in hypertension. The presentation covered:
- Cardiovascular diseases are now major causes of mortality, with hypertension as a common risk factor.
- Lifestyle changes like urbanization have led to increased stress and sedentary lifestyles, contributing to rising hypertension rates globally.
- Treating hypertension can significantly reduce cardiovascular outcomes. More intensive control of blood pressure through 24-hour coverage can further reduce risks.
- Choosing antihypertensive drugs that improve arterial health in addition to blood pressure control may maximize cardiovascular protection. Perindopril was highlighted as having properties that protect the endothelium.
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Stroke case study histrionics Vital signs
1. CASE PRESENTATION ON
Acute Ischemic Stroke With
Right Hemiparesis.
Presented by,
Md Masiuddin
H.T. no : 15ED1T0015,
Pharm-D IV year.
2. DEMOGRAPHIC DETAILS:
NAME : XXX
AGE : 36years&3months
SEX : Male
ADDRESS : Warangal
IP NO : 13927
DOCTOR : Dr.Rajeev Rajan
3. REASONS FOR ADMISSION :
Sudden onset of Reduced Vision In the Right Eye,since 1 day.
Associated with Pain in Both Temporal Regions of Head.
Weakness of Left Upper and Lower Limbs,since 1 day.
4. PAST MEDICAL HISTORY :
Nill
FAMILY HISTORY : Nothing significant
SOCIAL HISTORY : Mixed diet,
alcoholic,
Non smoker.
22. SUBJECTIVE EVIDENCE
Sudden onset of Reduced Vision In the Right Eye,since 1 day.
Associated with Pain in Both Temporal Regions of Head.
Weakness of Left Upper and Lower Limbs,since 1 day.
23. OBJECTIVE EVIDENCES
Pallor :+ve Hb : 13.9gm%
RBC : 5.5 m/cmm RBC : Normocytic
CT SCAN : Acute infarct Noted in Left occipito Parietal
Region in Parafalcine location
24. ASSESSMENT
Diagnosis : Based on the subjective and objective evidences the
diagnosis was made to be Acute Ischaemic Stroke with Right
Hemiparesis.
Etiology : Mixed diet,
caused by a Blocked Blood Vessel in the Brain.
Assessment if therapy is indicated : Yes therapy for this
patient is absolutely essential to prevent further complications.
25. Standard therapy
Category Drug Max.Dose
ANTI
CONVULSANTS
PHENYTOIN
LEVETIRACETA
M
10-20 or 1-2
mcg/L
500mg iv
every 12hrs
BETA
BLOCKERS
LABETOLOL 200-400mg
PO BID
Anti platelet Aspirin 150 mg po OD
Diuretics Mannitol 1.5-2gm/Kg
for 30-60mins
26. ASSESSMENT OF CURRENT THERAPY
DRUG DOSE FREQ ROA
INJ.PANTOPRAZOLE 40mg OD IV
INJ.MANNITOL 100ml TID IV
TAB ASPIRIN 150mg OD PO
TAB CLOPIDOGREL 75mg OD PO
TAB ATORVASTATIN 20mg OD Po
27. INJ.PANTOPRAZOLE :
CATEGORY : Proton pump inhibitor
INDICATION : it is indicated to decrease acid production.
DOSE : 40mg OD
SIDE EFFECTS : Headache,Facial edema,Chest pain,
Diarrhea.
28. Tab.Aspirin
CATEGORY : NSAID,Anti Pyretic,Anti Platelet.
INDICATION : It is used to treat or Prevent Heart attacks,
Stroke and Chest pain.
DOSE : 150mg once daily.
SIDE EFFECTS : Hepatotoxicity,Trachycardia, Hypotension,
Chest pain.
29. INJ.MANNITOL
CATEGORY : Osmotic diuretic.
INDICATION : it is used to reduce Swelling and pressure
inside the eye or around brain.
DOSE : 1.5-2gms/kg/IV/
SIDE EFFECTS : hyponatremia, hypokalemia, hypochloremia,
hypovolemia.
30. Tab.Clopidogrel
CATEGORY : Anti platelet agent.
INDICATION : It is used to lower your risk of having a stroke,
blood clot, or serious heart attack.
DOSE : 75mg once daily.
SIDE EFFECTS :chest pain,Head ache, arthralgia.
31. Tab.Atorvastatin
CATEGORY : lipid lowering agents.
INDICATION : It is used to treat high cholesterol and to
lower the risk of Stroke,heart attack etc.
Dose : 20mg po once daily.
Side effects : Diarrhea, Nasopharyngitis,arthralgia.
34. GOALS OF TREATMENT
GENERAL GOALS :
To reduce morbidity and mortality,
To improve quality of life,
To prevent and treat complications
PATIENT SPECIFIC GOALS :
To decrease signs and symptoms like reduced vision
To Avoid Complications of delirium and seizures
35. PATIENT CONSELLING :
ABOUT THE DISEASE :
Disease is in Acute stage.
Medication adherence is very important.
Missed dose should be taken within 45 mins,If not it should
not be taken, Double dose should not be taken at a time.
ABOUT THE DRUGS :
Tab.Atorvastatin : Taken once daily after food at night time
36. LIFE STYLE MODIFICATIONS :
Avoid Alcohol Consumption and smoking.
Be physically Active.
Decrease your stress level and Maintain a healthy weight.
Avoid foods like egg yolks,fatty meals,butter,cream which are
high in Fat and cholesterol.
Eat Moderate amount of food and cut down on saturated fat,
sugar and salt.
Eat fruits, vegetables, whole grains, and fat-free or low-fat
dairy foods. Whole grains include whole-wheat breads,
cereals, pasta, and brown rice.
Do not eat right before bedtime.
