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Pharmacotherapeutics-ii
By
616178102020
3rd year pharm D
CASE PRESENTATION ON TUBERCULOSIS
Demographic details
 Name: T.V.N Subrahmanyam
 Age: 40years
 Residence: peravali
 DOA: 28/12/17 at 1:40pm
 Marital status: married.
 No habbits of alcohol &smoking
 No past medical & medication history
SOAP NOTE ANALYSIS
 Subjective information:
A male patient of age 40 years , was admitted in the hospital with
the following chief complaints:
 Fever.
 Dry cough since 5 days.
 Dark coloration of urine since 10 days.
 Yellow discoloration of eyes.
Objective Information:
No history of diabetes, HTN, asthma.
Physical examination:
PARA
METE
RS
NORMA
L VALUE
S
D1 D2 D3 D4
Bp(mmh
g)
180/90 110/70 120/70 120/80 120/80
PR (bpm) 72 70 71 72 72
RR(cpm) 22 20 23 23 24
Temp 98.6 100 98.6 98.6 98.6
Laboratory Investigations:
Parameters Normal values Observed values
Hb 14-18gm/dl 15gm/dl
WBC 4000-11000cells/cumm 3700cells/cumm
RBC 4.5-5.5m/cumm 5.4m/cumm
ESR 20mm at 1st hr 40mm at 1st hr
PCV 36-47% 43.8%
Biochemical Parameters:
Parameters Normal values Observed
values
Blood urea 15-45mg/dl 26mg/dl
SGOT 5-45IU/l 76Iu/l
SGPT 5-40IU/l 56Iu/l
T.bilirubin 0.2-1.0mg/dl 0.97mg/dl
Sr.creatinine 0.5-1.2mg/dl 0.9mg/dl
Diagnosis:
 Chest x ray-identified opacities on left side.
 Sputum test -acid fast bacilli.
Final diagnosis:
Based on subjective, objective data evidence the final
diagnosis was made to be ...
Assessment:
Transmission:
Pathophysiology:
Drug
Name
Generic
name
Dose Route Frequency D1-D4 For2
months
For 4
months
IV
fluids(NS,
RL)
500ml
500ml
IV
IV
✓
Inj.zofer Ondonset
ron
8mg Iv SOS ✓
Inj.pantozi
l
Pantopraz
ole
40mg IV OD ✓
Inj.ceftria
xone
Ceftriaxon
e
1g IV BID ✓
Inj.parace
tmol
Paracetam
ol
650mg Oral OD ✓
AKT4 Isoniazid
Rifampin
Pyrazinam
ide
Ethambut
ol
300mg
600mg
800mg
1100mg
Oral
Oral
Oral
Oral
OD
OD
OD
OD
✓
✓
✓
✓
AKT2 Isoniazid
Rifampin
300mg
600mg
Oral
Oral
OD
OD
✓
✓
Planning:
 To reduce symptoms like fever, cough etc.
To prevent from further complications like liver diseases.
To increase patient quality of life.
To decrease progression of disease.
Check parameters like..
① Complete blood count.
② Renal function tests.
③ Liver function tests.
Counselling points:
 Take the medications regularly.
 Don't discontinue the course.
 Limit the intake of alcohol.
 Cover your nose while coughing, sneezing to prevent the
spread of infection.
 Take healthy diet like milk ,meat, boiled water, fruits, egg etc.
Drug interactions:
 No drug interactions were found.
Prevention
Tuberculosis ppt

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Tuberculosis ppt

  • 1. Pharmacotherapeutics-ii By 616178102020 3rd year pharm D CASE PRESENTATION ON TUBERCULOSIS
  • 2. Demographic details  Name: T.V.N Subrahmanyam  Age: 40years  Residence: peravali  DOA: 28/12/17 at 1:40pm  Marital status: married.  No habbits of alcohol &smoking  No past medical & medication history
  • 3. SOAP NOTE ANALYSIS  Subjective information: A male patient of age 40 years , was admitted in the hospital with the following chief complaints:  Fever.  Dry cough since 5 days.  Dark coloration of urine since 10 days.  Yellow discoloration of eyes.
  • 4. Objective Information: No history of diabetes, HTN, asthma. Physical examination: PARA METE RS NORMA L VALUE S D1 D2 D3 D4 Bp(mmh g) 180/90 110/70 120/70 120/80 120/80 PR (bpm) 72 70 71 72 72 RR(cpm) 22 20 23 23 24 Temp 98.6 100 98.6 98.6 98.6
  • 5. Laboratory Investigations: Parameters Normal values Observed values Hb 14-18gm/dl 15gm/dl WBC 4000-11000cells/cumm 3700cells/cumm RBC 4.5-5.5m/cumm 5.4m/cumm ESR 20mm at 1st hr 40mm at 1st hr PCV 36-47% 43.8%
  • 6. Biochemical Parameters: Parameters Normal values Observed values Blood urea 15-45mg/dl 26mg/dl SGOT 5-45IU/l 76Iu/l SGPT 5-40IU/l 56Iu/l T.bilirubin 0.2-1.0mg/dl 0.97mg/dl Sr.creatinine 0.5-1.2mg/dl 0.9mg/dl
  • 7. Diagnosis:  Chest x ray-identified opacities on left side.  Sputum test -acid fast bacilli. Final diagnosis: Based on subjective, objective data evidence the final diagnosis was made to be ...
  • 8.
  • 10.
  • 12.
  • 14.
  • 15. Drug Name Generic name Dose Route Frequency D1-D4 For2 months For 4 months IV fluids(NS, RL) 500ml 500ml IV IV ✓ Inj.zofer Ondonset ron 8mg Iv SOS ✓ Inj.pantozi l Pantopraz ole 40mg IV OD ✓ Inj.ceftria xone Ceftriaxon e 1g IV BID ✓ Inj.parace tmol Paracetam ol 650mg Oral OD ✓ AKT4 Isoniazid Rifampin Pyrazinam ide Ethambut ol 300mg 600mg 800mg 1100mg Oral Oral Oral Oral OD OD OD OD ✓ ✓ ✓ ✓ AKT2 Isoniazid Rifampin 300mg 600mg Oral Oral OD OD ✓ ✓
  • 16. Planning:  To reduce symptoms like fever, cough etc. To prevent from further complications like liver diseases. To increase patient quality of life. To decrease progression of disease. Check parameters like.. ① Complete blood count. ② Renal function tests. ③ Liver function tests.
  • 17. Counselling points:  Take the medications regularly.  Don't discontinue the course.  Limit the intake of alcohol.  Cover your nose while coughing, sneezing to prevent the spread of infection.  Take healthy diet like milk ,meat, boiled water, fruits, egg etc.
  • 18. Drug interactions:  No drug interactions were found.