4. Name : Mrs. X
Age :26 yrs
Gender : female
IP No : M-8430
Dept : gynec
DOA : 6/12/2018
DOD : 15/12/2018
5. Marital status: 6yrs
Obstetric history : G2P1L1
Last menstrual period (LMP): 16.03.18
Menstrual history: irregular
Ht:157 cm
wt. :64 kg
Past medical history: Hypothyroidism, 1 st FTND female baby 3 yrs before, viral Bronchitis
before one Month, history of Breast Abscess (suppurative inflammatory exudate)
Patient is allergic to tab. DOLONEX (Piroxicam)
Past medication History: T. Thyronorm 25 mcg
10. OBSTERIC ULTRASOUND(10/12/18)
LMP:16/03/18
GA BY USG: 36 Wks 2 Days
EDD by USG: 5/01/19
Single live intrauterine pregnancy in Cephalic presentation
Amniotic Fluid Index Measures :7.6 cm(14.9 on 30/10/18)
Fetal Heart rate: 149 bpm and regular
16. PATHOPHYSIOLOGY
Hyperemia of the Mucous Membrane
Desquamation,edema, leucocytic infiltration of the submucosa
Production of sticky or mucopurulent exudate
The protective fn. of bronchial cilia,phagocytes,and lymphocytes, are distributed
16
17. Bacteria invade the Bronchi
Accumulation of cellular debris and mucopurulent exudate
Cough,though distressing is essential to eliminate Bronchial seceration
Edema of the bronchial walls
Retained secerations
Spasm of Bronchial muscles
Air Way
Obstruction
17
22. Medcation Error
Zerodol TH Contains (ACECLOFENAC+THIOCOLCHICOSIDE) : Aceclofenac is belongs to
category D drug. NSIDS are contraindicated in after 30weeks gestation.
Inj.Accutaz AS and T.claribid are antibiotics given during the initial treatment . Both antibiotics
are broad spectrum of activity.
Pantop given as twice daly
23. Counselling tips..
Wash your hands frequently
Keep away from allergens and irritants like smoke, chemical fumes
Drink more water
Lie on to the left side when relaxing (the blood flows smoothly along the uterine blood
vessels and allows the fetal blood to flow at a regular rate. It, therefore, causes a rise in the
amniotic fluid index)
Have foods with high water content