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TUBERCULOSISTUBERCULOSIS
Presented by
Mr. Vishal Suresh Bagul
Pulmonary Tuberculosis (TB) : Is a contagious
bacterial infection that involves the lung,but
may spread to other organ.
The following people are at higher risk for active TB
.Infants
.Elderly
.
Presented by -Mr. Vishal Suresh Bagul
Presented by -Mr. Vishal Suresh Bagul
4
PROFORMAPROFORMA
Name : Miss.A.B.C
Address :----
Age : 07 yrs
Sex : female
Weight : 20 kg
Hospital name :PQR HOSPITAL
D.O.A : 16/12/20
Consultant name : Dr. XYZ
Presented by -Mr. Vishal Suresh Bagul
5
 Social History : Non smoker,
Non alcoholic
 occupation : student
 Family History : None
 Diagnosis : FEVER, REDUCTION OF WBCFEVER, REDUCTION OF WBC
 Associated Disease : TUBERCULOSISTUBERCULOSIS
Presented by -Mr. Vishal Suresh Bagul
6
Past medical history:Past medical history:
None
Past medication history:Past medication history:
None
Presented by -Mr. Vishal Suresh Bagul
HAEMOGRAMHAEMOGRAM
TESTTEST UNITSUNITS NORMALNORMAL
RANGERANGE
HAEMOGLOBINHAEMOGLOBIN 11.0gm%11.0gm% M-14-18 gms%M-14-18 gms%
F-12-16 gms%F-12-16 gms%
W.B.CW.B.C 40004000 4000-10000 per4000-10000 per
cmmcmm
PLATELETSPLATELETS 153000 Lacs/cmm153000 Lacs/cmm 1.5-4.5Lac/cmm1.5-4.5Lac/cmm
R.B.CR.B.C 4.444.44 3.8-5.8 mil/cmm3.8-5.8 mil/cmm
Presented by -Mr. Vishal Suresh Bagul
8
SEROLOGY REPORTSEROLOGY REPORT
TESTSTESTS PATIENT’SPATIENT’S
VALUEVALUE
NORMALNORMAL
RANGESRANGES
UreaUrea 2525 13-45 mg/dl13-45 mg/dl
S.G.P.TS.G.P.T 9191 6-40Units/Lit.6-40Units/Lit.
Presented by -Mr. Vishal Suresh Bagul
DENGUE SPECIFIC IGM & IGG
DETECTION TEST
DENGUE NS1 ANTIGEN NEGATIVE
DENGUE IgG NEGATIVE
DENGUE IgM NEGATIVE
Presented by -Mr. Vishal Suresh Bagul
SEROLOGY REPORTSEROLOGY REPORT
TEST NAME : MANTOUX TEST
PPD Given By : 22/10/14
Reading On : 24/10/2014
Result : POSITIVE
Method : IOTU PPD Administered
Observation : 12×12mm erythema & induration seen.
Presented by -Mr. Vishal Suresh Bagul
11
MEDICATION DETAILSMEDICATION DETAILS
DRUG FORM DOSE FREQ. DATE USE
Maftagesic-
DS
SYRUP 2 Spoon Twice a day 15.10.14 –
16.10.14
Antipyretic
Cyclopam TABLET -- At night 1 tab 17.10.14 –
18.10.14
Antispasmotic
Cifran 250mg TABLET 250mg Twice a day 18.10.14 –
24.10.14
Antibacterial
Traxon 50mg TABLET 50mg Twice a day 18.10.14
Chlorampheni
col
CAPSULE -- Thrice a day 18.10.14 –
24.10.14
Antibiotic
Vomikind SYRUP 1 Spoon Twice a day 24.10.14 Antiemetic
Rcinex kid TABLET 2 tab in
morning
24.10.14 –
To complete
cure
Antitubercular
Pyrazinamide
250mg
TABLET 250 mg Twice a day 24.10.14-
To complete
cure
Antitubercular
Presented by -Mr. Vishal Suresh Bagul
DRUG INTERACTION
1)MAFTAGESIC ds {MEFENAMIC ACID} – DO NOT
TAKE WITH HYDROCORTISON..ETC…It cause unusual
bleeding, Abdominal painDizziness..etc
2)R CINEX {RIFAMPICIN} -DO NOT TAKE WITH
hydrocortisone cause it reduse the blood level.
3) PYRAZINAMIDE —ISONIAZIDE,LOITAPIDAE,
RIFAMPIN, MIPOMERSAN..ETC
4) CYCLOPAM {DICYCLOMINE}---DO NOT TAKE WITH
BISACODYL ,POTASSIUM CHLORIDE . Etc cause
nausea, vomiting, Abdominal pain, Dizziness etc
Presented by -Mr. Vishal Suresh Bagul
Advice to patientAdvice to patient
(Role of
pharmacist in TB )
1.To take their anti-tuberculosis medication regularly.
2. To cover their mouths when they cough or sneeze.  
3. To spit in a paper tissue and then throw it away into a
closed trash can or a toilet. 
4. To take care of themselves: to eat well and get a lot of
sleep. 
5. To continue their usual leisure and work activities to
the best of their ability, according to their doctor’s advice.
Presented by -Mr. Vishal Suresh Bagul
Patient CounsellingPatient Counselling
• DISSCUSS THE SIGNS AND SYMPTOMS OF EVENTS.
• TEACH THE PATIENT CAUSE OF ARM PAIN &
TREATMENT.
• WEIGHT SHOULD BE CONTROLED.
• PATIENT IS REQUEST NOT TO ALTER DOSE OR CHANGE
THE DOSAGE FORM
• PATIENT SHOULD DUELY VISIT DOCTOR AND HAVE
THEIR BLOOD& OTHER CONCERNE PROFILE UP
DATEDED.
• REGULAR CHEKUPS AT THE CLINIC AT LEAST
MONTHLY.
• TO CHECK CHEST X-RAY,SPOOTUM TEST REGULARLY.
• THE MEDICATION TAKE REGULARLY 9 MONTH OR
LONGER
• REPORT ANY SIDE EFFECTS TO YOUR TB SPECIALIST.
Presented by -Mr. Vishal Suresh Bagul
KD Tripathi. Essentials of Medical Pharmacology, Jaypee
Brothers Medical Publishers pvt LTD, New Delhi; 6th
Edition; pg. 203-204
Drug today, Ready Reckoner of Current Medical
Formulations, Vol. I-II, jan-mar 2010, pg. 230,970.
www.medicinenet.com
Pharmainfo.net
www.google.com
Mims.com
REFERENCES
Presented by -Mr. Vishal Suresh Bagul

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Case

  • 2. Pulmonary Tuberculosis (TB) : Is a contagious bacterial infection that involves the lung,but may spread to other organ. The following people are at higher risk for active TB .Infants .Elderly . Presented by -Mr. Vishal Suresh Bagul
  • 3. Presented by -Mr. Vishal Suresh Bagul
  • 4. 4 PROFORMAPROFORMA Name : Miss.A.B.C Address :---- Age : 07 yrs Sex : female Weight : 20 kg Hospital name :PQR HOSPITAL D.O.A : 16/12/20 Consultant name : Dr. XYZ Presented by -Mr. Vishal Suresh Bagul
  • 5. 5  Social History : Non smoker, Non alcoholic  occupation : student  Family History : None  Diagnosis : FEVER, REDUCTION OF WBCFEVER, REDUCTION OF WBC  Associated Disease : TUBERCULOSISTUBERCULOSIS Presented by -Mr. Vishal Suresh Bagul
  • 6. 6 Past medical history:Past medical history: None Past medication history:Past medication history: None Presented by -Mr. Vishal Suresh Bagul
  • 7. HAEMOGRAMHAEMOGRAM TESTTEST UNITSUNITS NORMALNORMAL RANGERANGE HAEMOGLOBINHAEMOGLOBIN 11.0gm%11.0gm% M-14-18 gms%M-14-18 gms% F-12-16 gms%F-12-16 gms% W.B.CW.B.C 40004000 4000-10000 per4000-10000 per cmmcmm PLATELETSPLATELETS 153000 Lacs/cmm153000 Lacs/cmm 1.5-4.5Lac/cmm1.5-4.5Lac/cmm R.B.CR.B.C 4.444.44 3.8-5.8 mil/cmm3.8-5.8 mil/cmm Presented by -Mr. Vishal Suresh Bagul
  • 8. 8 SEROLOGY REPORTSEROLOGY REPORT TESTSTESTS PATIENT’SPATIENT’S VALUEVALUE NORMALNORMAL RANGESRANGES UreaUrea 2525 13-45 mg/dl13-45 mg/dl S.G.P.TS.G.P.T 9191 6-40Units/Lit.6-40Units/Lit. Presented by -Mr. Vishal Suresh Bagul
  • 9. DENGUE SPECIFIC IGM & IGG DETECTION TEST DENGUE NS1 ANTIGEN NEGATIVE DENGUE IgG NEGATIVE DENGUE IgM NEGATIVE Presented by -Mr. Vishal Suresh Bagul
  • 10. SEROLOGY REPORTSEROLOGY REPORT TEST NAME : MANTOUX TEST PPD Given By : 22/10/14 Reading On : 24/10/2014 Result : POSITIVE Method : IOTU PPD Administered Observation : 12×12mm erythema & induration seen. Presented by -Mr. Vishal Suresh Bagul
  • 11. 11 MEDICATION DETAILSMEDICATION DETAILS DRUG FORM DOSE FREQ. DATE USE Maftagesic- DS SYRUP 2 Spoon Twice a day 15.10.14 – 16.10.14 Antipyretic Cyclopam TABLET -- At night 1 tab 17.10.14 – 18.10.14 Antispasmotic Cifran 250mg TABLET 250mg Twice a day 18.10.14 – 24.10.14 Antibacterial Traxon 50mg TABLET 50mg Twice a day 18.10.14 Chlorampheni col CAPSULE -- Thrice a day 18.10.14 – 24.10.14 Antibiotic Vomikind SYRUP 1 Spoon Twice a day 24.10.14 Antiemetic Rcinex kid TABLET 2 tab in morning 24.10.14 – To complete cure Antitubercular Pyrazinamide 250mg TABLET 250 mg Twice a day 24.10.14- To complete cure Antitubercular Presented by -Mr. Vishal Suresh Bagul
  • 12. DRUG INTERACTION 1)MAFTAGESIC ds {MEFENAMIC ACID} – DO NOT TAKE WITH HYDROCORTISON..ETC…It cause unusual bleeding, Abdominal painDizziness..etc 2)R CINEX {RIFAMPICIN} -DO NOT TAKE WITH hydrocortisone cause it reduse the blood level. 3) PYRAZINAMIDE —ISONIAZIDE,LOITAPIDAE, RIFAMPIN, MIPOMERSAN..ETC 4) CYCLOPAM {DICYCLOMINE}---DO NOT TAKE WITH BISACODYL ,POTASSIUM CHLORIDE . Etc cause nausea, vomiting, Abdominal pain, Dizziness etc Presented by -Mr. Vishal Suresh Bagul
  • 13. Advice to patientAdvice to patient (Role of pharmacist in TB ) 1.To take their anti-tuberculosis medication regularly. 2. To cover their mouths when they cough or sneeze.   3. To spit in a paper tissue and then throw it away into a closed trash can or a toilet.  4. To take care of themselves: to eat well and get a lot of sleep.  5. To continue their usual leisure and work activities to the best of their ability, according to their doctor’s advice. Presented by -Mr. Vishal Suresh Bagul
  • 14. Patient CounsellingPatient Counselling • DISSCUSS THE SIGNS AND SYMPTOMS OF EVENTS. • TEACH THE PATIENT CAUSE OF ARM PAIN & TREATMENT. • WEIGHT SHOULD BE CONTROLED. • PATIENT IS REQUEST NOT TO ALTER DOSE OR CHANGE THE DOSAGE FORM • PATIENT SHOULD DUELY VISIT DOCTOR AND HAVE THEIR BLOOD& OTHER CONCERNE PROFILE UP DATEDED. • REGULAR CHEKUPS AT THE CLINIC AT LEAST MONTHLY. • TO CHECK CHEST X-RAY,SPOOTUM TEST REGULARLY. • THE MEDICATION TAKE REGULARLY 9 MONTH OR LONGER • REPORT ANY SIDE EFFECTS TO YOUR TB SPECIALIST. Presented by -Mr. Vishal Suresh Bagul
  • 15. KD Tripathi. Essentials of Medical Pharmacology, Jaypee Brothers Medical Publishers pvt LTD, New Delhi; 6th Edition; pg. 203-204 Drug today, Ready Reckoner of Current Medical Formulations, Vol. I-II, jan-mar 2010, pg. 230,970. www.medicinenet.com Pharmainfo.net www.google.com Mims.com REFERENCES Presented by -Mr. Vishal Suresh Bagul