case presentaion on sunsroke
DESCRIPTION
sunstrokeTRANSCRIPT
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A case presentation on
sunstroke
Presenting by,B.S.K Priya ,Y11PHD0405,Pharm.D III/VI
Guide,P. Rama Krishna,
Assistant prof. in pharmacy practice
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contents Patient Details Chief complaints And Past History Diagnosis Examination And Lab Investigation SOAP ANALYSIS Pharmaceutical issues Suggestions and patient education
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Patient details
Patient age 25
Sex male
Date of admission 2-6-2014
ward C ward
Reg.no: 2014060045
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Chief complaints
Fever Chills Vomiting Dehydration General weakness Hyper ventilation(fast shallow breathing)
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Past history
No past history
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Physical Examination
Body temperature:104 0FB.P:120/80 mm of hgPulse rate:94 bpmRespiratory rate:35 bpm
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Lab results Normal value Result value
Serum sodium 135-155mmol/l 180mmol/l
Serum potassium 3.5-5.5mmol/l 2.0mmol/l
Serum phosphates 2.5-4.5mg/dl 1.5mg/dl
Serum calcium 8.5-10.2mg/dl 5.5mg/dl
Serum magnesium 1.5-2meq/l 0.5meq/l
LAB INVESTIGATIONS
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Hepatic function testsTest name Normal value Result valueAspartate aminotransferase
14-20 units/lit 25 units/lit
Alanine aminotransferase
10-40 units/lit 50 units/lit
Muscle function tests
Creatinine kinase 60-174 IU/L 190 IU/LAldolase 1.0-7.5 U/L 9.5 U/Lmyoglobin 10-95ng/ml 105ng/mlRenal function tests
Serum uric acid 4.0-8.5mg/dl 1.0mg/dlb.u.n 1.8-7.1mmol/l 9.1mmol/lSerum creatinine 0.6-1.4mg/dl 3.4mg/dl
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IMAGING STUDIES
C.T SCAN RESULTS SHOW THERE IS NO DAMAGE TO INTERNAL ORGANS
ECG:ST AND T WAVE ABNORMALITIES SHOW THERE IS NON SPECIFIC AND ISCHEMIC TACHY CARDIA
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DIAGNOSIS
THE PATIENT IS SUFFERING FROM SUN STROKE
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SOAP ANALYSISSubjective evidence:- Fever, chills, vomiting, dehydration, general weakness.Objective evidence:-All electrolytes imbalance were observed.
Assessment:- Based on subjective and objective evidences the patient was diagnosed to be attacked by sunstroke.
Creatinine kinase 60-174 IU/L 190 IU/LAldolase 1.0-7.5 U/L 9.5 U/Lmyoglobin 10-95ng/ml 105ng/ml
Test name Normal value Result valueAspartate aminotransferase
14-20 units/lit 25 units/lit
Alanine aminotransferase
10-40 units/lit 50 units/lit
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TREATMENT OPTIONDRUG GENERIC NAME
DRUG BRAND NAME
DOSE FREQUENCY
CATEGORY DURATION
IV FLUIDS DAY1 TO DAY2
INJ.MONOCEF CEFTRIAXONE 4mg STAT 3RD GEN CEPHALOSPORIN DAY1 TO DAY2
INJ.ZOFER ONDANSETRON
50mg STAT ANTI EMETIC DAY1 TO DAY2
TAB.DOLO PARACETMOL 10mg TID ANTI PYRETIC DAY1 TO DAY2
INJ.INFUPAR PARACETMOL 650MG TID ANTI PYRETIC DAY2
INJ.PANTOP PANTACID 400mg STAT Proton pump inhibitor DAY1 TO DAY2
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SUGGESTIONS AND PATIENT EDUCATION:- Wear loose fitting, light weight clothing such as cotton. Wear light color clothes. Drink plenty of fluids. Avoid exposure to sunlight.
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LIFE STYLE MODIFICATIONS:-
Go to a shady or air- conditioned place. Cool off with damp sheets and fan. Rehydrate Don’t drink beverages with alcohol to rehydrate. Drink plenty of fluids.