Case presentation on gastroenteritis and acute renal failure
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Case presentation on gastroenteritis and acute renal failure
- 1. CASE PRESENTATION ON GASTROENTERITIS AND ACUTE RENAL FAILURE BY P DEEPAK 5th year Pharm D
- 2. PATIENT DEMOGRAPHIC DETAILS PATIENT NAME-XYZ PATIENT AGE- 42YEARS SEX-FEMALE DATE OF ADMISSION- 11-06-2013
- 4. SUBJECTIVE EVIDENCE • C/o several episodes of loose stools since 3 days • C/o several episodes of vomiting since one day • H/o spasmodic type of abdominal pain
- 5. OBJECTIVE EVIDENCE Pathology report: • Stools are semisolid in nature • Mucus present greenish in colour • Entamoeba histolytica cyst seen • N: 83%(40-75%) • L: 10%
- 6. From subjective and objective evidence, it has been diagnosed as Acute Gastroenteritis. THERAPEUTIC GOALS: Patient specific:- To prevent dehydration by making sure the body has enough water and fluids. Disease specific:- to prevent recurrence of disease ASSESSMENT:
- 7. Assessment of current therapy- Tab Pantoprazole: 40 mg IV 1-0-1 Inj Ondansetron 4mg IV 1-1-1 Tab Sporolac 2-2-2 Cap Doxycycline 300mg stat Inj Ciprofloxacin 100ml IV 1-0-1
- 8. TREATMENT CHART DRUGS DOS E ROU TE FREQUE NCY DAY1 DAY2 DAY3 Inj Ciprofloxacin 100ml IV 1-0-1 + + stop Inj Metronidazole 100ml IV 1-1-1 + + stop Inj Pantoprazole 40mg IV 1-0-1 + + Tab Pantoprazole Inj Ondansatron 4mg IV 1-1-1 + + 1-0-0/sos T Sporolac 2-2-2 + + + T Racecadotril 100m g P.O 1-1-1 + + + Cap Doxycycline 300m g P.O stat + stop
- 9. DAY PROGRESS 1 C/O6-7 episodes of loose stools ,C/o nausea. No H/o vomiting/abdominal pain.PR: 84/min,BP:124/76mm Hg 2 Vomitings and loose stools reduced ,No abdominal pain ,BP: 124/76mm Hg,PR: 82 bpm 4 Patient comfortable PROGRESS CHART
- 11. SOAP FOR ACUTE RENAL FAILURE
- 12. SUBJECTIVE EVIDENCE • C/o loose stools and vomiting
- 13. OBJECTIVE EVIDENCE • Urea: 73mg % • S. Cr: 3.2 mg% • Cl: 114 mmol/lit • K+: 3.2 mmol/lit • Na+: 144 mol/lit Urine analysis: • RBC: 1-2/hpf • Pus cells: 2-4/hpf • Alb : traces • Epithelial cells: 4-6/hpf • Stools: semisolid containing greenish mucus • Entamoeba cyst seen
- 14. ASSESSMENT From subjective and objective evidence, it has been diagnosed as Acute renal failure THERAPEUTIC GOALS: Patient specific:- To prevent dehydration by making sure the body has enough water and fluids. Disease specific:- to prevent recurrence of disease
- 15. Assessment of current therapy- Tab Pantoprazole: 40 mg IV 1-0-1 Inj Ondansetron 4mg IV 1-1-1 Tab Sporolac 2-2-2 Cap Doxycycline 300mg stat Inj Ciprofloxacin 100ml IV 1-0-1
- 16. TREATMENT CHART DRUGS DOS E ROU TE FREQUE NCY DAY1 DAY2 DAY3 Inj Ciprofloxacin 100ml IV 1-0-1 + + stop Inj Metronidazole 100ml IV 1-1-1 + + stop Inj Pantoprazole 40mg IV 1-0-1 + + Tab Pantoprazole Inj Ondansatron 4mg IV 1-1-1 + + 1-0-0/sos T Sporolac 2-2-2 + + + T Racecadotril 100m g P.O 1-1-1 + + + Cap Doxycycline 300m g P.O stat + stop
- 17. DAY PROGRESS 1 C/O6-7 episodes of loose stools ,C/o nausea. No H/o vomiting/abdominal pain.PR: 84/min,BP:124/76mm Hg 2 Vomitings and loose stools reduced ,No abdominal pain ,BP: 124/76mm Hg,PR: 82 bpm 4 Patient comfortable PROGRESS CHART
- 18. Patient counseling points • THINGS TO AVOID WHILE RECOVERING: • Alcohol • Caffeine • Dairy products • Citrus products • Fatty, greasy and/or fried foods • Raw fruits and vegetables • Aspirin • Ibuprofen
- 19. • Food may be offered often in small amounts. Suggested foods include: • Cereals, bread, potatoes, meat • Plain yogurt, bananas, fresh apples • Vegetables