CASE ON

VIRAL PNEUMONIA, SWINE FLU &

HYPERTENSION
 DEFINITION
Viral Pneumonia is an infection of lungs caused by a virus. The most
common cause is the flu, cold and other viruses. The germs stick to the
upper part of respiratory system. Trouble starts usually when they get down
into lungs.
ETIOLOGY :
• Influenza
• Respiratory Syncytial Virus
• Rhinoviruses
• Coronaviruses
• Parain influenza viruses
SIGNS AND SYMPTOMS
• Fever
• Chills
• Nonproductive Cough
• Rhinitis
• Myalgia
• Headaches
• Fatigue
• Tachycardia or Bradycardia
• Wheezing
DIAGNOSIS :
• Cytologic evaluation
• PCR
• Viral culture
• Rapid antigen detection
• Chest radiography
• Lung Biopsy and histologic studies
 PATHOPHYSIOLOGY

Entry of Bacteria or virus into the lung causes inflammatory

response which affects bronchioles and alveoli by increase in the
production of mucus or sputum leading to the closure of airway.
PATIENT DETAILS
Age: 52years
Sex : Male 👨
Department : PULMONOLOGY

REASON FOR ADMISSION :

Pt. was bought with C/o fever – high grade since 4days
Dry cough and headache since 3 days
HISTORY OF PAST ILLNESS :
K/C/O HTN and on Medication

PROVISIONAL DIAGNOSIS :
Viral pneumonia , Swine flu , HTN
 DAY-1
• BP-130/90mmHg
• PR-90/Min
• PT-C/C
• TEMP: 100 F
• RR-18/min
• Spo2 : 78 % RA
 DAY-2
• O/E - Bp-180/90mmHg
• PR-78/min
• Pt-stable
• Afebrile
• SpO2- 98% RA
 LAB REPORTS
Hb-13.3 gm/dl
PCV- 40.4 Vol %
Total count- 41,000 cells
Platelets-2.02 cu.mm
Urea-15mg/dl
Creatinine-1.2mg
RBC-5.26
Lymphocytes-40%
Eosinophils- 6.2%
Monocytes-02%
 PHARMACUETICAL CARE PLAN
S.O.A.P

SUBJECTIVE EVIDENCE:
Fever- High grade since 4 days, Cough & Headache since 3 days

OBJECTIVE EVIDENCE:
Lungs B/L Normal, Breath sounds +
Increase in BP is noticed
Increase in Temperature is noticed
Increase in WBC
 FINAL DIAGNOSIS:
• BASED ON SUBJECTIVE &OBJECTIVE EVIDENCE THE PATIENT WAS
DIAGNOISED WITH
• VIRAL PNEUMONIA
• SWINE FLU
GOALS OF THERAPY:
TO DECREASE SIGNS AND SYMPTOMS
TO PREVENT COMPLAINTS
TO PREVENT REOCCRENCE AND SPREAD OF DISEASE
TO IMPROVE PATIENT HEALTH RELATIVE QUALITYOF LIFE
GOALS ACHIEVED:
• AFEBRILE TEMPERATURE
• COUGH AND HEADACHE REDUCED
 MEDICATION PLAN
DRUG NAME GENERIC NAME DOSE ROUTE FREQUENCY THERAPEUTIC USE

INJ PIPTAZ PIPERCILIN 4.5 mg IV TID FOR BACTERIAL INFECTIONS

INJ LEVOFLUXACIN 750mg IV OD ANTIBIOTIC

LEVOFLOXACIN

INJ PANTOP PANTOPRAZOLE 40mg IV OD PPI

TAB.TAMIFLU - 160mg PO BD TO TREAT FLU

TAB.TELMA TELMISARTAN 40mg PO BD TO TREAT HIGH BP

TAB.DOLO PARACETAMOL 650mg PO SOS TO TREAT FEVER,PAIN,HEADACHE

SYP. RESWAS - 10ml PO TID USED IN TREATMENT OF

COLD,COUGH AND ALLERGY
PATIENT COUNSELLING
• MORE FLUID INTAKE
• MAINTAIN HYGIENE
• STAY AT HOME TO AVOID SPREADING OF DISEASE
• FOLLOW PROPER DIET
• USE ANTI BACTERICIDAL GEL TO CLEAN HANDS
ADVICES AT DISCHARGE
• T.CEPODEM-325 mg BD for 5days
• T.LEVOFLOXACIN-500mg OD for 5days
• T.PANTOP-40mg OD
• T.DOLO-650mg SOS
• T.TELMA-40mg OD
• T.TAMIFLU-150mg BD for 2days
 PRESENTED BY

Jasmine Khaja Shaik

PharmD
17Y71T0030