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  • AK Anaemia

    Diunggah oleh

    Abhiraj Kale
    14 tayangan17 halaman
    THERAPEUTIC GOALS: To Relieve signs and symptoms to normalize hemoglobin level. Patient has taken local treatment for yellow discolorisation of eye and urine which subsides after 20 days. But appetite persisted When symptoms of breathless and Fatigue ed,local Dr. Done blood investigation on 10 / 09 / 10 Hb was 3. Gm%. Patient had developed rashes to all over body 3 month back.

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    THERAPEUTIC GOALS: To Relieve signs and symptoms to normalize hemoglobin level. Patient has taken local treatment for yellow discolorisation of eye and urine which subsides after 20 days. But appetite persisted When symptoms of breathless and Fatigue ed,local Dr. Done blood investigation on 10 / 09 / 10 Hb was 3. Gm%. Patient had developed rashes to all over body 3 month back.

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    14 tayangan17 halaman

    AK Anaemia

    Diunggah oleh

    Abhiraj Kale
    THERAPEUTIC GOALS: To Relieve signs and symptoms to normalize hemoglobin level. Patient has taken local treatment for yellow discolorisation of eye and urine which subsides after 20 days. But appetite persisted When symptoms of breathless and Fatigue ed,local Dr. Done blood investigation on 10 / 09 / 10 Hb was 3. Gm%. Patient had developed rashes to all over body 3 month back.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 17

    Age: 26 years Weight: 46 kg Gender: Male Date of admission:15/09/10 Date of discharge: 24/09/10 Days spent in Hospital: 10 Days

    C/O  Breathlessness X 15 days  Weakness X 10 days

    Patient History:  Breathlessness on Walking little distance, where the patient has to take rest and move on further.  Yellowish Discolorisation of Urine & Eye X 1 month back H/O  Nausea & Vomiting  Appetite  Palpitation  Fatigue  Generalized Weakness

     

    Smoking Cigarette 20 sticks/week X 3 yr Chewing Gutka 5 Packets/day X 10 yr Pt. has taken local treatment for yellow discolorisation of eye & urine which subsides after 20 days. But appetite persisted When symptoms of breathless & Fatigue ed ,local Dr. done blood investigation on 10/09/10 Hb was 3.4 gm% Pt. had developed rashes to all over body 3 month back

    All vital Parameter were recorded on Daily Basis Reading shows Normal.

    Dates Parameters Hb (11.5-18 gm%) Lymphocytes (20-40) Vit.B12 (208-964pg/ml)

    16/09/10

    18/09/10

    20/09/10

    23/09/10

    3.1

    8.6

    9.2

    9.8

    44 193

    RBC (4.5-6.5million/cmm) 2.46 PCV(40-50%) 23 -

    Blood Transfusion :
    Date Started at Stopped at

    15/09/10

    11.55 am

    02.10 am

    16/09/10

    06.35 pm

    09.15 pm

    Inj.Frusemide 20 mg given

    Megaloblastic Anaemia

    THERAPEUTIC GOALS:  To Relieve signs and symptoms  To normalize hemoglobin level

    MEDICATION (NAME, STREGNTH, ROUTE,DOSE)

    DATE STARTED

    DATE STOPPED

    INDICATION

    IV fluid 75ml/hr Tab.MV/BC 1-0-0 Tab. Ranitidine 150mg 1-0-1 Tab. Folic acid 5mg 0-1-0 Tab.Ferrous ascorbate 100 mg 0-1-0 Inj.nicotinamide 200mg,vit.B12 500mcg,Folic acid 15mgper ml 2cc

    15/9/10 15/9/10 15/9/10 18/9/10 18/9/10

    19/9/10 24/9/10 24/9/10 DM DM

    Nutritional supplement multivitamin supplement Gastritis Nutritional supplement Haematopoietic

    18/9/10

    DM

    Nutritional supplement

    MEDICATION (NAME, STREGNTH, ROUTE,DOSE) Power. Isapghula Husk 3.5 mg ,2tsp with water 0-0-1 Oint.Lidocaine HCL 21.3 mg Tab.Serrapeptase 5mg 1-0-1

    DATE STARTED

    DATE INDICATION STOPPED

    21/9/10

    DM

    Laxative

    21/9/10

    24/9/10

    Skin Rashes

    21/9/10

    24/9/10

    Inflammation

    THERAPEUTIC MONITORING:
     

    Patient is symptomatically improved

    TOXICITY MONITORING
    

    Nausea, Abdominal pain, Diarrhea may be caused due to Ferrous Ascorbate. So it has to be monitored.

    Discharge Medication:
     

     

    Tab. Folic acid 5mg 0-1-0 Inj.nicotinamide 200mg,vit.B12 500mcg,Folic acid 15mgper ml 2cc i.m twice weekly X 1 month then once a month Tab. Ferrous ascorbate 100 mg 1-0-1 Power. Isapghula Husk 3.5 mg , 2tsp with water 0-0-1

    Follow up after 1 month

      

    Disease Drugs Life style modification

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