CASE PRESENTATION ON CHOLERA

BY;K.V.VARA PRASAD(611171602012)

PATIENT PROFILE FORM

NAME :M.surayya

AGE :42 Years

Sex :Male

Ward :GENERAL

Weight :68Kgs

Ad date :03/04/14

Dis date :07/04/14

REASONS FOR ADMISSION

Severe diarrhoea since 2 daysVomitings since 1 dayLoss of skin elasticity and low blood pressure since 1 day

PAST MEDICAL HISTORY

Not significant

SOCIAL HISTORY

He is living in unclean conditions and he is consuming municipal water

ALLERGIESNot known allergies

PHARMACEUTICAL CARE PLAN

SUBJECTIVE EVIDENSE

•Severe diarrhoea since 2 days•Vomitings since 1 day•Loss of skin elasticity and low blood pressure since 1 day

Examination of stool culture under a special microscope for detecting vibrio cholerae………Which confirmed that presence of bacteria.

OBJECTIVE EVIDENCE

SOCIAL HISTORY

He is living in unclean conditions and he is consuming municipal water

DIAGNOSIS

CHOLERA

GOALS TO BE ACHIEVED

To treat dehydration

To treat diarrhoea

To reduce vomitings

To correct B.P

To prevent complications like shock,kidney

failure,death

To improve quality of life of the patient

TREATMENT OPTIONSFor dehydration Oral rehydration source(ORS)

Ringer lactose(RL)Sodium chloride(NS)

For vomitings

5-HT3 receptor blockersOndansetron,Granisetron

For diarrhoea

FluoroquinolonesCiprofloxacin,norfloxacin,

ofloxacin

AzolesOrnidazole, Tinidazole

Miscellaneous

Loperamide,kaolin-pectin suspension

DRUG DOSE ROA FREQUENCY DAY 1 DAY 2 DAY 3 DAY 4

CIPROFLOXACIN 200mg/100ml

IV 1-0-1

ZOFER 2mg/ml IM 1-1-1 X

TAB. NORFLOXACIN 400mg oral 1-0-1

ANDIAL(LOPIRAMIDE) 2mg oral 1-0-1

ZENFLOX-OZ (OFLOXACIN+ORNIDAZOLE)

200mg+500mg

oral 1-0-1

TAB. RANITIDINEORS DRINKNSRL

300mg

2bot2bot

OralOralIVIIV

1-1-1 1-1-1 1-0-1 1-0-1

DAY 1

B.P : 80/60 mm HgPR : 80/minTEMP: 98^FHR : 90beats/min

C/O ofvomitingsC/O of diarrhoea

DAY 2

B.P : 100/70mm HgPR : 80/minTEMP : 98^FHR : 90beats/min

B.P was slightly improved.Vomitings were slightly reducedC/O diarrhoea

DAY 3

B.P : 120/90mmHgPR : 75/minTEMP : 98.4^FHR : 80/min

B.P was come to normalVomitings are completely reducedDiarrhoea was slightly reduced

DAY 4

B.P : 120/80 mmHgPR : 70/minTEMP : 98.4^FHR : 75beats/min

Patient is discharged with proper medications

GOALS ACHIEVED

Vomitings were reduced on day 3Blood pressure was come to normal on day 3Loose motions were completely reduced on day 4Patient recovered from dehydration on day 3

MONITORING PARAMETERS

B.P should be monitored regularlyBody electrolytes levels are also should be properly monitoredMonitor body temp.

PATIENT COUNSELING ABOUT THE DISEASE

Patient is knowledged about the signs and symptoms of the disease.

ABOUT THE DRUGS•Patient is advised to take medication properly.•Patient is knowledged about the side effects of the drugs.

ABOUT DIET Avoid spicy itemsAvoid dairy productsTake a lot of fluidsShould drink boiled water

DISCHARGE MEDICATIONSame drugs mentioned in the drug chart.

THANK YOU