by:javad shahnooshi p.b pharm d
DESCRIPTION
BY:JAVAD SHAHNOOSHI P.B PHARM D. M MMUHUHUIH. Other and Specific test. Prevention(treatment). Eat a heart-healthy diet low in salt, saturated fat, and cholesterol Quit smoking, if you smoke Lose weight, if you are overweight. - PowerPoint PPT PresentationTRANSCRIPT
BY:JAVAD SHAHNOOSHIP.B PHARM D
M MMUHUHUIH
Gender:Age:Admitted date:
Female75yrs
C/O Left sided chest pain, h/o giddiness
O/E Conscious, no breathlessness, abdomen-soft
PMH k/o hypertension on irregular treatment
PMEH
SH,FH
H: W: CVS:S1S2+ P I C C L E
date 1 2 3 4 5 6 7 8 9
pulse 120/min
R.R
BP(mmhg)
140/90
TEST RESULT N. VALUES
Fasting 78 70-110 mg/dl
Postprandial 140mg/dl
Serum urea 33 20-50 mg/dl
Serum creatine 1 0.9-1.3 mg/dlSerum uric acid 3.5-7.2 mg/dl
Total cholesterol Up to 200 mg/dl
HDL 30-60 mg/dl
LDL Up to 100 mg/dl
Total bilurubin 0.3-1.2 mg/dl
Direct bilurubin 0-0.2 mg/dl
Indirect bilurubin 0.3-1.0 mg/dl
SGOT Up to 35 IU/L
SGPT Up to 45 IU/L
Total protein 6.4-8.3g/dl
albumin 3.4-5.2g/dl
globulin 1.5-3.5g/dl
Troponin1 and T
CK-MB 2mg/dl
Test RESULT N. VALUES
Hb % 11.6 12-18g/dl
PCV 32-47 %
WBC count 5800 5000-11000cells/cu.mm
P 73 40-75 %
L 24 20-50 %
E 3 1-6 %
M 2-10 %
Platelet 1.5-4.5 lakhs/cu.mm
ESR 0-20 mm/hr
MCV 82-96 cu.mm
MCH 27-32 pg/cell
Bleeding t 1-5 mts
TEST RESULT N.VALUES
Na 138 136-145 meq/l
K+ 4.3 3.5-4.5 meq/l
HAEMATOLOGY
Other and Specific test Test INFERENCE
Echo Moderately depressed Lv function,Trival mital regurgitation
DIAGNOSIS Acute left ventricular failure, coronary artery sisease
TRADE NAME GENERIC NAME DOSE FREQ DURATION
Inj. Augmentin Bd 4 days
Tab. Amlong 2.5mg
Od “
Tab. Pantocid 40mg Od “
Tab lanoxin Digoxin 0.25 mg
Od “
Tab.nodon 5mg Od “
t. Lacitactone furose+spina od
Tab. mokoit clopidogrel Bd “
Tab. Tonact 40mg Od “
TRADE NAME GENERIC NAME DOSE FREQ DURATION
Prevention(treatment)• Eat a heart-healthy diet low in salt, saturated fat, and
cholesterol• Quit smoking, if you smoke• Lose weight, if you are overweight.• omega-3 fatty acids reduce the risk of cardiovascular disease
(CVD). Healthy people, people at high risk of CVD and patients with preexisting CVD all benefit.
• To maximize a heart-healthy diet choose foods that are typically low in salt, saturated fat and cholesterol. Limiting sodium — which we get through salt, baking powder, baking soda and other substances in foods we eat — is one of the most important things that people with heart failure can do. Sodium makes the body hold on to fluid, which makes the heart work harder to move the extra volume.