case presentation on malaria
TRANSCRIPT
![Page 1: Case Presentation on Malaria](https://reader033.vdocument.in/reader033/viewer/2022061119/546a804faf795980298b4725/html5/thumbnails/1.jpg)
Presented By, Mr Amol Lavate
M.Pharm 1st year pharmacy practice, KLE’S college of pharmacy, Belgaum.
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CONTENTSPatient ProfileSubjective EvidenceObjective EvidenceLaboratory DataDiagnostic TestsProvisional DiagnosisAssessment of 1) Therapeutic Goals 2)Therapy
indicated3) Current TherapyTherapeutic MonitoringToxicity MonitoringPlanningPatient Counseling
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Patient ProfileI.P.# - 332301Age - 50yearsGender - Female Date of Admission - 30/09/2009Date of Discharge - 05/10/2009
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Subjective EvidenceObjective Evidence Subjective Evidence
C/O Fever, nausea and Vomiting Fever with chills since 3 days, Vomiting since
1day Objective Evidence
(Test done one day before admission)Showed weakly +ve for DenguePlatelet count -- 4000/cu.mm (Decreased)White Blood Cell -- 3000/cu.mm (Decreased)
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Laboratory DataDate 30/09/09 02/10/09 03/10/09 04/10/09
Haemoglobin
(12 – 14gm %) 7gm % 7.1gm %
Packed cell
volume (PCV)
(35-45%)
20.3% 23.2% 31%
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Diagnostic TestsProvisional DiagnosisDiagnostic TestsMalaria parasite (Kit) - +ve for P.Vivax
+ve for P.falciparum(Gametocyte ring forms & Schizonts seen) Provisional Diagnosis Malaria with leucopenia and
thrombocytopenia
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Assessment of1) Therapeutic Goals
-To alleviate symptoms -To prevent relapse and spread
2)Therapy indicated-Diagnostic tests done
-Rational antimalarial therapy given
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Current Therapy Name, Strength, Route, Dose
Date started Date stopped Remarks
Inj. Ondansetran 4mg 1-0-1
30.09.09 02.10.09 Antiemetic
Inj. Ranitidine 50mg
1-0-1
30.09.09 01.10.09 Antihistamine
Inj. Artesunate 120mg 1-0-1
30.09.09 05.10.09 Antimalarial
Tab. Primaquine 15mg 1-0-0
01.10.09 continued Antimalarial
Tab. Doxycycline 150mg 1-0-1
01.10.09 05.10.09 Antimalarial
Tab. Ranitidine 150mg 1-0-1
01.10.09 05.10.09 Antihistamine
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Therapeutic Monitoring
.Symptomatically improved
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Toxicity Monitoring
Primaquine nausea, vomiting, haemolytic anaemia(G6PD Deficient), Thrombocytopaenia, leucopaenia
Doxycycline nausea, GIT upset, haemolytic anaemia,
Thrombocytopaenia.
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PlanningDischarge Medication
Tab Primaquine 15mg 1-0-0 10 days Tab Vitamin c (chew) 500mg 1-0-0 10 days Tab Paracetamol SOS
Follow up after 15 days
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Patient Counseling-Disease-Medication-Life style
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Thank you