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    Add as FriendDeep Vein Thrombosis

    by: Gaurav

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    1 : Case Study DEEP VEIN THROMBOSIS Mr. Gaurav Bhatia BVU, Dept. Of Clinical Pharmacy, PUNE
    2 : Patient Details. Age:51/M Unit:Medicine Unit-1 I.P.D No:17994 D.O.A:07 Dec.09 D.O.D:10 Dec.09
    3 : Presenting Complaints. Breathlessness on & off while doing regular activity
    4 : Past Medical History. K/C/O Hypertension with DVT at right lower limb- 2 months. No D.M ,IHD ,T.B ,Allergy.
    5 : Provisional Diagnosis. Deep-vein thrombosis
    6 : Day wise Treatment. Medication Order1: Tab. Olmesartan + Amlodipine 1-0-0 Tab. Rantidine [150mg] 1-0-1 Tab. Warfarin [1mg] 0-0-1 Tab. Folic acid+Pyridoxine+Cyanocobalamin 1-0-0 Physical Examination: Pain at right lower limb Lab. Data: PT: 28sec INR:2.32
    7 : Medication Order2: Add Syp.Dextromethorpan+Phenylpropanolamine+ Chlorpheniramine 1-1-1 Physical Examination: B.P: 130/80mmHg Pain at right lower limb Laboratory Investigation: ESR: 22mm/hr. ECG: Sinus Tachycardia
    8 : Medication Order3: --Ct. all Physical Examination: B.P: 110/70mmHg G.C: Stable Pain reduce Lab. Data: PT: 22.6sec INR:1.88
    9 : Medication Order4: --Ct. all Physical Examination: G.C: Stable No fresh complaint. Patient Discharge due to improved condition & Follow-up after one week.
    10 : Post Discharge Order. Tab. Olmesartan + Amlodipine 1-0-0 X Ct. Tab. Rantidine [150mg] 1-0-1 X 5 d Tab. Warfarin [1mg] 0-0-1 X Ct. Tab. Folic acid+Pyridoxine+Cyanocobalamin 1-0-0 X Ct. Syp.Dextromethorpan+Phenylpropanolamine+ Chlorpheniramine 1-1-1 X 5 d
    11 : Pharmaceutical Care Plan: Subjective: Breathlessness on & off while doing regular activity Pain in lower limb
    12 : Objective: Prothrombin time INR B.P
    13 : Confirm Diagnosis: Deep-vein thrombosis
    14 : Assessment: DVT.
    15 : Plan: Standard Treatment: Anti-coagulant Thrombolytic
    16 : Goal of Treatment. To reduce pain. To normalize PT & INR. To dissolve blood clot. To maintain B.P in normal limits.
    17 : Patient Counselling: Disease. Medication. Life-style modification.
    18 : Thank You!!!

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