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    by: Gaurav

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    1 : Case Presentation LRTI Gaurav Bhatia Pharm D 5’th year Pharm D[P.B],Dept. of Clinical Pharmacy
    2 : Patient Information: 34 years old female patient got admitted in the  General medicine ward on 14 /02/ 11 with presenting complains of Cough with expectoration since 15 days Breathlessness on exertion since 2-3 months Pharm D[P.B],Dept. of Clinical Pharmacy
    3 : Drug Therapy gIVEN Pharm D[P.B],Dept. of Clinical Pharmacy
    4 : PHARMACEUTICAL CARE PLAN: Subjective. Cough with expectoration Breathlessness on exertion Past Medical History: NA Past Medication History: Operated for Appendicetomy in 1999. Personal Habits: Diet- Mixed Sleep, Appetite - Normal Pharm D[P.B],Dept. of Clinical Pharmacy
    5 : Objective: To relief from cough. To prevent breathlessness. Pharm D[P.B],Dept. of Clinical Pharmacy
    6 : Assessment: Provisional Diagnosis: LRTI, Bronchitis Confirmed Diagnosis : LRTI Pharm D[P.B],Dept. of Clinical Pharmacy
    7 : Pathophysiology. Etiology: Causative agents of lower respiratory infections are viral or bacterial. Viruses cause most cases of bronchitis and bronchiolitis. The most common bacterial agent is Streptococcus pneumoniae. Pathogenesis: Organisms enter the distal airway by inhalation, aspiration or by hematogenous seeding. The pathogen multiplies in or on the epithelium, causing inflammation, increased mucus secretion, and impaired mucociliary function; other lung functions may also be affected. In severe bronchiolitis, inflammation and necrosis of the epithelium may block small airways leading to airway obstruction. Pharm D[P.B],Dept. of Clinical Pharmacy
    8 : Continue… Clinical Manifestations: Cough Fever Chest pain Tachypnea Sputum production. Pharm D[P.B],Dept. of Clinical Pharmacy
    9 : Plan: Goals of treatment First line agent : Po Doxycycline 100mg Bd for 1 day followed by 100mg OD for 4 days. If failed recent course od Doxycycline: Po Amoxicillin+Clavalunic acid 375mg TDS & Amoxicillin 250mg Tds for 5 days If nil by mouth Amoxicillin+Clavalunic acid 1.2gm TDS for 5 days Pharm D[P.B],Dept. of Clinical Pharmacy
    10 : Post discharge Medication: Rx Tab. Azithral 500 1-0-0 *5d Tab. Rantac 150 1-0-1 *3d Syp. Ascoril 2tsf 1-1-1 *5d Tab. Synasma 400 1-0-0 *15d Duolin Rotacaps 1-0-1 *Ct. Pharm D[P.B],Dept. of Clinical Pharmacy
    11 : Rationality of Given Therapy Drug of choice: The given therapy is rational. Pharm D[P.B],Dept. of Clinical Pharmacy
    12 : Goals achieved: Cough is improved on 2nd day. Breathlessness was improved on 2nd day. Pharm D[P.B],Dept. of Clinical Pharmacy
    13 : Disease: Medication: OTC medicines: About lifestyle modifications: Pharm D[P.B],Dept. of Clinical Pharmacy
    14 : Identified Problems Drug- Drug Interaction: no Drug-Alcohol Interaction: Ranitidine with alcohol causes increased bio-availability of alcohol. Pharm D[P.B],Dept. of Clinical Pharmacy
    15 : Learning points LRTI Pharm D[P.B],Dept. of Clinical Pharmacy
    16 : THANK YOU Pharm D[P.B],Dept. of Clinical Pharmacy

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