AMYA POLYTECHNIC COLLEGE INC.

Tulip Drive, Corner Casiana Villa Abrille St, Davao City

College Department
BS PHARMACY

Clinical Pharmacy and Pharmacotherapeutics 2

ASSIGNMENT

_________________________________________________________________________________________
Name:___________________________________ Date:________

CASE STUDY ACTIVITY

1. A 65-year-old woman, a smoker, was anxiously brought by his spouse to the emergency
department with a complaint of 3 days progressive weakness. She denies chest pain
radiating to his left arm. But admits to shortness of breath that increases with activity.
She has also had epigastric pain with nausea that has been intermittent for 20-30
minutes over the last three days. Upon assesment, the patient has been taking ACE
inhibitor, antihyperlipidemic, salicylate, platelet aggregation inhibitor, and biguanide
antidiabetic. Undenyingly states that, She has smoked 1 pack per day the past 40
years.
2. VS: Her pulse rate is 128, Respiratory rate is 24 and 108/58 blood pressure and body
temperature is 37.3 with oxygen saturation of 99% and the pain is 5/10.
3. Global left ventricle hypokinesis with ejection fraction of 25% (ECG) and Scattered
bilateral opacities consistent with atelectasis or pulmonary edema are seen in radiologic
report (XRAY).
4. Basic Metabolic Panel (BMP)
Sodium : 135 mEq/L
Potassium: 4.1 mEq/L
Glucose: 184 mEq/L
Creatinine: 1.5 mEq/L
Magnesium: 1.8 mEq/L
5. Cardiac Labs:
Troponin: 1.8 ng/mL
BNP (B-natriuretic Peptide): 1150 ng/mL

GUIDE QUESTIONS:
l. RELEVANT Data from Present Problem:
a. What happened to the patient? Arrange the events as they happened so you get
a clear picture of the clinical manifestations.

Clinical Significance:

What is the worst possible/most likely complication to anticipate?

 ll. RELEVANT Data from Social History:

a. Social history

Clinical Significance:

lll. Document the beginning of your Patient Care

a. Vital Signs

b. What is your P-Q-R-S-T Pain Assessment (5th

Provoking/Palliative:
Quality:
Region/Radiation:
Severity:
Timing:

lV. What VS data are RELEVANT and must be recognized as clinically significant
1. P- >128 (Irregular Tachycardia)
Clinical Significance:

2. R-> 24 (regular Tachypnea)

Clinical Significance:

V. What diagnostic results are RELEVANT and must be recognized as clinically significant to
you? And why?
a. XRAY
b. ECHOCARDIOGRAM

Vll. What lab results are RELEVANT and must be recognized as clinically significant to all
medical practioners? Why?

Vlll. What is/are the primary problem that your patient is most likely presenting with?

lX. What is/are the underlying cause/pathophysiology of this primary problem?

X. What are the normal level of the ff:

Sodium
Potassium
Glucose
Creatinine:
Magnesium:
Troponin
BNP
Xl. Define the terms in the case
1. Hypokinesis
2. Epigastric pain
3. Atelectasis
4. Pulmonary edema
5. Anxious
Xll. Give the possible medicine the patient currently taking under the ff drug classifications:
a. ACE inhibitor
b. Antihyperlipidemic
c. Salicylate
d. Platelet aggregation inhibitor
e. Biguanides

-mgng-