A Case Presentation On

Urinary Tract Infection

Asfiya Begum
Pharm-D
14S61TOOO5
 Demographic Of Patient
• Name—xyz
• Age—31 year
• Gender—Male
• D.O.A.-31/8/15
• Weight---49
• Unit—MM1
 Reason Of Admission
• Join pain since 3 days
• Burning micturation
• Vomiting since 3 days
 History Of Patient
• c/o-Joint pain.
• Vomiting.
• Smoking.
 Physical Examination
• Afebrile
• Pulse Rate—82/min
• Blood pressure—170/90mmHg
• CVS –S1,S2+
• p/a- soft
 SOAP Analysis
• Subjective
• Fever since 3 days with chills and rigours.
• Join pain since 3 days
• Vomiting
 Objective
• Elevated ESR
• Increased WBC count
• Decreased hemoglobin percentage
• Test for bacterial positive
 Assessment
• Based on the subjective and objective
evidence the patient was diagnosis with
urinary tract infection
 Planning
• Inj-Piperacillin+
• Tazobactum
• Inj-Rantac
• IV fluid
• Inj-Buscopan
• Inj-Tramadol
• Inj--Insulin
 Planning
Goals Of Therapy
Patient specific
 To reduce join pain to decrease temperature
of body
 Disease specific
 To decrease pus cell to bringWBCto normal
 Treatment Chart

Drug Dose Frequenc Route Day 1 Day 2 Day 3

y
Inj- 2.25mg BD IV YES YES YES
piperacilli
n
Inj- 50mg BD IV YES YES YES
Rantac
IV Fluid 3 pints OD IV YES YES YES
Inj- 1 amp BD IV YES YES YES
Buscopan
Inj- 1 amp BD IV YES YES YES
Tramadol
Inj-Insulin 0.50u/kg OD IV YES YES YES
 Monitoring Parameter
• Therapeutic Parameter
• Monitor should be ESR level
• Monitored should be renal parameter
• Monitored should be WBC and temperature
• Toxicity Parameter
• Monitored should be for rantac and dizziness
• From tramadol ,dizziness and fatigue must be
monitored
• For insulin hypoglycemia must be monitored
 Patient Counseling
• To maintain hygienic condition
• Take medication properly before and after
meals
• Drinking more water must be advice
• Stop consuming alcohol
• Stop smoking