CASE PRESENTATION

ACUTE FEBRIL WITH SEVERE ANEMIA

NAME: V. HARSHINI
PHARM.D 4TH YEAR
ROLL NO: 19
DEFINATION
Anemia is a decrease in the total amount of red blood
cells or hemoglobin(RBC) in the blood or result in
decreased oxygen-carrying capacity of blood.
It is the most common blood disorder, affecting about
a third of the global population
SUBJECTIVE EVIDENCE
A 25 years male patient presented with chife
complaints of
Fever with chills ,night sweetings,
Headache since 5 days , dizziness .
PATIENT HISTORY
•MEDICAL: FEVER SINCE 5 DAYS.
•MEDICATION: PARACETAMOL 500Mg since 3days.
•SOCIAL HISTORY: NO.
•FAMILY HISTORY: NO.
•ALLERGIES: NIL.
OBJECTIVE EVIDENCE
•BP: 110/80 mm/hg
•RR: 16 bpm
•PR; 78 bpm
•GENERAL: PICCLE NEGATIVE
•CVS: S1 S2 +
•CNS: CONSCIOUS
CLINICAL INVESTIGATIONS
TEST 18\09\18 19\09\18 @6:00PM 20/09/18
@12:00PM
HGB 4.8 g/dl 4.2 g/dl 4.5 g/dl

RBC 3.28 3.24 3.28

ASSESMENT
Based on subjective and objective evidence the disease
is diagnosed as
“ACUTE FEBRILE ILLNESS WITH SEVERE ANEMIA’’
DRUG CHART
S. DRUGS GENERIC DOSE ROUT FREQ. DAY1 DAY DA
N NAME E 2 Y3
O.
1 IVFLUIDS-NS 1Θ IV BD √√ √√
2 INJ.CEFTRIAXONE 1GM IV BD √√ √√ √√
3 TAB.DICLOFENAC 125MG PO BD √√ √√ √√

4 TAB.ACETAMINOP ICC PO BD √√ √√ √√
HEN
5 INJ.PANTAPROZOL 40MG IV BD √ √ √
E
6 INJ.ONDANSETRO 4MG IV BD √√ √√ √√
N
PLANNED FOR
BLOOD T RANS
FUSION
DISCHARGE MEDICATION
DRUG DOSE FREQUENCY ROA DAYS

PARACETAM 500mg TID PO 2 DAYS

OL
PANTOP 40mg OD PO 2 DAYS

MULTIVITA 1CAP OD PO 2 DAYS

MIN
GOALS ON THERAPY
• PATIENT SPECIFIC GOALS:
• TO REDUCE SYMPTOMS LIKE
FEVER,DIZZINESS,FATIGUE.
DECREASE INTENSITY OF UNSUSUAL THOUGHTS
• DISEASE SPECIFIC GOALS:
• TO MAINTAIN THE HEMOGLOBIN LEVELS.
• TO MAINTAIN RBC TO NORMAL
GOALS ACHIVED
•MONITERING VITALS: (TEMPERATURE),BP
DRUG INTERACTION
S DRUGS USES ADR’S. RXN

1. CEFTRIAXONE INFECTIOUS SKINREACTIONS,

DIARRHEA, HEADACHE,
SKIN INFECTIONS, DIZZINESS
UTI’S,
INFECTIONS OF EAR
, THROAT
2. DICLOFENAC MILD TO STOMACH PAIN,
MODERATE FEVER, VOMITING,
SWELLING , CONSTIPATION,
PAIN. DIARRHEA
3. ACETAMINOPHEN FEVER, HEADACHE, ALLERGIC SKIN
MUSCLEACHES, REACTION ,
COLD. THROMBOCYTOPENIA
4. PANTAPROZOLE USED TO TREAT DIARRHOEA,
STOMACH JOINT
STROEOSPHAGE PAIN,
AL HEADACHE,
REFLUX DISEASE DIZZINESS
5. ONDANSETRON ANTEIMATIC(PRE DIZZINESS,
VENT HEADACHE
NAUSEA AND
VOMITING)
POINTS TO PATIENT
TAKE IRON SUPPLEMENTS AN HOUR BEFOR
MEAL FOR MAXIMUM ABSORPTION
INCREASE THE INTAKE OF VITAMIN C ( CITRUS
FRUITS ,TOMATOSE.
• ESPECIALLY DARK ONES ARE AMOUNG THE
BEST COURCESS OF NONHEME IRON
CONSUME HIGH FIBER FOOD
LIFE STYLE MODIFICATION
MEDICATION: DOSE AND DOSAGE ARE MONITORECL
• DIET COUNSELLING: EAT LEAF GREENS VEGETABLES
• SPINACH
• MEAT AND POULTRY : LIKE RED MEAT AND
CHICKEN.
• SEA FOOD:FRESH SALMON,FRESH PERCH.
• BEANS:LIKE SOYA BEANS,BLACK BEANS.
• NUTS AND FRUITS:LIKE CASHEWS,PAPAYA,ETC…
• AVIOD FOODS LIKE:
• SOFT DRINKS P ,SMOKING ,ALCOHOL