CASE PRESENTATION ON ACUTE

GASTROENTERITIS

PRESENTED BY PRESENTED TO
CH.S.V.GANESH. DR.AFIFAKHAN
170518882010 ASSISSTANTPROFESSOR
PHARM D 5TH YR
PATIENT DEMOGRAPHIC DETAILS
NAME : X
AGE : 25yrs
SEX : male

COMPLAINTS OF THE PATIENT :-

Loose stool on and off on the day of admission- morning
20-23 episodes and also had vomiting on day before
admission to the hospital

PAST MEDICAL HISTORY :-

NIL
PAST MEDICATION HISTORY :-
NIL

ON EXAMINATION :
patient conscious, oriented , febril
CVS - S S ⁺
1 2
 LABORATORY INVESTIGATION

Sl no parameters Observed value Normal value

1 Total WBC 11700 cells/cmm 4500-11000 cells/cmm
2 Neutrophils 69% 40-65 %
PROVISIONAL DIAGNOSIS :
ACUTE GASTROENTERITIS
TREATMENT :
Sl no Drug (s) name Dose and frequency Duration

Brand name Generic name 1 2 3 4

1 IV FLUID NS Normal saline 500ml OD y y - -

2 IV FLUID RL Ringer lactate 500 ml OD y Y - -
3 IV INJ METRO Metronidazole 1 bottle BD y y - -
(500mg/100ml)
4 IV INJ CIPRO Ciprofloxacin 1 bottle BD(2mg/ml) Y y y y
5 INJ PAN Pantoprazole 40 mg OD(1-0-0) Y y y Y
6 INJ EMESET Ondansetron 1 amp BD(1-0-1) Y Y y y

7 T.BIFILAC Bifilac 1 tab BD(1-0-1) Y y y y

8 LIQ.ENTEROGE Bacillus clausil 5 ml TDS - y y Y

RMINA
9 ORS 200ml / hr Q2H/Q3H - y y y
PHARMACIST INTERVENTIONS :
FARM NOTE :-
F – Findings :
from lab investigations :-

• Total WBC count - 11700 cells/cmm (increased 4500-11000

cells/cmm)
• Neutrophils – 69% (increased 40-65%)
A- ASSESSMENT :

• TOTAL WBC COUNT :- increased and indicate bacterial

gastroenteritis
• Neutrophils :- increased and indicate bacterial gastroenteritis
R- RESOLUTION :-
TREATMENT PLAN INCLUDES
• IV FLUID NS
- normal saline
- to treat dehydration .
• IV FLUID RL
- ringer lactate
- to treat dehydration
• IV INJ METRO
- metronidazole
- to treat bacterial gastroenteritis
• IV INJ CIPRO
- ciprofloxacin
- to treat bacterial AGE
• INJ PAN
- pantoprazole
- given as prophylatic treatment to suppress acid secretion
• INJ EMESET
- ondansetron
- used as antiemetic – to prevent vomiting
• T. BIFILAC
- it is a probiotic
- for treatment of diarrhea and vomiting
• LIQ. ENTEROGERMINA
- it is a probiotic
- to treat diarrhea
• ORS
- oral rehydration solution
- to treat dehydration
M – MONITORING :
Communication with the nurse :
- DO patient show any incompliance with medication ?
- monitor properly whether the patient is having
episodes of diarrhea
-monitor vital signs regularly
Communication with the doctor :
- Stool culture is not done in the lab investigation to
detect the bacteria
- Culture sensitivity test is not done before prescribing
antibiotic
PATIENT COUNSELLING
• REGARDING DISEASE :-
Gastroenteritis easily spread from one person to
another so to prevent spreading
- maintain a personal and public hygeine:- wash your
hands often. Clean surfaces of room and do laundry often
and clothes should be washed separately.
-clean food thoroughly and cook safely.
- Be aware when you camp or travel
• REGARDING DRUGS :-
- medicines are given to stop vomiting or diarrhea, or to
treat infection
- take medicines as directed and should not skip the dose
 - contact your healthcare provider if medicines are
not helping or if have any side effect.
• LIFESTYLE MODIFICATION
- drink liquids as directed
- have a bland diet
- rest as much as possible
THANK YOU