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Case

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CASE PRESENTATION ON

DYSLIPIDEMIA

PRESENTED BY
TUSHAR
170518882026
SUBJECTIVE EVIDENCE

• Chief compliant :CHEST DISCOMFORT


• Past medical history : HYEPRTENSION Type-2 DIABETES
MILLETUS, KCO
• Past medication history : Tab ECOSPORIN,Atrovas
• Allergies : NKDA
OBJECTIVE EVIDENCE
• General appearance :
Height = 158 cm
Weight = 78 kg
BMI = 31.3 kg/m² ( Normal )

• Vitals :
Temp - 98° F
Heart rate – 86 bpm
B.P – 110/80 mmHg
Respiratory rate – 20 breaths/min
Blood sugar- 98
LAB INVESTIGATION
TEST RESULT NORMAL
Hb 13.2g/dl 11-16g/dl

TLC 73,000cells/mm³ 4000-11000cells/mm³

PLATELET COUNT 313,000 150000-400000

SERUM CREATININE 0.78 0.6-1.4mg/dl


BLOOD UREA 22 14-45 mg/dl
SERUM SODIUM 139 135-155mol/L
SERUM POTASSIUM 4.4 3.6-5.5 mol/L
SERUM CHLORIDES 102 98-108 mol/L
Pharmaceutical care plan
SUBJECTIVE EVIDENCE OBJECTIVE EVIDENCE
CHEST PAIN, SWEATING AND VITALS ARE STABLE
PALPITATIONS

FINAL DIAGNOSIS

• CHEST PAIN, CORONARY ARTERY DISEASE


• DYSLIPIDEMIA
OTHER INVESTIGATIONS
CORONARY ANGIGRAM
OPTICAL COHERENCE TOMOGRAPHY
ECG SINUS RHYTYM Q WAVE ST ELEVATION
Increases
High sensitivity troponin in plasma
ASSESSMENT

Day 1 :
VITALS ARE STABLE
NO FEVER
Ecospirin given dose 150 gm
Atrovastatin tab given 20mg
Atenolol(50g) and losartan(50g) given for increased
blood pressure
DAY 2:
Vitals stable
Dolo 650mg dose given
Day 3:
•Cardace 2.5mg given
•Aceclofenac tablets anti imflammatory drug administered for
pain
• Day 4 :
• Vitals stable
• No new issues
• Same therapy followed

DAY 5:
Vitals stable
DRUG CHART
BRAND GENERIC DOSE ROUTE FREQUENCY USES
NAME NAME
Ecospirin tab aspirin 1.5 gm PO BD

Atrovas tab atrovastatin 75 g in PO BD


1000m/ml
Met xl tab methotrexat 10 mg PO BD
e
Tab PAN pantroprazol 60 ml PO OD
e
Tab Glycerytlic 60ml PO OD
nitrocontin nitrate
Tab brillinta ticagrelor 1 tablet PO TID
BRAND GENERIC DOSE ROUTE FREQUENCY USES
NAME NAME
Tab rozavel rosurvastati 20mg PO OD
n
prolomet metaprolol 50mg PO OD
tab
pantocid pantoprazol 25mg PO OD
tab e
IV fluid ns Normal 50mg IV OD
saline
Cardace tab ramipril 1 tab PO BD

Dolo acetaminop 650 mg PO BD


tab hen
PLAN

LIFESTYLE MODIFICATIONS

• involves dietary advice and aerobic exercise


• to control the body weight
• LOW fat diet for dyslipidemic patients
PREVENTION
• Maintain balance diet.
• Engage in regular exercise.
• Eat foods that are good for health, such as
fruits and vegetables.
• Avoid smoking and limit alcohol to 2-3 drinks
per day.
DISCHARGE MEDICATIONS
BRAND NAME GENERIC DOS ROUT FREQ INDICATIO
NAME E E N

Tab ecospirin aspirin 1 tab PO OD Anti


imflammat
ory drug

Tab prolomet metaprolol I tab Po OD Beta


blocker

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