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CASE PRESENTATION
ARAICO PHARMACEUTICAL | VACCINES
Chronic Kindey Disease
Presented by -
ANNAMALAI.R
PHARM D - II yr
SPS - VISTAS
NAME: xxx
AGE : 43
SEX :FEMALE
WT : 68 kg
HEIGHT : 155 Cms
CHIEF COMPLAINTS :
FATIGUE, BREATHING DIFFICULTY, MUSCLE CRAMP , EDEMA
PRESENT ILLINESS :
CKD FOR PAST A YEAR FEMALE PLANNING DOSE LONG NECK.
BECAUSE OF CATARACT SURGERY DONE -10 YEARS BACK.
PAST MEDICAL HISTORY:
CHRONIC KINDEY DISEASE
PAST MEDICATION HISTORY
INJ . INFER -100 MG
INJ . TRANSFER - 400 U
TAB . TAXIMO - 200 MG
TAB . ULTRACETSEMI
TAB . AMLODEPINO - 2.5 MG
PERSONAL HISTORY :
NIL
PHYSICAL EXAMINATION:
PATIENT IS CONSCIOUS / ORIENTED
EDEMA
ON EXAMINATION :
TEMP - 98•6 F
BP - 140/ 80 mmHg
SYSTEM EXAMINATION:
CVS : NO ABNORMAL SOUND
RS : CLEAR BAE (+)
LAB INVESTIGATION -
OTHER TESTS :
CHEST X- RAY
CREATININE TEST
BLOOD UREA TEST
DIAGNOSIS :
CHRONIC KIDNEY DISEASE
DRUG CHART :
MEDICATION ERRORS:
NIL
DRUG INTERACTIONS:
NO DRUG -DRUG INTERACTIONS INTAKE OF
CARBOHYDRATES & VITAMINS RICH FOODS SHOULD BE
ADMINISTERED
ADR :
SWEATING, LIGHT HEADACHE, CONSTIPATION
ARAICO PHARMACEUTICAL | VACCINES
DISCHARGE ADVICE :
AVOID HIGHT SALT INTAKE
DO EXCERCISE
SOAP NOTES :
SUBJECTIVE - FATIGUE, BREATHING DIFFICULTY,
EDEMA & MUSCLE CRAMP WAS OBSERVED
OBJECTIVE - TEMP - 98.6 F
BP - 180/ 40 MMHG
ASSESSMENT - CHEST X- RAY & BLOOD UREA CLEARANCE TEST
WAS OBSERVED
PLAN OF TREATMENT - HEMODIALYSIS ( PERMANENT)
PERITONEAL DIALYSIS (NOT YET DONE)
PATIENT MUST AVOID INTAKE OF CARBOHYDRATES RICH
FOOD & CRUCIFEROUS SUBSTANCE SINCERITY DISTRUBS THE
ABSORPTION OF ACETAMINOPHEN.
ALSO AVOID INTAKE OF VITAMIN RICH FOOD.
SINCE IT DECREASES THE EFFECT OF NORVASC.
PATIENT COUNSELLING:
Chronic kidney disease

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Chronic kidney disease

  • 1. CASE PRESENTATION ARAICO PHARMACEUTICAL | VACCINES Chronic Kindey Disease Presented by - ANNAMALAI.R PHARM D - II yr SPS - VISTAS
  • 2. NAME: xxx AGE : 43 SEX :FEMALE WT : 68 kg HEIGHT : 155 Cms CHIEF COMPLAINTS : FATIGUE, BREATHING DIFFICULTY, MUSCLE CRAMP , EDEMA
  • 3. PRESENT ILLINESS : CKD FOR PAST A YEAR FEMALE PLANNING DOSE LONG NECK. BECAUSE OF CATARACT SURGERY DONE -10 YEARS BACK. PAST MEDICAL HISTORY: CHRONIC KINDEY DISEASE PAST MEDICATION HISTORY INJ . INFER -100 MG INJ . TRANSFER - 400 U TAB . TAXIMO - 200 MG TAB . ULTRACETSEMI TAB . AMLODEPINO - 2.5 MG
  • 4. PERSONAL HISTORY : NIL PHYSICAL EXAMINATION: PATIENT IS CONSCIOUS / ORIENTED EDEMA ON EXAMINATION : TEMP - 98•6 F BP - 140/ 80 mmHg
  • 5. SYSTEM EXAMINATION: CVS : NO ABNORMAL SOUND RS : CLEAR BAE (+) LAB INVESTIGATION -
  • 6. OTHER TESTS : CHEST X- RAY CREATININE TEST BLOOD UREA TEST DIAGNOSIS : CHRONIC KIDNEY DISEASE
  • 8. MEDICATION ERRORS: NIL DRUG INTERACTIONS: NO DRUG -DRUG INTERACTIONS INTAKE OF CARBOHYDRATES & VITAMINS RICH FOODS SHOULD BE ADMINISTERED ADR : SWEATING, LIGHT HEADACHE, CONSTIPATION
  • 9. ARAICO PHARMACEUTICAL | VACCINES DISCHARGE ADVICE : AVOID HIGHT SALT INTAKE DO EXCERCISE SOAP NOTES : SUBJECTIVE - FATIGUE, BREATHING DIFFICULTY, EDEMA & MUSCLE CRAMP WAS OBSERVED OBJECTIVE - TEMP - 98.6 F BP - 180/ 40 MMHG
  • 10. ASSESSMENT - CHEST X- RAY & BLOOD UREA CLEARANCE TEST WAS OBSERVED PLAN OF TREATMENT - HEMODIALYSIS ( PERMANENT) PERITONEAL DIALYSIS (NOT YET DONE) PATIENT MUST AVOID INTAKE OF CARBOHYDRATES RICH FOOD & CRUCIFEROUS SUBSTANCE SINCERITY DISTRUBS THE ABSORPTION OF ACETAMINOPHEN. ALSO AVOID INTAKE OF VITAMIN RICH FOOD. SINCE IT DECREASES THE EFFECT OF NORVASC. PATIENT COUNSELLING: