case Presentation on chronic heart failure

a case study on chronic heart failure

1. CaseCase
PresentationPresentation
onon
chronic heart failurechronic heart failure

2. Demographics
Regd.No: Unit:
Sex: Age:
DOA:
8094
CARDIO
Male
22/12/23
37yrs

3. 1999 - 2010
Development
Reasons for admission
Shortness of breath
Hypertension
Vomiting

CAD
DM

4. VITALS
BP Sup(mmhg)-
R.Rate(min)-
Pulse(min)-
Temp(F)-
Heart rate(min)-
SPO2(%)-
GRBS(mg/dl)-
General-
190/100(L Arm)
34
123(regular)
Consious,irritable in obeying commands
98
190
87
238

5. Provisional diagnose
Chornic heart failure
Accelerated HTN

6. 04
DAY-1
Temp-98*F BP-190/100mmhg Pulse-123b/min
C/O-SOB,Nausea
O/E-Patient consious,Pallor
ADV-Hemogram
RFT
LFT
ABG
CT Brain plain

7. Rufus Stewart
Radiologist
@reallygreatsite
Hemogram:
RBC-5.5m/cmm
Neutrophils-82%
Monocytes-5%
Lymphocytes-4%
Eosinophils-2%
Hb-16.9%
PCV-51%
MCV-5.5 c micron
MCH-31pg
MCHC:B-33g/dl
PLATELETS-338
Biochemical investigation:
Urea-28
S.Cr-1.71%
Na++:136%
K+:3.1%
RBS-417
T.Protein-6.28%
T.Bilirubin-0.79mg/dl
Albumin:3.9%
Globumin:2.38%
ALT:15U/L
ALP:95U/L

8. 04
MEDICATIONS:
Treatment Given:
INJ LASIX 60MG STAT
INJ FENTANYL 150MCG IV STAT
INJ ATROPINE 1MG IV STAT
INJ ADRENALINE 1MG IV STAT
INJ SODABICARB 50ML IV STAT
INJ CALIUM GLUCONATE 10ML IV
INJ ROCURONIUM 80MG IV STAT
INJ HEPARIN 10,000U IV STAT
INJ MIDAZ 4MG IV STAT
TAB CLOPILET 300MG RT STAT
TAB ECOSPRIN 325MG RT STAT
TAB ATROVAS 80MG RT STAT
TAB NICARIA RETARD 20MG TD
TAB MET-XL 25MG BD
TAB MINIPRESS-XL 5MG BD
INJ THIAMINE 100MG TID
TAB STORVAS 40MG TID
TAB ARKAMINE 0.2MG TID
INJ LASIX 40MG TID

9. Rufus Stewart Juliana Silva
Radiologist Nutritionist
@reallygreatsite
DAY-2
Temp-N BP-110/70mmhg Pulse-86b/min
C/O-Weakness,SOB
O/E-Patient consious
ADV-Continue with the same medication given

10. 04
DAY-3
Temp-N BP-100/60mmhg Pulse-98b/min
C/O-SOB,Weakness,Constipation
O/E-Patient consious
ADV-Continue with the same medications given
-Stop INJ THIAMINE 100MG
ADD-TAB CLOPITAB 75MG OD
INJ HEPARIN 5000U TID
TAB ISOLAZINE 20MG BD
SYP DUPHALAC 20ML HS
T.DAPEFY 5Y OD
INJ BASIR 20MG BD

11. Rufus Stewart Juliana Silva
Radiologist Nutritionist
@reallygreatsite
DAY-4
Temp-N BP-100/70mmhg Pulse-98b/min
C/O-Weakness
O/E-Patient consious
ADV-Continue with the same medication given
-Stop T.DAPEFY 5Y
INJ BASIR 20MG
ADD-T.PLANEP 25MG OD

12. 04
DAY-5
Temp-N BP-110/70mmhg Pulse-110b/min
O/E-Patient consious
ADV-Continue with the same medication given
-Stop INJ HEPARIN

13. 04
DISCHARGE MEDICATION:
TAB CLOPILET-A 75 OD AFTER FOOD
TAB STORVAS 20MG OD AFTER FOOD
TAB DYTOR PLUS 10MG BD AFTER FOOD
TAB DAPAVEL 10MG OD AFTER LUNCH
TAB ANGIPLAT 2.6MG BD AFTER FOOD
TAB CELPROTIK BD AFTER FOOD
TAB GLUCONORM G1 OD AFTER FOOD

14. Control Room
PHARMACEUTICAL CARE plan
FINAL DIAGNOsis
Heart failure
ABG:PH:7.20/PCO2:60,LAC:5.1
2D ECHO: GLOBAL HYPOKINESIA OF LV,
SEVERE LV SYSTOLIC DYSFUNCTION
DURING THE STAY IN ER PATIENT HAD
CARDIAC ARREST-ROSC ACHIEVED AFTER

15. Get In Touch
GOALS OF THERAPY
GOALS ACHIEVED
To relieve signs and symptoms
To prevent further complications
Blood pressure under control
HTN reduced

16. PATIENT CONSELLING

17. LIFE STYLE MODIFICATIONS
The changes includes exercising to lose
or maintain body weight, smoking
cessation to reduce high blood pressure
caused to the heart, monitoring of daily
fluid intake in case of fluid buildup,
eating healthy diet, monitoring of blood
pressure, avoiding alcohol and limiting
caffeine.

18. Thank
You.
For Your Attention