CASE study on chronic viral hepatitis .pptx

CASE study on chronic viral hepatitis

1. CASE study on chronic viral hepatitis PRESENTE BY, Dr SRIRAM THIRUNAVUKKARASU, PGP COLLEGE OF PHARMACEUTICAL SCIENCE AND RESEARCH INSTITUTE, NAMAKKAL.

2. CASE SUMMARY A 34 years old female patient was admitted in the hospital on 4.01.2024 with chief complaints of generalized fatigue for a month , weight loss , loss of appetite, abdominal pain with symptoms of jaundices. She has past medical history of appendectomy at 5 years , hypertension . She has no social history. She has no family history and no known drug or food allergies. Inj. Pantoprazole, inj. Ondansetron, inj. Vitamin k, inj. Insulin regular, inj. Noradrenaline, tab.Sotasbuvir. were given to the patient during hospitalization .

3. Chronic viral hepatitis. Viral hepatitis is an inflammation that causes liver inflammation and damage by hepatitis virus A,B,C D & E. Inflammation is swelling that occurs when tissues of the body become injured or infected. Inflammation can damage organs.

4. PATHOPHYSIOLOGY

5. SOAP NOTES

6. SUBJECTIVE A 34 years old female patient was admitted in the hospital on 24.07.2023 with chief complaints of generalized fatigue for a month , weight loss , loss of appetite, abdominal pain with symptoms of jaundice. She has past medical history of appendectomy at 5 years , hypertension . She has no social history. She has no family history and no known drug or food allergies.

7. OBJECTIVE The patient was conscious, oriented and afebrile. There is no head injury. Eye ball movement – yellow colored CVS-S 1 ,S 2 (+) RS- BAE(+) right side decreased air entry. CNS-NFND. GIT- P/A soft.

8. Vital signs S. NO PARAMETERS DAY 1 DAY 2 DAY 3 NORMAL RANGE 1. Temperature ֯ F 98.8 98.6 98.6 97.2-98.8 2. Blood pressure mmHg 110/80 110/80 100/80 120/80 3. Pulse rate beats/min 68 65 72 60-100 4. Respiratory rate breaths/ min 23 21 20 12-16 5. SPO2 99 99 98 95-100%

9. LABORATORY INVESTIGATION LAB INVESTIGATION 24/7/23 NORMAL VALUES FULL BLOOD COUNT Hb 8.1 12-15 g/dL RBC 2.9 4-5.65 million cells/cu.mm WBC 5400 4000-11300 cells/cu.mm Platelet 80000 150000 - 450000 cells/µl SERUM ELECTROLYTES Sodium 130 133-145 mEq/L Potassium 5.9 3.3-5.1 mEq/L

10. ASSESSMENT She was diagnosed chronic viral hepatitis c , Liver cirrhosis - II Hypokalemia Hypotension.

11. PLAN GOALS OF THERAPY To treat chronic viral hepatitis. To treat hypokalemia, To treat liver cirrhosis stage II To reduce vomiting. To treat dysphagia.

12. DRUG DRUG INTERACTION THERE IS NO DRUG DRUG INTERACTION .

13. patient counselling DISEASE BASED COUNSELLING : Hepatitis is a term that means inflammation of liver. It is most commonly caused by viruses but also be caused by drugs ( alcohol ), chemicals, autoimmune disease and metabolic abnormalities.

14. DRUG BASED COUNSELLING Don’t skip the prescription . Take medication to proper time Tab. Sofosbuvir to treat hepatitis c syp. Hepamerz to treat as a liver proctant. syp. Lactulose to decrease enzyme . K+ bind sachet to treat reduces potassium level.

15. DIET BASED COUNSELLING Avoid fatty food Drink sufficient water Eat vegetables and fruits.

16. Life style modification Decrease stress levels Take rest. Patient good hygienic condition . refer regular exercises

17. Thank you