Ulcerative Colitis Case Study Presentation.pptx

Ulcerative Colitis: A Case Study
covering patient history, diagnosis, treatment options, and patient counseling. Presented by Mohammed Mateen Maaz, Pharm D, this presentation offers valuable insights into managing this chronic inflammatory condition."

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1. ULCERATIVE COLITIS Presented By: Mohammed Mateen Maaz Pharm D, SSCP, Tumkur

2. PATIENT DEMOGRAPHIC DETAILS Name : xyz Age : 25yrs Gender : Female IPNO : 23-8000 Ward : General medicine DOA : 10/01/23 DOD : 13/01/23

3. SUBJECTIVE EVIDENCE A 25 year old female patient was admitted to hospital with C/O abdominal pain in epigastric region , vomiting of 4-5 episodes since morning .

4. PATIENT HISTORY PAST MEDICAL HISTORY – Nothing significant PAST MEDICATION HISTORY – Nothing significant FAMILY HISTORY – Nothing significant SOCIAL HISTORY – Nothing significant ALLERGIES – No known allergies

5. PHYSICAL EXAMINATION BP : 120/80 mmHg HR : 70 bpm RR : 16 b/min Temp : 98F SPO2 : 98% @ RA

6. SYSTEMIC EXAMINATION CVS : S1S2 heard CNS : Conscious and oriented RS: NVBS P/A : Soft and Non tender

7. PROVISIONAL DIAGNOSIS ACUTE GASTROENTERITIS

8. OBJECTIVE EVIDENCE TEST PATIENT VALUE NORMAL VALUE Neutrophils 73.2% 40-70% WBC 10670 cells/cu mm 4000-10500 cells/cu mm RBC 3.8 million cells/cu mm 4.2-5.4 million cells/cu mm MCH 26.7 pg 27-31 pg OTHER TEST : Endoscopy- Colonoscopy shows colitis

9. FINAL DIAGNOSIS ULCERATIVE COLITIS

10. ASSESMENT From the subjective and objective evidence the patient is diagnosed with ULCERATIVE COLITIS

11. GOALS OF THERAPY To resolve acute inflammatory process To improve sign and symptoms Prevention of serious complication To reduce morbidity and mortality Maintenance of remission from acute inflammation To improve patient quality of life

12. TREATMENT OPTION 5- Amino salicylates : Ex- sulfasalazine 4-6mg/day orally. It reduces the acute inflammatory response . Immunosuppressant : Ex-cyclosporine , azathioprine. These work by blocking enzymes that the immune system uses to trigger inflammation . Corticosteroids : Ex- prednisone, budesonide. Lower the activity of immune system and limit the inflammation . Iron supplements :Ferrous sulphate 3-4 mg. Increase haemoglobin and to prevent remission.

13. TREATMENT CHART BRAND NAME GENERIC NAME DOSE ROA FREQ D1 D2 D3 IVF NS Normal saline 500ml IV 75ml/ hr Inj Pantop Pantoprazole 400mg IV 1-0-1 T Sumol Paracetamol 1g PO 1-0-1 Inj Emeset Ondansetron 4mg IV 1-0-1 Inj Tazoniche Piperacillin + Tazobactum 4.5mg IV 1-0-1 Inj Metrogyl Metronidzole 100 ml IV 1-0-1

14. PROGRESS REPORT Day:01 Vitals stable Slight pain in abdomen Day:02 Vitals stable Pain relived Day:03 Vitals stable No fresh complaints Ready for discharge

15. DISCHARGE MEDICATION BRAND NAME GENERIC NAME DOSE ROA FREQ T Oft Ofloxacin + Tinidazole 200mg+600mg PO 1-0-1 T Snigzole -D Pantoprazole + Domperidone 40mg PO 1-0-1

16. PATIENT COUNCELLING ABOUT DISEASE ULCERATIVE COLITIS: Is a long term condition that causes inflammation and ulcers in your digestive tract . It affects the innermost lining of your large intestine(colon) leading to bleeding and diarrhoea, abdominal cramps, nausea. Causes : Genetic- Metabolic defect, connective tissue disorder Environmental- Diet Infection Drugs- NSAID, Antibiotics, contraceptive pills.

17. About Medications The medication given includes Antibiotics, proton pump inhibitor, Antiemetic, analgesic Ofloxacin + Tinidazole : is a tablet taken with water, with or without food , and drink extra fluids . And Advise patient to use sunscreen ,avoid exposure to sunlight as ofloxacin causes phototoxicity . Avoid Zn or Fe or antacids before or after ofloxacin . Pantoprazole + Domperidone (decrease amount of acid produced in the stomach, and prevent vomiting) : It is taken 30 min before the meal. Use antibiotics for the full prescribed length of time , even if the symptoms quickly improve. Avoid long term use of antibiotics . Do not share your antibiotics with others . PATIENT COUNCELLING

18. DO’s Drink sufficient amount of fluids . Eat banana, apple, papaya ,carrot, green leafy vegetables. Consume more omega-3 fatty acids in the diet Eat small and frequent easy to digest meals Add fiber in diet PATIENT COUNCELLING Don't Milk, dairy products, sugar Fat foods such as butter, cream, chocolate Stress Spicy and fried food Nuts, seeds, Processed food and bread . Medications containing ibuprofen, Aspirin which may irritate your stomach Life style modification

19. THANK YOU