This case presentation describes a 25-year-old male patient presenting with fever, chills, night sweats, and headache for 5 days. Clinical investigations revealed decreasing hemoglobin and red blood cell levels, leading to a diagnosis of acute febrile illness with severe anemia. Treatment included IV fluids, antibiotics, antacids, antiemetics, and planned blood transfusion. The patient was discharged with oral medications and dietary and lifestyle counseling to manage anemia.
This case presentation describes a 25-year-old male patient presenting with fever, chills, night sweats, and headache for 5 days. Clinical investigations revealed decreasing hemoglobin and red blood cell levels, leading to a diagnosis of acute febrile illness with severe anemia. Treatment included IV fluids, antibiotics, antacids, antiemetics, and planned blood transfusion. The patient was discharged with oral medications and dietary and lifestyle counseling to manage anemia.
This case presentation describes a 25-year-old male patient presenting with fever, chills, night sweats, and headache for 5 days. Clinical investigations revealed decreasing hemoglobin and red blood cell levels, leading to a diagnosis of acute febrile illness with severe anemia. Treatment included IV fluids, antibiotics, antacids, antiemetics, and planned blood transfusion. The patient was discharged with oral medications and dietary and lifestyle counseling to manage anemia.
This case presentation describes a 25-year-old male patient presenting with fever, chills, night sweats, and headache for 5 days. Clinical investigations revealed decreasing hemoglobin and red blood cell levels, leading to a diagnosis of acute febrile illness with severe anemia. Treatment included IV fluids, antibiotics, antacids, antiemetics, and planned blood transfusion. The patient was discharged with oral medications and dietary and lifestyle counseling to manage anemia.
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CASE PRESENTATION
ACUTE FEBRIL WITH SEVERE ANEMIA
NAME: V. HARSHINI PHARM.D 4TH YEAR ROLL NO: 19 DEFINATION Anemia is a decrease in the total amount of red blood cells or hemoglobin(RBC) in the blood or result in decreased oxygen-carrying capacity of blood. It is the most common blood disorder, affecting about a third of the global population SUBJECTIVE EVIDENCE A 25 years male patient presented with chife complaints of Fever with chills ,night sweetings, Headache since 5 days , dizziness . PATIENT HISTORY •MEDICAL: FEVER SINCE 5 DAYS. •MEDICATION: PARACETAMOL 500Mg since 3days. •SOCIAL HISTORY: NO. •FAMILY HISTORY: NO. •ALLERGIES: NIL. OBJECTIVE EVIDENCE •BP: 110/80 mm/hg •RR: 16 bpm •PR; 78 bpm •GENERAL: PICCLE NEGATIVE •CVS: S1 S2 + •CNS: CONSCIOUS CLINICAL INVESTIGATIONS TEST 18\09\18 19\09\18 @6:00PM 20/09/18 @12:00PM HGB 4.8 g/dl 4.2 g/dl 4.5 g/dl
RBC 3.28 3.24 3.28
ASSESMENT Based on subjective and objective evidence the disease is diagnosed as “ACUTE FEBRILE ILLNESS WITH SEVERE ANEMIA’’ DRUG CHART S. DRUGS GENERIC DOSE ROUT FREQ. DAY1 DAY DA N NAME E 2 Y3 O. 1 IVFLUIDS-NS 1Θ IV BD √√ √√ 2 INJ.CEFTRIAXONE 1GM IV BD √√ √√ √√ 3 TAB.DICLOFENAC 125MG PO BD √√ √√ √√
4 TAB.ACETAMINOP ICC PO BD √√ √√ √√ HEN 5 INJ.PANTAPROZOL 40MG IV BD √ √ √ E 6 INJ.ONDANSETRO 4MG IV BD √√ √√ √√ N PLANNED FOR BLOOD T RANS FUSION DISCHARGE MEDICATION DRUG DOSE FREQUENCY ROA DAYS
PARACETAM 500mg TID PO 2 DAYS
OL PANTOP 40mg OD PO 2 DAYS
MULTIVITA 1CAP OD PO 2 DAYS
MIN GOALS ON THERAPY • PATIENT SPECIFIC GOALS: • TO REDUCE SYMPTOMS LIKE FEVER,DIZZINESS,FATIGUE. DECREASE INTENSITY OF UNSUSUAL THOUGHTS • DISEASE SPECIFIC GOALS: • TO MAINTAIN THE HEMOGLOBIN LEVELS. • TO MAINTAIN RBC TO NORMAL GOALS ACHIVED •MONITERING VITALS: (TEMPERATURE),BP DRUG INTERACTION S DRUGS USES ADR’S. RXN
1. CEFTRIAXONE INFECTIOUS SKINREACTIONS,
DIARRHEA, HEADACHE, SKIN INFECTIONS, DIZZINESS UTI’S, INFECTIONS OF EAR , THROAT 2. DICLOFENAC MILD TO STOMACH PAIN, MODERATE FEVER, VOMITING, SWELLING , CONSTIPATION, PAIN. DIARRHEA 3. ACETAMINOPHEN FEVER, HEADACHE, ALLERGIC SKIN MUSCLEACHES, REACTION , COLD. THROMBOCYTOPENIA 4. PANTAPROZOLE USED TO TREAT DIARRHOEA, STOMACH JOINT STROEOSPHAGE PAIN, AL HEADACHE, REFLUX DISEASE DIZZINESS 5. ONDANSETRON ANTEIMATIC(PRE DIZZINESS, VENT HEADACHE NAUSEA AND VOMITING) POINTS TO PATIENT TAKE IRON SUPPLEMENTS AN HOUR BEFOR MEAL FOR MAXIMUM ABSORPTION INCREASE THE INTAKE OF VITAMIN C ( CITRUS FRUITS ,TOMATOSE. • ESPECIALLY DARK ONES ARE AMOUNG THE BEST COURCESS OF NONHEME IRON CONSUME HIGH FIBER FOOD LIFE STYLE MODIFICATION MEDICATION: DOSE AND DOSAGE ARE MONITORECL • DIET COUNSELLING: EAT LEAF GREENS VEGETABLES • SPINACH • MEAT AND POULTRY : LIKE RED MEAT AND CHICKEN. • SEA FOOD:FRESH SALMON,FRESH PERCH. • BEANS:LIKE SOYA BEANS,BLACK BEANS. • NUTS AND FRUITS:LIKE CASHEWS,PAPAYA,ETC… • AVIOD FOODS LIKE: • SOFT DRINKS P ,SMOKING ,ALCOHOL
