A case presentation on

sunstroke

Presenting by,B.S.K Priya ,Y11PHD0405,Pharm.D III/VI

Guide,P. Rama Krishna,

Assistant prof. in pharmacy practice

contents Patient Details Chief complaints And Past History Diagnosis Examination And Lab Investigation SOAP ANALYSIS Pharmaceutical issues Suggestions and patient education

Patient details

Patient age 25

Sex male

Date of admission 2-6-2014

ward C ward

Reg.no: 2014060045

Chief complaints

Fever Chills Vomiting Dehydration General weakness Hyper ventilation(fast shallow breathing)

Past history

No past history

Physical Examination

Body temperature:104 0FB.P:120/80 mm of hgPulse rate:94 bpmRespiratory rate:35 bpm

Lab results Normal value Result value

Serum sodium 135-155mmol/l 180mmol/l

Serum potassium 3.5-5.5mmol/l 2.0mmol/l

Serum phosphates 2.5-4.5mg/dl 1.5mg/dl

Serum calcium 8.5-10.2mg/dl 5.5mg/dl

Serum magnesium 1.5-2meq/l 0.5meq/l

LAB INVESTIGATIONS

Hepatic function testsTest name Normal value Result valueAspartate aminotransferase

14-20 units/lit 25 units/lit

Alanine aminotransferase

10-40 units/lit 50 units/lit

Muscle function tests

Creatinine kinase 60-174 IU/L 190 IU/LAldolase 1.0-7.5 U/L 9.5 U/Lmyoglobin 10-95ng/ml 105ng/mlRenal function tests

Serum uric acid 4.0-8.5mg/dl 1.0mg/dlb.u.n 1.8-7.1mmol/l 9.1mmol/lSerum creatinine 0.6-1.4mg/dl 3.4mg/dl

IMAGING STUDIES

C.T SCAN RESULTS SHOW THERE IS NO DAMAGE TO INTERNAL ORGANS

ECG:ST AND T WAVE ABNORMALITIES SHOW THERE IS NON SPECIFIC AND ISCHEMIC TACHY CARDIA

DIAGNOSIS

THE PATIENT IS SUFFERING FROM SUN STROKE

SOAP ANALYSISSubjective evidence:- Fever, chills, vomiting, dehydration, general weakness.Objective evidence:-All electrolytes imbalance were observed.

Assessment:- Based on subjective and objective evidences the patient was diagnosed to be attacked by sunstroke.

Creatinine kinase 60-174 IU/L 190 IU/LAldolase 1.0-7.5 U/L 9.5 U/Lmyoglobin 10-95ng/ml 105ng/ml

Test name Normal value Result valueAspartate aminotransferase

14-20 units/lit 25 units/lit

Alanine aminotransferase

10-40 units/lit 50 units/lit

TREATMENT OPTIONDRUG GENERIC NAME

DRUG BRAND NAME

DOSE FREQUENCY

CATEGORY DURATION

IV FLUIDS DAY1 TO DAY2

INJ.MONOCEF CEFTRIAXONE 4mg STAT 3RD GEN CEPHALOSPORIN DAY1 TO DAY2

INJ.ZOFER ONDANSETRON

50mg STAT ANTI EMETIC DAY1 TO DAY2

TAB.DOLO PARACETMOL 10mg TID ANTI PYRETIC DAY1 TO DAY2

INJ.INFUPAR PARACETMOL 650MG TID ANTI PYRETIC DAY2

INJ.PANTOP PANTACID 400mg STAT Proton pump inhibitor DAY1 TO DAY2

SUGGESTIONS AND PATIENT EDUCATION:- Wear loose fitting, light weight clothing such as cotton. Wear light color clothes. Drink plenty of fluids. Avoid exposure to sunlight.

LIFE STYLE MODIFICATIONS:-

Go to a shady or air- conditioned place. Cool off with damp sheets and fan. Rehydrate Don’t drink beverages with alcohol to rehydrate. Drink plenty of fluids.