CASE PROFILE HYPERTENSION

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CASE PROFILE HYPERTENSION:

CASE PROFILE HYPERTENSION BY KAVYA PHARM D(III YEAR) VCOP,HANAMKONDA

SOAP FORMAT:

SOAP FORMAT Subjective findings :- A female patient of age 50yrs was admitted into MGM hospital with complaints of :- Epigastric pain Vomitings Abdominal distension Restlessness H/O HTN,DM.

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OBJECTIVE FINDINGS :- +On the day of admission and upon examination ,the patient was found to be:- conscious and coherent afebrile PR-90/min BP-150/100mm Hg Heart-S1,S2+ P/A soft LAB FINDINGS :- ECG findings-ST T decreased V3-V6 FBS-240mg/dl (80-120mg/dl) Blood urea-36mg/dl (10-40mg/dl) Creatinine-1.2mg/dl (0.7-1.4mg/dl)

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ASSESSMENT:- From the above symptoms,past history and the lab reports the patient condition was diagnosed to be HYPERTENSION.

PLANNING:

PLANNING ROA Brand name Generic name Dose Frequency Duration Oral ISMO Isosorbide mono nitrate 20mg BD D1-D4 Oral CLOPITOP Clopidogrel 75mg OD D1-D4 Oral ENAM Enalapril 2.5mg BD D1-D4 Oral MET-X Metoprolol 12.5mg BD D1-D4 Oral ATORVASTATIN Atorvastatin 10mg OD D1-D4 Oral SORBITINATE Isosorbide dinitrite 5mg OD SOS Oral OMEZ Omeprazole 20mg OD D1-D4 S.C HUMAN MOXTARD Insulin BD SOS

SUGGESTIONS:-:

SUGGESTIONS:- Salt intake should be reduced Thorough monitoring of B.P is required Alcohol and smoking must be restricted Sweets must be avoided

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THANK YOU

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