Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
ON
ANEMIA
BY:-
J. andeep chakravarthy
PHARM.D 4th YEAR
REG NO:14Q1810
1
PATIENT DETAILS
Name : KAVERI
Age : 18 Years
Gender : Female
Address : Surwar Tq: sedam
IP Number : 160843
Ward : General Medicine
Unit : Medicine Female A
DOA : 04/10/2015 11:31:24 am
DOD :08/10/2015
2
REASONS FOR ADMISSION
Chief Complaints:
C/O Generalized weakness , Giddiness,
Nausea
after meal vomiting
3
Past medical history:
not known case of HTN/DM/TB/ASTHAMA
4
Day 1
General Examination:
Vital signs:
5
LABRATORY INVESTIGATIONS:
TEST TEST VALUE REFERENCE
VALUE
BLOOD GROUP A+ -
Hb 4 gm/dl 14-17gm/dl
SEVERE ANEMIA
8
BACK GROUND OF THE DISEASE
DEFINATION
ETIOLOGY
SIGNS & SYMPTOMS
TYPES OF ANEMIA
PATHOPHYSIOLOGY
PHARMACOTHERAPY
9
DEFINATION OF ANEMIA
According world health organisation
anaemia is described as a symptom
complex or disease recognised by fall in
oxygen carrying capacity of blood . It is
recognised by reduction in HB% Or
RBC% OR both.
10
Anemia:
11
Etiology of anemia
Anemia is not an actual disease – its a
condition that is caused by some other
problems . There are three basic ways
BLOOD LOSS
LOW PRODUCTION OF HEALTHY
RBCs
RAPID DESTRUCTION OF RBCs
12
SEVERITY OF ANMEIA
• It categorized upon concentration
hemoglobin ranges
• Mild anemia : 9.5-13.0g/dl
• Moderate anemia : 8.0-9.5g/dl
• Sever anemia : <8.0g/dl
Symptoms of anemia :
Loss of appetite
Pale lips and brittle nails
Weakness and sore mouth
Fatigue
Tiredness, concentration problems
Difficulty swallowing
Rapid and irregular heart beat
Chest pain, dizziness .
14
TYPES OF ANEMIA
• Iron deficiency anemia
• Megaloblastic anemia
• Pernicious anemia
• Hemorrhagic anemia
• Hemolytic anemia
• Thalassemia anemia
• Sickle cell anemia
• Aplastic anemia
Pathphysiology:
16
Pharmacotherapy
Treatment for anemia depends on type ,cause and
severity of condition
Treatment may include dietary changes or
supplements ,medicines ,procedures or surgery to
treat blood loss
20
Day 2
Vital signs
Temperature (oF) : Afebrile
Pulse rate (/min) : 80/bpm
Respiratory Rate (/min): 18 cpm
BP(mm of Hg) : 90/70 mmHg
ADV:
B-protein powder 1-0-1
CST…..
21
Day 3
Vital signs
Temperature (oF) : Afebrile
Pulse rate (/min) : 80bpm
Respiratory Rate (/min) : 20 cpm
BP(mm of Hg) :100/70 mmHg
ADV:
CST...
24
SOAP
Subjective evidence Objective evidence
C/O Generalized Decreased HB
weakness , Giddiness, Decreased RBC
Nausea, after meal
vomiting
25
ASSESSMENT
24
PLAN
GOALS OF THE TREATMENT
Short term goals:
Relief of symptoms.
Normalize and maintain RBC & HEAMOGLOBIN
To minimize Disease progression ANEMIA.
27
MONITORING PARAMETERS
Disease Related:
HB
RBC
Drug related:
•Drug-Drug interactions
28
DRUG-DRUG &
DRUG- FOOD INTRACTIONS
2. About Medication:
•Indication of prescribed medicines
•Possible side effects
3. Life style modification
30
Life style modification:
31
•THANK YOU............