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Anemia Case Presentation and Management

A 29-year old female patient presented with high fever, chills, body pain, headache and weakness. Laboratory tests revealed low hemoglobin, red blood cell count, and platelet count, consistent with a diagnosis of anemia. She was prescribed antibiotics, antiemetics, analgesics, iron supplements, and vitamins to treat the anemia and associated symptoms. The patient was counseled on dietary changes and lifestyle modifications to manage the anemia long-term.

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Newtan Deb
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239 views10 pages

Anemia Case Presentation and Management

A 29-year old female patient presented with high fever, chills, body pain, headache and weakness. Laboratory tests revealed low hemoglobin, red blood cell count, and platelet count, consistent with a diagnosis of anemia. She was prescribed antibiotics, antiemetics, analgesics, iron supplements, and vitamins to treat the anemia and associated symptoms. The patient was counseled on dietary changes and lifestyle modifications to manage the anemia long-term.

Uploaded by

Newtan Deb
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

CASE PRESENTATION ON

ANEMIA

VALENTINA GOGOI
ROLL NO. 18WJ1TOO20
PHARM D. 5TH YEAR
SUBJECTIVE DATA:

A 29 years old female patient was admitted to hospital


with chief complaints of high grade fever, chills, body
pain, headache and generalized weakness.
Past medical history: fever
 Past medication history: Dolo ;650gm
ANEMIA:
OBJECTIVE DATA:

 Blood pressure: 120/90 mmhg PCV(35-50%): 2.55 gm%


 Pulse rate : 78/min platelet (1.5-4.0lac/m^3): 4.51 lac/m3
 Temperature : 102’F lymphocytes(20-40%) : 15%
 Chloride(95-105meq/l) : 107 meq/l ESR(<20mm 1 st hr): 43 mm
 Hb(11-18g/dl) : 8.1 gm/dl SGOT( 5-40U/L): 55 U/L
 RBC COUNT(3.8-4.8ml/m^3): 3.87 ml/m3 SGPT(upto 45 U/L ): 64 U/L

FINAL DIAGNOSIS: ANEMIA


ASSESSEMENT:
MEDICATION CHART:

BRAND NAME GENERIC NAME ROA DOSE FREQUENCY INDICATION


Inj. Monocef CEFTRIAXONE IV 1 gm BD CHEPALOSPORIN
ANTIBIOTIC
Tab. DOXY DOXYCYCLINE IV 100 mg BD TETRACYCLINE
ANTIBIOTIC
Inj. ZOFER ONDANSETRON IV 5 mg OD ANTIEMETIC
Inj. PAN PANTOPRAZOLE IV 40 mg OD PPI
Syrup FERRITIN P/O 20 ml BD FOLIC ACID, FOR
HEOMOFER IRON
SUPPLIMENT

Inj. PCM PARACETAMOL IV 650 gm OD ANALGESIC,


ANTIPYRETIC
Tab vitamin C VITAMIN C P/O 500 mg BD FOR VITAMIN C
DEFICIENCY
Inj. OPTINEURON THIAMINE IV 120 mg OD TO PROVIDE
VITAMIN B1
ASSESSMENT:

 Based on subjective and objective data the patient was finally diagnosed with anemia.
 As the patient had chief complaints of high grade fever, body pain, chills headache,
generalized weakness so they had started the drugs as follows according to day wise .
 DAY1:
 Initially the physicians prescribed with glucose administration.
 Cephalosporin antibiotic ceftriaxone and tetracycline antibiotic doxycycline is giving
to the patient had anemia symptoms which may be cause by H. pylori bacteria.
ASSESSMENT:
 PPI pantoprazole was given to the patient to reduce drug induced ulcer .
 Vitamin C and vitaminB1 supplement was given to the patient to balance vitamins in the
body.
 Analgesic and antipyretic Paracetamol was given to control high grade fever , body pain.
 Ferritin was also introduce to the patient to supply iron supplement to supply body and to
treat anemia.
 DAY 2:
 They are following up all the medications as prescribed in day 1 until the patient was
recovered fully .
 They had stopped ondansetron as the patient had no symptoms of nausea and vomiting .
PLAN:

GOALS:
To reduce temperature
To reduce pain
To control anemia
To get better healthy life style
PATIENT COUNSELLING:
 1. Food which is iron rich should be included in diet such as spinach, green, leafy
vegetables beetroot, carrot , pomegranate etc.
 2. Yoga should be done and breathing exercise help in receiving good amount of oxygen.
 3. Medication should be taken as prescribed by physicians and should not skip any does if
it does then take in next dose.
 4. Avoid junk food, fatty food and food which added more preservatives.
 5. Fruits such as orange, paramagnet should be taken.
 6.Drink plenty of fluid in everyday upto4-5 liters per day.
 7. Take plenty of rest and try to be stress-free.
 8.Maintain proper hygienic condition.

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