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A case study on pulmonary oedema
- 2. A 44years old male patient was admitted in the hospital on 1-4-14 . C/O: History of shortness of breath since 3 days . O/E: patient: conscious / oriented , pallor: nil , cyanosis: nil , clubbing: nil , edema: nil , oral cavity: normal , icterus: nil , lymph nodes: normal , temperature: A febrile, pulse:114/min, B.P:210/140mmHg , P/A: soft ,
- 3. PAST MEDICAL HISTORY: Not a known case of D.M, Hypothyroidism, etc… but he is a known case of HTN, CHRONIC KIDNEY DISEASE on dialysis . PAST MEDICATION HISTORY: Tab. Calcigard retard , Tab. Betalac , Tab. minipress XL, Inj. Wepox . SOCIAL HISTORY: Non alcoholic , Non smoker .
- 4. LAB INVESTIGATION: W.B.C Count 16.80* 4.00 – 11.00*10^3u/l differential count Neutrophils 88 40 - 75% lymphocytes11 30 - 50%(male) 20 – 40%(female) monocytes 00 2 – 4% eosinophils 01 2 – 6% basophils 00 0 – 1% Hb 8.8* 13.5 - 17g/dl(male) 12 – 15.5g/dl(female) PCV 26 40 – 52% RBC 2.8 4.60 – 6.00*10^6/UL Platelet count 129* 150 - 400*10^3/ul
- 5. MCV 91 76 - 96FL MCH 30 27 – 31 MCHC 32 3236g/dl ESR 20 5 – 15mm(male) 5 – 20mm(female) serum creatinine 134* 0.5 – 1.2mg/dl blood urea 7.6* 10 – 50mg/dl electrolytes: sodium 136 136 - 145mmol/lit potassium 4.8 3.5 – 5.1mmol/lit chloride 105 95 - 111mmol/lit Bicarbonate 24 21 - 28mmol/lit CHEST X-RAY: AP view bedside Result: RIGHT PLEURAL EFFUSION
- 6. DIAGNOSIS: ACUTE PULMONARY OEDEMA WITH ACCELERATED HTN
- 7. MEDICATION CHART: SERIA L NO. DRUGS DOSE ROUT E FREQU- ENCY 1) INJ. AUGUMENTIN 1.2g IV BD 2) INJ.CIPROFLOXACIN 200mg IV OD 3) INJ.WEPOX 400U STAT 4) INJ.FERROJECT 5ml+100 ml NS P/O OD 5) Tab. PANTOCID 40mg P/O OD 6) Tab. CALCIGARD RETARD 20mg P/O TDS 7) Tab. BETALAC 50mg P/O BD 8) Tab. MINIPRESS XL 5mg P/O BD
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