1 / 20

COURSE IN THE WARDS

COURSE IN THE WARDS. UPON ADMISSION. URINALYSIS. Platelet concentrate transfusion 2U Prednisone 10mg/5ml, 7ml TID after meals Lactulose 10 ml ODHS Patient developed abdominal pain. - Omeprazole 10mg/SIVP QD . 2 nd HOSPITAL DAY.

thetis
Download Presentation

COURSE IN THE WARDS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. COURSE IN THE WARDS

  2. UPON ADMISSION

  3. URINALYSIS

  4. Platelet concentrate transfusion 2U • Prednisone 10mg/5ml, 7ml TID after meals • Lactulose 10 ml ODHS • Patient developed abdominal pain. - Omeprazole 10mg/SIVP QD

  5. 2nd HOSPITAL DAY • Patient had 3 episodes of vomiting of previously ingested food. • Cefuroxime500mg/IV q8 was given.

  6. 3RD HOSPITAL DAY • Patient was given Salbutamol 2mg/5ml syrup, 4 ml q8 due to persistence of cough.

  7. 4THHOSPITAL DAY • Patient was transfused with 2 units of type specific platelet concentrate. • Gum bleeding (+) for blood clots -Tranexamic acid 250mg/tab diluted in 250ml cold water, gargled TID. • Left ear pain (+)impacted cerumen on both ears. -Baby oil was instilled on both ears, 2-3 drops for 3 x a day.

  8. 5TH HOSPITAL DAY • Persistence of fever (T 39.5-40.5) - Cefuroxime was shifted to Ceftazidime 500mg/IV infusion over 30 minutes q8. - Amikacin 80mg/SIVP q8 was also given. • Blood culture and sensitivity was requested • Transfuse with 240ml of properly typed and crossmatched packed RBCs

  9. 6TH HOSPITAL DAY • Patient had increased appetite and was less irritable. • Still complained of left ear pain experienced productive cough.

  10. 7TH HOSPITAL DAY • Transfused 2 units of type specific platelet concentrate.

  11. Referred to ENT Assessment : Impacted cerumen, AU t/c post auricular cellulitis. Otosol drops 3gtts q8 hours AU

  12. 9TH HOSPITAL DAY • Referred to Ophthalmology Assessment: Subconjunctival Hemorrhage, OS Periorbital Hematoma, OU • Advised to apply cold compress 15 mins TID x 48 hrs on both eyes then warm compress thereafter

  13. Fluconazole was started Dosage: 200mg/capsule, 1 capsule as loading dose Then ½ capsule OD as maintenance dose to begin 24 hrs after. LOADING DOSE= 12mg/kg BW = 12mg x 16 kg = 192g MAINTENANCE DOSE = 6mg/kg BW = 6mgx 16 kg = 96g

  14. 10TH HOSPITAL DAY • Transfused with 2 units of type specific platelet concentrate.

  15. 11TH HOSPITAL DAY BLOOD CULTURE AND SENSITIVITY BACTEC 9120 (AEROBIC) SPECIMEN: BLOOD WITH ARD FINAL REPORT: No growth after 5 days incubation

  16. 12TH HOSPITAL DAY • Aural irrigation done, AU Findings: (+) Perforated TM, hyperemic TM, AS Impression : COM, AS, Active Suggest to start Chloramphenicolotic drops 2 gtts TID x 7 days • Referred to Pedia-Nutrition

More Related