Case No.

:
Date:
SUBJECTIVE

OBJECTIVE

ASSESSMENT

PLAN

PROBLEM

1.VITAL SIGNS
2.LAB TESTS
3.MED.LIST

ETIOLOGY OF
PROBLEM

1.EVALUATE CURRENT
THERAPY FOR
PROBLEM
2.EVALUATE NEED
FOR THERAPY

ENTERIC FEVER

Vitals:

Enteric Fever /

1. The treatment of

B.P: 110/70 mm of Hg

Typhoid fever

choice is a

14 y/o male was admitted

PR:64/min

also known simply

fluoroquinolone such

on 28/03/2014 with c/o on

Temp:99F

as typhoid is a

as ciprofloxacin.

and off fever since 4 days

CVS:S1S2 ++

common

Otherwise, a third-

and chills, cough,

RS :18/min

worldwide

generation

GOALS FOR
TREATMENT
OF PROBLEM

1. Complete
bacterial
suppression
2. Reduce

PATIENT
EDUCATION
RECOMMEND
1. DRUG TREATMENT FOR
PROBLEM
2. MONITORING
PARAMETERS FOR EACH
DRUG LISTED
3. FURTHER TESTS FOR
PROBLEM IF NEEDED
4. DRUGS TO BE AVOIDED
AND WHY
1. T.Cefixime 200mg BD
T.Paracetmol 650mg BD

emphasizing medication

Syp. Multi Vitamins+Micro

adherence.

Nutrients-1tsp

fever, chills,
cough and
head ache

2. Monitor the temperature

and that are still hot

frequently

and steaming.

PALLOR: NO

bacterial disease

cephalosporin such as

PMH: Non- remarkable

ANEAMIA: NO

transmitted by the

ceftriaxone or

3. Sensitivity culture test &

prior to admission.

CYANOSIS:NO

ingestion of food

cefotaxime is the first

other non specific laboratory

JAUNDICE: NO

or water

choice. Cefixime is a

test includes - ESR, PT, aPTT,

OEDEMA: NO

contaminated with

suitable oral

Na and K levels.

Labs:

the feces of an

alternative.

A serum alanine amino transferase

1
10.4gm
%

Current medication:
T.Cefixime 200mg BD
T.Paracetmol 650mg BD
Syp.Multi Vitamins+Micro
Nutrients-1tsp

infected person,
which contain the
bacterium
Salmonella
enterica subsp.
enterica, serovar

Need for Therapy:

Oral Rehydration
Therapy

2. Eat foods that have

been thoroughly cooked

headache, anorexia.

DATE
Hb

1. Continue

(ALT)tolactate dehydrogenase (LDH)

ratio of more than 9:1 appears to be
helpful in distinguishing typhoid from

3. Keep taking the

prescribed antibiotics
for as long as the
doctor has asked you
to take them.
4.Wash your hands

viral hepatitis. A ratio of greater than

carefully with soap and

9:1 supports a diagnosis of acute viral

water after using the

hepatitis, while ratio of less than 9:1

bathroom, and do not

supports typhoid hepatitis

prepare or serve food

Typhi

for other people. This

4. Typhoid vaccine should not

will lower the chance

be used in a person who is a

that you will pass the

typhoid carrier.

infection on to

Department of Pharmacy Practice, Sri Venkateswara College of Pharmacy, RVS Nagar, Chittoor-517127 (AP), INDIA

Case No.:
Date:
someone else.

Department of Pharmacy Practice, Sri Venkateswara College of Pharmacy, RVS Nagar, Chittoor-517127 (AP), INDIA