A case presentation

on
sunstroke
Presenting by,
B.S.K Priya ,
Y11PHD0405,
Pharm.D III/VI

Guide,
P. Rama Krishna,
Assistant prof. in pharmacy practice

contents

Patient Details

Chief complaints And Past History

Diagnosis

Examination And Lab Investigation

SOAP ANALYSIS

Pharmaceutical issues

Suggestions and patient education

Patient details
Patient age

25

Sex

male

Date of admission

2-6-2014

ward

C ward

Reg.no:

2014060045

Chief complaints

Fever

Chills

Vomiting

Dehydration

General weakness

Hyper ventilation(fast shallow breathing)

Past history
No past history

Physical Examination
Body

temperature:104 0F

B.P:120/80
Pulse

mm of hg

rate:94 bpm

Respiratory

rate:35 bpm

LAB INVESTIGATIONS
Lab results

Normal value

Result value

Serum sodium

135-155mmol/l

180mmol/l

Serum potassium

3.5-5.5mmol/l

2.0mmol/l

Serum phosphates

2.5-4.5mg/dl

1.5mg/dl

Serum calcium

8.5-10.2mg/dl

5.5mg/dl

Serum magnesium

1.5-2meq/l

0.5meq/l

Hepatic function tests

Test name

Normal value

Result value

Aspartate
aminotransferase

14-20 units/lit

25 units/lit

Alanine
aminotransferase

10-40 units/lit

50 units/lit

Creatinine kinase

60-174 IU/L

190 IU/L

Aldolase

1.0-7.5 U/L

9.5 U/L

myoglobin

10-95ng/ml

105ng/ml

Serum uric acid

4.0-8.5mg/dl

1.0mg/dl

b.u.n

1.8-7.1mmol/l

9.1mmol/l

Serum creatinine

0.6-1.4mg/dl

3.4mg/dl

Muscle function tests

Renal function tests

IMAGING STUDIES

C.T SCAN RESULTS SHOW THERE IS NO DAMAGE TO INTERNAL

ORGANS

ECG:ST AND T WAVE ABNORMALITIES SHOW THERE IS NON

SPECIFIC AND ISCHEMIC TACHY CARDIA

DIAGNOSIS

THE PATIENT IS SUFFERING FROM SUN STROKE

SOAP ANALYSIS
Subjective evidence:- Fever, chills, vomiting, dehydration, general weakness.
Objective evidence:-All electrolytes imbalance were observed.
Test name

Normal value

Result value

Aspartate
aminotransferase

14-20 units/lit

25 units/lit

Alanine
aminotransferase

10-40 units/lit

50 units/lit

Creatinine kinase

60-174 IU/L

190 IU/L

Aldolase

1.0-7.5 U/L

9.5 U/L

myoglobin

10-95ng/ml

105ng/ml

Assessment:- Based on subjective and objective evidences the patient was

diagnosed to be attacked by sunstroke.

TREATMENT OPTION
DRUG
GENERIC
NAME

DRUG BRAND
NAME

DOSE

FREQUENC
Y

CATEGORY

IV FLUIDS

DURATION

DAY1 TO DAY2

INJ.MONOCEF

CEFTRIAXONE

4mg

STAT

3RD GEN CEPHALOSPORIN

DAY1 TO DAY2

INJ.ZOFER

ONDANSETRO
N

50mg

STAT

ANTI EMETIC

DAY1 TO DAY2

TAB.DOLO

PARACETMOL

10mg

TID

ANTI PYRETIC

DAY1 TO DAY2

INJ.INFUPAR

PARACETMOL

650MG

TID

ANTI PYRETIC

INJ.PANTOP

PANTACID

400mg

STAT

Proton pump inhibitor

DAY2
DAY1 TO DAY2

SUGGESTIONS AND PATIENT EDUCATION:

Wear loose fitting, light weight clothing such as cotton.

Wear light color clothes.

Drink plenty of fluids.

Avoid exposure to sunlight.

LIFE STYLE MODIFICATIONS:-

Go to a shady or air- conditioned place.

Cool off with damp sheets and fan.

Rehydrate

Dont drink beverages with alcohol to rehydrate.

Drink plenty of fluids.