CASE PRESENTATION ON HYPERTENSION

Presenting By
Your name
Pharm.D II year

Guide
lecturer name
designation

CONTENTS

Patient Details

Chief complaints And Past History

Diagnosis

Examination And Lab Investigation

SOAP ANALYSIS

Pharmaceutical issues

Suggestions and patient education

PATIENT DETAILS

Age:45 yrs

Sex : Male

Weight:64kg

Ward : G

DOA:17-02-2013

DOD: 24-02-2013

Hosp no:2012090991

CHIEF COMPLAINTS:

Mention all the symptoms of patient.(reason for admission)

For ex: pt has vomitings since 3 days

PAST HISTORY

Mention Any diseases or surgical operations or other problems

For ex: this patient has DM since 3 years

EXAMINATIONS AND LAB INVESTIGATIONS

Physical examinations like BP., PR, RR, SKIN COLOR, EYES COLOUR OR DAMAED
PATRS

Lab investigations:

Mention all the investigation details like blood report, biochemical report, radiological
report

NOTE: mention the abnormal values in red colour

DIAGNOSIS

Mention the methods used for diagnosis and explain in detail

Note: mention the type and severity of diasease

SOAP ANALYSIS

Subjective evidences: all the symptoms

Objective evidences: mention all abnormal paramenters

Assessment: based on s and o , explain the causes and diagnose the diasease

PLAN FOR THERAPY

Drug name and
dosage form

Dose

Frequency

duration

Inj. pantaprazole

1 amp(40mg)

BD

Day1 to day 3(3 days)

Tab. Aspirin

75mg

OD

1. pantaprazole:

Why this drug is given to this patient.

What is the normal dose and compare with drug in treatment chart

Side effect/ adverse effets

Drug interactions commonly observed with this drug

Precautions to be taken with this drug

PHARMACEUTICAL ISSUES

Mention any drug interactions or medication errors or adverse effects identified

SUGGESTIONS AND PATIENT EDUCATION

Suggestions related to disease and some particular drugs

LIFE STYLE MODIFICATIONS

Non pharmacological therapy