CASE STUDY ON ACUTE

PANCREATITIS

PRESENTED BY
MARTIN SHAJI
PHARM D
PATIENT DEMOGRAPHIC DATA:

Name prasanth Age : 49 years Gender:

Male Weight : 68 kgs IP no : 5637

Department / Ward : General male

medicine Date of admission : 1 - 9 - 2018
Date of discharge : 5 - 9 - 2018
 CHIEF COMPLAINTS : -

 Abdominal pain since 4 days,

 Vomitings since 2 days with 3 episodes,

 Fever since 2 days,
 Abdominal discomfort,
 Nausea.
 Loss of appetite
PAST MEDICAL HISTORY :

• Known Hypertensive since 5 years

Past Medication History :

• Anti Hypertensive Therapy since 5 years

SOCIAL HISTORY :
• Alcoholic since 10 years.
ON EXAMINATION: Patient is conscious
coherent and vital signs are as follows :
S Vital signs Days
.
1 2 3 4
N
o

1Temperature(degrees F) 102 101 99 99

2Blood Pressure(mm 130/90 130/90 120/90 120/90
of Hg)
3Pulse Rate(bpm) 90 89 89 87
 LABORATORY INVESTIGATIONS :
S.No Parameter Observed range Normal value
1 Hemoglobin 10 gm /dl 11-16.5 gm /dl
2 RBC 4.2 Cell/cum 3.80-5.80
cells/ cum
3 Total count 8000 cells/cum 3500-10000/
cum
4 Serum 1.9 mg/dl 0.6-1.1 mg/dl
Creatinin
e
5 Bilirubin 1.4 mg/dl 0.5-1.1 mg/dl

CT Scan – In CT scan report , damaged tissue was

observed in pancreas.
DIAGNOSIS :

Based on the symptoms , signs and laboratory

reports the case was diagnosed as ACUTE
PANCREATITIS.
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 PLANNING: -
• Continue the same treatment as
suggested by the physician
• Time interval should be maintained while
taking Pantop and Iron supplements
• Avoid taking Diclo and Atenolol together to
overcome drug interaction.
• Blood pressure levels should be
monitored regularly.
The treatment was started by following
medications On day 1:

T.pct is given 500mg once daily,I.pantop is given 40

mg iv ,i.metrogyl is given 500mg iv twice daily,T.aten is
given 50mg once daily,T.emecet 8mg is given twice
daily,T.diclo 50mg is given once daily,T.b complex is
given once daily,T.IFA 100mg is given once daily

On day2,3:

Symptoms are not reduced ,same treatment

was continued
On day 4:

Symptoms were reduced , patient counselling

was done and was discharged with some of the
medications.
 DRUG CHAT:-
S. Generic name Brand Frequency Dose ROA Duration of treatment
No 1 2 3 4
name

1 T.Paracetamol Colpol OD 500 Oral    

mg
2 Inj.Pantoprazole BD 40 mg IV    
Pantop

3 Inj.Metronidazole BD 500 IV    
Metrogyl mg
4 T.Atenolol Aten OD 50 mg Oral    

5 T.Ondansetron Emecet BD 8 mg Oral   

6 T.Diclofenac Diclo OD 50 mg Oral   

7 T.B-Complex OD 50 mg Oral    

8 T.Iron Folic Acid OD 100 Oral    

mg
PHARMACIST INTERVENTIONS

The prescription was rational.

No DDI or ADRs were found.
DISCHARGE MEDICATION : -
S.No DRUGS FREQUENCY DOSE ROA

1 T.Paracetamol OD - SOS 500 mg Oral

2 T.Pantoprazole OD 40 mg Oral

3 T.Atenolol OD 50 mg Oral

4 T.Diclofenac OD 50 mg Oral

5 T.B-Complex OD 50 mg Oral

6 T.Iron Folic Acid OD 100 mg Oral

 LIFESTYLE MODIFICATIONS :- PATIENT
COUNSELLING

 Avoid the alcohol consumption,

 Advice the patient to take the medication daily,
 Avoid the diet which contains high fat
content,
 Do not stop the medication without
consultation of doctor,
 Avoid the drugs which are toxic or
hazardous to Pancreas.
 Regarding medication
ONDAN(Ondansetron)
It is an antiemetic agent used to treat nausea and vomiting
caused due to certain medical conditions. It works by blocking the
action of a chemical substance that causes nausea and vomiting

T. RANTAC ( Ranitidine)
It is an anti ulcerative agent and should be taken twice a day before
food

. T.FLAGYL(Metronidazole)

It is an antibiotic used against certain bacteria and protozoa , used to

treat a wide variety of infections induced by microbes but it wont
stand against viruses
Paracetamol
650mg BID is used as an anti-pyretic. It act as a pain killer and
also as temp lower. Given for 4 days

B. COMPLEX
The B vitamins are eight water-soluble vitamins that play important roles in
cell metabolism. Supplements containing all eight are generally referred to
as a vitamin B complex. Suggested for 7 days , so as to ensure the patients
health and improve the resistivity to the infection.

Tab.Pantop:
It is of 40mg orally preferably
should take 30min before breakfast once a day which decreases acid
secretion in stomach, nausea, vomiting, dizziness, headache,
abdominal distension are common side effects.
Definition :-
DISCUSSION :-
Acute pancreatitis is an inflammatory condition of the
pancreas, clinically characterised by acute abdominal pain &
elevated levels of pancreatic enzymes in the blood.

ETIOLOGY :-
* Alcohol
*Gallstones
*Drugs
*Autoimmune
*Genetic
*Abdominal traum
*Infections
*Metabolic - hyperglycemia, hyperparathyroidism,
hypertriglyceridemia
SYMPTOMS :

 Abdominal discomfort,
 Abdominal pain,
 Nausea,
 Vomitings,
 Hypertension,
 Pancreatic cell necrosis and
 Dyspnea.
Thank you…..