3. CHIEF COMPLAINTS
A 56 Years Old Male Patient Came To The Hospital With The
Cough with Expectoration Which is Whitish in Color Since 2 Months
4. HISTORY OF PRESENT
Patient was apparently normal 2 months ago when he
developed cough with expectoration which is whitish in color which is
not foul smelling.
H/O fatigue, lethargy, weight loss of about 6 Kg and fever.
PAST MEDICAL HISTORY : NIL
PAST MEDICATION HISTORY : NIL
5. PERSONAL HISTORY / SOCIAL HABITS
Normal bowel and bladder habits
SMOKER : YES
ALCOHOLIC : YES
12. DRUGS ON DISCHARGE
BRAND NAME GENERIC
DOSE FREQUENCY 1D 2D 3D
1 Inj.Ceftrioxone Ciprofloxacin 500 mg 1-0-1
2 Inj.Amikacin Amikin 250 mg 1-1-1
3 T.Para Sulfasalazine 500 mg 1-1-1
4 T.AKT 4 Isoniazid,
13. DRUG INTERACTION :
Amikacin can sometimes cause kidney damage, and using
it with a cephalosporin antibiotic like ceftriaxone may
increase that risk.
Signs and symptoms of kidney damage may include
nausea , vomiting, loss of appetite, increased or decreased
urination, sudden weight gain or weight loss, fluid retention,
swelling, shortness of breath, muscle cramps, tiredness,
weakness, dizziness, confusion, and irregular heart rhythm.
cefTRIAXone = amikacin
Applies to: ceftriaxone, Amikin (amikacin)
A 56 years old male patient was admitted in the
hospital with c/o cough with expectoration
which is whitish in color since2 months
H/O fatigue, lethargy, weight loss of
about 6 kg and fever.
Personal history: He is a smoker and alcoholic.
Systemic and physical examination was found to be
normal SGPT and GOT were found to be Decreased.
Chest X ray: Significant cavities found
Sputum AFB: A+ B+
ASSESSMENT PULMONARY TUBERCULOSIS
PLAN OF TREATMENT
Patient was given treatment with T.Para
Inj.Ceftrioxone, T.AKT 4,Inj. Amikacin.
15. T.Para (Paracetamol):
It is an analgesic and antipyretic drug used to relieve from fever
andpain. Take one tablet whenever required
It is an antibiotic used to treat any infections. It is given twice daily.
T.AKT 4:(Isoniazid + Rifampicin + Pyrazenamide):
These drugs are given to treat active tuberculosis infection. Take
2tablet of each thrice weekly
It is an antibiotic. This injection is given twice in a week
16. PATIENT COUNSELLING
• REGARDING DISEASE CONDITION:
Cover your mouth and nose with a tissue.
Put your used tissue in a closed bag and throw it away.
If you don't have a tissue, cough or sneeze into your upper
sleeve or elbow, not your hands.
Wash your hands often with soap and warm water for 20
17. • REGARDING DRUGS:
Avoid Dairy Products Such As Milk,cheese,ice Cream
While Taking INJ.AMIKACIN
TO FACILITATE DRUG ABSORPTION IN THE EMPTY
STOMACH, YOU ARE ADVISED NOT TO TAKE FOOD FOR 2
HOURS BEFORE AND AFTER TAKING DRUGS.
Quit Alcohol When Taking Medications
18. • REGARDING THERAPEUTIC LIFESTYLE MODIFICATIONS:
As a TB patient, you must avoid caffeine, refined sugar
and flour, sodium, and bottled sauces.
Foods containing saturated and trans fats worsen the TB
symptoms of diarrhoea and abdominal cramping and fatigue.
Additionally, alcohol and tobacco are a definite no-no
during the disease treatment and cure phase