1. PRESENTED BY :-
B.Nom Kumar Nayak
A CASE STUDY ON OSTEOARTHRITIS
VIGNAN PHARMACY COLLEGE
(APPROVED BY AICTE,PCI-NEW DELHI & AFFILIATED TO JNTUK)
VADLAMUDI,GUNTUR DISTRICT 522213

2. CASE STUDY
A 69 years old male patient was admitted with Pain of right
knee , Nausia and Vomiting.

3. SOAP notes : -
Name : - xxx Age : - 69 years Gender : - Male
Height : - 164 Cm Weight : - 60 Kg
 Pain of right knee,
 Nausia and Vomiting .
C/o : -
Subjective : -
Patient details : -
H/o : -
 No past medical & medications ,
 Allergies are not known .

4. Objectives : -
1.Vitals : -
110/70mm Hg BLOOD PRESSURE 130/80mm Hg
22/min RESPIRATORY RATE 16/min
82/min PULSE RATE 90/min
98.6 F TEMPERATURE 98.6 F
98%on air SPO2 99%on air
2 Pain 2
15/15 GCS 15/15
Pre – operative Parameters Post – operative

5. 1.Respiratory system – Lungs are clear .
2.CVS – S1 , S2 sounds heard .
3.Thyroid – Normal
4. Neck spine - With in normal limit ( WNL ).
2.Clinical examination : -
Continued ……
POST – OPERATIVE

6. Investigations : -
1. X- Ray i.e….Posteroanterior ( AP ) & LAT ( R ).
2. Serum- Creatinine .
3. Total cholesterol.
4. Hemoglobin.
5. Echo Screening ( Dobutamine stress echo ).
1.X – Ray ( AP ) & LAT ( R )

7. Continued…
2. Serum – Creatinine , Total cholesterol and hemoglobin : -
Pre – operative Post – operative
Parameters Day – 1 Day – 2 Normal range DAY – 1
Serum – Creatinine 1.4 mg / dl 0.7 – 1.2 mg / dl
1.5 mg / dl
Total cholesterol 136 mg / dl  200 mg / dl
Hemoglobin 12.5 g / dl 12 – 15 g / dl

8. Continued…
5. Echo Screening ( Dobutamine stress echo ).
CAD – Post PTCA
RWMA ( Regional walk motion abnormalities ) + RCA territory
accinetere,remaining segments are hypokinetics
LVEF : - 2 % Approx
Grade – 1 diastoloc dysfunction of LV
TAPST : - 1.69 CM
MAC with Mild MR ( Mitral rigemn )
Sclerotic AV , No AR .
Trivial AV , No PAH , No Clots ,
THE TEST IS NEGATIVE and HR is 150 beats/min.

9. Assessment
The patient assed with Osteoarthritis of right
knee with grade – 3

10. Goal : - To reduce fear and anxiety.
 To assess the patient condition.
 To provide comfortable environment to the patient.
 To explain the health conditions to the patient.
 To explain medication to the patient.
 To allow the family members to ventilate the refealings.
 To provide Psychological support.
Plan : -

11. Care plan and medication : -
Drug Dose Frequency Route Pre –
operative
Post –
operative
Post –
operative
Day – 1 Day – 1 Day – 2
Inj.Magnexforte 1.5g B.I.D I.V
Inj.Pantocid 40mg O.D I.V
Inj.Tramadol 50mg T.I.D I.V
Inj.Zofer 8mg B.I.D I.V
Inj.Trenexia 500mg T.I.D I.V
Inj.Clexane 0.4 ml O.D s.c
Inj.Dynaparaque 1 amp B.I.D I.V