SRI VENKATESWARA COLLEGE OF PHARMACY/RVS Hospital

Department of Pharmacy Practice

,xz.,z.zxSUBJECTIVE
PROBLEM

OBJECTIVE
1.VITAL SIGNS
2.LAB TESTS
3.MED.LIST

ASSESSMENT
ETIOLOGY OF
PROBLEM

30y/o male,was admitted on

02/04/2014 with c/o
Pain on both left upper limb
and left lower limb at 2 0
clock
PMH: deviation of mouth to
left side

Vitals:
PR:92/min
B.P: 130/90 mm of Hg
Spo2:98%
Cvs:s1 s2 + +
RS:clear
ABD:soft
CNS:sensory normal
RADIOLOGY:
CT-BRAIN
Cranial nerve examination normal
Pupil:normal
Current medication:
I.Ondansetron 4mg SOS
I.Citicoline 500mg B.D
I.piracetam 7.2gm B.D
I.pantoprazole 40mg O.D
T.atorvastatin 40mg H.S
T.aspirin 75mg H.S
T.clopitab 75mg H.S

CVA happens when an

artery to the brain
becomes blocked or
rupture and Weakness
affecting one side of the
body.

1.EVALUATE
CURRENT
THERAPY FOR
PROBLEM
2.EVALUATE
NEED FOR
THERAPY

1.to decrease the

pain on left upper
and lower limbs
and prevent the
further attacks
2.continue current
therapy to prevent
further TIA and
CVA.
.

PLAN
GOALS FOR
TREATMENT
OF
PROBLEM

1.prevent the
platelet
aggregation.
2.increase
the muscle
rigidity

PATIENT EDUCATION
RECOMMEND
1. DRUG TREATMENT FOR
PROBLEM
2. MONITORING PARAMETERS
FOR EACH DRUG LISTED
3. FURTHER TESTS FOR PROBLEM
IF NEEDED
4. DRUGS TO BE AVOIDED AND
WHY
1. I.Ondansetron 4mg SOS
I.Citicoline 500mg B.D
I.piracetam 7.2gm B.D
I.pantoprazole 40mg O.D
T.atorvastatin 40mg H.S
T.aspirin 75mg H.S
T.clopitab 75mg H.S
2 in case of ondansetron
administration we have to monitor
cardiac function and continuous
blood pressure check up should be
needed.
3.MRI should done if needed.
4.

1.continue emphasizing

medication adherence.
Strenthening the leg and
hand muscles and balanc
through regular walking
and exercises.
2.Attend atleast 5 month
programme of
physiotheraphy.
3.Patient should wear fla
and wide toed shoes.
4.Dont drive or handle th
machines while using the
medications because som
drugs cause drowsiness.
5.Pay close attention whi
walking.
6.Take calcium rich foods
and also take calcium
supplements.