1

NARASARAOPETA INSTITUTE OF
PHARMACEUTICAL SIENCES

ANGINA PECTORIS

BY: B. ANUSHA
18CD1TOOO2
II/IV PHARM D
CONTENTS 2

 INTRODUCTION
 SUBJECTIVE
 OBJECTIVE
 ASSESSMENT
 PLAN
 DISCHARGE MEDICATION
 PHARMACIST INTERVENTIONS
 PATIENT COUNSELLING
INTRODUCTION 3

Angina pectoris (stenocardia) is the result of myocardial ischemia (i.e. not the disease itself).
Stenocardia (chest pain) is the medical term for chest pain or discomfort due to coronary heart
disease.

It occurs when the heart muscle doesn't get as much blood as it needs. This usually happens because
one or more of the heart's arteries is narrowed or blocked, also called ischemia.

The main and most common factor is atherosclerosis of the coronary arteries (arteries of the heart).
This is the case in 90% of angina pectoris cases.
SUBJECTIVE 4

 A 55 years old male patient was admitted in hospital with chief complaints of
chest pain since 9PM on evening radiation to arm.
 His past medical history was Hypertension and Diabetes-II.
 His past medication history was
Tab. Telmikind(telmisartan)-40mg OD since 10 yrs.
Tab. Glycer MR – 30mg BID since 16 years.
 His family history shows that his mother had cardiovascular disease.
 His social history shows that he is chain smoker and chronic alcoholic.
 He is non-vegetarian.
PHYSICAL EXAMINATION 5

 Temp :98.4  CVS :S1, S2 +

 Res . rate :1 min(22cpm)  RS :BAE +
 Pulse rate :84bpm  CNS :C&C
 BP :150/100mmHg  GU&GI(Abdomen) :soft
 Weight :63kg  Height :170cm
OBJECTIVE 6

 All laboratory reports were normal except

Hgb : 10.6gm/dl
RBS :220mg/dL
HDL :25mg/Dl
LDL :200mg/Dl
 Imaging test:
ECG reveals that T wave depression and QT interval prolongation.
A 2D echocardiogram reports good LV functions.
the ejection fraction was 62 %.
ASSESSMENT 7

 From subjective and objective evidences and some case relevant studies an
assessment was made and patient was diagnosed with STABLE ANGINA
PECTORIS.
PLAN 8

BRAND NAME GENERIC DOSE ROUTE FREQUENCY

NAME
Inj.pantop pantoprazole 40mg IV OD
Tab.Angistat Nitroglycerine 2.5mg PO BID
Tab.Ivabradine Ivabradine 5mg PO BID

Tab.Ramstar Ramipril 5mg PO OD

Tab.Ecosprine Asprin,atorvastat 150,20 PO OD
AV100 in
Tab.Glim-M1 Normal saline 1mg,500mg PO TPD
 DAY-2 9

 All vitals were normal

Patient is conscious and coherent.
B.P :140/90mmHg
PR :81 Beats for min.
 On this day patient condition was stable except RBS.
 Same therapeutic plane was continued.

NAME OF THE TEST TEST VALUE NORMAL VALUE

RBS(Random Blood 230mg/dL 180mg/dL
Sugar)
 DAY-3 10

 On this day patient condition was stable.

 He complained cough (dry cough) because of eating sapota fruit.
 On this day patient vitals were
Patient is conscious and coherent.
B.P :159/89mmHg.
PR :78 beats per min.
 The following medication is added to his therapeutic plan-
Rx: Ascoril D plus – 5ml TID.
 Day-4 11

 On this day patient condition was stable.

 The patient complained about diarrhoea.
Rx: cap. Eldoper 4mg (three times per day).
 Patient vitals were stable.
patient is conscious and coherent.
B.P : 130/mmHg.
PR : 79 Beats per min.
 DAY-5 12

 On this day patient condition was normal.

 All vitals were normal.
Patient is conscious and coherent.
BP : 130/90mmHg.
PR : 76 beats per min.
 Patient was advised to discharge on next day with suitable medication.

NAME OF THE TEST TEST VALUE NORMAL VALUE

FBS(Fasting blood sugar) 200mg/dL 100mg/dL
 DISCHARGE MEDICATION 13

S.NO DRUG NAME DOSE FREQUENCY

1. Tab. Rantac 150mg OD
2. Tab. Angistat 2.5mg OD
3. Tab. Ivabradine 5mg BID
4. Tab. Cardace 5mg BID
5. Tab. Glimp-M TID
6. Cap. Eldoper 4mg SOS
7. Sys. Ascoril-D 5ml SOS
TOTAL MEDICATION CHART
14
S.n Brand name Generic name ROA Dose Frequenc
o. y
1. Inj. Pantop Pantoprazole IV 40mg OD
2. Tab. Angistat Nitroglycerine PO 2.5mg BID
3. Tab.Ivabradine Ivabradine PO 5mg BID
4. Tab. Ramstar Ramipril PO 5mg OD
5. T.EcosprinAV1 Aspirin+ Atarvostatin PO 150mg+20m OD
50 g
6. Tab.Glimp M1 Glimepiride+Metformin PO 1mg+500mg TID
7. IV Fluids Normal saline IV - -
8. Tab. Rantac Ranitidine PO 150mg OD
9. Tab.Cardace Ramipril PO 5mg BID
10. Cap. Eldoper Loperamide PO 4mg SOS
11. Syp.Ascoril Guaifenesin PO 5ml SOS
PATIENT COUNSELLING 15

 Stop smoking
 Maintain an ideal body weight
 Do exercise daily for 30 mins
 Manage your stress
 Maintain healthy diet
 Maintaining a heathy weight
 Limit alcohol consumption to two drinks
 Avoid exposure to second-hand smoke
REFERENCES 16

 https://www.drugs.com
 https://www.drugbank.ca
17