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    Alcoholic Hepatitis C5

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    srija vijjapu
    A 25-year-old male patient was admitted to the hospital with complaints of epigastric pain, vomiting, fever, and constipation. Examination found the patient to be febrile with elevated liver enzymes. Imaging showed hepatomegaly with fatty liver infiltration. The patient was diagnosed with alcoholic hepatitis due to a history of heavy alcohol intake. Treatment included medications to manage alcohol withdrawal symptoms, improve liver function, prevent progression to cirrhosis, and provide nutritional support. The patient's condition stabilized over three days in the hospital.

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    Alcoholic Hepatitis C5

    Uploaded by

    srija vijjapu
    31 views15 pages
    A 25-year-old male patient was admitted to the hospital with complaints of epigastric pain, vomiting, fever, and constipation. Examination found the patient to be febrile with elevated liver enzymes. Imaging showed hepatomegaly with fatty liver infiltration. The patient was diagnosed with alcoholic hepatitis due to a history of heavy alcohol intake. Treatment included medications to manage alcohol withdrawal symptoms, improve liver function, prevent progression to cirrhosis, and provide nutritional support. The patient's condition stabilized over three days in the hospital.

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    alcoholic hepatitis C5

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    A 25-year-old male patient was admitted to the hospital with complaints of epigastric pain, vomiting, fever, and constipation. Examination found the patient to be febrile with elevated liver enzymes. Imaging showed hepatomegaly with fatty liver infiltration. The patient was diagnosed with alcoholic hepatitis due to a history of heavy alcohol intake. Treatment included medications to manage alcohol withdrawal symptoms, improve liver function, prevent progression to cirrhosis, and provide nutritional support. The patient's condition stabilized over three days in the hospital.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    31 views15 pages

    Alcoholic Hepatitis C5

    Uploaded by

    srija vijjapu
    A 25-year-old male patient was admitted to the hospital with complaints of epigastric pain, vomiting, fever, and constipation. Examination found the patient to be febrile with elevated liver enzymes. Imaging showed hepatomegaly with fatty liver infiltration. The patient was diagnosed with alcoholic hepatitis due to a history of heavy alcohol intake. Treatment included medications to manage alcohol withdrawal symptoms, improve liver function, prevent progression to cirrhosis, and provide nutritional support. The patient's condition stabilized over three days in the hospital.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    Case presentation

    By
    K.Harshith
    615175802011
    VI /VI Pharm.D
    A 25 year male patient was admitted into hospital

    COMPLAINTS
    • Epigastric pain with 4 episodes of vomiting since 2 days
    • Fever
    • Constipation

    ON EXAMINATION
    • conscious,oriented,febrile
    • P/A - soft,non tender
    • BP - 120/80 mmHg
    • TEMP - 103°
    • PR - 79
    • PAST MEDICAL HISTORY - NIL
    • PREVIOUS ALLERGY - NIL
    • FAMILY HISTORY - NOT AVAILABLE
    • OCCUPATION - DRIVER
    • SOCIAL HISTORY
    H/O
    Alcohol intake 180ml /day since 5yrs
    Tobacco 10 cigarette/day
    DAY WISE VITALS

    D-1 D-2 D-3


    BP {mmHg} 120/80 120/80 120/80

    PR{BPM} 79 90 90
    RR {CPM} 24 22 20

    TEMP{°C} 103 100 98.6


    Laboratory Investigations

    PARAMETER NORMAL RANGE RESULT


    CREATININE 0.6-1.2 mg/dl 0.9
    SODIUM 135-145 mmol/l 139
    POTASSIUM 3.5-5.5 mmol/l 3.8
    HEMOGLOBIN 13-17 g% 16
    WBC 4000-11000 cells/mm³ 12600
    RBS <140 mg/dl 118
    PARAMETER NORMAL VALUE OBSERVED VALUE
    TOTAL BILIRUBIN Upto 1.0 mg/dl 3.66
    DIRECT BILIRUBIN Upto 0.3 mg/dl 2.63
    INDIRECT BILIRUBIN Upto 0.7 mg/dl 1.03
    SGOT Upto 42IU/L 256
    SGPT Upto 40IU/L 201
    ALP 32-130 IU/L 242
    OTHERS

    ECHO:-
    • normal valves & chambers
    • no rwma
    • good lv & rv function
    Abdominal ultrasonography:-
    • Hepatomegaly with fatty infiltration

    DIAGNOSIS:
    • ALCOHOLIC HEPATITIS
    REGIMEN

    •  Patients with AH should be considered for nutritional supplementation and treat


    alcohol withdrawal symptoms.
    • Patients with severe AH should be treated with corticosteroids if there are no
    contraindications for their use.
    • In severe case liver transplantation.
    PATIENT SPECIFIC GOALS
    • To improve the quality of life
    • To improve LFT’S
    • To prevent the progression of cirrhosis.
    DRUG CHART
    MEDICATION GENERIC NAME DOSE FREQ ROUT D-1 D-2 D-3
    E
    T.LIBRIUM CHLORDIAZEPEROXID 25mg BD P/O 
    E
    I.PAN PANTOPRAZOLE 40mg OD IV   

    T.UDILIV URSODEOXYCHOLIC 300mg BD P/O   


    ACID
    S.LACTULOSE LACTULOSE 15ml H/S P/O  

    I.MONOCEF CEFTRIAXONE 1gm BD IV   

    T.OXAZEPAM OXAZEPAM 15mg BD P/O   

    I.TRAMADOL TRAMADOL 50mg SOS IV   


    INJ.PCM PARACETAMOL 1g BD IV 

    T.DOLO ACETAMINAPHEN 650mg SOS P/O  

    MVI with DNS MULTIVITAMIN, 75ml/hr  


    DEXTROSE NORMAL
    SALINE
    Day Notes

    • Day 1:
    • BP is normal 120/80mmhg
    • Temp :103
    • Day 2:
    • BP and PR is normal
    • Temp: 100
    • Day 3:
    • BP and PR is normal
    • Patient is in stable condition.
    PHARMACIST INTERVENTIONS:
    OXAZEPAM – TRAMADOL
    • concurrent use may increase risk of respiratory and cns depression
    DISCHARGE MEDICATIONS

    • T.PAN 40mg OD
    • T.OXAZEPAM 15mg HS
    • S.DUPHALAC 10ml HS
    • T.UDILIV 300mg BD
    NON PHARMACOLOGICAL PLAN

    • Oxazepam may causes dizziness so the patient should avoid activities requiring
    mental alertness
    • While taking oxazepam patient should avoid drinking alcohol
    • Pantoprazole should be taken atleast 30 min before breakfast
    • Auit alcohol
    • Avoid smoking
    • Avoid foods high in fats,sugar and salt
    • Eat fiber rich foods such as fruits,vegetables,whole grans etc
    • Drink plenty of water
    • Eating citrus fruits may reduce liver damage
    • Take high protein diet such as meat,eggs,milk,beans,nuts
    Reference

    • Micromedex
    • Medscape
    • American gastroenterology association.
    THANK YOU

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