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Name: D.R.M

Gender: Male

Age: 38 y/o

Race: Filipino

Height: 154 cm

Weight: 66kg

Date admitted: March 13, 2016

medications

goals / therapeutic management

DIAGNOSTIC / LABS :

diagnosis:

Clinical Case Presentation

AD : medial frontal body of corpus callosum tumor S/P biopsy.

FD : medial frontal body of corpus callosum tumor, Astrocytma

March 23

GCS 3

March 24

no brain function

march 25

Pneumonia, both lower lobes

March 27

Astrocytoma

VAP

Diabetes Insipidus

Reporter: Korina V. Tuano

patient's profile

PATHOPHYSIOLOGY:

astrocytoma

  • "astrocytes"
  • "-oma" -tumor

astrocytes

  • star-shaped neuroglia cells.
  • has microfilaments - for support
  • Blood brain barrier - for selective permeability

SIGNS AND SYMPTOMS: ?

DIAGNOSTIC / LABS :

chief complaint:

" body weakness "

Biopsy: Astrocytoma, grade II -III, unresectable tumor

March 18

  • CT Scan : tumor oligodendroglioma w/ cerebral swelling.

March 20:

  • Clinically brain dead.

March 21:

  • Diabetes inspidus
  • Fluctuating BP

DIAGNOSTIC / LABS :

history

pharmaceutical care plan

3 days PTA, the patient complains of generalized body weakness. Patient is diagnosed with intracerebral left frontal mass. S/P biopsy

March 22

  • WBC : 22.83 (H)
  • Hgb : 175 (H)
  • Hct : 0.54 (H)
  • Neutrophils : 0.90 (H)

Microbiology

  • Specimen : Endotrachel aspirate
  • Specie : Enterobacter aerogenes
  • resistance: Amox-Clav., Cefaclor
  • Sensitivity: Ciprofloxacin, Meropenem, Imipinem

Gram Stain

  • gram negative rods
  • gram negative cocci
  • pus cells

date: pharmaceutical care issues: intervention : follow up:

3/29 Domperidone, Terlipressin, Ivabradine monitor QT BP, HR, Tachycardia,

(these agents prolong QT interval) prolongation or Bradycardia

(LEXICOMP)

3/29 Clopidogrel and Esomeprazole may use Prothrombin time

(esomeprazole may diminis effect lansoprazole

FDT w/c can be

crushed (pxnt is

on NGT.

(PubMed)

thank you.

- korina

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