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CASE 108 (23/7/2020) - Coggle Diagram

- - - - May increase the risk of heart and blood vessel problems.
        
        Monitor any cardiovascular effect such as heart rate, blood pressure, cardiac output and any changes in blood vessel (bruises)
    - - Renal Tube Feeding 150cc/3 hourly = 1200 mL/day
        
        Balance (800 mL) for medication and nutrition
        
        Strictly monitor patient I/O chart
        
        Check edema status
    - - Monitor protein intake
      - Restrict consumption of high purine foods
      - Moderate intake of purine rich vegetables
    - - Check BP and USP when compounding the liquid formulation of the drug.
      - Suggest to change T. Paracetamol 1g stat QID to Paracetamol 250mg/5ml syrup QID
    - - If patient is not improving, suggest changing Paracetamol to Tramadol when needed.
    - - Suggest changing LMS cream to LMS ointment.
- - - - Readministration of oxygen mask
      - To avoid hypoxemia condition.
      - monitor sign and symptoms of hypoxemia (shortness of breath, confusion, cough, fast heart rate, sweating)
    - - LFT
      - ABG
      - FBC
      - BUSE
      - Lipid profile
- - - - Educate patient and carer about drug therapy given to ensure patient compliance.
    - - Refer to dietician on proper dietary intake.
    - - Refer to nurse for proper training to carer for Ryle Tube Feeding
    - - Referred to outpatient pharmacy for further counseling patient
      - Plan a reconciliation session for compliance medication therapy with carer and patient
    - - Suggest Allopurinol for prophylaxis of gout.