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DAY 5 (24/07/2020) by Kamalia Shahira Binti Kamaruzzaman (2016807344) -…
DAY 5 (24/07/2020) by Kamalia Shahira Binti Kamaruzzaman (2016807344)
Management of ischemic stroke
Treatment plan
T. Aspirin 300mg STAT followed by 150mg OD
T. Atorvastatin 40mg ON
Treatment goals
To prevent worsening of patient's stroke symptoms
To manage comorbidities that might worsen the stroke
Management of aspiration pneumonia
Treatment plan
Start IV Augmentin 1.2g STAT TDS for 7 days
Treatment goals
To increase quality of life
To eradicate the bacteria (Pseudomonas fluorescens)
Management of lateral medullary syndrome
Treatment plan
T. Clopidogrel 75mg OD 3/12
T. Prazosin 0.5mg TDS
Treatment goals
To reduce the size of infarction
To improve overall patient outcome and functional performance
DVT prophylaxis
Treatment plan
S/C Enoxaparin 40mg OD
Treatment goals
To prevent deep vein thrombosis
CP1
Patient biodata
Reason for Admission
Allergy and Adverse Drug Reaction History
Drug History
Pharmacist's Note
CP2
Section 1
If required interview patients for
further information.
Obtain information from patient's BHT and Medication History
Assessment Form (Form CP1).
Section 2
Obtain information of medications which the patient has been
prescribed / is on from the Medication Chart.
Record complete drug
regimen, date start and date stopped.
Section 4
Record all ongoing pharmaceutical care issues, therapeutic plan,
therapeutic assessment and follow-up required
Section 3
Obtain information from BHT or Hospital Laboratory Data Retrieving
System
Record significant lab values related to the pharmaceutical
care plan and treatment goal
Section 5
Record all discharged medication, and write the next appointment
date