Tuesday, September 29, 2009

Case study 1

FK, 23 years old, a pharmacy student recently experince a fall from from the sky. she presents with no fractures, but severe wound on her right knee. her unmanicured and unfiled nailes were reported to be scratched. but she was okay with it.

Based on the scenario, present a problem, options and plan for FK.

Problems:

1)luka lama berdarah kembali
2)risk of infections
3)weeping wound
4)being bailed on by woof2.

risk factors:

1)female
2)early 20s
3)hectic school timetable
4)unpredictable dunedin weather
5)loads of undone laundry

diagnosis: Recurrent haemorrhage

options:
pharmacological:
1)minyak gamat
2)minyak angin
3)tiger balm

non-pharmacological
1)Wound care measures
2)secondary prevention, wear comfortable shoes
3)avoid risk of falling
4)relax, minimise movement
5)remain anti-social for the next 10days

Plans:
1)Rx: minyak gamat, Side effect: pedih, foul-smelling.Management: Bear with it.
2)Monitoring: Check wound everyday, if no improvement: consult your GP.
3)rest and learn to be a couch potato
4)Tenangkan hati, solat dan baca quran byk2.

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