The Flaws in health practice in post-operative management of a patient in tertiary care hospital of Karachi, Pakistan
Corresponding Author(s) : Atta Abbas
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 2 No. 2 (2014): 2014 Volume 2- Issue -2
Abstract
Introduction
Congenital urinary tract obstructions are common cause of kidney damage sometimes which sometimes presents itself without symptoms leading to abnormalities in blood filtration and consequently retarded kidney function. A cohort study was conducted in such patient to find out the short comings in treatment strategy.
Case presentation
A four years old child, weighing 14 kg was brought with severe constipation, fever, chest congestion and cough later developed left eye disorientation after admission to hospital, diagnosed with urinary tract obstruction, indicating acidosis and loss of electrolytes due to excessive loss of water. His therapy management included surgical treatment, dialysis and to improve his electrolyte levels within the normal with the treatment chest congestion and fever.
Conclusion
This case study reports the post operative treatment of congenital urinary tract obstructions in a tertiary care hospital and highlights the discrepancies observed. Antibiotic rationality and irrational prescribing was observed. The case study highlights the need of a clinical pharmacist in the health care team.
Keywords
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[1] Trnka P, Hiatt MJ, Tarantal AF, Matsell DG. Congenital urinary tract obstruction: defining markers of developmental kidney injury. Pediatric Research. 2012. 72(5): 446-54 P.
[2] Strabismus. [online]. Medline Plus. [homepage on internet]. 2014 February. [cited 2014 March]. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/001004.htm
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[8] Guidelines for respiratory tract infections. NICE. 2008. [policy document]. [document number CG 69].
[9] Indication of amoxillin. [online]. Rxlist.com. [homepage on internet]. Available from: http://www.rxlist.com/amoxicillin-drug/indications-dosage.htm
[10] Syed Imran Ali, Atta Abbas, Sidra Tanwir, Farrukh Rafiq Ahmed, Arif Sabah, Erum Ejaz, Ayesha Rafi, Aisha Yousuf, Mehreen Qadri, Summaiya Wasim and Erum Fatima Jaffery. Prescribing practices of antibiotics in outpatient setting of a tertiary care hospital in Karachi, Pakistan: An observational study. 2014. Intercontinental Journal of Pharmaceutical Investigational Research. 1(1): 1-4 P.
[11] Nifedipine. [online]. Medscape. [homepage on internet]. 2014. [cited 2014 March]. Available from: http://reference.medscape.com/drug/procardia-xl-nifedipine-342378
References
[2] Strabismus. [online]. Medline Plus. [homepage on internet]. 2014 February. [cited 2014 March]. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/001004.htm
[3] Are sweet potatoes constipating for baby? [online]. Yahoo Answers. [homepage on internet]. [cited 2014 March].
[4] Available from: https://answers.yahoo.com/question/index?qid=20090702073736AAJWubc
[5] Symptoms of potassium deficiency. [online]. Livestrong.com. [homepage on internet]. 2011. [cited 2014 March]. Available from: http://www.livestrong.com/article/92806-symptoms-potassium-deficiency/
[6] Routine kidney blood tests. [online]. Patient.co.uk. [homepage on internet]. [cited 2014 March]. Available from: http://www.patient.co.uk/health/routine-kidney-function-blood-test
[7] Blood testing for allergies. [online]. Web MD. [homepage on internet]. 2014. [cited 2014 March]. Available from: http://www.webmd.com/allergies/guide/blood-test
[8] Guidelines for respiratory tract infections. NICE. 2008. [policy document]. [document number CG 69].
[9] Indication of amoxillin. [online]. Rxlist.com. [homepage on internet]. Available from: http://www.rxlist.com/amoxicillin-drug/indications-dosage.htm
[10] Syed Imran Ali, Atta Abbas, Sidra Tanwir, Farrukh Rafiq Ahmed, Arif Sabah, Erum Ejaz, Ayesha Rafi, Aisha Yousuf, Mehreen Qadri, Summaiya Wasim and Erum Fatima Jaffery. Prescribing practices of antibiotics in outpatient setting of a tertiary care hospital in Karachi, Pakistan: An observational study. 2014. Intercontinental Journal of Pharmaceutical Investigational Research. 1(1): 1-4 P.
[11] Nifedipine. [online]. Medscape. [homepage on internet]. 2014. [cited 2014 March]. Available from: http://reference.medscape.com/drug/procardia-xl-nifedipine-342378