Case No.

:
Date:
SUBJECTIVE
PROBLEM

OBJECTIVE
1.VITAL SIGNS
2.LAB TESTS
3.MED.LIST

ASSESSMENT
ETIOLOGY OF
PROBLEM

ACUTE GASTRITIS

Vitals:

PLAN
RECOMMEND
1. DRUG TREATMENT FOR
PROBLEM
2. MONITORING PARAMETERS
FOR EACH DRUG LISTED
3. FURTHER TESTS FOR
PROBLEM IF NEEDED
4. DRUGS TO BE AVOIDED AND
WHY
1 Inj. Ondansetron 4mg SOS
Inj. Pantoprazole 40mg OD
Inj. Ceftriaxone Sodium 1gm BD
Syp. Sucralfate 15ml TDS
2. -

PATIENT EDUCATION

1.EVALUATE
CURRENT
THERAPY FOR
PROBLEM
2.EVALUATE
NEED FOR
THERAPY

GOALS FOR
TREATMENT
OF PROBLEM

Common causes of

Initially based on

The goal of

P.R: 92/min

gastritis are

clinical

treatment is to

34 y/o male was admitted

B.P: 110/80 mm of Hg

excessive alcohol

presentation the

reduce or

on 03/04/2014 with c/o

CVS: S1, S2+

consumption or

drug therapy

diminish the

*Chest pain at night

RS: Clear.

prolonged use of

initiated for Chest squeezing pain 3. Test for H.Pylori & Endoscopy

spicy, acidic, fried or

*squeezing type of pain

P/A : Soft

NSAIDs. Gastritis

pain. Later the

of chest pain

4. NSAIDS and Steroids should be

fatty.

located central part of

Labs:

may also develop

therapy is

due to acute

avoided that will worsen the

3. Avoid alcohol.

after major surgery,

switched as there

gastritis

gastritis.

4. Consider switching

traumatic injury,

is no evident of

pain relievers.

burns, or severe

Cardiovascular

5. Manage stress. Stress

infections. Chronic

disease and his

may make your gastritis

causes are infection

PMH shows he is

symptoms worse.

with bacteria,

known case of

Consider calming

primarily

Gastritis.

activities, such as

chest.
*no radiation of pain.
PMH: known case of
gastritis

DATE
ALT
TRIGLYCERIDES

1
0.9 IU/L
320

TOTAL

mg/dL
201

CHOLESTROL
VLDL

mg/dL
64 mg/dL

Current medication:
Inj. Vitamin K STAT
Inj. Ethamsylate-STAT
T. Isosorbide dinitrate 10mg SOS
T. Aspirin 75mg OD
T. Clopidogrel 150mg OD
Inj.Tranexamic Acid -TDS
Inj. Ondansetron 4mg SOS
Inj. Pantoprazole 40mg OD
Inj. Ceftriaxone Sodium 1gm BD
Syp. Sucralfate 15ml TDS

Helicobacter pylori,

1. Eat smaller, morefrequent meals.

2. Avoid irritating foods,
especially those that are

meditation, yoga.

chronic bile reflux,

Proton Pump

and stress; certain

Inhibitor

autoimmune

Pantoprazole

disorders can cause

along with

gastritis as well.

Sucralfate will be
effective for
acute gastritis to
block acid
protection and
neutralize

Department of Pharmacy Practice, Sri Venkateswara College of Pharmacy, RVS Nagar, Chittoor-517127 (AP), INDIA

Case No.:
Date:
stomach acid
and Antibiotics is
also initiated to
kill H.Pylori

Department of Pharmacy Practice, Sri Venkateswara College of Pharmacy, RVS Nagar, Chittoor-517127 (AP), INDIA