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RULE IN
BLOOD CHEMISTRY
Serum sodium
Serum
RULE OUT
AVAILABILI
TY
COST
Poratssium
SGPT
Serum Albumin
CRP
Total cholesterol
Creatinine
BUN
URINALYSIS
Specific gravity
pH
Protein
Blood
Pus cells
RBC
STOOL EXAM
Color
Consistency
Pus cells
RBC
Amoeba
trophozoite
Amoeba cyst
Yeast cells
Fat globules
Ascaris
PATHOPHYSIOLOGY
V. THERAPEUTIC MANAGEMENT
LIST OF PROBLEMS
1. Bilateral leg pain, (+) Femoral Stretch pain
2. Occasional Back pain
3. Ischemic Rest Pain
4. Dry Skin
5. Muscle atrophy
6. HPN, DM
THERAPEUTIC OBJECTIVES
To treat underlying cause of the bilateral leg pain
To alleviate back pain
To restore normal blood flow to the lower extremities
Prevent complications caused by ischemia such as
gangrene
5. Prevent breakage of skin barrier due to dryness.
Provide adequate hydration
6. Control patients DM and Hypertension
7. Restore/improve body strength and function
ADVICE AND INFORMATION
1. Educate patient and family about his condition: possible etiology, risk factors, course of disease, signs and
symptoms, complications if left untreated, prognosis and medical options for treatment including its
benefits, side effects, risk and alternatives. Increasing patients knowledge about his condition to improve
medical compliance and assist in symptom management.
2. Encourage family involvement, including their understanding and participation in the plan of care.
Participation can include supporting the patient in risk-factor management and rehabilitation therapies for
regaining physical function as well as providing psychosocial support.
3. A daily walking program of 45-60 minutes is recommended. The patient walks until claudication pain
occurs, rests until the pain subsides, and then repeats the cycle. Regular exercise is believed to condition
muscles so that they work more efficiently (ie, extract more blood) and to increase collateral vessel
formation.
PHARMACOLOGIC MANAGEMENT
DRUG NAME
EFFICACY
1.
2.
3.
4.
SAFETY
SUITABILITY
P-DRUGS
DRUG NAME
EFFICACY
SAFETY
SUITABILITY
COST
Patient:
Age: > 65 years old
Gender: Male
History of Smoking
Hypertension (controlled)
Sedentary Lifestyles
Diabetes Mellitus (controlled)
NONMODIFIABLE:
Age: > 65 years old
Gender: Male
Familial Disposition
MODIFIABLE:
Smoking
Hypertension
Diet (contributing to hyperlipidemia
Obesity
Sedentary Lifestyles
Diabetes Mellitus
Development of fatty streaks of lipids
Deposited in the intima of arterial walls
Injury to the vascular endothelium
Attracts Inflammatory cells
LEGEND:
Risk Factors
Pathophysiology
Manifestations
Disease Condition