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Volume 21 - Issue 4, October-December 2019
SHORT REPORTS
ROLE OF CLINICAL PHARMACIST CARE SERVICE IN A DIABETIC COMPLEX PATIENT
ABBAVANNAGARI BHARATH KUMAR, MARAKA NAM SRNIVASAN UMASHANKAR, VEERARAGHAVAN SRIRAM


Diabetic nephropathy is a chronic complication of diabetes mellitus and impairs
the renal system function. Diabetes and renal failure were independent risk
factors for coronary artery disease and lack of treatment options causes death
among coronary artery disease patients. We present a case of Mrs. AM; 62-yearold
female patient was presented to the cardiology outpatient department with
complaints of chest pain, dyspnea, palpitation and pedal edema, mild burning
sensation during micturition and numbness in both limbs. She had past medical
history of type 2 diabetes mellitus with hypertension, cough and urinary tract
infection. Electrocardiogram detected that sinus rhythm, abnormal Q wave, inverted
T wave. Echocardiogram showed coronary artery disease with left ventricular
ejection fraction found to be 30%. Her coronary angiogram test showed
the presence of triple vessel disease. Her ultrasound abdomenshowed the presence
of left renal cortical cysts and supra umbilical hernia and grade 1 fatty liver.
Her CT scan of the chest detected cardiomegaly and ground glass opacities with
consolidatory foci predominantly in perihilar region and suggested pulmonary
edema. The patient was continuously monitored for one week in the duration in
hospital with oral hypoglycemic agents, anti-hypertensives, diuretics, anti-platelets,
statins, proton pump inhibitors for her clinical diagnosis. She found stable,
discharged from the hospital and advised for regular follow-up for a two months
period. The study recommends that regular implementation of clinical pharmacist
services can help for early detection and management of disease burden and
to promote quality of life of patient.

CARDIOMEGALY – CLINICAL PHARMACIST SERVICES – CORONARY ARTERY DISEASE –
DIABETIC NEPHROPATHY



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