Resumen de Role of clinical pharmacist care service in a diabetic complex patient
Kumar Abbavannagari Bharath, Umashankar Marakanam Srnivasan, Sriram Veeraraghavan
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-year-old 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. © 2019 Rasgo Editorial S.A.. All rights reserved.
