1. CLERKSHIP
12Q1326

2. SNO
CLERKSHIP ACTIVITIES
NO. OF CASES I
Therapeutic intervention 2 II
Suspected adverse drug reactions
III
Drug interaction 8 IV
Patient Counselling V
Drug Information 3 VI
Disease Counselling
VII
Treatment chart review 1
VIII
Patient medication history interview IX
Seminars and Assignments
TOTAL 25

3. Therapeutic intervention
Done therapeutic intervention on tuberculosis
IP.NO. 4418
Done therapeutic intervention on malaria
IP.NO. 4936
Suspected adverse drug reactions
1.Suspected adverse reaction on injection amikacin
Description of event: Skin rash,esinophylia
Causality Assessment : Doubtful
Severity Assessment Scale : Mild
2.Suspected adverse reaction on tablet Azee
Description of the event: Diarrhea,fever,headache

4. 1.Drug interactions in COPD IP.NO. 40372 Theophylline + Rabeprazole
Using theophylline with rabeprazole may increase the effects of theophylline.
Dose adjustment should needed.
2. Drug interactions in acute exacerbation of Bronchial Asthma
Ondansetron + Magnesium Hydroxide IPNo
Using together can cause irregular heart rhythm.
Do not exceed normal dose. should need dose adjustment.

5. 3. Drug interactions in COPD IP.NO. 1578
Theophylline +Hydrocortisone
Using together may cause hypokalemia and also increases levels of theophylline.
Need dose adjustment.
Theophylline + Pantoprazole
Using together can increases the levels of theophylline.
Need dose adjustment.
4. Drug interaction in Chronic Bronchitis IP.NO. 2345
Tobramycin + Cefoperazone
Some times it will cause kidney damage.It may increase that risk.
Monitor closely

6. Using together will cause hypomagnesemia. Need dose adjustment.
Tobramycin + Pantoprazole
Using together will cause hypomagnesemia.
Need dose adjustment.
Theophylline + Pantoprazole
Using together can increases the levels of theophylline.
Need dose adjustment
5. Drug Interaction in Chronic bronchitis IP.NO. 5087
Ondansetron+ Levofloxacin
Using levofloxacin together with ondansetron can increase the risk of irregular heart rhythm.
6. Drug Interactions in Acute Bronchitis IP.NO. 5326
Hydrocortisone +Terbutaline
Its a minor interaction. Need dose Adjustment.

7. 7. Drug Interactions in Acute coronary syndrome with COPD
Atorvastatin+Clopidogrel IP.NO
This combination may reduce effects of clopidogrel.
Need dose adjustment.
Asprin + Clopidogrel
This may cause severe side effects like bleeding and abdominal pain.
8. Drug interactions in Bronchial Asthma. IP.NO. 751
Theophylline + Rabeprazole
Using theophylline with rabeprazole may increase the effects of theophylline.
Dose adjustment should needed.

8. Patient Counselling
1. Patient Counselling done on Chronic Asthma with Acute Exacerbation: IP.NO
Life Style Modifications
Do not expose to allergens.
Cover nose with kerchief or wear face mask if it is cold outside.
Exercise regularly to strengthen your heart and lungs.
Maintain healthy weight.being over weight can worsen asthma symptoms.
Use air conditioner.It will lower indoor humidity
Do not expose to mites , dust

9. 2.Patient counselling done on COPD: IP.NO. 40426
Take oxygen inhalation.
Do not expose to allergens.
Cover nose with kerchief or wear face mask if it is cold outside.
Exercise regularly to strengthen your heart and lungs.
Maintain healthy weight.being over weight can worsen asthma symptoms.
Use air conditioner.It will lower indoor humidity
Do not expose to mites , dust
Cessation of smoking .

10. Drug Information 1.Provided drug information on Levofloxacin.
Trade name: Injection Levoflox
Class: Fluoroquinolones Dose:500 mg/100ml
Uses:Respiratory tract infections, cellulities, UTI, meningities, TB,Endocardities
MOA: It inhibits the enzyme bacterial DNA gyrase and prevents replication of bacterial DNA during bacterial growth and reproduction.
Adverse Effects:headache,dizziness, Gastric pain,constipation,insomnia,itching,redness,swelling of skin.

11. 2. Provided drug information on Tablet. lubiprostone Trade name:Tablet
2. Provided drug information on Tablet. lubiprostone Trade name:Tablet. lubiprostone Class: IBS Agents, Laxative Dose: 24mcg, 8mcg Uses:IBS,Constipation MOA: It is a bicyclic fattyacid .Locally acting chloride channel activator,increases intestinal fluid secretion and intestinal motility. Adverse Effects: edema , abdominal distress, dizziness, dispepsia , abdominal pain, loss of consciousness

12. 3. Provided drug information on Linezolid Trade Name: Injection
3.Provided drug information on Linezolid Trade Name: Injection .Lizoforce Class: Oxazolidinones Dose: 2mg/ml (100ml,300ml) ROA: Oral , I.V Tablet: 600mg Uses: Skin infections,Community acquired pneumonia,Resistant staphylococcal infections, lung infections MOA: Binds to bacterial 23S RNA of the 50S subunit to prevent protein translation .Also elicits non selective mono amino oxidase inhibition. Inhibits bacterial protein synthesis. Adverse Effects: generalized abdominal pain, In pediatrics thrombocytopenia, loose stools, anemia, eosinophilia.

13. Disease Counselling
1.Counselling done on Chronic Asthma with Acute Exacerbation
IP.NO
Maintain normal pulmonary function.
Prevent chronic and troublesome symptoms.
Prevent recurrent exacerbations of asthma and minimize the need for emergency department visits.
Provide optimal pharmacotherapy with minimal or no adrs.
2.Counselling done on COPD IP.NO
Prevent recurrent exacerbations of copd and minimize the need for emergency department visits.
Inhalers should be taken as prescribed by the doctor.

14. Treatment chat review
For Acute Exacerbation of Chronic Asthma IP.NO
s.n.o
Trade Name
Generic name
Dose 1 2 3 4 5
T.Dolo 1-1-1
Acetaminophen
650mg y
I.Amikacin
Amikacin
500mg n
Budecort Neb
Budesonide
6hrly
I.Aciloc 1-1-1
Ranitidine
50mg
T.Mucinac1-1-1
Acetylcysteine
600mg 6
I.Effcorlin 1-1-1
Hydrocortisone
100mg 7
T.Zofer 1-0-0
Ondansetron
4mg 8
Liq.Asthalin1-1-1
Salbutamol
5ml 9
T.Zoton 1-0-0
Lansoprazole
30mg

15. Patient Medication History
1.Patient Name: sushilabai IP .NO
Age: 60yrs
Patient is not having any social history,medical,medication history
Patient is diagnosed with Chronic Liver Disease
Patient was found to be low adhered to the medication
2. Patient Name: sangamma IP.NO. 4678
Age: 65yrs
Past Medical History: COPD since 10 yrs
Patient diagnosed with Acute Exacerbation of COPD with type-2 DM

16. Seminars And Assignments
3. Patient Name : Malasiddappa IP.NO. 4968
Age : 55yrs
Past Medical History: COPD
Patient diagnosed with Acute Exacerbation of COPD
Patient was found to be low adhered to the medication
Seminars And Assignments
1. Difference between Type-I and Type-II DM
2. Give standard drug therapy for Asthma and COPD
3. Co-relation between persistant cough and blood pressure.