International Journal of Pharmaceutical Science and Research

Authors
Ayesha Habeeb, Hafsah Hani

Abstract
Congestive cardiac failure is a life-threatening medical emergency, most commonly occurring as an immediate or delayed complication of acute myocardial infarction (AMI), or resulting from severe hypertension or valvular defects (stenosis or incompetence). Occasionally it is caused by patients’ non-compliance with medication orders. In this case, the patient had a history of previous Ventricular tachycardia (Controlled with Amiodarone), Heart failure (Ejection fraction 15%New York Heart Association Class II), Coronary Artery Disease (CAD), Diabetes Mellitus (DM) type 2 for 5 years, Chronic renal insufficiency, Orthopnea, Superior VenaCeva Syndrome, Hypertension (for 30 years) and controlled congestive heart failure (CHF) for which he took two 40mg Furosemide tablets (a very potent oral diuretic) each morning. In this case study 69 years old Male patient was admitted to the tertiary care hospital with chief complaints of Swollen legs, Ankle edema, Weakness, Paroxysmal noctural dyspnoea, Weight gain, Increasing SOB, Furosemide dose was decreased 2 weeks ago due to hypokalemia, Oedema of the upper body, extremities and face, Dilated veins over the arms, neck and anterior chest wall. Case report of CCF, HTN with Superior VenaCeva Syndrome have been conducted providing the detailed information of the Case in SOAP format (Subjective, Objective, Assessment, planning), Pharmacists intervention and Patient counseling and Life style modifications.