SOAP NOTE

PRESENTATION
Problem list : Migraine

Pimprapan Bootthaisng
6th year Pharmaceutical Sciences Student, Ubon Rachathani University
Rotation 2 :
1 Subjective data

2
 Subjective data

36
67


CC : 30/6/60
3
 Subjective data

PI :

PMH : 2x2

4
2 Objective data

5
 Objective data

BP 135/82 mmHg , PP 88 b/min

6
3 Assessment

7
 Assessment

(secondary headache)
investigation neuroimaging, lumbar puncture
1. subarachnoid hemorrhage
2. (chronic progressive headache)
3. (sign of increased intracranial pressure)
papilledema, cranial nerve 6 palsy
4. (focal neurodeficit) cranial
nerve palsy
5.
6. > 50 ()
7. (bleeding disorder)
8
 Assessment : Etiology

autonomic



4 72
2

15 3

30 7


10-30 9
 British Association for the Study of Headache
Treatment 3rd edition 2010

Step four: combinations

the combination of
sumatriptan 50 mg and
Step three: specific anti- naproxen 500 mg
migraine drugs diclofenac 75mg
intramuscularly
Sumatriptan 50 mg tablet
Step two: rectal sumatriptan
Zolmitriptan 2.5mg tablet
analgesic anti-emetic 6mg subcutaneously
Rizatriptan 10 mg tablet
Diclofenac suppositories Ergotamine tartrate 1-2 mg
Step one: simple oral 100mg + Caffeine 100 mg.
analgesic anti-emetic
aspirin 600-900mg, up to 4
doses in 24 hours or
ibuprofen 400-600mg, up
to 4 doses in 24 hours
naproxen 750-825mg
diclofenac-potassium 50-
100mg up to a total of 10
200mg in 24 hours
Assessment : IESAC

11
Assessment : IESAC

12
Assessment : IESAC

13
Plan :

Therapeutic goal




Therapeutic Plan
Ibupofen 400 mg. 1x3 pc
14
Domperidone 10mg 1x3 ac
Plan :

Therapeutic monitoring parameters

ADR monitoring parameters
Ibuprofen : GI side effect (1% to 10%): Dyspepsia, abdominal
discomfort, epigastric pain, heartburn
Domperidone : Breast milk flowing from the nipple , dry mouth
15
 Plan :

Future plan
24

Step three : specific anti-
migraine drugs carfergot 1x3 pc

16
Plan :

Future plan

- acute treatment
- acute treatment
- Acute drug overuse - (> 2/)
- (patients preference)
- permanent neurological injury hemiplegic migraine

Propranolol 40-120 mg
Amitriptyline, Nortriptyline 25-75 mg
17
 Referance

1. EA MacGregor, TJ Steiner, PTG Davies. British Association

for the Study of Headache :2010
2. Michael J. Marmura,MD;Stephen D.
Silberstein,MD,FACP;Todd J. Schwedt,MD,MSCI. The Acute
Treatment of Migraine in Adults:The American Headache
Society Evidence Assessment of Migraine
Pharmacotherapies:2015
3. Stephen D Silberstein. Migraine. Lancet 2004; 363:381-91.
4. Arne May. Cluster headache: pathogenesis, diagnosis, and
management. Lancet 2005; 366:843-55.
Instructions for use

EDIT IN GOOGLE SLIDES EDIT IN POWERPOINT

Click on the button under the presentation
preview that says "Use as Google Slides
Theme".
You will get a copy of this document on
your Google Drive and will be able to edit,
add or delete slides.
You have to be signed in to your Google
account.
Click on the button under the presentation
preview that says "Download as PowerPoint
template". You will get a .pptx file that you
can edit in PowerPoint.
Remember to download and install the fonts
used in this presentation (youll find the
links to the font files needed in the
Presentation design slide)

More info on how to use this template at www.slidescarnival.com/help-use-presentation-template

This template is free to use under Creative Commons Attribution license. You can keep the Credits slide or mention
SlidesCarnival and other resources used in a slide footer.
Hello!

I am Jayden Smith
I am here because I love to give
presentations.
You can find me at @username
Quotations are commonly printed as a means
of inspiration and to invoke philosophical
thoughts from the reader.
This is a slide title

Here you have a list of items

And some text
But remember not to overload your
slides with content
Your audience will listen to you or read
the content, but wont do both.
BIG
CONCEPT
Bring the attention of
your audience over a key
concept using icons or
illustrations
You can also split your
content

White Black
Is the color of milk and Is the color of coal, ebony,
fresh snow, the color and of outer space. It is the
produced by the darkest color, the result of
combination of all the the absence of or complete
colors of the visible absorption of light.
spectrum.
In two or three columns

Yellow Blue Red

Is the color of gold, Is the colour of the Is the color of
butter and ripe clear sky and the blood, and because
lemons. In the deep sea. It is of this it has
spectrum of visible located between historically been
light, yellow is violet and green on associated with
found between the optical sacrifice, danger
green and orange. spectrum. and courage.
A picture is worth a
thousand words

A complex idea can be

conveyed with just a
single still image,
namely making it
possible to absorb
large amounts of data
quickly.
Want big impact?

Use big image

Use charts to explain your
ideas

White Gray Black

Or use diagrams to
explain complex ideas

Text Title
01 Place your own text
here

Text Title
02 Place your own
text here

Text Title
03 Place your own
text here

Text Title
04 Place your own
text here

Diagram featured by http://slidemodel.com

And tables to compare data

A B C

Yellow 10 20 7

Blue 30 15 10

Orange 5 24 16
our office

Maps
89,526,124
Whoa! Thats a big number, arent you proud?
89,526,124$
Thats a lot of money

185,244 users
And a lot of users

100%
Total success!
Our process is easy

first second last

Lets review some concepts
Yellow
Is the color of gold, butter
and ripe lemons. In the
spectrum of visible light,
yellow is found between
green and orange.
Yellow
Is the color of gold, butter
and ripe lemons. In the
spectrum of visible light,
yellow is found between
green and orange.
Blue
Is the colour of the clear sky
and the deep sea. It is
located between violet and
green on the optical
spectrum.
Blue
Is the colour of the clear sky
and the deep sea. It is
located between violet and
green on the optical
spectrum.
Red
Is the color of blood, and
because of this it has
historically been associated
with sacrifice, danger and
courage.
Red
Is the color of blood, and
because of this it has
historically been associated
with sacrifice, danger and
courage.
You can copy&paste graphs from Google Sheets
Android project

Show and explain

your web, app or Place your screenshot
here

software projects
using these gadget
templates.
iPhone project

Show and explain

your web, app or Place your
screenshot here

software projects
using these gadget
templates.
Tablet project

Show and explain

your web, app or Place your screenshot here

software projects
using these gadget
templates.
Desktop project

Show and explain Place your screenshot here

your web, app or
software projects
using these gadget
templates.
THANKS!

Any questions?
You can find me at @username & user@mail.me
Credits

Special thanks to all the people who made and

released these awesome resources for free:
Presentation template by SlidesCarnival
Photographs by Unsplash
Presentation design

This presentation uses the following typographies and colors:

Titles: Roboto Slab
Body copy: Nixie One
You can download the fonts on this page:
https://www.google.com/fonts#UsePlace:use/Collection:Roboto+Slab:400,100,300,700|Nixie+One

Click on the arrow button that appears on the top right

Steel #18637b / Dark steel #114454

Light Green #94bf6e / Green #3b8d61 / Dark green #165751

You dont need to keep this slide in your presentation. Its only here to serve you as a design guide if
you need to create new slides or download the fonts to edit the presentation in PowerPoint
SlidesCarnival icons are editable shapes.

This means that you can:

Resize them without losing quality.
Change line color, width and style.

Isnt that nice? :)

Examples:

Now you can use any emoji as an icon!
And of course it resizes without losing quality and you can change the color.

How? Follow Google instructions

https://twitter.com/googledocs/status/730087240156643328

and many more...