Life threatening intra cerebral haemorrhage (ICH) is the most serious complication of oral anti-coagulation therapy (OAT) with mortality in excess of 50%.early intervention focuses on rapid correction of coagulopathy in order to prevent continued bleeding. Although management guidelines for such haemorrhages are available for the older generation anticoagulants, they are still lacking for newer agents, which are becoming popular among physicians. Supportive care, including blood pressure control, and reversal of anticoagulation remain the cornerstone of acute management of AICH. A case report of young lady of age 29yrs old came with chief compliant of headache, vomiting and involuntary maturation, sudden loss of vision both eyes .she had history of CRHD(chronic rheumatic heart disease) with severe mitral valve stenosis and of post Operative MVR(mitral valve replacement).Altered sensorium after surgery .past medication history was using Acenocoumarol (acenocoumaral) 3mg for 15 days .while observing the patient. Patient was irritable nd abdomen was soft, neck was stiff. Acenocoumarol has been induced intra cerebral haemorrhage in patient and also lead to sub dural haemorrhage infract temporal parietal region

Life threatening intra cerebral haemorrhage (ICH) is the most serious complication of oral anti-coagulation therapy (OAT) with mortality in excess of 50%.early intervention focuses on rapid correction of coagulopathy in order to prevent continued bleeding.  Although management guidelines for such haemorrhages are available for the older generation anticoagulants, they are still lacking for newer agents, which are becoming popular among physicians. Supportive care, including blood pressure control, and reversal of anticoagulation remain the cornerstone of acute management of AICH. A case report of young lady of age 29yrs old came with chief compliant of headache, vomiting and involuntary maturation, sudden loss of vision both eyes .she  had history of CRHD(chronic rheumatic heart disease) with severe mitral valve stenosis and of post Operative MVR(mitral valve replacement).    Altered sensorium after surgery .past medication history was using Acenocoumarol (acenocoumaral) 3mg for 15 days .while observing the patient. Patient was irritable nd abdomen was soft, neck was stiff. Acenocoumarol has been induced intra cerebral haemorrhage in patient and also lead to sub dural haemorrhage infract temporal parietal region

Present work was done to evaluate the occurrence of medication errors in general ward of institute of medical sciences to assess the role of clinical pharmacist in error management. The study was conducted for 9 months and Data was acquired from inpatients of general medicine dept by using standard case report form through direct patient interview. The collected data was to identify medication errors by using drug information tools such as , drug interaction checker and reputed journals and statistical interpretations were done. 400 prescriptions were and in that 300 prescriptions were presented with medication errors. 202 were found to be Prescribing errors, 111 Administration errors,45 were dispensing errors, Monitoring errors were 123. Interaction errors (81.18%), prescription in small letters (34.65%), wrong frequency of administration error (32.43%) and wrong time administration of medicine (85.58%), Dispensing wrong quantity of drug (95.5%) were the major medication errors that were observed. Medication errors have been occurring frequently in the general medicine department out of which prescribing errors were more common. Clinical Pharmacist could act as an medical staff by performing consciousness and teaching to medical professionals and by maintaining positive collaboration with other health care providers for patients.

This case report is mainly about neurological symptoms in relationship to hypoglycemia. Some of the symptoms of neuroglycopenic are cognitive impairment, behavioral changes, psychomotor abnormalities, weakness, seizures, and coma. Normally coma is the dominating neurological symptom in hypoglycemia and seizures are rare manifestations. So it may be overlooked when the patient admitted due to seizures by the hypoglycemia. Seizures may be associated due to hyperglycemia or hypoglycemia because abnormal blood glucose is seen in daily clinical practice.