Project: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
Gastrointestinal (GI) and hepatobiliary problems have an effect on the construction and perform of the GI tract. Many of those problems typically have related signs, corresponding to stomach ache, cramping, constipation, nausea, bloating, and fatigue. Since a number of problems will be tied to the identical signs, it will be important for superior apply nurses to rigorously consider sufferers and prescribe a therapy that targets the trigger somewhat than the symptom.
As soon as the underlying trigger is recognized, an applicable drug remedy plan will be really useful based mostly on medical historical past and particular person affected person elements. On this Project, you look at a case examine of a affected person who presents with signs of a potential GI/hepatobiliary dysfunction, and you design an applicable drug remedy plan.
To Put together
Overview the case examine assigned by your Teacher for this Project
Replicate on the affected person’s signs, medical historical past, and medicine at the moment prescribed.
Assume a couple of potential analysis for the affected person. Contemplate whether or not the affected person has a dysfunction associated to the gastrointestinal and hepatobiliary system or whether or not the signs are the results of a dysfunction from one other system or different elements, corresponding to being pregnant, medicine, or a psychological dysfunction.
Contemplate an applicable drug remedy plan based mostly on the affected person’s historical past, analysis, and medicine at the moment prescribed.
Case Examine-
DC is a 46-year-old feminine who presents with a 24-hour historical past of RUQ ache. She states the ache began about 1 hour after a big dinner she had along with her household. She has had nausea and on occasion of vomiting earlier than presentation.
PMH: Vitals:
HTN Temp: 98.8oF
Sort II DM Wt: 202 lbs
Gout Ht: 5’eight”
DVT – Attributable to oral BCPs BP: 136/82
HR: 82 bpm
Present Medicines: Notable Labs:
Lisinopril 10 mg each day WBC: 13,000/mm3
HCTZ 25 mg each day Whole bilirubin: zero.eight mg/dL
Allopurinol 100 mg each day Direct bilirubin: zero.6 mg/dL
Multivitamin each day Alk Phos: 100 U/L
AST: 45 U/L
ALT: 30 U/L
Allergic reactions:
Latex
Codeine
Amoxicillin
PE:
Eyes: EOMI
HENT: Regular
GI:bNondistended, minimal tenderness
Pores and skin:bWarm and dry
Neuro: Alert and Oriented
Psych:bAppropriate temper
Project
Write a 1-page that addresses the next:
Clarify your analysis for the affected person, together with your rationale for the analysis.
Describe an applicable drug remedy plan based mostly on the affected person’s historical past, analysis, and medicine at the moment prescribed.
Justify why you’ll advocate this drug remedy plan for this affected person. Be particular and present examples.
