Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
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Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.
To Prepare
- Review the case study assigned by your Instructor for this Assignment
- Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
- Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
- Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
By Day 7 of Week 4
Write a 1-page paper that addresses the following:
- Explain your diagnosis for the patient, including your rationale for the diagnosis.
- Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
- Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
- Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
- Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
- Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
- If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
- Click on the Submit button to complete your submission.
Explain your diagnosis for the patient, including your rationale for the diagnosis.
Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
Written Expression and Formatting — Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused-neither long and rambling nor short and lacking substance.
Written Expression and Formatting — English writing standards:
Correct grammar, mechanics, and proper punctuation
Written Expression and Formatting — The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Completed Paper Sample
The case of HL is the subject of this Assignment. In the clinic, patient HL presents with the following symptoms: vomiting, diarrhea, and nausea. There is a possibility that the patient has Hepatitis C due to a history of drug misuse. These are the medications that HL is now taking: Synthroid, Nifedipine, and Prednisone.
Gastroenteritis would be my primary diagnosis for HL. An infection of the lining of the intestines is known as gastroenteritis, which can be caused by a virus, bacteria, or parasite. The second most prevalent ailment in the United States is viral gastroenteritis. There is a good chance that norovirus is to blame. It can be passed from person to person or by contaminated food or drink. Vomiting, chills, abdominal pain, and fever are among the patient’s symptoms. Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
The patient’s use of prednisone is the basis for this diagnosis. The liver converts prednisone to prednisolone. This patient’s liver function may have been affected by corticosteroids, which can increase hepatitis C virus (HCV) RNA levels, ultimately leading to aggravation of the underlying liver illness and causing nausea, vomiting, and diarrhea in the stomach (LiverTox, 2020).
Take tiny, frequent sips of water throughout the day. Slowly get back into the habit of eating. Foods that are easy to digest, such as soda crackers, toast, and gelatin, are a good place to start. Stop eating if your stomach starts to feel nauseous after eating. The patient’s drug therapy should focus on symptom management and tapering off prednisone. I would gradually decrease the dosage of prednisone until it was eliminated. An antiemetic like ondansetron would be a good addition. It is less sedative than promethazine; thus, I choose ondansetron instead. There is no need to stop taking nifedipine and Synthroid; thus, I would recommend doing so.
References
LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2012–2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547852
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