we will be looking at the pharmacologic management of gastrointestinal and hepatobiliary disorders, including: hepatitis C, cirrhosis, nausea/vomiting, GERD, PUD, constipation, diarrhea, irritable bowel syndrome, & inflammatory bowel disease.
For the Assignment this week, you will evaluate and determine a diagnosis for the case study patient who presents with symptoms of a possible GI/hepatobiliary disorder. You will then justify your diagnosis, including your rationale for the diagnosis. Based upon your diagnosis, you will then determine an appropriate treatment plan for the case patient. For full credit, please ensure that you provide the appropriate dose, route and frequency of administration of the medication(s) prescribed. Approach this as if you are writing a prescription for your patient – what drug, dose, route and frequency would you prescribe?
When writing your Week 4 Assignment, consider the following scenario:
DC is a 46-year-old female who presents with a 24-hour history of RUQ pain. She states the pain started about 1 hour after a large dinner she had with her family. She has had nausea and one instance of vomiting before presentation.
PMH:
HTN
Type II DM
Gout
DVT – Caused by oral BCPs
Vitals:
Temp: 98.8°F
Wt: 202 lbs
Ht: 5’8”
BP: 136/82
HR: 82 bpm
Current Medications:
Lisinopril 10 mg daily
HCTZ 25 mg daily
Allopurinol 100 mg daily
Multivitamin daily
Notable Labs:
WBC: 13,000/mm3
Total bilirubin: 0.8 mg/dL
Direct bilirubin: 0.6 mg/dL
Alk Phos: 100 U/L
AST: 45 U/L
ALT: 30 U/L
Allergies:
Latex
Codeine
Amoxicillin
PE:
Eyes: EOMI
HENT: Normal
GI: Nondistended, minimal tenderness
Skin: Warm and dry
Neuro: Alert and Oriented
Psych: Appropriate mood
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
