Evaluate diagnoses for patients with gastrointestinal and hepatobiliary disorders

Order Instructions

You will have a patient case so please evaluate and prescribe a drug therapy for the patient. Please be specific on how the drugs work, doses you would recommend, and how you can assess to see if the medication is working or what threshold you would consider changing therapies.

Learning resources for the week are as follows:

> Evaluate diagnoses for patients with gastrointestinal and hepatobiliary disorders.

> Justify drug therapy plans based on patient history and diagnosis

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.

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 on instance of vomiting before presentation.

PMH:

HTN

Type II DM

Gout

DVT – Caused by oral BCPs

Vitals:

HR: 82 bpm

Temp: 98.8F

Wt: 202 lbs

Ht: 5’8”

BP: 136/82

Current Medications:

Lisinopril 10 mg daily

HCTZ 25 mg daily

Allopurinol 100 mg daily

Multivitamin daily

Notable Labs:

WBC: 13,000/mm

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