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 examin

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.

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 with her family.  She has had nausea and one instance of vomiting before presentation.

PMH:                 Vitals: 

HTN                                                                Temp:              98.8oF

Type II DM                                                     Wt:                  202 lbs

Gout                                                                Ht:                   5’8”

DVT – Caused by oral BCPs                          BP:                  136/82

                                                                        HR:                 82 bpm

Current Medications:     Notable Labs:

Lisinopril 10 mg daily                                   WBC:                          13,000/mm3

HCTZ 25 mg daily                                        Total bilirubin:           0.8 mg/dL

Allopurinol 100 mg daily                               Direct bilirubin:          0.6 mg/dL

Multivitamin daily                                          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