Nursing Nausea and On Instance of Vomiting
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:
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
Write a 1.5 pages 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 example
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