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