Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
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
- 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.
Write a 2-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.
Reminder: all papers submitted include a title page, introduction, summary, and references.
* the three bullet questions must be addressed in paper according to case study provided below:
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
Expert Solution Preview
Introduction:
Gastrointestinal and hepatobiliary disorders are common medical conditions that affect people of all ages. It is essential to identify the underlying cause and recommend appropriate drug therapy plans to manage symptoms effectively. In this assignment, we will examine a case study of a patient with possible GI/hepatobiliary disorder symptoms and design an appropriate drug therapy plan.
Q1. Explain your diagnosis for the patient, including your rationale for the diagnosis.
Based on the patient’s history, symptoms, and lab results, the diagnosis is Acute Cholecystitis. The symptoms of the patient, like RUQ pain, nausea, and vomiting, are indicative of inflammation in the gallbladder. Additionally, the lab results show an increase in total bilirubin, direct bilirubin, and Alk Phos, which are typical of the liver and gallbladder diseases. Therefore, it is evident that the patient may be suffering from Acute Cholecystitis.
Q2. Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
The appropriate drug therapy plan for the patient with Acute Cholecystitis would include antibiotics and pain relievers. Antibiotics like Cefazolin, Ciprofloxacin, or Levofloxacin would help control the inflammation and prevent the development of any other infections. Additionally, the patient can be treated with pain relievers like acetaminophen or ibuprofen to manage the pain and discomfort.
Q3. Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
The recommended drug therapy plan is based on the current diagnosis of Acute Cholecystitis, which is characterized by inflammation in the gallbladder. The use of antibiotics is essential in controlling the inflammation and preventing further infections, ensuring the patient does not develop other serious medical conditions. Pain relievers will help alleviate the patient’s symptoms, including pain and discomfort, ensuring that the patient can rest and recover.
In conclusion, a thorough understanding of the patient’s history, symptoms, and lab results is crucial in designing an appropriate drug therapy plan. The drug therapy plan, therefore, should be tailored to meet the patient’s individual needs and should aim to manage symptoms effectively.
