PHARMACOLOGY WEEK 4 ASSIGNMENT

Below are the details for this week’s assignment.

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

Synthroid 100 mcg daily
Nifedipine 30 mg daily
Prednisone 10 mg daily
Consider what is the cause of the chief complaint, the treatments that should be prescribed, what counseling points to provide the patient, and her history of drug use and possible hep C when developing a treatment plan.

Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

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Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.

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.
By Day 7 of Week 4

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.

Learning Resources

Required Readings (click to expand/reduce)

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

Chapter 64, “Drugs for Peptic Ulcer Disease” (pp. 589–597)
Chapter 65, “Laxatives” (pp. 598–604)
Chapter 66, “Other Gastrointestinal Drugs” (pp. 605–616)
Chapter 80, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 723–743)
Chalasani, N., Younossi, Z., Lavine, J. E., Charlton, M., Cusi, K., Rinella, M., . . . Sanya, A. J. (2018). The diagnosis and management of nonalcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases. Hepatology, 67(1), 328–357. Retrieved from https://aasldpubs.onlinelibrary.wiley.com/doi/pdf/10.1002/hep.29367

This article details the diagnosis and management of the nonalcoholic fatty liver disease. Review this article to gain an understanding of the underlying pathophysiology as well as the suggested pharmacotherapeutics that might be recommended to treat this disorder.

Attached are helpful treatment guidelines and algorithms for this week’s case.

Dr. Uche

Gastrointestinal-Treatment-Guidelines-Full.pdf

AASLD-IDSA_HCV-Guidance_TxN-Simplified-Tx-No-Cirr_e _1_.pdf

Disorders of the Hepatic ACG Guidelines.pdf

ACG Clinical Guideline Diagnosis and Management.pdf

AGS 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medic.pdf

Evaluation of Abnormal Liver ChemistriesACG Clinical Guideline.pdf

Chronic Pancreatitis- ACG Clinical Guideline.pdf

Colorectal Cancer Screening Recommendations.pdf

ACG_Clinical_Guideline__Nutrition_Therapy_in_the.14 _1_ _1_.pdf

Acute Pancreatitis- ACG Guideline.pdf

Celiac Disease ACG Clinical Guidelines Diagnosis and Management.pdf

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