Assignment: Gastrointestinal and Hepatobiliary Disorders

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.

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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
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.

Case Study:

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 had nausea and one instance of vomiting before the presentation.

PMH:

Vitals:

HTN

Temp:

98.8F

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

Feedback: The case studies are provided for you to treat the patient as an NP; this is your chance to prescribe medications. Please refrain from making statements like I will consult the experts or the medicines should be changed; document what you would prescribe for the patient and why.

Write a 2-page paper that addresses the following:

Explain your diagnosis for the patient, including your rationale for the
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.

Assignment: Gastrointestinal and Hepatobiliary Disorders