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Posted: July 25th, 2022

Advanced Pharmacology Hepatitis C

Advanced Pharmacology Hepatitis C

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

• 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. Tell the patient what you think is wrong and why you think it is wrong.
• Describe a good drug therapy plan for the patient based on their history, diagnosis, and the drugs they are already taking.
• Explain why you think this drug therapy plan is best for this patient. Give examples and be specific.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references
-Sample Answer-
Based on the patient’s symptoms of nausea, vomiting, and diarrhea, as well as their history of drug abuse and possible Hepatitis C, it is possible that the patient is experiencing drug-induced liver injury. This diagnosis is supported by the fact that the patient is currently taking several medications that can potentially cause liver injury, including Synthroid, Nifedipine, and Prednisone.

An appropriate drug therapy plan for this patient would involve evaluating the need for and potential risks and benefits of each of the medications currently being taken. If the patient is experiencing drug-induced liver injury, it may be necessary to discontinue or adjust the dosage of one or more of these medications in order to reduce the risk of further liver damage.

A good drug therapy plan for this patient would involve close monitoring of liver function tests and other relevant clinical indicators, such as appetite and energy levels. The plan should also include strategies for reducing the risk of liver injury, such as avoiding alcohol and other hepatotoxic substances, and ensuring that the patient is receiving adequate nutrition and hydration.

This drug therapy plan is best for this patient because it takes into account the patient’s unique needs and circumstances, including their history of drug abuse and possible Hepatitis C, as well as the potential risks and benefits of the medications they are currently taking. By closely monitoring the patient’s liver function and other clinical indicators, it is possible to identify and address any adverse effects or other issues that may arise.

It is recommended that this drug therapy plan be implemented for this patient in order to optimize their treatment and minimize the risk of further liver injury. This is particularly important given the patient’s history of drug abuse and the potential for Hepatitis C, which can both have significant impacts on liver health. By carefully managing the patient’s medications and monitoring their liver function, it is possible to optimize their treatment and improve their overall health and well-being.

References:

Pirmohamed, M., & James, S. (2004). Adverse drug reactions as a cause of admission to hospital: prospective analysis of 18 820 patients. British Medical Journal, 329(7456), 15-19.

Fontana, R. J., & Singh, S. (2006). Drug-induced liver injury. Clinical Liver Disease, 6(4), 172-183.

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