Posted: October 6th, 2022

Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

WEEK four Project: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Picture Credit score: Getty Photographs/iStockphoto
Gastrointestinal (GI) and hepatobiliary problems have an effect on the construction and operate of the GI tract. Many of those problems typically have related signs, akin to belly ache, cramping, constipation, nausea, bloating, and fatigue. Since a number of problems could be tied to the identical signs, it’s important for superior follow nurses to fastidiously consider sufferers and prescribe a remedy that targets the trigger reasonably than the symptom.
As soon as the underlying trigger is recognized, an applicable drug remedy plan could be advisable primarily based on medical historical past and particular person affected person elements. On this Project, you look at a case examine of a affected person who presents with signs of a doable GI/hepatobiliary dysfunction, and you design an applicable drug remedy plan.
To Put together
Overview the case examine assigned by your Teacher for this Project
Replicate on the affected person’s signs, medical historical past, and medication at the moment prescribed.
Take into consideration a doable analysis for the affected person. Think about whether or not the affected person has a dysfunction associated to the gastrointestinal and hepatobiliary system or whether or not the signs are the results of a dysfunction from one other system or different elements, akin to being pregnant, medication, or a psychological dysfunction.
Think about an applicable drug remedy plan primarily based on the affected person’s historical past, analysis, and medication at the moment prescribed.
By Day 7 of Week four
Write a 1-page paper that addresses the next:
Clarify your analysis for the affected person, together with your rationale for the analysis.
Describe an applicable drug remedy plan primarily based on the affected person’s historical past, analysis, and medication at the moment prescribed.
Justify why you’d suggest this drug remedy plan for this affected person. Be particular and present examples.
Reminder: The Faculty of Nursing requires that every one papers submitted embrace a title web page, introduction, abstract, and references. The Pattern Paper supplied on the Walden Writing Heart gives an instance of these required components (obtainable at http://writingcenter.waldenu.edu/57.htm). All papers submitted should use this formatting.
Week four Project
Posted on: Monday, June 22, 2020 10:31:25 AM EDT

Week four: Gastrointestinal and Hepatobiliary Disorders

Welcome to Week four! Hope you had an amazing weekend.

As an APRN, you’ll probably encounter sufferers presenting with signs affecting the GI tract. Nevertheless, most signs regarding the GI tract are non-specific and subsequently, analysis requires considerate and cautious investigation. Equally, hepatobiliary problems may mirror lots of the indicators and signs that sufferers current when affected by GI problems.

How would possibly you tease out particular indicators and signs between these potential problems and physique methods? What drug remedy plans will greatest handle these problems for your sufferers?

This week you’ll look at diagnoses for sufferers with potential GI and hepatobiliary problems. Additionally, you will develop a drug remedy plan primarily based on affected person historical past and analysis.

What do I’ve to do? When do I’ve to do it?

Overview your Studying Sources Days 1-7, Week four

Project: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Submit your Project by Day 7 of Week four.

Project

By Day 7 of Week four (by Sunday, 11:59 pm MT)

Write a 1-page paper that addresses the next:

1. Clarify your analysis for the affected person, together with your rationale for the analysis.

2. Describe an applicable drug remedy plan primarily based on the affected person’s historical past, analysis, and medication at the moment prescribed.

three. Justify why you’d suggest this drug remedy plan for this affected person. Be particular and present examples.

Case examine assigned:

Affected person HL comes into the clinic with the next signs: nausea, vomiting, and diarrhea. The affected person has a historical past of drug abuse and doable Hepatitis C. HL is at the moment taking the next pharmaceuticals:

· Synthroid 100 mcg each day

· Nifedipine 30 mg each day

· Prednisone 10 mg each day

Wishing you a lot success,
—

Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
The doable analysis in response to the signs is an acute gastrointestinal dysfunction. It’s an intestinal an infection characterised by watery diarrhea, nausea, vomiting, fever, and belly cramps (Goyal et al., 2017). The rationale for the analysis is as a result of signs that the affected person is experiencing which might be much like these of gastrointestinal dysfunction (Hofmann et al., 2016). Though the affected person could also be required superior check akin to liver check, the first analysis is acute or viral gastrointestinal.
The drug remedy plan for the affected person will contain persevering with with Synthroid 100 mcg. The aim of constant with the prescription is to spice up the thyroid hormone. It should Help the affected person to proceed recovering from Hepatitis C (Kuehn et al., 2017). It’s also essential to scale back Nifedipine 30 mg each day dosage because the drug is triggering hypertension. The plan will even contain lowering Prednisone 10 mg each day for three days. The modifications within the drug plan will likely be reviewed after three days to evaluate if the affected person is responding positively to the drug. Moreover, the aim of adjusting the remedy is to scale back the potential of damaging outcomes. One other plan will contain prescribing antacid 500 mg each day for three days (Vlachogiannis et al., 2018). The aim is to deal with the gastrointestinal dysfunction and decide the effectiveness of the drug.
Drug remedy includes lowering some drugs whereas introducing new ones. The aim of lowering the treatment is to scale back the uncomfortable side effects related to the medication (Vlachogiannis et al., 2018). A historical past of drug abuse amongst sufferers requires a discount of prescription to keep away from damaging outcomes. Nevertheless, after three days, it will likely be essential to hold out a liver check to find out the outcomes of the analysis (Kuehn et al., 2017). It’s also important to determine the severity of drug abuse and present crucial remedy and remedy.
References
Goyal, H., Lippi, G., Altin Gjymishka, B. J., Chhabra, R., & Could, E. (2017). Prognostic significance of crimson blood cell distribution width in gastrointestinal problems. World Journal of Gastroenterology, 23(27), 4879.
Hofmann, L., Forschner, A., Loquai, C., Goldinger, S. M., Zimmer, L., Ugurel, S., … & Hassel, J. C. (2016). Cutaneous, gastrointestinal, hepatic, endocrine, and renal side-effects of anti-PD-1 remedy. European Journal of Most cancers, 60, 190-209.
Kuehn, F., Loske, G., Schiffmann, L., Gock, M., & Klar, E. (2017). Endoscopic vacuum remedy for numerous defects of the higher gastrointestinal tract. Surgical Endoscopy, 31(9), 3449-3458.
Vlachogiannis, G., Hedayat, S., Vatsiou, A., Jamin, Y., Fernández-Mateos, J., Khan, Okay., … & Rata, M. (2018). Affected person-derived organoids mannequin remedy response of metastatic gastrointestinal cancers. Science, 359(6378), 920-926.

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