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Posted: September 23rd, 2022
Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
The analysis of gastrointestinal issues includes a complete historical past and bodily Assessment. To find out a main diagnostic based on the presenting signs, I’ll present a analysis of acute gastroenteritis. This can be a illness triggered by irritation and an infection of the digestion system. It has quite a few causes, together with bacterial or viral infections, allergy symptoms from meals, reactions from medicines, meals or water poisoning, and drug or alcohol abuse. The affected person HL is presenting with signs like nausea, vomiting, and diarrhea. The affected person additionally has a historical past of medication reminiscent of Nifedipine 30mg day by day, which is a therapy for hypertension of some other angina kind. HL has additionally been taking Prednisone 10mg day by day as a suppressant of immunity and Synthroid 100mg day by day to deal with hypothyroidism. Lastly, HL has been abusing medicine and additionally a chance of hepatitis C.( Medication.com,2015).
Primarily, there aren’t any specific remedies for acute gastroenteritis. Initially, the therapy consisted of self-care methods reminiscent of medicine for anti-diarrhea and anti-nausea. For HL, I’d proceed with the Prednisone with out tapering, though it has a historical past of inflicting gastrointestinal upset. It’s because it’s the similar as cortisol, a hormone that the adrenal glands make naturally. Decreasing Prednisone dosage step by step offers the adrenal glands enough time to get again to regular functioning (Zahr et al., 2013).
I’d focus my care for HL on treating the signs. I’d give Ondansetron SL to Help in relieving nausea and vomiting. It additionally reduces the necessity for being rehydrated intravenously and admission to hospitals. Ondansetron SL is an antagonist 5-HT3 receptor that’s selective. Despite the fact that its motion mechanism will not be totally characterised, Ondansetron will not be within the class of dopamine-receptor antagonist (Belleza, 2021). I’d give Metoclopramide which reduces vomiting episodes and hospital admission. Lastly, dimenhydrinate is also utilized in lowering vomiting period.
References
Belleza, M. (2021). Gastroenteritis Nursing Care Administration. Nurseslabs. https://nurseslabs.com/gastroenteritis/.
Medication.com (2017). Medication by Situation. Retrieved from http://www.medicine.com/
Zahr, Z. A., Fang, H., Magder, L. S., & Petri, M. (2013). Predictors of corticosteroid tapering in SLE sufferers: the Hopkins Lupus Cohort. Lupus, 22(7), 697-701
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