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Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors

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Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

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

1. Review the case study assigned  
2. Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
3. 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.
4. Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Write a 2-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.

Reminder: all papers submitted include a title page, introduction, summary, and references. 

* the three bullet questions must be addressed in paper according to case study provided below:

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 has had nausea and on instance of vomiting before presentation. 

PMH:                                                              Vitals:  

HTN                                                                Temp:              98.8oF 

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