Case study:
\nThis we will look at GI and hepatobiliary disorders. We will be completing a one-page assignment that is due by day 7 (Sunday). Please use the following case study for the assignment:<\/p>\n
Week 4 Assignment
\nDC 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 with her family. She has had nausea and one instance of vomiting before presentation.
\nPMH: Vitals:
\nHTN Temp: 98.8oF
\nType II DM Wt: 202 lbs
\nGout Ht: 5\u20198\u201d
\nDVT \u2013 Caused by oral BCPs BP: 136\/82
\nHR: 82 bpm
\nCurrent Medications: Notable Labs:
\nLisinopril 10 mg daily WBC: 13,000\/mm3
\nHCTZ 25 mg daily Total bilirubin: 0.8 mg\/dL
\nAllopurinol 100 mg daily Direct bilirubin: 0.6 mg\/dL
\nMultivitamin daily Alk Phos: 100 U\/L
\nAST: 45 U\/L
\nALT: 30 U\/L
\nAllergies:
\nLatex
\nCodeine
\nAmoxicillin
\nPE:
\nEyes: EOMI
\nHENT: Normal
\nGI:bNondistended, minimal tenderness
\nSkin:bWarm and dry
\nNeuro: Alert and Oriented
\nPsych:bAppropriate mood
\nDETAILS:
\nWrite a 1-page paper that addresses the following:
\nExplain your diagnosis for the patient, including your rationale for the diagnosis.
\nDescribe an appropriate drug therapy plan based on the patient\u2019s history, diagnosis, and drugs currently prescribed.
\nJustify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
\nTo Prepare:
\nReview the case study assigned by your Instructor for this Assignment
\nReflect on the patient\u2019s symptoms, medical history, and drugs currently prescribed.
\nThink 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.
\nConsider an appropriate drug therapy plan based on the patient\u2019s history, diagnosis, and drugs currently prescribed.
\n(AS A NURSE PRACTITONER- PROVIDER)
\nRUBRIC:
\nNURS_6521_Week4_Assignment_Rubric
\nNURS_6521_Week4_Assignment_Rubric
\nCriteria Ratings Pts
\nThis criterion is linked to a Learning OutcomeExplain your diagnosis for the patient, including your rationale for the diagnosis.
\n25 to >22.25 pts
\nExcellent
\nThe response accurately and clearly explains in detail the diagnosis for the patient, including an accurate and thorough rationale for the diagnosis that supports clinical judgment.
\n22.25 to >19.75 pts
\nGood
\nThe response provides a basic explanation of 1-2 diagnoses for the patient, including an accurate rationale for the diagnosis that may support clinical judgment.
\n19.75 to >17.25 pts<\/p>\n
NURS_6521 Diagnosis and Drug Therapy for a Patient with Right Upper Quadrant Pain
\nBased on the information provided, my diagnosis for this 46-year-old female patient presenting with right upper quadrant (RUQ) pain is cholecystitis, or gallbladder inflammation. Her symptoms of RUQ pain one hour after a large meal, along with nausea and vomiting, are classic signs of cholecystitis (Mayo Clinic, 2022). Her medical history of hypertension, diabetes, gout, and previous DVT also put her at higher risk for developing gallbladder issues like cholecystitis (MedlinePlus, 2021).
\nFor drug therapy, I would continue the patient’s current medications of lisinopril, HCTZ, and allopurinol, as these are appropriately managing her hypertension, diabetes, and gout. To treat the cholecystitis, I would prescribe a short course of oral ciprofloxacin 500mg twice daily for 7 days (Uptodate, 2023). Ciprofloxacin is a fluoroquinolone antibiotic recommended as first-line treatment for mild to moderate cholecystitis by international guidelines (EASL, 2022). This antibiotic therapy aims to reduce inflammation and infection in the gallbladder. I would also recommend a low-fat diet and increased fluid intake during the treatment period to rest the gallbladder (Mayo Clinic, 2022).
\nPrescribing ciprofloxacin is appropriate for this patient given her diagnosis of cholecystitis, need for antibiotic therapy, and lack of contraindications based on her medical history. Ciprofloxacin directly addresses the underlying infection and inflammation causing her symptoms. A short course of oral antibiotics allows for outpatient treatment while effectively managing her condition. Continuing her current medications also safely maintains control of her other medical conditions. This individualized drug therapy plan is justified and tailored specifically for this 46-year-old female patient presenting with RUQ pain.
\nMayo Clinic. (2022, March 22). Cholecystitis. Retrieved November 15, 2022, from https:\/\/www.mayoclinic.org\/diseases-conditions\/cholecystitis\/symptoms-causes\/syc-20363862
\nMedlinePlus. (2021, December 3). Gallbladder disease risk factors. U.S National Library of Medicine. Retrieved November 15, 2022, from https:\/\/medlineplus.gov\/gallbladderdiseaseriskfactors.html
\nUptodate. (2023, January). Treatment of acute cholecystitis in adults. Retrieved November 15, 2022, from https:\/\/www.uptodate.com\/contents\/treatment-of-acute-cholecystitis-in-adults
\nEASL Clinical Practice Guidelines: Management of cholestatic liver diseases. (2022). Journal of Hepatology, 76(1), 12\u201349. https:\/\/doi.org\/10.1016\/j.jhep.2021.09.005<\/p>\n","protected":false},"excerpt":{"rendered":"
Case study: This we will look at GI and hepatobiliary disorders. We will be completing a one-page assignment that is due by day 7 (Sunday). Please use the following case study for the assignment: Week 4 Assignment DC is a 46-year-old female who presents with a 24-hour history of RUQ pain. She states the pain […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,20,3,1031,1032,110],"tags":[1041,1034,1043,1033,1040,1038,1039,952,295,1036,1042,1035,1044,1037,268],"class_list":["post-2824","post","type-post","status-publish","format-standard","hentry","category-ace-my-homework","category-ace-myhomework","category-homework-ace-tutors","category-i-need-help-with-my-homework","category-in-a-page-paper","category-write-an-essay","tag-custom-essay","tag-dissertation-ideas","tag-dissertation-topic","tag-essay-topics","tag-free-essays","tag-help-in-assignment","tag-help-with-class","tag-i-need-help","tag-page-paper","tag-research-paper-samples","tag-term-paper","tag-thesis-examples","tag-thesis-writers","tag-write","tag-write-a-paper"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts\/2824","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/comments?post=2824"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts\/2824\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/media?parent=2824"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/categories?post=2824"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/tags?post=2824"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}