Gastrointestinal and Hepatobiliary Disorders

Gastrointestinal and Hepatobiliary Disorders

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Gastrointestinal and Hepatobiliary Disorders

Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

RUBRIC:

-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

-Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate a continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

-The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders.

ASSIGNMENT:

Write a 1-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.

-In this Assignment, 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.

-Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.

-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.

-Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Diagnosis and Rationale

The possible diagnosis for the patient includes Crohn disease, hepatitis C, irritable bowel disease or intestinal obstruction. These conditions are known to cause weight loss, fatigue, diarrhea, nausea, and anorexia in patients. However, the information on the patient history is limited hence; several tests need to be done to get a more accurate diagnosis. These tests should include the h.pylori test, stool test, liver function test, baseline test, and abdominal x-ray. It is also important to know whether the drug abuse by the patient involves alcohol and smoking.

Based on the medication the patient is using, the most likely diagnosis is acute gastroenteritis. Symptoms of gastroenteritis include fever, nausea, vomiting, abdominal cramps, and watery diarrhea. The disease transmission is through ingesting contaminated water and foods (Lawrence & Lidbury, 2015) Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders.

Drug Therapy Plan

The first line of intervention is improved self-hygiene. This is done alongside dosing on anti-diarrheal and anti-nausea medication. An appropriate drug would be 8mg ondansetron, administered three times a day. The dose will need to be adjusted based on the results of the liver function test Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders. This is because ondansetron is metabolized by the liver (Drugs, 2015). Additionally, the patient will need to take plenty of fluids to replace the lost amount. If diarrhea persists, the patient can be prescribed with loperamide. The patient will have to be discontinued on prednisone without tapering (EASL, 2018).

Justification of Drug Therapy Plan

There is a possibility of upsetting the GI following the discontinuation of prednisone. Prednisone is similar to the adrenal gland produced by cortisol hormone. When the dosage is reduced, the adrenal gland will have a significantly larger chance of resuming its normal function Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders. Lastly, with the possible hepatitis C diagnosis, the liver is at risk of damage by Synthroid. Thus, the patient should be monitored closely for any adverse effects. To avoid further damage to the liver, the dose should be appropriately adjusted.

References

Drugs.com. (2015). Ondansetron – FDA prescribing information, side effects and uses. Retrieved from            http://www.drugs.com/pro/ondansetron.html

European Association for The Study of The Liver. (2018). EASL recommendations on treatment of hepatitis C 2018. Journal of hepatology, 69(2), 461-511.

Lawrence, Y., & Lidbury, J. (2015). Symptomatic management of primary acute gastroenteritis. Today’s Vet Pract, 2015, 46-52. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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