nurs6521 week 7 discussion latest 2018 april

Week 7
discussion

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Discussion: Pharmacotherapy for Gastrointestinal and
Hepatobiliary Disorders

Gastrointestinal (GI) and hepatobiliary disorders affect the
structure and function of the GI tract. Many of these disorders often have
similar symptoms such as abdominal pain, cramping, constipation, nausea,
bloating, and fatigue. Since multiple disorders can be tied to the same
symptoms, it is important for advanced practice nurses to carefully evaluate
patients and prescribe treatment that targets the cause rather than the
symptom. Once the underlying cause is identified, an appropriate drug therapy
plan can be recommended based on medical history and individual patient
factors. In this Discussion, 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.

Consider the following case study:

Patient HL comes into the clinic with the following
symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug
abuse and possible Hepatitis C. HL is currently taking the following
prescription drugs:

Synthroid 100 mcg daily

Nifedipine 30 mg daily

Prednisone 10 mg daily

To prepare:

Review this week’s media presentation on pharmacology for
the gastrointestinal system.

Review the provided case study. 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.

With these thoughts in mind:

By Day 3

Post an explanation of your diagnosis for the patient
including your rationale for the diagnosis. Then, describe an appropriate drug
therapy plan based on the patient’s history, diagnosis, and drugs currently
prescribed.

By Day 6

Read a selection of your colleagues’ responses and respond
to at least two of your colleagues on two different days who diagnosed the
patient differently than you did, in one or more of the following ways:

Provide alternative recommendations for drug treatments.

Offer and support an alternative perspective using readings
from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional
research.

Explanation & Answer

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