Gastrointestinal and Hepatobiliary disorders

Week 4 Pharmacotherapeutic: gastrointestinal and hepatobiliary disorders

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: HTN, Type II DM, Gout , DVT – Caused by oral BCPs
  • Vital signs: Bp- 136/82, pulse- 82bpm, temp- 98.8, ht- 5ft 8” , wt- 202 lbs
  • Allergies; latex, codeine, Amoxicillin
  • 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
  • PE: Eyes: EOMI
  • HENT: Normal
  • GI: bNondistended, minimal tenderness, Skin: bWarm and dry, Neuro: Alert and Oriented
  • Psych bAppropriate mood

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.