Sign In
Not register? Register Now!
Essay Available:
Pages:
1 page/≈275 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 4.86
Topic:

Liver Disease or Nonalcoholic Fatty Liver Disease (NAFLD)

Case Study Instructions:

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.

Case study

Week 4 Assignment

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 one 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
Case Study Sample Content Preview:

Nursing
Name
Institution
Course
Date
Nursing
The patient presents with symptoms that suggest she has liver disease or nonalcoholic fatty liver disease (NAFLD). RUQ pain arises when a person has a problem with the liver (Mantovani et al., 2018). The labs also support the diagnosis. The patient’s ALT level is average at 30 U/L even though the AST level is elevated at 45 U/L. The normal range is between 15-37 U/L. The high level suggests a presence of an infection or damage to the liver. The white blood cell count is 13,000/mm3 which is over the normal range and indicates an infection (Mantovani et al., 2018). The patient is also obese, with a BMI of 30.7. The history of hypertension and Type II diabetes mellitus are risk factors that support the diagnosis that they are suffering from NAFLD.
The appropriate drug therapy involves empagliflozin 10mg orally once per day. The dosage can go higher to 25mg once daily if the patient tolerates treatment and needs additional treatment for glycemic control. It is often prescribed to obese or overweight people who also have diabetes. The drug is an oral anti-diabetic medication that does not react with the current medications that the patient is taking. It can still be used alongside other medicines to reduce blood sugar levels. For instance, studies by Østergaard et al. (2021) suggest that lisinopril and empagliflozin have a therapeutic effect and either enhance the impact of the other medication.
NAFLD can quickly become severe, becoming n...
Updated on
Get the Whole Paper!
Not exactly what you need?
Do you need a custom essay? Order right now:
Order

👀 Other Visitors are Viewing These APA Case Study Samples:

HIRE A WRITER FROM $11.95 / PAGE
ORDER WITH 15% DISCOUNT!
Order Now