Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Write a 1+ page paper that addresses the following:
Explain your diagnosis for the patient, including your rationale for the diagnosis. What labs would you order?
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.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. All papers submitted must use this formatting.
To Prepare
Review the case study assigned by your Instructor for this Assignment
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.
Case study assigned:
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
Flagyl 500 mg TID
Metronidazole 250 mg daily
Vitals:
Temp: 98.8oF
Wt: 155 lbs
Ht: 5’7”
BP: 136/82
HR: 90 bpm
PE:
Eyes: EOMI
HENT: Normal
GI: Nondistended, minimal tenderness
Skin: Warm and dry
Neuro: Alert and Oriented
Psych: Appropriate mood
Learning Resources
Required Readings (click to expand/reduce)
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
Chapter 64, “Drugs for Peptic Ulcer Disease” (pp. 589–597)
Chapter 65, “Laxatives” (pp. 598–604)
Chapter 66, “Other Gastrointestinal Drugs” (pp. 605–616)
Chapter 80, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 723–743)
Chalasani, N., Younossi, Z., Lavine, J. E., Charlton, M., Cusi, K., Rinella, M., . . . Sanya, A. J. (2018). The diagnosis and management of nonalcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases. Hepatology, 67(1), 328–357. Retrieved from https://aasldpubs(dot)onlinelibrary(dot)wiley(dot)com/doi/pdf/10.1002/hep.29367
This article details the diagnosis and management of nonalcoholic fatty liver disease. Review this article to gain an understanding of the underlying pathophysiology as well as the suggested pharmacotherapeutics that might be recommended to treat this disorder.
RUBRIC TO ASSIGNMENT
Name: NURS_6521_Week4_Assignment_Rubric
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Excellent Good Fair Poor
Explain your diagnosis for the patient, including your rationale for the diagnosis.
23 (23%) - 25 (25%)
The 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.
20 (20%) - 22 (22%)
The response provides a basic explanation of 1-2 diagnoses for the patient, including an accurate rationale for the diagnosis that may support clinical judgment.
18 (18%) - 19 (19%)
The response inaccurately or vaguely explains the diagnosis for the patient, including an inaccurate or vague rationale for the diagnosis that may or may not support clinical judgment.
0 (0%) - 17 (17%)
The response inaccurately and vaguely explains the diagnosis for the patient, including an inaccurate and vague rationale for the diagnosis that does not support clinical judgment, or is missing.
Describe an appropriate drug therapy plan based on the patient's history, diagnosis, and drugs currently prescribed.
27 (27%) - 30 (30%)
The response accurately and completely describes in detail an appropriate drug therapy plan based on the patient's history, diagnosis, and drugs currently prescribed.
24 (24%) - 26 (26%)
The response describes a basic explanation of the appropriate drug therapy plan based on the patient's history, diagnosis, and drugs currently prescribed.
21 (21%) - 23 (23%)
The response inaccurately or vaguely describes an appropriate drug therapy plan based on the patient's history, diagnosis, and drugs currently prescribed.
0 (0%) - 20 (20%)
The response inaccurately and vaguely describes 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.
27 (27%) - 30 (30%)
The response provides an accurate, clear, and detailed justification for the recommended drug therapy plan for this patient.
The response includes specific, accurate, and detailed examples that fully support the justification provided.
24 (24%) - 26 (26%)
The response provides a basic justification for the recommended drug therapy plan for this patient.
The response includes only 1-2 examples that fully support the justification provided.
21 (21%) - 23 (23%)
The response provides an inaccurate or vague justification for the recommended drug therapy plan for this patient.
The response may include examples, which may inaccurately or vaguely support the justification provided.
0 (0%) - 20 (20%)
The response provides an inaccurate and vague justification for the recommended drug therapy plan for this patient, or is missing.
The response does not include examples that support the justification provided, or is missing.
Written Expression and Formatting - Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused--neither long and rambling nor short and lacking substance.
5 (5%) - 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
4 (4%) - 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
3.5 (3.5%) - 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.
0 (0%) - 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
Written Expression and Formatting - English writing standards:
Correct grammar, mechanics, and proper punctuation
5 (5%) - 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors
4 (4%) - 4 (4%)
Contains a few (1–2) grammar, spelling, and punctuation errors
3.5 (3.5%) - 3.5 (3.5%)
Contains several (3–4) grammar, spelling, and punctuation errors
0 (0%) - 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding
Written Expression and Formatting - 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.
5 (5%) - 5 (5%)
Uses correct APA format with no errors
4 (4%) - 4 (4%)
Contains a few (1–2) APA format errors
3.5 (3.5%) - 3.5 (3.5%)
Contains several (3–4) APA format errors
0 (0%) - 3 (3%)
Contains many (≥ 5) APA format errors
Total Points: 100
Name: NURS_6521_Week4_Assignment_Rubric