Week 4: Gastrointestinal and Hepatobiliary DisordersAs an advanced practice nurse, you will likely encounter patients who will present with symptoms affecting the gastrointestinal (GI) tract. Of special note, is the consideration that most symptoms concerning the GI tract are non-specific and therefore, diagnosing diagnoses of the GI tract require thoughtful and careful investigation. Similarly, hepatobiliary disorders may also mirror many of the signs and symptoms that patients present when suffering from GI disorders.How might you tease out the specific signs and symptoms between these potential disorders and body systems? What drug therapy plans will best address these disorders for your patients?This week, you examine GI and hepatobiliary disorders. You will review a patient case study and consider those factors in recommending and prescribing a drug therapy plan fo your patient.Learning ObjectivesStudents will:Evaluate diagnoses for patients with gastrointestinal and hepatobiliary disordersJustify drug therapy plans based on patient history and diagnosisLearning ResourcesRequired Readings (click to expand/reduce)Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Photo Credit: Getty Images/iStockphotoGastrointestinal (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 a 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 Assignment, 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.To PrepareReview the case study assigned by your Instructor for this AssignmentReflect 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.By Day 7 of Week 4Write 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.Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission
Week 4: GI and Hepatobiliary DisordersPosted on: Tuesday, December 17, 2019 9:11:07 AM ESTThis week, we will be reviewing Gastrointestinal and Hepatobiliary Disorders. You have an assignment that is due by Day 7 of this week. You are to write a 1 page paper addressing the requirements written in your assignment. Please follow the directions given and review the grading rubric to ensure all questions have been addressed. I will be grading your past assignments this evening and tomorrow. Case: 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 dailyNifedipine 30 mg dailyPrednisone 10 mg daily .Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.Chapter 62, “Drugs for Peptic Ulcer Disease” (pp. 703–714)Chapter 63, “Laxatives” (pp. 715–722)Chapter 64, “Other Gastrointestinal Drugs” (pp. 723–735)Chapter 78, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 867–886)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.onlinelibrary.wiley.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.
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