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.
• 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.

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

This is a case study you do in a Grand Rounds (advanced clinician level brainstorming) style with the ‘Pharmacological Plan’ as the major part of your discussion.

Instructor/Facilitator help/suggestions:

1. Include three differential diagnoses. Do not just say “Symptoms are vague, no diagnoses possible, I will just do further assessment.” Subjective & Objective information are intentionally provided vague (as a clinical case) so that you can develop a couple of pharmacological cases & discuss.

2. Briefly address how you will pharmacologically treat the three diagnoses you listed (Pharmacological Plan).

3. Include why patient is on Synthroid, Nifedipine, a peripheral calcium channel blocker & prednisone an anti-inflammatory immunosuppressive agent (pharmacological information needed) and why patient was on these drugs, discussion based on your objective & assessment. Briefly state the mechanism of action of these agents.

4. Long discussions/stories of no relevance to advanced practice pharmacology will carry no value with this project.

5. Include NEWER AGENTS of cure for hepatitis C infection. Spell out the drug names. Discuss how these NEWER hepatitis C drugs of CURE work.

6. Include peer reviewed, scholarly articles of past 4 years as reference. 

7. Make it a Point you have Clinician Level Pharmacology in focus