NURS 6521 Advanced Pharmacology – Assignment
Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
Case Study – Patient HL
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
Gastrointestinal (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 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.
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.
Rubric Detail
Name: NURS_6521_Week4_Assignment_Rubric
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.
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.
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.
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.
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
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
Total
Points: 100
Name: NURS_6521_Week4_Assignment_Rubric
Learning
Resources
Required Readings
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.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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