Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorder

Damilola Oremakinde
Walden University
NURS 6521- Advanced Pharmacology
Nargis Wardak, PharmD
March 25th, 2023
Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorder

One of the pertinent roles of an APRN is to gather information about patients to determine an accurate

diagnosis and provide effective patient care. This paper focused on the diagnosis of the patient and

justification for the drug therapy plan based on the patient’s history, diagnosis, and current medications.

Diagnosis for the patent

Based on the patient’s presenting symptoms and medical history, is diagnosed with acute pancreatitis.

Acute pancreatic is inflammation of the pancreas, which is caused by overeating or drinking alcohol.

Symptoms include RUQ pain, nausea, and vomiting. patient reported that her symptoms started one

hour after a large dinner with her and had an episode of vomiting before presentation, pain from acute

pancreatitis can cause nausea and vomiting, and infection; reflecting the lab results of increased WBC of

13,000mm3. Amylase level is high, which also indicates inflammation of the pancreas.

Drug therapy

Acute pancreatitis can be treated with pain medicine and antibiotics by mouth or IV. Tylenol for pain

and imipenem 500mg IV tid x14 days to reduce the rate of septic complication, fluid hydration IV, and

monitor metabolic complication. Proton pump inhibitor omeprazole can also be used to suppress

exocrine pancreatic secretions and increase anti-inflammatory reactions.

Conclusion

Since the symptoms presented by patients with gastrointestinal (GI) problems are frequently non-

specific (Rosenthal & Burchum, 2021). It is essential for APRNs to conduct a thorough assessment to

determine the underlying source of the symptoms. More testing must be conducted to diagnose the

patient adequately. Tests include stool tests, CT scans, ultrasound, and pancreatic function tests.
References

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Rosenthal, L. D., & Burchum, J. R. (2018). Lehne's pharmacotherapeutics for advanced practice
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