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Week 4 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Claudia Maria Robin (She/Her)
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Class,

Carefully read the assignment requirements posted in the week 4 Module. 

Statements such as insufficient information provided or labs needed to be ordered are " unacceptable."

You may use as many pages as you need.

Case Study:

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain.  She states the pain started about 1 hour after
a large dinner she had with her family.  She had nausea and one instance of vomiting before the presentation.

PMH:                                                              Vitals: 

HTN                                                                Temp:              98.8F

Type II DM                                                     Wt:                  202 lbs

Gout                                                                Ht:                   5’8”

DVT – Caused by oral BCPs                          BP:                  136/82

                                                                        HR:                    82 bpm

Current Medications:                                Notable Labs:

Lisinopril 10 mg daily                                   WBC:                          13,000/mm3

HCTZ 25 mg daily                                        Total bilirubin:           0.8 mg/dL

Allopurinol 100 mg daily                               Direct bilirubin:          0.6 mg/dL

Multivitamin daily                                          Alk Phos:                    100 U/L

                                                                          AST:                           45 U/L

                                                                           ALT:                           30 U/L
Allergies:

Latex
Codeine
Amoxicillin

PE:

Eyes: EOMI
HENT: Normal
GI: Nondistended, minimal tenderness
Skin:  Warm and dry
Neuro: Alert and Oriented
Psych:  Appropriate mood

 Feedback:
The case studies are provided for you to treat the patient as an NP, and this is your chance to prescribe medications. Don't
make statements such as I will consult the experts, document what you would prescribe for the patient.
Many of you still need to address the patient's lab results offered.  
Many of you should address the patient's vitals.

For those of you who provided the above requirements, keep up the awesome work!

Dr. Robin
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