Module 3: Gastrointestinal and Hepatobiliary Systems
Symptoms of various gastrointestinal (GI) and hepatobiliary disorders often overlap, making diagnosis and treatment challenging. For example, symptoms such as vomiting, constipation, and bloating are non-specific and could also be the result of underlying medical history or current prescription drug use. As an advanced practice nurse, you could be potentially responsible for providing care to a patient who may present with non-specific symptoms related to the gastrointestinal and hepatobiliary systems.
How would you proceed to care for this patient? What type of drug therapy might you recommend, not knowing current medical history or prescription drug use? Are there certain drugs you should avoid in ensuring a drug-drug interaction does not occur? These are the types of questions that may guide you in your role as an advanced practice nurse.
What’s Happening This Module?
Module 3: Gastrointestinal and Hepatobiliary Systems is a 1-week module, Week 4 of the course. In this module, you will examine diagnoses for patients with potential GI and hepatobiliary disorders. You also develop a drug therapy plan based on patient history and diagnosis.
Course Name: NURS 6521: Advanced Pharmacology
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
Class, this week we delve into the topics of gastrointestinal and hepatobiliary disorders. At first thought, nausea, diarrhea, or perhaps GERD may come to mind when thinking of disorders in this group, however, there are many more. This week we will be covering these and many other important topics. For example, there are several new treatments being introduced for IBS and Hepatitis C, bringing these disorders into the public eye. As a practitioner, you may begin to encounter more patients with these disorders as public awareness about them increases. Also, nausea, vomiting, and diarrhea are some of the most common side effects that accompany many drug treatments, so awareness of how to mitigate this is crucial in learning about pharmacology.
This week you will be asked to write a one page paper where you propose a diagnosis for a patient based off a limited amount of data. The scenario is below. I understand if you are hesitant to make a conclusive diagnosis based on the data you are given, so discuss possible diagnoses. Also, discuss how you would assess the patient clinically, and how you would treat them if your supposed diagnosis was correct.
Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
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.
Write a 1-page paper that addresses the following:
Case Study for Week 4:
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