Acute Pancreatitis Assessment Paper

Acute Pancreatitis Assessment Paper

Utilize the following 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. Acute Pancreatitis She has had nausea and on instance of vomiting before presentation.
PMH: Vitals:
HTN Temp: 98.8oF
Type II DM Wt: 202 lbs
Gout Ht:
DVT  Caused by oral BCPs BP: 136/82

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

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 history, diagnosis, and drugs currently prescribed.
Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples. Note for the writer : The diagnostic i consider is : Acute Pancreatitis , i add a example just to have a idea , maybe that will help.

Example

Question 1.
Based on the information provided, it is likely that the patient is experiencing a bout of acute pancreatitis. This diagnosis is supported by the patient’s history of RUQ pain, nausea, and vomiting, as well as elevated levels of bilirubin and pancreatic enzymes. Additionally, the patient’s history of gout and use of allopurinol may be contributing factors. Acute pancreatitis is a condition characterized by inflammation of the pancreas. The most common symptoms include abdominal pain, nausea, and vomiting. In some cases, elevated levels of bilirubin and pancreatic enzymes may be present. Additionally, the condition may be associated with gout and the use of allopurinol.
Question 2.
The patient’s current medications include lisinopril 10 mg daily, HCTZ 25 mg daily, allopurinol 100 mg daily, and a multivitamin daily. The patient’s history includes hypertension, type II diabetes mellitus, gout, and a previous DVT. The patient presents with RUQ pain, nausea, and vomiting. The appropriate drug therapy plan for this patient would include continuing the lisinopril and HCTZ for hypertension, adding an antacid for the nausea and vomiting, and adding a pain reliever such as ibuprofen for the pain. The allopurinol could be continued if the patient does not have any further episodes of gout. If the patient does have another episode of gout, the allopurinol could be increased or another gout medication could be added.

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Question 3.
Hypertension is a common condition that requires lifelong treatment. The goals of treatment are to reduce the risk of complications, such as heart attack and stroke. Lisinopril and HCTZ are both effective treatments for hypertension. They work by reducing the amount of water in the body and by relaxing the blood vessels. Type II diabetes mellitus is a condition that is characterized by high blood sugar levels. The goals of treatment are to control blood sugar levels and to prevent complications. Allopurinol is an effective medication for controlling blood sugar levels. It works by reducing the amount of sugar that the liver produces. Gout is a condition that is characterized by inflammation and pain in the joints. The goals of treatment are to reduce the inflammation and pain. Allopurinol is an effective medication for reducing the inflammation and pain associated with gout. DVT is a condition that is caused by blood clots in the veins. The goals of treatment are to prevent the formation of new blood clots and to reduce the risk of complications. Aspirin is an effective medication for preventing the formation of new blood clots.

Acute Pancreatitis Assessment Paper

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