Consider the following case study:

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

To prepare:

• Review this week's media presentation on pharmacology for the gastrointestinal system.

• Review the provided case study. 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.

An explanation of your diagnosis for the patient including your rationale for the diagnosis. Then, describe an appropriate drug therapy plan based on the patient's history, diagnosis, and drugs currently prescribed.

REFERENCES/ MEDIA

Readings-

• Arcangelo, V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for advanced practice: A practical approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.

? Chapter 28, "Nausea and Vomiting" (pp. 392-409)

? Chapter 29, "Gastroesophageal Reflux Disease and Peptic Ulcer Disease" (pp. 410-423).

? Chapter 30, "Constipation, Diarrhea, and Irritable Bowel Syndrome" (pp. 424-453)

? Chapter 31, "Inflammatory Bowel Disease" (pp. 454-471)

Starr, S., & Raines, D. (2011). Cirrhosis: Diagnosis, management, and prevention. American Family Physician, 84(12), 1353-1359.

Media- Laureate Education, Inc. (Executive Producer). (2012). Pharmacology for the gastrointestinal system. Baltimore, MD: Author.