Acute Pancreatitis Essay Assignment

Acute Pancreatitis Essay Assignment 

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 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. 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: 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 Acute Pancreatitis Essay Assignment

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AST: 45 U/L
ALT: 30 U/L
Allergies:
 Latex
 Codeine
 Amoxicillin
PE:
o Eyes: EOMI
o HENT: Normal
o GI:bNondistended, minimal tenderness
o Skin:bWarm and dry
o Neuro: Alert and Oriented
o Psych:bAppropriate 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’s 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. Acute Pancreatitis Essay Assignment

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.
Question 3. Acute Pancreatitis Essay Assignment
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.

Pancreatitis is an inflammatory condition of the pancreas that occurs when digestive enzymes auto-digest the pancreas itself. Pancreatitis can be acute or chronic, but both are hazardous and may contribute to complications. Acute pancreatitis occurs rapidly and generally resolves after a few days of medication (Sharif et al.,2019). It is frequently caused by a gallstone and is characterized by acute discomfort in the upper abdomen, nausea, and vomiting. This paper is based on a case study of DC, a 46-year-old female patient who presented to the clinic with a chief complaint of a 24-hour history of RUQ discomfort that preceded a substantial evening meal she shared with her family. The paper discusses her most likely diagnosis, suitable pharmacological therapy plan, and basis for recommending a specific therapy Acute Pancreatitis Essay Assignment .

Diagnosis

Based on the case study, the patient is most definitely suffering from acute pancreatitis. Her clinical presentation, which included RUQ pain that occurred after a heavy meal, nausea, and vomiting, is indicative of acute pancreatitis. Moreover, risk factors for acute pancreatitides, such as a propensity for type II diabetes, obesity, and hypertension, are apparent in the clinical presentation (Mederos et al.,2021). The patient’s test results, which include a raised White blood cell count, raised bilirubin, and elevated alkaline phosphatase, are congruent with acute pancreatitis.

 Therapeutic plan

Given the client’s considerable stomach pain as a consequence of acute pancreatitis, the first step would be to administer pain medication. Even though NSAIDs are known to exacerbate pancreatitis, they should be eschewed in these cases and substituted with acetaminophen or opioids such as morphine or fentanyl (Serrano et al.,2019). Antiemetic medicines, such as ondansetron should as well be prescribed to treat nausea and vomiting in patients.

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Because the patient also has hypertension, gout, and type 2 diabetes, their current medications, which include lisinopril, HCTZ, and Allopurinol, should be continued. The client must also be hospitalized and given IV fluids to restore her electrolyte balance and avoid complications linked with pancreatitis, such as hypovolemic shock and acute renal failure. Moreover, she should be kept NPO to allow the pancreas to rest before gradually transitioning to a clear liquid diet Acute Pancreatitis Essay Assignment .

Recommendation

I recommend this drug therapy plan for the patient because it addresses the primary symptoms of acute pancreatitis and also addresses the patient’s underlying conditions. This pharmacological therapy approach is recommended for the patient since it treats both the primary symptoms of acute pancreatitis and the patient’s underlying issues. Client pain therapy necessitates pain management, and antiemetic medications can help with nausea and vomiting. When the client indicated other medical conditions, addressing these will ensure that the patient’s overall health is taken care of. Since acute pancreatitis can cause malnutrition and dehydration, nutritional supplementation is essential in this case.

References

Sharif, M. M., Rekha, K. P., Siddiqua, U. I., Khatun, M. M., Haque, A. E., & Arifin, S. (2019). Advantages of Modified Computed Tomography Severity Index of Acute Pancreatitis Over Other Scoring Systems. KYAMC Journal, 10(2), 110-113.

Mederos, M. A., Reber, H. A., & Girgis, M. D. (2021). Acute pancreatitis: a review. Jama, 325(4), 382-390

Serrano, J. P. R., de Moura, D. T. H., Bernardo, W. M., Ribeiro, I. B., Franzini, T. P., de Moura, E. T. H., … & De Moura, E. G. H. (2019). Nonsteroidal anti-inflammatory drugs versus placebo for post-endoscopic retrograde cholangiopancreatography pancreatitis: a systematic review and meta-analysis. Endoscopy international open, 7(04), E477-E486 Acute Pancreatitis Essay Assignment