A 46-year-old female with a 24-hour history of RUQ pain that
A 46-year-old female with a 24-hour history of RUQ pain that… A 46-year-old female with a 24-hour history of RUQ pain that started about 1 hour after a large dinner. She has had nausea and one episode of vomiting before the presentation. PMH: HTN, Type II DM, DVT – Caused by oral BCPs, Gout Vitals: BP: 136/82, HR: 82, Temp: 98.8oF Wt: 202 1bs & Ht 5′ 8″ Allergies: Latex, Codeine, Amoxicillin Current Medications: Notable Labs:Lisinopril 10 mg daily WBC: 13,000/mm3HCTZ 25 mg daily Total bilirubin: 0.8 mg/dLAllopurinol 100 mg daily Direct bilirubin: 0.6 mg/dLMultivitamin daily Alk Phos: 100 U/L AST: 45 U/L ALT: 30 U/L PE:Eyes: EOMIHENT: NormalGI:non distended, minimal tendernessSkin:warm and dryNeuro: Alert and OrientedPsych: appropriate mood 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.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. Health Science Science Nursing NURS 6521
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