Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
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.
To Prepare- Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
· Review the case study assigned by your Instructor for this Assignment
· 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. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
Write a 1-page paper that addresses the following:
· Explain your diagnosis for the patient, including your rationale for the diagnosis. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
· 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. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
RUBRIC
NURS_6521_Week4_Assignment_Rubric
| Excellent | Good | Fair | Poor | |
| Explain your diagnosis for the patient, including your rationale for the diagnosis. | 23 (23%) – 25 (25%)
The response accurately and clearly explains in detail the diagnosis for the patient, including an accurate and thorough rationale for the diagnosis that supports clinical judgment. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3 |
20 (20%) – 22 (22%)
The response provides a basic explanation of 1-2 diagnoses for the patient, including an accurate rationale for the diagnosis that may support clinical judgment. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3 |
18 (18%) – 19 (19%)
The response inaccurately or vaguely explains the diagnosis for the patient, including an inaccurate or vague rationale for the diagnosis that may or may not support clinical judgment. |
0 (0%) – 17 (17%)
The response inaccurately and vaguely explains the diagnosis for the patient, including an inaccurate and vague rationale for the diagnosis that does not support clinical judgment, or is missing. |
| Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. | 27 (27%) – 30 (30%)
The response accurately and completely describes in detail an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. |
24 (24%) – 26 (26%)
The response describes a basic explanation of the appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3 |
21 (21%) – 23 (23%)
The response inaccurately or vaguely describes an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. |
0 (0%) – 20 (20%)
The response inaccurately and vaguely describes 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. | 27 (27%) – 30 (30%)
The response provides an accurate, clear, and detailed justification for the recommended drug therapy plan for this patient. The response includes specific, accurate, and detailed examples that fully support the justification provided. |
24 (24%) – 26 (26%)
The response provides a basic justification for the recommended drug therapy plan for this patient. The response includes only 1-2 examples that fully support the justification provided. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3 |
21 (21%) – 23 (23%)
The response provides an inaccurate or vague justification for the recommended drug therapy plan for this patient. The response may include examples, which may inaccurately or vaguely support the justification provided. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3 |
0 (0%) – 20 (20%)
The response provides an inaccurate and vague justification for the recommended drug therapy plan for this patient, or is missing. The response does not include examples that support the justification provided, or is missing. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3 |
| Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. | 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. |
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. |
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. |
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. |
| Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors |
4 (4%) – 4 (4%)
Contains a few (1–2) grammar, spelling, and punctuation errors |
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3–4) grammar, spelling, and punctuation errors |
0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding |
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. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
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. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
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. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
| What do I have to do? | When do I have to do it? |
| Review your Learning Resources | Days 1-7, Week 4 |
| Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders | Submit your Assignment by Day 7 of Week 4. |
Go to the Week’s Content
Week 4: Gastrointestinal and Hepatobiliary Disorders
As an advanced practice nurse, you will likely encounter patients who will present with symptoms affecting the gastrointestinal (GI) tract. Of special note, is the consideration that most symptoms concerning the GI tract are non-specific and therefore, diagnosing diagnoses of the GI tract require thoughtful and careful investigation. Similarly, hepatobiliary disorders may also mirror many of the signs and symptoms that patients present when suffering from GI disorders.
How might you tease out the specific signs and symptoms between these potential disorders and body systems? What drug therapy plans will best address these disorders for your patients?
This week, you examine GI and hepatobiliary disorders. You will review a patient case study and consider those factors in recommending and prescribing a drug therapy plan fo your patient. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
Learning Objectives- Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
Students will:
- Evaluate diagnoses for patients with gastrointestinal and hepatobiliary disorders
- Justify drug therapy plans based on patient history and diagnosis
Learning Resources- Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders 3
Required Readings (click to expand/reduce)
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
- Chapter 64, “Drugs for Peptic Ulcer Disease” (pp. 589–597)
- Chapter 65, “Laxatives” (pp. 598–604)
- Chapter 66, “Other Gastrointestinal Drugs” (pp. 605–616)
- Chapter 80, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 723–743)