Case Study For Gastrointestinal Disorders Assignment
Case Study For Gastrointestinal Disorders Assignment
Gastrointestinal disorders can be challenging to diagnose. Notably, gastrointestinal conditions usually produce non-specific symptoms, but the healthcare provider should perform a comprehensive examination to establish the underlying cause for the symptoms. Gastrointestinal symptoms can arise from underlying illnesses related to other body parts, complicating the examination and diagnosis procedures. For instance, a person suffering from chronic migraine may develop nausea and frequent vomiting. Thus, the healthcare provider should thoroughly evaluate gastrointestinal symptoms for correct diagnosis and proper subsequent treatment. This study will explore a case study of patient gastrointestinal symptoms, determine a diagnosis and appropriate rationale, and develop a proper treatment plan Case Study For Gastrointestinal Disorders Assignment.
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The case study features a patient exhibiting non-specific gastrointestinal manifestations, including diarrhea, vomiting, and nausea. The patient’s medical history indicates a background of hepatitis C and substance abuse. However, according to Altaf et al. (2019), one can confirm the hepatitis C case through a polymerase chain reaction test that detects HCV RNA in the blood serum. Thus, the patient’s history indicates a case of complications associated with prednisone utilization. Prednisone has notable contraindication on the gastrointestinal tract because they are widely used to manage various conditions. For instance, studies indicate that patients using prednisone suffer increased gastric acid production within four weeks (Wang et al., 2021)Case Study For Gastrointestinal Disorders Assignment. Thus, reviewing the patient’s health history is crucial when addressing gastrointestinal symptoms.
Moreover, corticosteroids significantly affect the gastric mucosa, further increasing the danger of developing gastric ulcers. Thus, one can understand these observations by assessing prednisone’s mechanism of action. According to Caplan et al. (2017), prednisone inhibits the conversion of phospholipid into arachidonic acid, halting prostaglandin synthesis and subsequent protective activities. That increases the gastric wall’s susceptibility to the stomach’s physiological acidic pH leading to the current patient’s symptoms. Healthcare providers can implement various measures to reduce oral glucocorticoid contraindications. They can reassess patients’ usage and necessity, reduce the utilization period, and provide mucosal protection agents; they coat ulcer areas and prevent further gastric acid-related damage Case Study For Gastrointestinal Disorders Assignment.
For this case study, bismuth subsalicylate will be essential. It enhances mucus, bicarbonate, and prostaglandin secretion; thus, the patient should recover from the gastrointestinal disorder (Brum et al., 2021). Patient education is also crucial; it includes lessons on appropriate diet and various products to avoid while using prednisone. For instance, the patient should avoid spicy foods, alcohol, and cigarettes; they affect the gastric mucosa’s functionality. Patient education on alcohol and substance abuse will encourage the patient to stop drug abuse; failure to do so will lead to gastric perforation and chronic ulcers, which can be fatal Case Study For Gastrointestinal Disorders Assignment.
Gastrointestinal conditions can be challenging to diagnose and treat due to the prevalence of non-specific symptoms. They can also have similar symptoms to disorders affecting other systems or indicate an underlying condition like migraine. This assignment explored a patient displaying non-specific gastrointestinal manifestations, a history of substance abuse, and presently using prednisone. The initial diagnosis is gastritis based on the current prednisone usage. Glucocorticoids inhibit prostaglandin production, interfering with gastric mucosa, which causes gastritis. Bismuth subsalicylate contains mucosal protective characteristics making it an ideal prescription for the patient. Other essential recommendations include patient education on appropriate diet and alcohol abstinence; the patient should avoid spicy foods, alcohol, and cigarettes. These products can disrupt the gastric mucosa increasing the symptoms or causing more chronic conditions and ulcers. Patient education will also enable the patient to overcome substance abuse tendencies highlighted by the medical history Case Study For Gastrointestinal Disorders Assignment.
References
Altaf, A., Iqbal, S., & Shah, S. A. (2019). A third major human immunodeficiency viruses (HIV) outbreak in Larkana, Pakistan: caused by unsafe injection practices. J Pak Med Assoc, 69(8), 1068-69.
Brum, J. M., Gibb, R. D., Ramsey, D. L., Balan, G., & Yacyshyn, B. R. (2021). Systematic review and meta-analyses assessment of the clinical efficacy of bismuth subsalicylate for prevention and treatment of infectious diarrhea. Digestive Diseases and Sciences, 66(7), 2323-2335.
Caplan, A., Fett, N., Rosenbach, M., Werth, V. P., & Micheletti, R. G. (2017). Prevention and management of glucocorticoid-induced side effects: A comprehensive review: Gastrointestinal and endocrinologic side effects. Journal of the American Academy of Dermatology, 76(1), 11-16.
Wang, M., Zhu, Z., Lin, X., Li, H., Wen, C., Bao, J., & He, Z. (2021). Gut microbiota mediated the therapeutic efficacies and the side effects of prednisone in the treatment of MRL/lpr mice. Arthritis research & therapy, 23(1), 1-10 Case Study For Gastrointestinal Disorders Assignment.
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By Day 7 of Week 4 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. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting Case Study For Gastrointestinal Disorders Assignment