Reference no: EM133701902
Assignment: Pharmacy
Patient With Sudden Onset of Intermittent Mid-Epigastric Pain
PR is a 35-year-old female who presents with a sudden onset of intermittent mid-epigastric pain that started 4 weeks ago. Pain is 6/10 on the pain scale and described as burning that worsens after she eats Mexican food and when she is lying down. She has never experienced this before. PR reports that she has been taking over the counter (OTC) antacids that seemed to help at first, but now they provide no relief. She reports associated regurgitation and feeling of fullness all the time and this morning she had a sore throat.
Past Medical History
1) Anaphylactic reaction to penicillin Medications
2) OTC antacids
Family History
1) Noncontributory
Social History
1) Occupation: Elementary school teacher (10 years)
2) Nonsmoker
3) Denies illicit drug use
4) Consumes wine two to three times per month •
Regular exercise
Physical Examination
1) Weight: 145 lbs.; blood pressure: 128/72; pulse: 80; respiration rate: 18; temperature: 98.7 °F
2) General: Calm, cooperative, in no apparent distress
3) Eyes: Pupils equal, round, reactive to light
4) Ears: Tympanic membranes clear
5) Nares: Without nasal septal deviation; pharyngeal mucosa pink and moist
6) Throat: Oropharynx without edema, erythema, tonsillar enlargement, lesions
7) Abdomen: Nondistended, soft, round, nontender; normoactive bowel sounds in all quadrants
Task
I. What are the top three differential diagnoses for PR?
II. What diagnostic tests, if any, are required for PR?
III. What pharmacological, nonpharmacological, and/or nutraceutical therapies should be prescribed for PR?
IV. The results from PR's H. pylori test returned positive. What treatment should be added to her plan of care?
|
Discuss strategies for creating therapeutic relationships
: Discuss strategy for creating therapeutic relationship with patients with disability based on mutual respect, active listening and collaborative decision-making
|
|
Analyse the effect of this policy on the country
: Analyse the effect of this policy on the country using economic theory, real life data such as GDP, unemployment; and inflation, and illustrate them
|
|
How will the nurse interpret this symptom
: Upon returning to the room, the patient complains that his face feels warm. How will the nurse interpret this symptom
|
|
How gdp, inflation, and unemployment are measured
: Explain how GDP, inflation, and unemployment are measured in your country. Explain limitations of these indicators. Provide real life examples
|
|
What diagnostic tests if any are required for pr
: What diagnostic tests, if any, are required for PR? What pharmacological, nonpharmacological, and/or nutraceutical therapies should be prescribed for PR?
|
|
Which vulnerable population do you think is most challenging
: There are many vulnerable populations that exist in the United States. Which vulnerable population do you think is the most challenging to care for
|
|
Use brochures to communicate important health information
: Health organizations often use brochures to communicate important health information. These brochures should be written in clear, simple language
|
|
What factors in mp''s history would help support a diagnosis
: What factors in MP's history would help support a diagnosis of overactive bladder? What does MP need to know about this drug?
|
|
Most important to include in clients plan of care
: Which intervention is most important to include in the client's plan of care?
|