Reference no: EM133570599

Assignment:

A 34-year-old black female reports to clinic with c/o chest pain and leg cramps. The patient was seen by a GI specialist and was informed that she had hemorrhoids and was prescribed rectal suppositories for hemorrhoids. The patient returned to the GI doctor, and he indicated that the rectal bleeding did not resolve. The GI specialist performed a colonoscopy, and the patient was diagnosed with Crohn's disease. The patient was started on Remicade infusions for Crohn's disease about 3 weeks ago. The patient is currently in remission and reports no rectal bleeding.

The patient returns to your clinic after being hospitalized for 3 days in hospital. The patient was ordered to follow up with their primary care provider post hospitalization. The patient reports feeling better. The patient was started on an anti-hypertensive medication HCTZ 12.5 mg daily. The patient's cholesterol was 280 and the GI specialist recommended to follow up with primary care provider to start cholesterol medication. The patient states that she is struggling with anxiety and depression because of her diagnosis of Crohn's disease. The patient has never taken medication for anxiety or depression but is requesting medication. No suicidal ideation per patient.

1. What lab values can be ordered to monitor patients with Crohn's disease?
2. What lab values would you order for patient during this follow-up visit?
3. Once the NP receives lab results and cholesterol and lipid levels remain elevated what cholesterol medication would you start patient?
4. When should the patient's cholesterol level be monitored after starting dose?
5. Crohn's disease can alter the metabolism of lipids, primarily cholesterol levels. True or False
6. What medication would you prescribe for patient for anxiety and depression.
7. What medications worsen Crohn's disease?