Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Pharmacy week 5. Case study

 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 

• Anaphylactic reaction to penicillin Medications 

• OTC antacids 

Family History 

• Noncontributory 

Social History 

• Occupation: Elementary school teacher (10 years) 

• Nonsmoker 

• Denies illicit drug use 

• Consumes wine two to three times per month •

 Regular exercise 

Physical Examination 

• Weight: 145 lbs.; blood pressure: 128/72; pulse: 80; respiration rate: 18; temperature: 98.7 °F 

• General: Calm, cooperative, in no apparent distress 

• Eyes: Pupils equal, round, reactive to light 

• Ears: Tympanic membranes clear 

• Nares: Without nasal septal deviation; pharyngeal mucosa pink and moist 

• Throat: Oropharynx without edema, erythema, tonsillar enlargement, lesions 

• Abdomen: Nondistended, soft, round, nontender; normoactive bowel sounds in all quadrants 

Discussion Questions 

1. What are the top three differential diagnoses for PR? 

2. What diagnostic tests, if any, are required for PR? 

3. What pharmacological, nonpharmacological, and/or nutraceutical therapies should be prescribed for PR?

 4. The results from PR’s H. pylori test returned positive. What treatment should be added to her plan of care?


Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

final project

  Write a 700-750 word paper including the following: 1. At the top of your paper, write, “I affirm that I have not received or given any unauthorized assistance on this assignment/exam. I understand that the instructor has access to information regarding my submission’s integrity.” 2. In your own words,

Lorem, Ipsum

JBI Appraisal Tool Utilization For each article you are required to utilize the appropriate JBI Critical Appraisal Tool. After you have determined which of the Tools is appropriate for the article, you will download the Word file of the Tool and fill it out. Once you have completed the 4

NUR 630

Reply from Leeann Chang Module 7 Discussion Minors discovering their gender identity is an immense provision towards psychological health, self-awareness and emotional level being stabilized. The Adolescence stage is a crucial one in the identity-making stage of development. The deprivation of the rights of minors to explore their gender can

springfield, Oasha

  Module 09 Lippincott Advisor for Education: Problem Based Care Plan Lippincott Advisor for Education: Problem Based Care Plan Lippincott Advisor for Education: Problem Based Care Plan Generator is located in the CoursePoint Dashboard folder. Develop a care plan for one of the following patient concerns (see grading rubric below):

learners assesment

Learner’s Need Assignment [Student Name] [Course Number]: [Course Name] [Professor’s Name] West Coast University Los Angeles Campus [Due Date] Learners Needs Assignment Learning Style Assessment [What does the client (patient/family) say about their learning style?] Teaching Approach [How will you teach a client with this learning style?] Readiness Evaluation [How

NUR 514 discussion #7

Module 7 Discussion   Female Patient Cases 5 For this Discussion, your instructor will assign you three case  numbers. Case 4  Cases The Diagnosis criteria for Pre-eclampsia based on the ACOG guidelines and the maternal and fetal complications related. Questions for the case · Discuss the Diagnosis criteria for Pre-eclampsia based

IV

Instructions Read the scenario below and respond using clear, concise clinical reasoning. Your response must be a paragraph long. This assignment assesses your foundational knowledge of IV insertion, complication recognition, and appropriate nursing interventions. Scenario You begin your shift and take over care for a patient receiving IV fluids at

Unit V DB Health

see attached DB V •  Your initial post should be at least 200 words in length. Post 3: Response post to a second classmate or the instructor’s follow-up question is due by the end of day on Tuesday. You recently helped your patient review a denied insurance claim for a routine

Biostadistic

Data Set Code – InDist 1 7532 1 7532 1 7532 1 5380 1 7532 1 5300 1 4193 1 9534 1 5152 1 4354 1 5652 1 6335 1 5792 1 5792 1 5792 1 5674 1 5792 1 5718 1 5652 1 5268 1 5306 1 4193 1

Biostadistic

 Module 7: Assignment 1 Using the below dataset calculate in Excel; R and p-value to determine the power of association and if your calculations are statistically significant. V1 (Input Y Range) (Dependent Variable) V2 (Input X Range) (Independent Variable) 12 45 15 54 17 61 13 51 18 70 20 73

Biostadistic

Module 7: Assignment 2 The Mann-Whitney U Test is a nonparametric version of the independent samples t-test. The test primarily deals with two independent samples that contain ordinal data. The following example explained the comparison between the nonparametric versus parametric tests. 1. Select the best choice for the analysis and explain

Biostadistic

Module 6: Assignment 2 In a prior example we evaluated data from a survey of university graduates which assessed, among other things, how frequently they exercised. The survey was completed by 470 graduates. In the prior example we used the χ goodness-of-fit test to assess whether there was a shift in

Help with reseach

See attachment before bid.  Assignment 7 Final This week you will complete and submit your final paper. Include the table of content (outline) and abstract you wrote last week and the complete reference list in your final submission.  As a reminder, in your final paper, be sure to also include:

nurse interview

Am a nursing student and i attended my leadership clinicals at mercy hospital. on day one, i followed my preceptor for 12hours from 6am to 6pm on all of the 7 clinical day rotation she is an RN BSN nurse and the i was doing a leadership in nursing clinicals

home work

Competency This deliverable will allow you to apply deductive and inductive reasoning to analyze and create valid arguments. Instructions Part I: Consider the following definition: 1. A  fruit is the product of a tree or other plant that contains seeds and can be eaten as food. 2. A  fruit is the reproductive

NUR514W7

DISCUSSION: Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: 1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach

home work

Write a professional nursing article on a leadership topics Nurse Staffing. In the Interactive Discussion, you will be posting a link to the article or a PDF from a professional journal or other reputable health care source along with three insights that you gained from the article regarding the topic