Case Study On the Optimal Management For Biliary Colic

Case Study On the Optimal Management For Biliary Colic

Biliary Colic

Biliary colic may be the cause of DC’s symptoms. The patient claims to feel pain one hour after a vast family supper. The biliary tree’s cystic duct or common bile duct may get obstructed, causing discomfort in the belly known as biliary colic. After a substantial, fatty meal, the gallbladder contracts, feeling full (Hapca et al., 2021). Palpitations and discomfort in the mid-to-right upper abdomen are common symptoms of biliary colic. Biliary colic is characterized by abdominal discomfort that radiates to the back and often occurs in the RUQ (Sigmon et al., 2020). The patient’s nausea and pain in the RUQ and other signs suggest that DC may have the disease Case Study On the Optimal Management For Biliary Colic .

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Prescription diclofenac is the most effective method of treating biliary colic (Scarcella, 2019). Injections of diclofenac 75 mg (3 mL) may be injected deep into the upper outer quadrant of the gluteal region, administered once unless otherwise instructed. Because the patient has hypertension, an option for NSAIDs could be paracetamol (Dastan et al., 2020). DC should only take 500 mg of paracetamol daily, even though codeine is beneficial since the patient is allergic to it. Patients with severe pain may receive 5–10 mg of morphine (Scarcella, 2019). The patient may be administered antiemetics such as metoclopramide, cyclizine, and ondansetron if they suffer from nausea and fear that the usage of morphine would worsen the condition (Scarcella, 2019). However, for some people with biliary colic, an analgesic will alleviate their nausea. Several people with biliary colic have been shown to benefit from antispasmodic medications such as hyoscine butylbromide, and others may not get any relief from their symptoms. It is advised to take 20 mg of hyoscine butylbromide four times a day, in 10 mg pills (Scarcella, 2019).

Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

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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
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.
By Day 7 of Week 4 Case Study On the Optimal Management For Biliary Colic 
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.

References

Dastan, F., Langari, Z. M., Salamzadeh, J., Khalili, A., Aqajani, S., & Jahangirifard, A. (2020). A comparative study of the analgesic effects of intravenous ketorolac, paracetamol, and morphine in patients undergoing video-assisted thoracoscopic surgery: a double-blind, active-controlled, randomized clinical trial. Annals of Cardiac Anaesthesia, 23(2), 177. https://doi.org/10.4103%2Faca.ACA_239_18

Hapca, S., Ramsay, G., Murchie, P., & Ahmed, I. (2021). Biliary colic. bmj, 374. https://doi.org/10.1136/bmj.n2085

Scarcella, A. (2019). What Is the Optimal Management for Biliary Colic and Who Requires Admission?. In Gastrointestinal Emergencies (pp. 205-206). Springer, Cham. DOI: 10.1007/978-3-319-98343-1_6

Sigmon, D. F., Dayal, N., & Meseeha, M. (2020). Biliary Colic. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430772/ Case Study On the Optimal Management For Biliary Colic