Unit 5: Assignment Case Study: Inflammatory Bowel Disease

Instructions

Case Study

Mrs. Z is a 34-year-old female who come in with a complaint of diarrhea accompanied by abdominal pain.  Onset of the symptom was about 4 days ago.  She reports thinking she is running a fever but has not taken her temperature.  She concerned that she is starting to feel weak.

When asked how about the characteristics and the number of bowel movements a day, she reports increased number of BMs over the last few months.  In the last few days she reports averaging about 10 small volume watery stools with varying amounts of blood daily.

She denies recent travel and reportedly has not been on any antibiotics in the past few weeks.

In reviewing her record, you notice that her health history is positive for history of ulcerative colitis.  She has not been on any medications for this over the last few years as she had not been symptomatic.

Mrs. Z is on an oral contraceptive.  She takes slippery elm capsules and has for the last several years.  She reports that she has been taking 2 to 3 doses of Benefiber prebiotic fiber for the last couple days.

Objective data:

BP 116/70 sitting, 100/66 standing; P 92; Temp 100.1

Abdomen – active bowel sounds all 4 quadrants, mild tenderness with palpation

Otherwise her exam is unremarkable for pertinent positives or negatives.

Labs – WBC 14,000; Hgb 11.9; Hct 35.7; Sodium 133; Potassium 3.3

Instructions:

Please prepare and submit a paper 3-4 pages [total] in length (not including APA formatted title and references pages) answering the questions below.  Please support your position with examples.

• What pharmacologic therapy would you prescribe for Mrs. Z?
• How will you evaluate the effectiveness of this therapy?
• What patient education would you provide for Mrs. Z relative to the pharmacologic agent you prescribed?
• Are there any pharmacogenetic considerations related to what you prescribed for the patient?
• Are there any alternative therapies or over-the-counter agents that might be of value to Mrs. Z?
• What, if any, lifestyle changes would you recommend?

Solution: Unit 5: Assignment Case Study: Inflammatory Bowel Disease

Case Study Mrs. Z

The clinical presentation of 34-year-old Mrs Z includes the following symptoms: weakness, watery stool with streaks of blood, stomach discomfort, and diarrhea. The patient is not on any antibiotics and has not traveled. Nevertheless, she has been using oral contraceptives, slippery elm pills for years, and two or three doses of Benefiber prebiotic fiber for the last several days. Upon palpation of the abdomen, there is moderate pain and active bowel sounds in each of the four quadrants. Inflammatory bowel disease (IBD) is marked by ulcers and inflammation in the patient’s digestive system; Mrs. Z has a history of positive ulcerative colitis, according to her medical record. According to Danese et al. (2020), the illness often develops gradually rather than abruptly and affects the rectum and large intestine lining. There is currently no cure for ulcerative colitis, which is both a disabling and potentially fatal health condition. However, healthcare experts may identify therapy measures that help alleviate the symptoms of the illness.

What pharmacologic therapy would you prescribe for Mrs. Z?

Controlling disease progression and initiating and sustaining a brief remission for an extended period of time while avoiding complications would be the aims of treatment. Improving the patient’s life expectancy via decreasing impairment is another objective of therapy. Azulfidine 1 mg every 6 to 8 hours is the right dosage for Mrs. Z’s treatment. After she gets the hang of taking 500 mg every six to twelve hours, she may reduce her dosage to 500 mg every six hours for maintenance (Imbrizi et al., 2023). The drug’s 5-aminosalicylic acid content makes it…………..Please click purchase button below to get full answer for $10

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