Possible Diagnosis
Patient H.L. symptoms present the possibility of suffering from hepatitis C, Crohn's disease, Intestinal Obstruction, or irritable Bowel disease (Arcangelo, 2013). The possible diagnoses are based on the symptoms presented by the patient and the past historical information (Rose, 2005). However, the symptoms, medication and additional information from patient H.L. suggest that there is a high chance that Hepatitis C is the disease being investigated.
Rationale for the diagnosis of Hepatitis C infection
The patient could be infected with Hepatitis C based on the acute symptoms. Hepatitis C is a disease that is caused by the hepatitis C virus (Walker, 2004). According to research the virus primarily affects the liver. Considering the patient has a history of overindulgence in drugs and alcohol, suffers abdominal pain, nausea, vomiting, and diarrhoea presents a strong case for the infection of Hepatitis C (Walker, 2004). Mostly, patients who show these symptoms are diagnosed with hepatitis toxicity which consequently projects disorders of Gastrointestinal and Hepatobiliary.
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Patient H.L information provided at the clinic match that related to hepatitis toxicity. The patient has two critical factors that risk her of having Hepatitis C infection, which is, being a female and being diagnosed with hepatitis in the past. The patient's liver is susceptible and because females tend to metabolise toxins relatively slower compared to males (Arcangelo, 2013).
Suitable Drug Plan
Based on the patient's diagnosis, current medication administered and the history provided, the appropriate drug therapy all orally administered drugs should be withdrawn to reduce the exposure to toxins (Rose, 2005). Ondansetron will help to improve nausea and vomiting. 0.9 % normal saline Intravenous access stat will maintain fluid circulation volume. The patient is recommended to use Hydrochloride to avoid hepatic impairment cautiously. A single dose of 8mg ought to be administered to the patient (Walker, 2004).
References
Arcangelo, V. P. (2013). Pharmacotherapeutics for advanced practice: A practical approach. Ambler, PA: Lippincott Williams & Wilkins.
Rose, S. (2005). Gastrointestinal and Hepatobiliary Pathophysiology. North Carolina: Hayes Barton Press.
Walker, W. A. (2004). Pediatric gastrointestinal disease : pathophysiology,... by W Allan Walker . Hamilton, Ont. ; Lewiston, NY: BC Decker.
