Question

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

Synthroid 100 mcg QD; Nifedipine 30 mg QD; Prednisone 10 mg QD.

• 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.

Answer 1

Ans. Hepatitis :- acute or chronic inflammation caused by bacterial or viral infection, parasitic infestation ( usually by contaminated water or food) , or chemical agents .

Hepatic dysfunction may impair clotting mechanism.

Hepatitis C :- caused by hepatitis c virus.

Transmitted through blood and blood products  

Diagnosis :- diagnostic tests for hepatitis C includs serologic assays that measures humans antibiotics generated in response to HCV infection and molecular virologic assays that directly detect HCV RNA. The HCV enzymes immunoassays test is the most frequently used antibody test to initially screen for HCV.

Drugs therapy :- antiviral agents e. g. Interferon (intron, roferon, infergen) chronic hepatitis B telbivudin, lamnivudine,

Hepatitis c interferon and ribavirin, and protease inhibitors

Examples : diet therapy

Moderate to high protein intake to heal liver tissue

High carbohydrates to meet daily energy needs and restore reserves

Low fat

High calorie

Avoidance of hepatotoxic drug

Examples acetaminophen , aminoglycoside antibiotics, sedatives