Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

 

The goal of drug therapy among patients with gastroenteritis is to curb the symptoms and prevent complications. More laboratory tests have to be conducted to determine the actual cause, viral or bacterial cause to determine the best treatment therapy for this patient (Kim et al., 2019). Only supportive treatment can be provided in case of a viral cause, as the illness usually resolves itself with time. In case of bacterial causes, the prescription for this patient should include metronidazole 400mg, used to treat bacterial infections, or ciprofloxacin 500mg, which can control both bacterial growth and diarrhea symptom. Bismuth subsalicylate (Pepto-Bismol) 262mg oral tablets to manage vomiting and diarrhea (Schierenberg et al., 2019). The patient should continue with the current prescriptions Synthroid 100 mcg daily to manage hypothyroidism, Nifedipine 30 mg daily to manage hypertension, and Prednisone 10 mg daily to manage inflammation, including gastroenteritis.

References

Evon, D. M., Stewart, P. W., Amador, J., Serper, M., Lok, A. S., Sterling, R. K., … & Fried, M. W. (2018). A comprehensive assessment of patient reported symptom burden, medical comorbidities, and functional well being in patients initiating direct acting antiviral therapy for chronic hepatitis C: Results from a large US multi-center observational study. PloS one13(8), e0196908. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6070182/

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