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

Patient HL comes into the clinic delay the forthcoming symptoms: sea-sickness, vomiting, and diarrhea. The enduring has a narrative of offal affront and likely Hepatitis C. HL is currently entrance the forthcoming usage offals:

• Synthroid 100 mcg daily
   
• Nifedipine 30 mg daily
   
• Prednisone 10 mg daily

This week’s enduring has some rather non-biased GI complaints.  One undeveloped mediation is the usage or instruction of an constituency to discareer diarrhea.  Suitableness manifold anti-diarrheal constituencys are helpful aggravate-the-counter, it does not average that they can be used accumulatively.  If anti-motility constituencys are used in endurings delay murderous diarrhea, complications may consequence.  Additionally, in 2016, the FDA issued an brisk touching cardiac seize and syncope associated delay the invariably used anti-motility constituency, loperamide.  Interestingly, these events were most invariably eminent in endurings who were abusing loperamide, sometimes to self-discareer for opioid delaydrawal (FDA, 2016).  So, suitableness loperamide is an potent antidiarrheal agent, it must be captured according to directions.

Reference:

FDA. (2016).  FDA warns encircling attentive kernel problems delay excellent doses of the antidiarrheal remedy loperamide (Imodium), including from affront and perversion.  Retrieved from https://www.fda.gov/downloads/Drugs/DrugSafety/UCM505108.pdf

The enduring in this subject has a narrative of offal affront and likely hepatitis C.  The discoursement of hepatitis C has elapsed significantly aggravate the elapsed decade and it is now considered a curable predicament for manifold endurings.  With that said, there are manifold considerations and barriers to therapy.

1.  A substantial singularity delay genotyping must be completed.  The idea of therapy conquer vary naturalized on the viral genoidea that is identified.

2.  The flatten of liver fibrosis, allowance, and other enduring biased factors must be assessed. 

3.  Manifold hepatitis C therapies absorb $60,000-115,000 per career of therapy.  Suitableness medical abettance programs do exist, this absorb can quiet be a significant burden that requires argument and attentive sketchning.

The relation underneath contains added details explaining some of the absorbs and considerations delay newer hepatitis C therapies.

Reference:

Kish, T., Aziz, A., & Sorio, M. (2017). Hepatitis C in a New Era: A Review of Current Therapies. P & T : a peer-reviewed narrative for formulary management, 42(5), 316–329. 

Write a 1-page brochure that addresses the forthcoming:

• Explain your singularity for the enduring, including your rationale for the singularity.
• Describe an alienate offal therapy sketch naturalized on the enduring’s narrative, singularity, and offals currently prescribed.
• Justify why you would advise this offal therapy sketch for this enduring. Be biased and get examples.

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