Walden_Week 4 Gastrointestinal and Hepatobiliary System

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Veleka Grady

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Posted Dec 15 6am

Discussion Topic: Welcome to Week 4 - Gastrointestinal and Hepatobiliary SystemWelcome to Week 4 - Gastrointestinal and Hepatobiliary System

Happy Monday Morning Class and Welcome to Week 4.

This week we will apply pharmacology concepts to the gastrointestinal and hepatobiliary systems.

Symptoms of various gastrointestinal (GI) and hepatobiliary disorders often overlap, making diagnosis and treatment challenging. For example, symptoms such as nausea, vomiting, constipation, and diarrhea are non-specific and could also be the result of underlying medical history or current prescription drug use. As an advanced practice nurse, you could be potentially responsible for providing care to a patient who may present with non-specific symptoms related to the gastrointestinal and hepatobiliary systems.

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (ie diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

Learning Resources: Please plan accordingly throughout the week to review all learning resources that include but not limited to the lecturio resources and all required reading. There is much information provided but all is relevant that you will need not only for the successful completion of this course but also as you begin your practice as a Nurse Practitioner.  As well, there are many required media videos for you to view this week and they are very informative.

Week 4 Assignment: Please use the following Case Studies to complete your Assignment for this week that is Due by Day 7.  

To Prepare:

• Review the following case studies and answer ALL questions.

• When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.

• Use clinical practice guidelines in developing your answers. Please review all Required Learning Resources. Use the Medscape app or website and JNC 8 to complete assignment.

• Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.

SCENARIO 1

What are the errors in the following prescriptions (1 per prescription)? Rewrite each prescription correctly. What is each medication classification? What is the mechanism of action (MOA)?

• Ubrelvy 200 mg PO at onset of migraine #30 0 RF

• memantine/donepezil (Sinemet) 7/10 mg po once daily #30 1 RF

• Stalevo 200 mg po TID #90 2 RF

• levothyroxine 137 mg PO daily #30 3 RF

• omeprazole (Protonix) 40 mg PO daily before breakfast #30 3 RF

SCENARIO 2

AL a 46-year-old female presents to clinic with chief complaint, “I get short of breath and wheeze almost every night. I also have a cough that wakes me up 2-3 times a week.” Her symptoms have been present almost 3 months. She has no prior hospitalizations or ED visits; no smoking history and no significant occupational exposures. She takes cetirizine for seasonal allergic rhinitis. NKDA. CBC normal, BP 114/68, HR 88, RR 18, SpO₂: 97%, spirometry: FEV₁ 70% predicted, FEV₁/FVC 0.65, reversibility testing: FEV₁ improves by 15% after albuterol inhalation, Peak Expiratory Flow (PEF): 65% of personal best. What is your diagnosis and treatment plan? How would you monitor treatment and what patient education would you provide?

SCENARIO 3

LV is a 9-year-old female that experiences brief staring episodes lasting ~10 seconds, occurring multiple times per day. Otherwise healthy, NKDA. Normal CBC, CMP, LFTs. She has been diagnosed with typical absence seizures. As her provider, your task is to initiate pharmacologic therapy. Write a complete medication order for LV, include monitoring parameters and patient/caregiver education points relevant to the medication and seizure management.

SCENARIO 4

TY is a 65-year-old male with poorly controlled type 2 diabetes and exhibits challenges with adherence. Current medications include donepezil 5 mg po qhs and losartan 50 mg po daily. His lab work today includes: BG 190 mg/dL, A1C  8.5%, K⁺ 4.1,  Cr 1.9, eGRF 26, BP 125/76.

Which of the following would you prescribe:

• canagliflozin (Invokana) 100 mg PO daily

• exenatide (Byetta) 5 mcg SC twice daily

• glimepiride 1 mg PO daily

• glyburide 2.5 mg PO daily

• metformin 500 mg PO daily

• semaglutide (Ozempic) 0.25 mg SC once weekly

• sitagliptin (Januvia) 50 mg PO daily

What is the classification and MOA of the drug you selected? What education would you provide and how would you monitor the effectiveness of the treatment plan? What is his goal A1C and blood pressure?

Also, it will be very helpful to view the rubric for each assignment to ensure you've included all requirements before submission if applicable.

I look forward to and am excited about all that we will learn in Week 4!

Please Note:  I am currently working on providing detailed feedback for your Week 2 Assignment.  You will receive by end of day on Wednesday of this week.

Dr. Veleka Grady

Walden Week 4: Gastrointestinal and Hepatobiliary System Assignment – Get Expert Help

The Walden Week 4 Gastrointestinal and Hepatobiliary System assignment is a critical component of nursing programs at Walden University. This assignment evaluates a student’s ability to apply advanced pathophysiology, clinical reasoning, and evidence-based practice to disorders affecting the gastrointestinal (GI) and hepatobiliary systems. For many nursing students balancing coursework with clinical practice, this assessment can be overwhelming without expert support.

What the Assignment Involves

In Week 4, students are required to demonstrate a deep understanding of conditions affecting the gastrointestinal tract, liver, gallbladder, and pancreas. The assignment often requires students to:

• Analyze a patient case related to GI or hepatobiliary disorders

• Explain pathophysiological mechanisms of selected conditions

• Interpret diagnostic findings and laboratory results

• Discuss pharmacological and non-pharmacological management options

• Apply evidence-based nursing and advanced practice guidelines

• Use scholarly sources in proper APA format

Common topics include cirrhosis, hepatitis, pancreatitis, cholecystitis, GERD, peptic ulcer disease, inflammatory bowel disease, and liver failure. Many students struggle with connecting pathophysiology to clinical manifestations and treatment decisions at the graduate level.

Why Students Seek Help with Walden Week 4 Assignments

Nursing students often seek assistance due to:

• Tight deadlines and heavy weekly workloads

• Difficulty interpreting complex GI and liver disease processes

• Challenges applying advanced pharmacology concepts

• Uncertainty about APA formatting and academic writing expectations

• Fear of plagiarism or low grading due to poor structure

Walden University maintains high academic standards, and a poorly written Week 4 submission can significantly impact overall course performance.

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The Gastrointestinal and Hepatobiliary System assignment does not have to be stressful. With expert guidance, you can submit a well-structured, scholarly paper that demonstrates advanced clinical reasoning and meets Walden’s expectations.

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