Diagnostic Testing To further evaluate the patients over status vital signs

Diagnostic testing to further evaluate the patients

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Diagnostic Testing To further evaluate the patients over status vital signs including temperature, a physical assessment, blood samples for a complete blood count (CBC), comprehensive metabolic panel (CMP), thyroid-stimulating hormone (TSH), and a Hepatitis C RNA test will be ordered. A urinalysis with culture and sensitivity, urine drug screen, and a stool sample will also be ordered. A thorough health history will be required to determine the level of the patient's drug dependency, last time of use, types of drugs used, alcohol intake, dietary habits, and other behavioral activities not provided by the case study scenario. Diagnosis and Immediate Treatment Plan Treatment of nausea and vomiting in any patient requires the patient to be evaluated and correction of the possible cause (Arcangelo et al., 2017). The patient will be diagnosed with viral gastroenteritis until HCV can be ruled out. Viral gastroenteritis is an intestinal infection marked by watery diarrhea, nausea, vomiting, abdominal cramps, and sometimes fever (Mayo Clinic, 2018). Due to H.L.’s presentation of nausea, vomiting, and diarrhea immediate treatment will be focused on replacing fluids. If the clinic is an outpatient facility, the patient may need to be transported to the emergency room (ER) for further treatment (i.e., intravenous fluid replacement). The patient will also need to be transported to the ER is drug-overdose or toxicity is suspected. A first-line antiemetic is selected based on the patient-specific factors; a phenothiazine drug such as promethazine is usually effective to treat moderate nausea and vomiting (Arcangelo
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et al., 2017). I would prescribe promethazine 25mg suppositories every four to six hours rectally because the patient is vomiting and an oral version of the drug would not be effective in this situation (Medscape, n.d.). I would also prescribe Imodium 4mg by mouth initially then 2mg by mouth after each loose stool not to exceed 16mg per day; the patient will be instructed not to take
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