Question

T. is a 34-year-old white man who presents with diarrhea of 2 days’ duration. His other symptoms are nausea with vomiting and blood stools for 1 day. The history reveals that the patient has just returned from a 3-day honeymoon in Mexico. He was careful to eat steaming hot foods and beverages but did have a frozen drink the last night of the trip.

1. List the specific goals for treatment for this patient.
2. What drug therapy would you prescribe?
3. What are the parameters for monitoring the success of the therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What would be the choice for second-line therapy?
7. What OTC or alternative medications would be appropriate for this patient?
8. What dietary and lifestyle changes should be recommended for this patient?
9. Describe one or two drug-drug or drug-food interactions for this patient.
10. Write your prescription for this patient.

Answer 1

Ans :

The patient is exhibiting sympotoms of Travelers' diarrhea.

*The Specific goals for the patient :
1.Fluid replacement
2.Anti- motility drugs .
3.Antibiotics .

* Medications for travelers’ diarrhea.

1.Antibiotics may be used to treat cases of moderate travelers’ diarrhea.
2.Fluoroquinolones may be used to treat moderate travelers’ diarrhea.
3.Azithromycin may be used to treat moderate travelers’ diarrhea.
4.Rifaximin may be used to treat moderate, noninvasive travelers’ diarrhea.
5.Loperamide may be used as adjunctive therapy for moderate to severe travelers’ diarrhea. Antimotility agents alone are not recommended for patients with bloody diarrhea or those who have diarrhea and fever.
6.Loperamide may be considered for use as monotherapy in moderate travelers’ diarrhea.

* Parameter for a Success of the therapy ;

1. Patient exhibits normal bowel pattern .
2. Check the skin  tourger as well as the capillary refilling time to know whether the dehydration is resolved or not .
3. Patient will verbalize , about how he feels .