The Goals Of Therapy / Previous Meds

856 WordsAug 24, 20164 Pages
Goals of Therapy/Previous meds Treatment goals for WM are to resolve his alcohol withdrawal symptoms, abdominal pain, nausea/vomiting, fluid/electrolyte deficit, fever, elevated BUN and reduce the risk of developing systemic complications associated with necrotizing pancreatitis.1 WM should see improvements in his abdominal pain, general mental state and overall quality of life during his treatment, which will allow him to eventually return to work and resume daily activities.1,2 Discontinue Tylenol ES since it has a potential to cause pancreatitis and WM is at an increased risk of liver damage and impairment due to alcohol consumption.1 Pancreaze should be restarted to help maintain his chronic pancreatitis condition.1,3 Bactrim DS should not be restarted because it is known to cause pancreatitis.1 WM can continue taking Pepcid as needed for upset stomach. New Drug Therapy Lactated Ringer’s solution (generic) 500 ml I.V per hour and infused over 30 minutes.1 The Lactated Ringer’s solution will be continued for 48 hours.1 Merrem (Meropenem) 1g I.V diluted in 20ml of sterile water for infusion over 30 minutes every 12 hours for 14 days.3 Thiamine (generic) 100mg IV once daily by infusion in 100ml NS over 30 minutes for 5 days.1,3 Ativan (Lorazepam) 2mg I.V diluted with 1ml sterile water for injection every hour as needed when a structured assessment scale (clinical institute withdrawal assessment of alcohol scale, revised (CIWA-Ar)) indicates that symptoms are moderate to
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