Case Study on Acute Illness: Medication and Multidisciplinary Team

Running head: CASE STUDY ON ACUTE ILLNESS
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Word Count: 1025

1CASE STUDY ON ACUTE ILLNESS
Introduction
In this report, the health care problem that is the abdominal pain in lower left quadrant
(LLQ) that is acute in nature, of Bob Jackson is described. Bob Jackson has admitted in the
emergency department with abdominal pain and diarrhea. The medication to relief Bob Jackson
and the personnel to be recruited to help Bob Jackson in this scenario are described in this
report. The focus is to give proper medication and to recruit appropriate health care giver for
him. This will help Bob to survive in this condition. At the same time, a proper medication with
recruitment of appropriate caregiver will help Bob to recover very soon.
Response to question 1.
As per Bob Jackson’s medical history, he has diarrhea and he was admitted to the
hospital with Left lower quadrant pain ( LLQ) and with diarrhea. He had already administered
Paracetamol 1gm at 0800am,Endone 5 mg PO PRN at 11am and also Celebrex 200mg PO
PRN(BD). Still his pain was not dissolved and after admission, he had no medication yet. In the
hospital to resolve, his problem immediately firstly, he would be given NSAIDs to treat the
abdominal pain.NSAIDs refers to the non-steroidal anti-inflammatory drugs, which is used to
treat abdominal inflammation (Falch et al., 2014). NSAIDs works by blocking the action of
enzyme cyclooxygenase (COX) which are of mainly two types such as COX-1 and COX-
2.COX1 and COX 2 are responsible for the synthesis of prostaglandins (Gomez et
al.,2013).Prostaglandin is the key substance for the inflammation. Whereas the inhibition of
COX1 and COX2 causes the stoppage of prostaglandin production and thereby reduces the
inflammation (Meek et al., 2013). As Bob has pain in his left lower quadrant, he also might have
the disease name Ulcerative Colitis and that can be treated by using drug named sulfasalazine. It
will help by decreasing the symptoms like lower abdomen pain and at the same time helps in

2CASE STUDY ON ACUTE ILLNESS
curing the diarrhea. This drug works via interfering in the metabolism of arachidonic acid and
inhibits the production of prostaglandins (Kale-Pradhan et al.,2013).It also hamper the
production of cytokines and also disturbs the functions of leucocytes.ROS is involved in
prostaglandin production and acts as a second messenger. Therefore, the disturbances in ROS
production will help in to increase anti-inflammatory effect of the drugs. For the medication of
the diarrhea, Firstly hydration should be done because a huge amount of water is lost and that has
to be first restored to maintain the homeostasis of the body. At the same time, the ion balance
would be maintained by the proper oral rehydration solution. Along with this, Anti-diarrheal
medicines like lope amide, can be used to treat the diarrhea and it must be according to the
doctor’s advice. The loperamide works via three receptors. In addition, they are opiate receptor,
calcium channel blocking mechanism and by calmodulin inhibition. The loperamide blocks the
calcium channel and it causes inhibition of calcium influx. As a result, there is reducing rate of
motility (Douma & Smulders, 2015) and disturbance in prostaglandin production. There by
reduces the inflammation. Another drug that can be used to treat diarrhea is diphenoxylate.And it
is also an opioid receptor blocker and there by slows down the intestinal motility rate
(Thiagarajah, Donowitz & Verkman, 2015).
Response to question 2.
The multidisciplinary team of a hospital is one of the important part of patients’’
medication. It is very important because other than the doctor, the multidisciplinary team
members are mostly responsible for taking care of a patient. In a multidisciplinary team, there
are various member like dietician, physiotherapist, physician assistant, nurses, anesthesiologists
and attending physicians. In the case of Bob Jackson, other than the doctor, the dietician can be
engaged in support of Bob Jackson. As Bob Jackson has severe LLQ pain, he must need a proper