SU NSG6005 Week 6 Discussion Latest 2019 September
NSG6005 Advanced Pharmacology
Week 6 Discussion
Discussion Question 1
Mike is a 46-year-old
who presents with a complaint of “heartburn” for 3 months. He
describes the pain as burning and it is located in the epigastric area. The
pain improves after he takes an antacid or drinks milk. He has been taking
either over-the-counter (OTC) famotidine or ranitidine off and on for the past
2 months and he still has recurring epigastric pain. He has lost 6 lb since his
last visit.
Assessment
His examination is
unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal
complete blood count (CBC) and a positive serum Helicobacter pylori test.
What would you
prescribe initially?
How long would you
prescribe these medications?
What other possible
meds could you prescribe to assist with the side effects from the medications
prescribed?
How would the
treatment vary if the patient has GERD instead?
Discussion Question 2
List differential
diagnosis that would help confirm GERD while ruling out other diagnosis. Which
medication is the best medication for treatment of GERD and why? What labs or
other diagnostic tests that are used to confirm GERD? Your response should be
at least 350 words.
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