Heartburn for years by drinking large amounts of antacids

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Reference no: EM133921418

Case Study Chapter 39 Acid Controlling drugs

Mr. Jerry Yip 50-year-old attorney and has self-treated for heartburn for years by drinking large amounts of antacids. He finally made an appointment with her health care provider, who referred him to a gastroenterologist. His health care provider instructed him to stop taking the antacids.

1. Why did the health care provider ask him to stop taking the antacids? A few weeks after his initial appointment, Jerry had an endoscopy, and it was discovered that he had gastroesophageal reflux disease (GERD) and gastritis secondary to stress-induced hyperacidity. The health care provider prescribed the PPI omeprazole (Prilosec, Losec) 20 mg once a day.

2. For what other conditions will the gastroenterologist test during this diagnostic stage?

3. What is the rationale for the use of PPIs to treat GERD?

4. What patient teaching is important for Jerry regarding the PPI?

Case study Chapter 40 Antidiarrheal drugs and Laxatives

Petra is a 72-year-old retired nurse. She enjoys good health and exercises three times a week with a senior citizens' group in a supervised arthritis swim class at the local recreation center. She arrives at the family practice office with reports of "constipation" and says that for the past 3 months she has had only one bowel movement every 3 days instead of one every day. In the assessment of this patient, the nurse discovers that Petra has been taking a stimulant laxative up to twice a day and is now also feeling "weak." Petra also says that she is experiencing "a lot of tummy cramping."

1. What are at least five questions the nurse should ask Petra? Provide reasons for each question.

2. What types of problems are generally related to the long-term use of laxatives? Explain your answer.

3. What are some nonpharmacological ways Petra could prevent constipation?

4. What OTC drug is the best choice to help prevent constipation for Petra? Explain your answer.

Case study Chapter 41 Antiemetic and Antinausea Drugs

Mr. Lee Edwards is 66yrs old carpenter and has started on chemotherapy for a recent diagnosis of lung cancer. He has recovered well from a right lung lobectomy, the incisions are healing well, and now he is physically and emotionally ready for a 3month regimen of chemotherapy. Premedication consists of a variety of drugs, including granisetron hydrochloride (Kytril). Lee has a prescription for oral ondansetron (Zofran) for use at home.

1. What is the mechanism of action of granisetron hydrochloride that makes it effective in the management of chemotherapy-induced nausea and vomiting?

2. What important patient teaching points regarding ondansetron should you emphasize to Scott?

3. After 2 weeks of therapy, the oncologist discontinues the ondansetron because Lee complains that it does nothing to help his nausea and vomiting. A friend suggests marihuana but Lee is concerned about this. What would you explain to him?

Reference no: EM133921418

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