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
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?
From Textbook:
Woo, T. & Robinson, M. (2015). Pharmacotherapeutics for Advanced Practice Nurse Prescribers with Davis Plus eResourses, 4th ed. F.A. Davis Company. ISBN: 9780803638273
Perrin, R. (2017). Pocket Guide to APA Style (6th ed.). Stamford, CT; Cengage Learning. ISBN: 978130596969
Chapter 16 – Drugs Affecting the Cardiovascular and Renal Systems
Chapter 20 – Drugs Affecting the Gastrointestinal System – Gastrointestinal Agents
Chapter 34 – Gastroesophageal Reflux and Peptic Ulcer Disease
Chapter 47 – Urinary Tract Infections
Topics:
Drugs affecting the gastrointestinal system
Cytoprotective Agents
Histamine2 Receptor Antagonists
Laxatives consist of six classes
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