GERD Case Study
Ruth Jones, a 60-year-old woman, presents to your office with complaints of heartburn, occurring mainly after eating and especially at night. She also reports experiencing nausea, regurgitation, and severe burning in her chest after eating spicy food. After a complete physical examination and referral for tests to rule out other causes, you diagnose her with gastroesophageal reflux disease (GERD). She also has a history of asthma and osteoporosis, and six months earlier she fractured her hip following a fall.
Case Study Questions
1. Based on Ms. Jones’s diagnosis and medical history, what would you advise as effective pharmacologic treatment options for managing her GERD? (ex: Proton Pump Inhibitor: Prilosec)
2. Include drug action and use.
3. Include drug absorption, metabolism, distribution, and excretion.
4. Include drug adverse effects
5. Include precautions and contraindications.
6. Drug Interactions. (Proton Pump Inhibitors use the CYP450 enzyme system for metabolism).
7. Drug administration and Drug dosing guidelines.
8. What nonpharmacologic treatment options might be beneficial?
9. What patient education will you provide to Ms. Jones?
10. Are there specific monitoring parameters that would be appropriate for this patient relative to the therapy that you prescribe?
11. Include 5 APA references written in the last 5 years (Example to use below)
Pruitt, Bill. \”Asthma and gastroesophageal reflux disease: gastroesophageal reflux disease (GERD) is a common comorbidity for asthma sufferers, but many patients don\’t make the connection that control of their asthma is tied to control of their GERD.\” RT for Decision Makers in Respiratory Care, vol. 29, no. 10, Oct. 2016
