Reference no: EM132669543
Case Study- GERD Patient Profile
Mr. Liston is a 49-year-old male who goes to the health care provider because he is experiencing heartburn more frequently and it is keeping him awake at night. He had asthma as a child. He is currently taking Mylanta as needed for heartburn. Subjective Data 1. Has had occasional heartburn about once a week for a few years, but the last couple of months it has become more frequent and is now occurring almost daily 2. Describes the pain as a burning pain in his sternal area that is relieved by drinking milk or taking Mylanta 3. Pain worsens after he goes to bed and he has been having difficulty sleeping 4. Denies any nausea or vomiting
Objective Data
1. Temperature 98.4° F, pulse 78, respirations 16, blood pressure 124/70 2. Height 6'0",weight 270 lb 3. Physical exam normal, no abdominal pain or tenderness noted
Question 1. As the admitting nurse, describe the additional history you would obtain from Mr. Liston
Question 2. The health care provider informs Mr. Liston that he probably has gastroesophageal reflux disease (GERD). What is GERD? What are some of the predisposing factors for GERD?
Question 3. Identify key findings from the assessment that led the health care provider to suspect that Mr. Liston has GERD and describe their significance.
Question 4. You are counseling Mr. Liston on lifestyle modifications. What should you include for Mr. Liston?
Question 5. The health care provider prescribes omeprazole for Mr. Liston and instructs him to return for a follow-up visit in two weeks if his symptoms do not improve. What is the mechanism of action of omeprazole and the rationale for returning only if symptoms persist?
Question 6. If medications and lifestyle modifications are not effective at eliminating the symptoms of GERD, what is another option?
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Case study-gerd patient profile
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