Gastrointestinal Case Study Week 9

Gastrointestinal Case Study Week 9
Gastrointestinal Case Study Week 9
CF is a 48-year-old man who presents for Assessment of heartburn.
He denies current tobacco use but has a history of one ppd for 15
years. He consumes a glass of wine nightly, more on the
weekends. He has a sedentary job.
He reports a burning feeling in his chest after eating. It is worse
when he eats spicy foods or tomato sauce. He is sometimes
awakened at night with these symptoms. He has tried over-thecounter antacids and histamine H2 receptor antagonists (H2RAs)
with partial relief. He is on no regular medications. His examination
today is normal. An upper gastrointestinal (GI) X-ray series reveals
gastroesophageal reflux.
1. What lifestyle modifications do you recommend for CF?
2. Describe a rational drug choice for this patient. Be specific
regarding what factors you would consider. Include
pharmacokinetic and dynamic considerations for the
pharmacological choices made. Also consider interactions and
side effects.
3. What counseling points about this medication do you give CF?

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