How would the treatment vary if the patient has GERD instead? If Mike was diagnosed with gastroesophageal reflux disease (GERD), there are four main treatment goals. They are to reduce the symptoms, heal esophageal lesions, prevent complications, and prevent relapse (Woo & Robinson, 2015). It would be ideal to know if Mike smokes or drinks and it would be recommended that Mike make lifestyle modifications like dietary changes and cessation of smoking. He
also should not use NSAIDs. Mike will be prescribed a proton-pump inhibitors such as Protonix 40 mg by mouth once daily for up to 8 weeks (IBM Micromedex, 2019) because PPIs prevent acid production and are a first-line therapy for patients with moderate to severe GERD. This will control symptoms and heal esophagitis (Buttaro et al., 2017). Reference Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2017). Primary Care: A Collaborative Practice. (5th ed.). Retrieved from https:// Elsevier.com/books/primary-care/buttaro/978-0-323-35501-8 IBM Micromedex. (2019). Metronidazole. Retrieved from micromedexsolutions.com IBM Micromedex. (2019). Omeprazole. Retrieved from micromedexsolutions.com IBM Micromedex. (2019). Phenergan. Retrieved from micromedexsolutions.com IBM Micromedex. (2019). Protonix. Retrieved from micromedexsolutions.com Woo, T, Robinson, M. (2015). Pharmacotheraputics for Advanced Practice Nurse Prescribers With Davis Plus eResources. 4 th ed . Retrieved from Southuniversity.edu/#/books/9780803676374/cfi/6/4!/4/2/2/2/[email protected]:0
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