Case Study- Gastroesophageal Reflux Disease Mrs. Robinson is a 66-year-old femal

Question

Case Study- Gastroesophageal Reflux Disease Mrs. Robinson is a 66-year-old female who presented to the emergency department with wheezing difficulty breathing, right-sided chest pain with deep inspiration, nausea, and vomiting. She stated that she was in her usual state of health until she awoke at 3:00 a.m. with wheezing and was not able to go back to sleep. She was nauseous and vomited a small amount of green, blood-stained emesis. A chestx ray was done and showed an infiltrate in the right anterior lung base with chronic pleural effusion. Mrs Robinson's medical history includes asthma, gastroesophageal reflux disease (GERD) for the past three years, and reoccurring pneumonia. She weighs 170 Ibs. with a BMI of 29.2. She ws started on albuterol (Ventolin) nebulizer treatments and levofloxacin (Levaquin) intravenously in the emergency department. Mrs. Robinson was admitted to the medical unit with a diagnosis of pneumonia due to recurrent aspiration related to the GERD. She remained on the levofloxacin (Levaquin) for infection and was prescribed lansoprazole (Prevacid) and ranitidine (Zantac) to prevent reflux 3. Discuss the medications that Mrs. Robinson is taking and how they work to reduce the reflux. Why are antacids not used to manage GERD? symptoms of 4. What are some of the foods and medications that may precipitate an episode of reflux esophagitis? 5. How does Mrs. Robinson's weight affect reflux, and what recommendations should you make?

Explanation / Answer

GERD means Gastrocursesophageal Reflux Disease .Here acid reflux occurs from the stomach due to poor sphinture control into the esophagus.

3)Proton pump inhibitors are generally used to treat GERD like Lansoprazole,it blocks the enzyme which produces acid and enables the stomach and esophagus to heal.

Ranitidine is a H2 Blocker which inhibits the action of histamin on cells and thus reducing the effect of acid on stomach.

Antacids only neutralizes the acid does not treat the inflammation caused by GERD

4)Foods to avoid are

Medication to be avoided in GERD

5) Weight of Mrs. Robinson is Overweight ,. This is the cause of GERD.

The following recommendation can be given

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