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Robert is a 54-year-old male who has come into the clinic with a chief complaint of heartburn. Robert states that lately, he has been experiencing more frequent heartburn and that it is keeping him awake at night. He has been managing by using Maalox tablets as needed but states that they only seem to help for a short while. Upon further discussion, Robert reveals that he has dealt with occasional heartburn once or twice a week for “a few years” but has noticed increased frequency in the past couple of months. He states he experiences heartburn almost daily now. Robert states the pain he feels is a burning sensation, in his sternal area. He said the pain is worse when he goes to bed and has been having trouble sleeping as a result. Robert states that “drinking a glass of milk usually helps” or that he takes Maalox. He does not complain of nausea or vomiting. Physical examination does not reveal any abnormal findings. Robert’s abdomen is soft, non-

tender with appropriate bowel sounds. Robert’s vital signs are 36.7-74-16-122/74. Robert’s height is 6′ and his weight is 125 kg.

Question A

Complete the Mini Drug Cards 

Calcium carbonate and simethicone (Maalox)

Classification:
Indication:
Assessment required:
Contraindication:

Omeprazole (Losec) 

Classification:
Indication:
Assessment required:
Contraindication:

Learning Resources

Please review the following resources to assist you 

Sealock, K., Seneviratne, C. (2020). Lilley’s pharmacology for Canadian health care practice (4th

edition). Elsevier. Chapter 39.

Canadian Digestive Health Foundation. (2021). GERD. Canadian Digestive Health Foundation.

https://cdhf.ca/digestive-disorders/gerd/

You are encouraged to procure any additional resources that you find useful 

 

Question B

As you complete the assessment of Robert, what other pertinent history would you want to gather from Robert?

The health care provider concludes their assessment and tells Robert that he likely has gastroesophageal reflux disease or GERD. The HCP provides Robert with a prescription for omeprazole (Losec).

What is GERD?
What are predisposing factors for GERD?
Which key assessment findings from the initial examination suggest that Robert has GERD?
How does omeprazole treat GERD?
Why is Robert only experiencing temporary relief from his heartburn when using calcium carbonate (Maalox) tablets? What is the risk of prolonged use of antacids to treat heartburn?
You are teaching Robert about lifestyle modifications to help reduce the severity of his GERD. What information will you include?
Robert asks for more information about this new medication. Which key teaching points will you provide him about omeprazole?

Reflection and Application of Learning 

1. Did the mini drug card preparation assist you in critically thinking through pertinent education related to omeprazole for this patient? Why or why not? If not, how could you better prepare yourself for medication administration? 

2. What are two pieces of learning that you will take away from this case study? 

 

References

Please include your formatted references here if you have incorporated additional

references 

SCIENCE
HEALTH SCIENCE
NURSING
NRSG 157

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