SCENARIO Allen is a 49 year-year-old man seeking evaluation for

SCENARIO Allen is a 49 year-year-old man seeking evaluation for “a burning sensation in my chest,” often after eating and worse at night. He has frequent feelings of bloating and occasional nausea. Allen consumes a diet high in fatty foods and caffeine. He drinks alcohol socially on weekends. PMH includes asthma, diabetes and hypertension. His current medications include prn albuterol, metformin 1000 mg po BID, nifedipine ER 60 mg po daily. Explain the problem and discuss how you would address the problem How would you improve his drug therapy plan? What changes would you make? What is your working diagnosis and what medication would you prescribe? When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications. What information would you provide to the patient at his visit? Include scholarly reviewed references within the past 5 years to support the scenario and include in-text citations.

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