Question

Case Study_2- GERD (1) - Protected View - Saved to this PC ut References Mailings Review View Help Search contain viruses. Unless you need to edit, it's safer to stay in Protected View Enable Editing Case Study #2- GERD Mrs. Robinson is a 66 year old female who presented to the ER with wheezing, difficulty breathing, right-sided chest pain with deep inspiration, n/v. She stated that she was in her usual state of health until she awoke at 3:00a.m. with wheezing and was unable to go back to sleep. She was nauseous and vomited a small amount of green, blood- stained emesis. A chest x-ray was done and showed an infiltrate in the right anterior lung base with chronic pleural effusion. Mrs. Robinson's medical history includes asthma, GERD for the past three years, and reoccurring pneumonia. She weighs 170 pounds with a BMI of 29.2. She was started on albuterol (Ventolin) nebulizer treatments and levofloxacin (Levaquin) IV in the ER. 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. 1. Explain some of the contributing factors to Mrs. Robinson's GERD. 2. If untreated, what are some of the possible complications of GERD? 3. Discuss the medications that Mrs. Robinson is taking and how they work to reduce

case study

Answer 1

1. Some of the contributing factors to Mrs. Robinson's GERD are :-

- Increased gastric volume.

- Certain body positions.

- Pressure from obesity

2. The complications of GERD are :-

- esophageal stricture

- barettes esophagus

- respiratory diseases like bronchitis , pneumonia , asthma

- dysphagia

- reflux esophagitis

3. The medications taken by Robinson are :-

- levofloxacin ( it is an antibiotic to treat infection )

- lansoprazole ( reduce gastric acid by inhibiting cellular pump necessary for secretion )

- ranitidine ( reduce secretion of acid )