NUR 641 Topic 6 DQ 2

Sample Answer for NUR 641 Topic 6 DQ 2 Included After Question

Description:

Select a medication used in evidence-based treatment guidelines for the condition chosen in the first discussion question. Share the mechanism of action of this medication and hints for monitoring, side effects, and drug interactions of which one should be aware. Make sure that you select a different medication than your peers. Include the name of the medication in the subject line so that the medications can be followed. Include your references in APA style.

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A Sample Answer For the Assignment: NUR 641 Topic 6 DQ 2

Title: NUR 641 Topic 6 DQ 2

Theme: GERD condition is related to a return of the stomach content into the esophagus, and this occurs when the lower esophageal sphincter (LES) fails to close correctly. The regurgitation can sometimes occur without effort especially when a patient lies down or bends over after a meal. The condition can result in the erosion of the mucous membrane and cause irritation of the lower esophagus. While the disease can be managed by adjunct medical therapy, patient education on medication is important as a remedy to non-adherence and discomfort associated with the severity of the complication.

Avoid Non-Prescription Medication          

Medication literacy is a key concept of consideration to improve adherence among patients diagnosed with GERD. The prescription drugs for the condition may include antacids, proton pump inhibitors (PPIs) as well as a combination treatment of acid-suppressive therapy with histamine2-receptor antagonists (H2RAs). According to Madanick (2013), patients should be informed about the presence of antacids including Maalox, Rolaids, and Tums, which people commonly use for mild episodes of GERD. Gikas and Triantafillidis (2014) suggest that patients must be warned against the use of these antacids since they are not recommended as first-line therapy for reflux. Patients should also be informed on how to distinguish between heartburn, indigestion, and GERD to avoid wrong use of medication. Besides, patients with GERD should be advised not self-treat with antacids not prescribed to them as this can fail to achieve intended relief or rather result in adverse events (Whalen, 2014). However, GERD patients require information that the antacids provide relief that lasts for about 30 to 60 minutes and are only recommended for symptoms occurring less than a week. Occasionally, patients can also opt for over-the-counter nonsteroidal anti-inflammatory medications including ibuprofen and aspirin for symptoms relief. They should avoid these medicines unless recommended by the primary physician. 

Correct dosage and Proper timing

GERD clients must be reminded on adherence to prescription drug regimen as instructed by the care provider. The information on dosage should be emphasized to provide faster relief. Proper timing is also essential to improve the potency of prescribed medications. For instance, according to Gikas and Triantafillidis (2014), PPIs should be taken once every day and about 30 to 60 minutes before the first meal to improve its efficacy in the body system. Antacids, on the other hand, are taken after each meal and preferably at bedtime. Care providers must warn patients against following their patterns of medication other than those recommended by the physician or pharmacists to avoid triggers that might further complicate GERD prognosis. A study by Madanick (2013), illustrates that wrong diets and poor lifestyle choices can complicate bioavailability of the GERD medications. Patients should be advised against trigger foods such as caffeine, carbonated beverages, and alcohol. They should also maintain a healthy weight to reduce stomach pressure and improve the absorption of prescription medication.

Education on Adverse Events

Medications for the GERD might have side effects based on patient reactions to the active agents of the therapy. El-Serag et al. (2014) posit that the common adverse events related to the use of these medications are headache, diarrhea, and thrombocytopenia. PPIs can cause dizziness, irritability, and constipation. These side effects decrease after three to four weeks of therapy. However, advanced complications may include pneumonia, dementia and renal impairment (Whalen, 2014). It then implies that the medications can be contraindicated for patients with irregular liver function tests (LFTs) and as such, patients with GERD must be advised accordingly against the use of the drugs.

Follow-up Care

Follow-ups are recommended after one month based on the severity of the GERD. However, patients may develop intolerance to prescribed medication, or the symptoms can worsen before the recommended date for an appointment. They are therefore advised to visit their care provider for a change in medication or to provide therapy to emerging complications. 

References

El-Serag, H. B., Sweet, S., Winchester, C. C., & Dent, J. (2014). Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review. Gut63(6), 871-880.

Gikas, A., & Triantafillidis, J. K. (2014). The role of primary care physicians in early diagnosis and treatment of chronic gastrointestinal diseases. International journal of general medicine7, 159.

Madanick, R. D. (2013). Management of GERD-related chronic cough. Gastroenterology & Hepatology9(5), 311.

Whalen, K. (2014). Lippincott’s illustrated reviews: Pharmacology (6th ed.). Philadelphia, PA: Lippincott Williams & Wilkens. ISBN-13: 9781451191776