Gastroesophageal Reflux Disease: A Case Study

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When patients present to the clinic with infections it is important to treat them appropriately. However, when a 65 year old female with GERD, osteoporosis, dyslipidemia, and hypothyroidism comes to the clinic with an infection it becomes more difficult to treat the infection. The medication the patient may be on could interfere with the absorption of the antibiotic. By understanding each medication and how it works the clinician can work with the patient to create a schedule of medicine administration that will allow the patient maximum benefit from each medication.
Fluoroquinolones are a class of broad spectrum antibiotics. They are derived from a narrow spectrum class of antibacterial drugs known as nalidixic acid, which are used for urinary tract infections. Because of the broad spectrum nature of
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Gastroesophageal reflux disease (GERD) is a disorder where gastric contents are refluxed into the esophagus. This usually occurs within two hours of eating because of the relaxation of the LES. There are a few factor contributing to the development of esophageal reflux. The contents of the stomach can determine the degree of severity. For example, “If the chime is highly acidic, or contains pepsin, bile salts and pancreatic enzymes, reflux esophagitis can be severe” (McCance, 2010,p. 1458). Increased abdominal pressure due to obesity or physical activity can also contribute to the disorder. A patient with GERD would present clinically with heartburn or some form of acidic regurgitation. They often complain of upper abdominal pain. These symptoms are usually worse if they lay down within one hour of eating. A treatment plan for this patient would include elevation of the head to reduce reflux as well as appropriate

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