GERD

Question 1

1st line for GERD

Answer 1

Prilosec “prazole”
decreases the acidiy of the stomach

take it before the first meal of the day
only prescribed for 4-8 wk

longterm use risks for:
B12: affected intrinsic factor
Cdiff: inhibit acid secretion so spore proliferate and lead to cdiff
osteopor: decrease absrop of Ca

Question 2

when do you use H2?

Answer 2

tidines
avoid to prescribe Tagament- has more d-d interactions than pepcid

Labs: watch LFT’s and CBC (low PTL)

Question 3

Antacids
when should they be taken?

Answer 3

not first line
30 mins before meal or before Heartburn

Ca or ALuminum cause constipation

Question 4

Carafate- sucralfate

Answer 4

Treat for duodual ulcers
used 8 weeks or less

Question 5

A 74-year-old patient presents for a follow-up after a recent fracture. Their past medical history includes hypertension, type II diabetes mellitus, asthma, and gastroesophageal reflux disease. When doing medication reconciliation, which of the following medications would warrant further intervention by the nurse practitioner?

A. flovent
B. HTZ
C. Protonix
D. Actos

Answer 5

patients with low trauma fractures or at increased risk of osteoporosis should be cautious with proton pump inhibitors (PPIs) like pantoprazole (Protonix). Long-term use of PPIs has been shown to decrease bone density and put patients at an increased fracture risk.