Practicum Experience
Description
Chief complaint
At the start of the day, a client presented with abdominal pain which he described as sharp and quickly radiating towards his throat. He had also developed some difficulties in swallowing of food with regurgitation of what he had last eaten.
History of presenting illness
He reported having had that the pain had a sudden onset and that it had lasted for a 2 days.The patient, a 30 year old man with ahigh BMI of 29.1,reported to have been starving himself in order to lose some weight after advice from some friends. Yesterday, the hunger became too strong and he decided to have a diet coke and some low salt nuts. Upon ingestion of the same, he vomited.
Personal history
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Past medical History
The patient reported having no history of admission to any hospital before. He has no known drug or food allergies. He also has never undergone any surgical procedure or blood transfusion.There is no history of diabetes or hypertension in his family. However, there is a history of ulcers and GERD from 2 of his uncles.
Drug therapy and treatments
After the laboratory results of the H. Pylori test, the MO compiled the findings and made a diagnosis of gastroesophagal reflux disease.(Newkirk, 2017)The patient was put on Per.Oral (P.O.) omeprazole 20 mg for 4 weeks and P.O. Ranitidine 150 mg. (Savarino et. al, 2017).
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Follow up care
Seeing no qualification for admission, the MO discharged him with a return date of 2 weeks. At that time, there would be a progressive check up on the adherence to the nutritional regimen, exercise schedule medication and effectiveness of the same.
Evaluation done using previous clinical experience
Ranitidine is a H2 receptor blocker which leads to inhibition in the secretion of gastric secretion. Omeprazole is a proton pump inhibitor that leads to a suppression of acid secretion hence tackling the cause of the abdominal pain (Savarino et. al,2017).
References
Brunner, L. S., Smeltzer, S. C. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2014). Brunner &Suddarth’s Textbook of Medical-surgical Nursing: Suzanne C. Smeltzer… [et.al.]: Wolters Kluwer Health.
Hofman, A. (2017). Defence nursing reflection: getting the most out of revalidation. British Journal of Nursing, 26(16), 948-948.
Johns, C. (2017). Becoming a reflective practitioner. John Wiley & Sons.
Newkirk, K. (2017). Gastroesophageal Reflux Disease (GERD).
Savarino, E., Zentilin, P., Marabotto, E., Bodini, G., Della Coletta, M., Frazzoni, M., &Savarino, V. (2017). A review of pharmacotherapy for treating gastroesophageal reflux disease (GERD). Expert opinion on pharmacotherapy, 18(13), 1333-1343.
