Advanced Pharmacology Essay

Reply to one of the following prompts.
In the subject line of your posts, please identify which prompt you are responding to, for example, prompt #2.
1. Clara is a 35-year-old female who has a five week history of epigastric pain that is worse after she eats. The pain is minimally relieved by Mylanta or burping. She has come to your office for evaluation and your initial impression is gastritis. What is your recommendation and treatment plan? What clinical guidelines support your decision and why?
2. Lilly is a 6-year-old girl who presents with a 2 week history of worsening redness, dryness, and rash to the volar aspects of the wrists and dorsum of the hands. The area is moderately pruritic. On assessment, you note her rash is consistent with mild eczema. You would like to prescribe a topical corticosteroid. What potency should be considered for this patient? Include the frequency of application and length of recommended treatment. What can be done about her pruritus? Are there any OTC ointments that should be considered for this patient? Include medication and general patient education in your discussion. Advanced Pharmacology Essay

3. Marty is a 66-year-old male chef who has been experiencing severe reflux symptoms for the past several weeks that seem to be worsening at night. He had similar symptoms two to three years ago that went away when he stopped drinking alcohol. He claims to remain abstinent, but his symptoms have returned. What additional information should you obtain? What medications should you consider for his symptoms? Discuss your assessment and plan of care including clinical guidelines that support your decision.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas
Pharmacotherapeutics For Advanced Practice Nurse Prescribers
• Author: Woo, T. & Robinson, M.
• Publisher: F. A. Davis
• Edition: 5th
• Required Reading
o Ch. 17: Drugs Affecting the GI System
o Ch. 22: Drugs Affecting the Integumentary System
o Ch. 34: Dermatological Conditions
o Ch. 36: GERD and PUD


 Advanced Pharmacology

The regularity of Marty’s food consumption is one of the additional pieces of information that need to be gathered from him. This includes the amount of time that passes between meals, the sort of nutrition that he follows, and the amount of food that is consumed at each meal. This is due to the fact that certain diets, particularly those that include a lower fiber content as well as meals that contain a significant amount of spices are proven to trigger reflux (Newberry & Lynch, 2019). It is also very crucial to get an idea of the frequency with which he engages in physical activity.  Advanced Pharmacology Essay

Esomeprazole, Rabeprazole, and other proton pump inhibitors are among the medications I would administer to the patient based on his symptoms. These medications work by inhibiting the synthesis of hydrochloric acid in the stomach, which in turn stops reflux from occurring (Mermelstein et al., 2018). Antacids, like Zantac, are another option for relieving mild heartburn that I would suggest for Marty. The items that would be considered in the assessment of this patient include performing an examination of the abdominal region in order to determine the presence of any mass or tenderness, performing a check for vital signs, and checking for intestinal sounds by auscultation

In terms of the care plan for Marty, I would suggest an endoscopy to eliminate the possibility of stomach ulcers. In addition, I would suggest taking steps like increasing the amount of physical activity he gets and avoiding smoking as the greatest ways to alleviate reflux. Spicy meals should be avoided at all costs by Marty since they induce the production of acid, which in turn results in reflux. Each of these actions is critical in reducing GERD problems.


Mermelstein, J., Mermelstein, A. C., & Chait, M. M. (2018). Proton pump inhibitor-refractory gastroesophageal reflux disease: challenges and solutions. Clinical and experimental gastroenterology11, 119.

Newberry, C., & Lynch, K. (2019). The role of diet in the development and management of gastroesophageal reflux disease: why we feel the burn. Journal of thoracic disease11(Suppl 12), S1594.

Advanced Pharmacology Essay

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