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Case Analysis 4 GERD

Case Analysis 4 GERD

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Published by CJ

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Categories:Types, Research
Published by: CJ on Sep 06, 2009
Copyright:Attribution Non-commercial


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Case Presentation(G.E.R.D)
Gastroesophageal reflux disease (GERD), Gastric reflux disease, or Acid reflux diseaseis defined as chronic symptoms or mucosaldamage produced by the abnormal reflux intheesophagus.This is commonly due to transient or permanent changes in the barrier between theesophagusand thestomach. This can be due to incompetence of thelower esophageal sphincter , transientlower esophageal sphincter relaxation, impaired expulsion of gastric reflux from theesophagus,or ahiatal hernia
This is a case of DC a 68 yr. old female residing at Kabihasnan., the patient wasreceived at PCH last July 22, 2009 at 05:39 pm with a chief complaint of D.O.B andAbdominal pain. Initial vital signs were taken BP -90/60, T-36.3˚C, RR- 30 cpm, PR-110 bpm. Initial diagnosis was(G.E.R.D) Gastroesopageal reflux disease. The patientwas subjected for ECG, Na, K+, CBC, and urinalysis and was given Ranitidine,Domperidone, esomeprazole, hydryt and Kalium as prescribed.
General Objective
To be able to know the comprehensive process of the disease condition
Specific Objectives
To be able to perform or identify the patient in response to the disease condition
To be able to discuss the normal anatomy and physiology
To be able to trace the pathophysiology of the Disease
To be able to know comprehensively the laboratory examinations, diagnosticexaminations and the treatment accompanied to the disease process of G.E.R.D
To be able to assimilate all the learning experience garnered with this case study
To be able to formulate an efficient and effective Nursing Care Plan
Name: DCAge: 68Gender: FemaleCivil Status: MarriedDate of Birth: December 8 1940Address: kabihasnanPlace of Birth: ParañaqueReiligion: Roman CatholicEducational Attainment: HighschoolLanguage Spoken: TagalogAdmitting Diagnosis/Impression: Community Acquired Pneumonia (Moderate to highrisk)Admitting Physician: Dr. Karishma Sumilin

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