UNIVERSITY OF CEBU - BANILAD

Gov. M. Cuenco Ave, Cebu City, 6000 Philippines

College of Nursing
Telephone No: (032) 231- 8631

NCM 106 – Pharmacology

Course Outputs / Assessment of Learning for CILO # 3

Case Analysis and Drug Study

Name of Student : Cabello, Krista M. Yr.& Sec. : 2-A

Module/Topic : Module 4: Gastrointestinal Drugs Date : 10/27/2021

1. Create a Drug Study on Gastrointestinal Drugs that are commonly used in clinical settings.
Utilize the drug study template.

a. Medical-Surgical Ward ( 2 Medications )

b. Surgical Ward – Male/Female ( 2 Medications )

c. Pediatric Ward ( 1 Medication)

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 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

2. Briefly organize and bring together main ideas. Explain in your own words. (50 – 150 words
for each question)

a. A neighbor, Mr. Alexander Tofer, is coming to get advice on antacids. He claims he's been
taking Maalox "for years" for indigestion, but it doesn't help anymore. He asks the nurse,
"Can you prescribe another antacid or one of the pricey, fancy pills that the pharmacy sells? Or
should I just take some baking soda? "How is the nurse going to respond?

The nurse should respond to the client and explain that nurses are not the one held
accountable to prescribe medications. In fact, it is not included in the scope of nursing
practice. The nurse should advice the patient to consult to his physician about his complaint
of the decreased efficacy of his specific antacid (Maalox). Laboratory tests are also needed
and may be helpful for the physician to find appropriate antacid or dose for hi indigestion.

b. Mrs. Noemi is advised to administer omeprazole (Prilosec) capsules to manage a serious

GERD case; nothing else has worked. Create a patient teaching plan to advise Mrs. K. How to
take this drug.

TEACHING PLAN for Mrs. K

Objectives Learning Content Teaching Time Resources Evaluation

learning allotment Parameters
activities
After 2o Definition of After 20
minutes of Terms: minutes of
nurse- patient health
interaction the
teaching, the
patient will be
able to: patient will be
able to know
1. Explain Gastroesophageal o Ask the 10 minutes ●Visual aids how to take
what is Reflux Disorder patient, ●Pictures omeprazole for
GERD (GERD) is a “What ●Pamphlets her GERD.
condition of the things are ●Posters
digestive system you aware
associated with regarding
heartburns and the
indigestion. This condition
is due to weakness GERD?”
of the lower o Show a
esophageal poster of
sphincter allowing the
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 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

acid in the digestive

stomach to rise system
towards the o Emphasize
esophagus. how acids
can rise if
Things that may the lower
trigger or cause esophageal
GERD sphincter is
weak
The following are o Enumerate
practices and some
intakes that are practices
associated with the and food
development of that may
GERD: lead or
●overeating trigger the
●smoking condition.
●pregnancy o Ask
●consumption of: patients
o fatty food what they
o citrus think
fruits would be
o alcoholic the benefit
beverages of limiting
o the
carbonate mentioned
d causes of
drinks GERD

2. Explain to Right route – •Elaborate to 10 minutes •poster

client how needed for the the patient how
to proper to take the
properly administration of drugs
take the drug
omeprazol •Advice the
e Right time – patient to
helps to increase follow the
drug efficacy prescribed dose
and the
Right dose – to prescribed time
ensure the efficacy upon taking the
of the drug taken drug.
by considering the
appropriate •Route : per
amount to be orem (by
taken. mouth)
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 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

•Right time: as
instructed by
the physician

•Right dose: as
ordered by the
physician.

3. Case Study:

Amanda, 56 years of age, has been self-treated with heartburn antacids for 6 months. GERD has
been diagnosed following an endoscopy of the upper gastrointestinal tract. Decisions were taken to
start treatment with cimetidine (Tagamet. Amanda was generally healthy except for a history of
asthma. She says she doesn't smoke, but she enjoys going to a bingo session every Saturday for a
couple of hours where she's smoking, beer and pizza.

Question (50 – 150 words for each question)

a. What is GERD?

GERD or Gastroesophageal Reflux Disease is a digestive system condition characterized

by episodes of heartburn and indigestion. This condition is a worse version of acid reflux and
if left untreated, may result to more serious complications. This condition can be managed by
the use of over-the-counter medications. This can also be alleviated via changes in lifestyle.

The root of GERD development is the weakness of the lower esophageal sphincter which
allows stomach contents to rise towards the esophagus. This can be caused by overeating,
smoking, pregnancy, consumption of fatty and acidic foods and beverages.

b. When Amanda sees the cimetidine medication, she questions, "Why do I need a prescription?
I can buy it from the counter! "What are you going to say in reply?
I will narrate to the patient that a prescription is needed because the drug in the
prescription is specifically tailored for her condition. This means that it is prescribed
according to her level of condition. Dispensing medications of certain condition without
prescription may cause serious health risks and problems
People’s body and structure differ from one another. This is why if a drug
prescription is needed, this means that it is important to have a physician prescribe to observe
safety and to enhance the efficacy of the drug appropriate for Amanda’s condition.

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 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

c. How will the cimetidine help her GERD?

Cimetidine is under the drug class H2 blockers. This drug acts as acid-reducing
substance in the stomach. In other words, it works to reduce the acid in the stomach thus,
minimizing the symptoms and discomforts brought by GERD. It is used to treat episodes of
heartburn caused by too much presence of acid in the stomach as resulted from the
consumption of certain foods and beverages.

Item d on the next page po.

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 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

d. Develop a nursing care plan (minimum 1 NCP) for Amanda. You may use NANDA Book as
your reference.
- Problem 1 : Imbalanced Nutrition: Less Than Body Requirements
- Format: ADPIE( minimum 300 words)

NURSING
GOAL AND RATIONALE OF
NURSING ACTIONS &
CUES OUTCOME NURSING EVALUATION
DIAGNOSIS NURSING
CRITERIA DIAGNOSIS
ORDERS

S - “I Imbalanced After a week Independent - Measurement of Goals met as

experience a Nutrition: of effective - Measure the weight and height evidenced by:
sour feeling in Less Than nursing patient’s in the first day of • Gradual
my stomach Body intervention, height and admission can be weight gain
and I have not Requirements patient will be weight used as baseline • Decreased
taken enough as evidenced able to intake data. vomiting and
food due to by inadequate daily dizziness
episodes of food intake, nutritional - assess - to determine the • Patient
acid reflux” altered taste, requirements patient’s patient’s lifestyle verbalized
weight loss, in accordance health history and health risks to that there is
O – weight decreased to his activity plan intervention no more sour
loss, vomiting peristalsis, level and suited for her. fluid feeling
muscle mass metabolic in her
V/S loss, needs. - advice or -small, frequent stomach
-Body nausea and assist patient amount helps
temperature of vomiting to take small, digest the food
36.8°C. Pulse frequent meals easily and would
rate is 98 beats not cause the
per minute. stomach to push
Respiratory rate upward whatever
is 18 breaths is ingested
per minute.
Blood pressure -encourage -chewing slowly
117/81mmHg. patient to helps in preventing
chew the food reflux
properly

- have patient -this will help the

in semi- patient to control
fowler’s the reflux. Laying
position for at down after meals
least 2 hours will cause the food
after meal ingested to rise.

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 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Dependent Medication such

- Administer as H2 receptor
prescribed blockers as
medication as ordered to remove
ordered. the discomforts
and symptoms of
GERD

Collaborative To identify the

- Monitor cause of the
diagnostic test disease whether it
results of is a pill-induced
patient. disease or whether
it is caused by
patient’s lifestyle
and other factors.

References:

nursestudynet@gmail.com. (2021, March 16). GERD Gastroesphageal Reflux Disease Nursing Diagnosis

Interventions and Care Plans. NurseStudy.Net. https://nursestudy.net/gastroesophageal-reflux-

disease-gerd-interventions-nursing-care-plan/

R. (2019, February 13). metoclopramide Nursing Considerations & Management. RNpedia.

https://www.rnpedia.com/nursing-notes/pharmacology-drug-study-notes/metoclopramide/

Vera, M. B. (2020, December 8). 7 Gastroesophageal Reflux Disease (GERD) Nursing Care Plans.

Nurseslabs. https://nurseslabs.com/gastroesophageal-reflux-disease-gerd-nursing-care-plans/

Wilkins, L. W. (2021). Drug Handbook [E-book]. Wolters Kluwer.

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 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Prepared by:

KRISTA M. CABELLO
Students Signature over
Printed Name

Submitted to:

Lemuel C. Candelasa, EdD(c) ,MAN,RN

Professor – Pharmacology

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