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 : Angelica Lou K. Sabal Yr.& Sec. : BSN 2-B

Module/Topic : Module 4: Elaborate 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)

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?

- Explain to the patient that we nurses cannot give you a drug without a doctor's order,
but I will let you know that one of the most common reasons that patients with GERD do
not react to PPI therapy is because they are not complying with the medication.
According to several studies, only around half of patients are taking their PPIs correctly
at the end of one month. As a result, PPIs are more successful than regurgitation in
treating pyrosis or substernal burning.

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.

- Give the patient the right to medication, dose, and education; by delivering omeprazole
capsules, you must educate the patient. To reduce the danger of aspiration, place the
patient in a side-lying or upright position. To make swallowing easier and promote
medicine absorption and dissolution, offer a glass of water or another oral fluid that is not
contraindicated with the medication, taking into mind any fluid limits. Before signing that
you delivered the drug, stay with the patient until all of the medication has been
Pharmacology Module 1st Semester S.Y. 2021- 2022 UCBC Page 1
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

consumed.

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 (gastroesophageal reflux disease, often known as chronic acid reflux) is a condition in
which acid-containing contents from your stomach flow back into your esophagus on a regular
basis. When food reaches your stomach, a valve at the end of your esophagus called the lower
esophageal sphincter fails to seal properly, causing acid reflux. Acid backwash then travels up
your esophagus, through your throat, and into your mouth, leaving you with a sour taste.

Pharmacology Module 1st Semester S.Y. 2021- 2022 UCBC Page 2

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

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?

- As a nurse, I will provide information about the said drug. Cimetidine is an acid reducer
active ingredient available in over-the-counter (OTC) and this drug can also be obtained
without a prescription. It's used to treat heartburn that's caused by too much stomach acid (also
called acid indigestion or sour stomach).

c. How will the cimetidine help her GERD?

- CIMETIDINE is an antihistamine that prevents stomach acid from being released. It's used to
treat ulcers in the stomach or intestines. It can help with ulcer pain and discomfort, as well as
acid reflux heartburn. Cimetidine is part of a class of medications known as H2 blockers. It
works by lowering the acid levels in your stomach. It's used to treat heartburn that's caused by
too much stomach acid (also called acid indigestion or sour stomach).

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)
Assessment:

- Write down the precise weight; do not estimate.

- Take a nutritional history with the help of significant others.
- Assess laboratory results to see if they indicate wellness or illness.
- Keep an eye out for physical indicators of malnutrition.
- Take note of the patient's attitude and feelings about food and eating.
- Examine the environment in which meal takes place.
- Compare typical food intake to the USDA Food Pyramid, noting any food groups that have been
overlooked or omitted.
- Determine the patient's ability to obtain and utilize vital nutrients.

Diagnoses:
- Determine an appropriate body weight for your age and height. For a thorough nutritional assessment and
nutritional support options, consult a nutritionist.
- Establish acceptable short- and long-term objectives.
- Create a comfortable atmosphere.
- Encourage correct positioning.

Planning:
As demonstrated by the following signs, the client will consume daily dietary requirements in accordance
with activity level and metabolic needs:
- Discuss the significance of proper diet.
- Determine if your daily consumption is deficient.
- Relate appetite-inducing techniques.
Pharmacology Module 1st Semester S.Y. 2021- 2022 UCBC Page 3
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Intervention:
- Enhance diet
- Establish a dietary plan for weekly weight loss goals of one pound
- encourage patient to make gradual changes in dietary habits; encourage small frequent meals of high
calories and high protein foods
- instruct patient to eat slowly and masticate foods well
- provide activities for the patient that are not centered around or associated with meals or snacks.

Evaluation:
Goals are met as evidenced by:
- The patient will consume everyday nutritional requirements based on his activity level and metabolic
requires.
-The client will be able to value the importance of proper nutrition.
- The client will have a better understanding of the actions she can take to improve her nutritional diet.
- The client will accomplish and maintain a healthy body weight.

References:
https://my.clevelandclinic.org/health/diseases/17019-gerd-or-acid-reflux-or-heartburn-overview
https://www.webmd.com/drugs/2/drug-168235/heartburn-relief-cimetidine-
oral/details#:~:text=Cimetidine%20belongs%20to%20a%20class,acid%20indigestion%20or%20sour%20st
omach).

Prepared by:

Angelica Lou K. Sabal

Students Signature over
Printed Name

Submitted to:

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

Professor – Pharmacology

Pharmacology Module 1st Semester S.Y. 2021- 2022 UCBC Page 4