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    PC GERD (International Group)

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    Putri Khairunnisa
    The patient, a 17-year-old female, visits the pharmacy complaining of nausea, a burning feeling in her ribcage, feeling bloated, and stomach pain and is diagnosed with GERD by her doctor. She frequently takes mefenamic acid for migraines during menstruation. The pharmacist develops a care plan to treat the patient's GERD and reduce her symptoms by recommending an alternative medication to her doctor, advising lifestyle changes, and monitoring her response to treatment and for potential adverse drug reactions.

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    PC GERD (International Group)

    Uploaded by

    Putri Khairunnisa
    32 views10 pages
    The patient, a 17-year-old female, visits the pharmacy complaining of nausea, a burning feeling in her ribcage, feeling bloated, and stomach pain and is diagnosed with GERD by her doctor. She frequently takes mefenamic acid for migraines during menstruation. The pharmacist develops a care plan to treat the patient's GERD and reduce her symptoms by recommending an alternative medication to her doctor, advising lifestyle changes, and monitoring her response to treatment and for potential adverse drug reactions.

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    The patient, a 17-year-old female, visits the pharmacy complaining of nausea, a burning feeling in her ribcage, feeling bloated, and stomach pain and is diagnosed with GERD by her doctor. She frequently takes mefenamic acid for migraines during menstruation. The pharmacist develops a care plan to treat the patient's GERD and reduce her symptoms by recommending an alternative medication to her doctor, advising lifestyle changes, and monitoring her response to treatment and for potential adverse drug reactions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    32 views10 pages

    PC GERD (International Group)

    Uploaded by

    Putri Khairunnisa
    The patient, a 17-year-old female, visits the pharmacy complaining of nausea, a burning feeling in her ribcage, feeling bloated, and stomach pain and is diagnosed with GERD by her doctor. She frequently takes mefenamic acid for migraines during menstruation. The pharmacist develops a care plan to treat the patient's GERD and reduce her symptoms by recommending an alternative medication to her doctor, advising lifestyle changes, and monitoring her response to treatment and for potential adverse drug reactions.

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    © All Rights Reserved
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    Pharmaceutical Care

    GERD
    By International Group
    Putri Khairunnisa 1807062014
    Firda Rahmadani 1807062024
    Anisa Mega Insani 1807062062
    Raramiyati F. 1807062063
    Dinda Irhamna 1807062064
    M. Hasan A. 1807062084
    Siti Sarah Fuadi 1807062106
    Rima Tri Damawati 1807062112
    Scenario
    F, a female teenager, visits your pharmacy and complains to have nausea and
    burning feeling in the ribcage and esophagus. She sometimes feels bloated and pain
    in the stomach.

    R/ Ranitidin tab 150 mg XIV


    S 2 dd 1 tab
    R/Vometa tab X
    S 4 dd 1 tab
    Pro: F (17 yo)

    The patient is diagnosed with GERD by doctor.


    She was frequently consuming mefenamic acid to reduce the migraine while having
    menstruation.
    The patient has ulcus peptic and has undergo a triple therapy.
    Patient Assesment
     Clinical manifestation and clinical problem
     Subjective : nausea, burning feeling in ribcage, feels bloated and
    pain in stomach
     Objective : -
     Clinical problem
     Actual : GERD
     Potential : mefenamic acid’s side effect
    Drug Related Problem
    Type of problem Assesment

    Patient knowledge of drug The patient doesnt take the drug properly.
    therapy

    Vometa is overdose In the prescription, vometa’s direction is 4 times a day.


    Change to 3 times a day.
     Final Diagnosis
    The patient has GERD

     Priority Rank of Pharmaceutical care


     To reduce the symptoms (nausea and burning feeling from the
    ribcage)
     To cure the disease
    Plan of Pharmaceutical Care
    (Guideline)
    1
    The Use of PPI and Prokinetic Therapy

    Pharmacologyonline, 2011

    2 3
    Acta Med Indonesia, 2011
    Therapy
     Pharmacology
     Give recommendation to the doctor to give omeprazol instead
    ranitidin for 2 months.
     Lowering the vometa dose

     Non pharmacology
     Avoid consume fatty/acid/spicy food
     Avoid consume NSAIDs
     Keep the sanitation and hygiene clean
     Avoid stress
     Eat the meal properly
    Plan of Pharmaceutical Care
    Drug name Strength Indication Frequency

    Omeprazol 20 mg To treat the GERD and 2 times a day, for 2 months


    reduce the pain in the In the morning after breakfast
    stomach and before bed time
    Vometa (domperidon) 10 mg To reduce nausea and 3 times a day
    burning feeling After breakfast, lunch and
    dinner
    Plan of Drug Monitoring
    Therapeutical Effect Monitoring
    No Drugs/Med Parameter of monitoring Recommendations

    1 Omeprazole Pain in the stomach Use medication according to the


    instructions (esophageal pH
    monitoring)
    2 Vometa Nausea and burning feeling If the patient still has nausea and
    burning feeling, she should consult
    to the doctor

    Adverse Drug Reaction Monitoring


    No Drugs/Med Parameter of monitoring Recommendations

    1 Omeprazole Headache The patient can stop the use of the


    drug and consult to the doctor if
    the side effect occurs
    2 Vometa Breathing problem, skin rash The patient can stop the use of the
    drug and consult to the doctor if
    the side effect occurs

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