GI Sherpath Case Study with Complete
Solutions
A 47-year-old construction foreman presents to the healthcare provider with reports of
intermittent pain in his chest and a burning sensation in the substernal area that
radiates to his back. The client notices that the symptoms often occur after eating a
large meal or while sleeping at night. The client shares that he occasionally wakes up
with a burning sensation, a cough, shortness of breath, and a foul taste in his mouth. He
has taken calcium carbonate (TUMS) but states that TUMS do not work like they used
to and that he often must take more to have relief of symptoms. - ANSWER-Complete
the Diagram:
A 68-year-old man presented at the clinic with discomfort in the chest/abdomen and
recent weight loss. The client disclosed having heartburn for approximately 3 months,
which is exacerbated by drinking coffee and alcohol as well as eating foods with high
acid content. The client shared that antacids have been helpful in minimizing the
symptoms approximately 60% of the time. After stepping on the scale when clothes
seemed to fit more loosely, the client realized a 10-lb weight loss in 3 months. The client
also expressed concern that recent stools have been dark, almost black in color. -
ANSWER-Choose the most likely options for the information missing from the
statement(s) by selecting from the lists of options provided.
Based on the findings, the client's condition suggests - ANSWER-Peptic Ulcer Disease
Client Education - ANSWER-The medication works by inhibiting acid production and
release
Notify healthcare provider of muscle cramps, tremors, or seizures
Inhibits histamine to prevent acid production - ANSWER-H2 Blockers
Must monitor orientation levels of older adults - ANSWER-H2 Blockers
Often used for reflux - ANSWER-Antacid and H2 Blockers
Parameters to Monitor - ANSWER-Monitor serum magnesium levels
The risk for community acquired pneumonia
Potential Condition - ANSWER-GERD
Raise pH with acid-neutralizing effect - ANSWER-Antacid
Solutions
A 47-year-old construction foreman presents to the healthcare provider with reports of
intermittent pain in his chest and a burning sensation in the substernal area that
radiates to his back. The client notices that the symptoms often occur after eating a
large meal or while sleeping at night. The client shares that he occasionally wakes up
with a burning sensation, a cough, shortness of breath, and a foul taste in his mouth. He
has taken calcium carbonate (TUMS) but states that TUMS do not work like they used
to and that he often must take more to have relief of symptoms. - ANSWER-Complete
the Diagram:
A 68-year-old man presented at the clinic with discomfort in the chest/abdomen and
recent weight loss. The client disclosed having heartburn for approximately 3 months,
which is exacerbated by drinking coffee and alcohol as well as eating foods with high
acid content. The client shared that antacids have been helpful in minimizing the
symptoms approximately 60% of the time. After stepping on the scale when clothes
seemed to fit more loosely, the client realized a 10-lb weight loss in 3 months. The client
also expressed concern that recent stools have been dark, almost black in color. -
ANSWER-Choose the most likely options for the information missing from the
statement(s) by selecting from the lists of options provided.
Based on the findings, the client's condition suggests - ANSWER-Peptic Ulcer Disease
Client Education - ANSWER-The medication works by inhibiting acid production and
release
Notify healthcare provider of muscle cramps, tremors, or seizures
Inhibits histamine to prevent acid production - ANSWER-H2 Blockers
Must monitor orientation levels of older adults - ANSWER-H2 Blockers
Often used for reflux - ANSWER-Antacid and H2 Blockers
Parameters to Monitor - ANSWER-Monitor serum magnesium levels
The risk for community acquired pneumonia
Potential Condition - ANSWER-GERD
Raise pH with acid-neutralizing effect - ANSWER-Antacid
