If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at home with OTC ranitidine daily, the appropriate treatment would be:
1. Prokinetic (metoclopramide) for 4 to 8 weeks
2. Proton pump inhibitor (omeprazole) for 12 weeks
3. Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
4. Cytoprotective drug (misoprostol) for 2 weeks
Question 2
If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is not improving, the plan of care would be:
1. Prokinetic (metoclopramide) for 8 to 12 weeks
2. Proton pump inhibitor (omeprazole) twice a day for 4 to 8 weeks
3. Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
4. Cytoprotective drug (misoprostol) for 4 to 8 weeks
Patient receiving ultrasound treatment to the left elbow.
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