GI Prescription Writing Skills :
Douglas Kelly, a 46 yo male comes in to the clinic complaining of Abdominal pain with occasional nausea. He has a history of Back pain & GERD that is well controlled with OTC ibuprofen & Rolaids. His abdominal pain has been getting more frequent, almost daily, & more intense. It comes on about 2 hrs after eating & radiates to his back. He has been under a lot of stress lately at work & has not been watching his diet closely, & drinking 4 cups of coffee to stay awake since he hasn’t been sleeping as well due to the pain. He works for UPS where he does lots of lifting & bending that aggravates his back pain. His exam is unremarkable except for epigastric tenderness & back pain with movement. You suspect he has a back strain & PUD.
Part A:
Answer the questions below before writing a prescription:
1) How would you treat this patients PUD as a 1st , 2nd, 3rdline agent based on guidelines?
2) Are there any labs you’d like to order to make a diagnosis, rule out sequelae, & other etiologies of PUD?
3) How would you treat this patients back pain using 1st2nd, 3rd line agents?
4) Are there any labs or studies you might consider before ordering medication to treat his back pain.
Part B:
Write prescription in attached document 
N677 Dermatology Prescription
and upload in this discussion. What drug, dose, frequency, and duration would you prescribe? How many refills would you give?
Part C:
Review two different students prescription and submit a response.
Does their prescription follow the recommended guidelines?
Resources:
N677 How to Write Prescriptions.pptx
N677 Prescription Writing Skills Directions
You can use UpToDate to evaluate consensus from different guidelines such as the latest JNC Guidelines.
Initial post must be submitted by Thursday 11:59 p.m.
Response to two different student’s SOAP note must be posted by 11:59 p.m. (Pacific Time) on Sunday.
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