Brian is a 60 year old, divorced, white obese male who was…

Question Answered step-by-step Brian is a 60 year old, divorced, white obese male who was… Brian is a 60 year old, divorced, white obese male who was diagnosed with HTN and hyperlipidemia 6 weeks ago for which you prescribed lisinopril 10 mg every day and simvastatin 40 mg. Today he presents at your clinic with complaints of severe muscle aches; predominately in the shoulders, thighs, and lower back along with abdominal cramps, nausea with occasional vomiting, muscle weakness, and dark colored urine for about 10 days. He also reports having a non-productive cough and sore throat for about four weeks. He took OTC cold medication with no relief. He denies nasal discharge, fever, post nasal drip, sinus tenderness or earache. However, he states he does have sub-sternal pain with a burning feeling sometimes. The burning sensation occurs approximately 1 hour after he eats, accompanied by frequent belching. It is worse when he goes to bed right away after a late dinner. He states he has tried taking calcium carbonate (TUMS) and even though they worked “a little” initially, he gets no relief now. Brian admits to eating fast food for lunch, dinner at different restaurants most evenings, and drinks 3-4 beers on the weekends. Brian also informs you that he has started a new relationship and is concerned that he cannot sustain an erection. He asks if you will prescribe him “the little blue pill” his friend takes. Physical exam is normal, height 72 inches”, weight 255 lbs, T 99.2, P 78, R 14, and BP 128/82. He has no known drug allergies. You diagnose him with GERD and erectile dysfunction.In addition to diagnosing Brian with GERD and erectile dysfunction, is there any other diagnosis that should be considered? If so, what diagnosis and how should this be managed?Describe mild versus and moderate GERD? Which type does the patient have? What is your prescribed pharmacological plan with rationale?What is the risk of taking a phosphodiesterase type 5 (PDE5) inhibitor with a nitrate? Health Science Science Nursing NURS 6521 Share QuestionEmailCopy link Comments (0)