If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is not improving, the plan of care would be:

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Quizplus · Accepted Answer

If a patient with gastroesophageal reflux disease (GERD) is not improving despite taking a proton pump inhibitor (PPI) daily, the next step would be to increase the dose of the PPI rather than switch to a different class of medication. Therefore, the best choice would be option B, which suggests doubling the dose of the PPI for a period of 4 to 8 weeks. Option A (prokinetic) may be considered if symptoms persist despite the increased PPI dose, but it is not the first-line treatment in this situation. Option C (histamine receptor antagonist) is generally not recommended for patients with GERD as it is less effective than PPIs. Option D (cytoprotective drug) is not typically used for GERD and is reserved for other conditions such as NSAID-induced gastric ulcers.

If a Patient with Gastroesophageal Reflux Disease Who Is Taking