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Gastro-oesophageal reflflux SCENARIO Jim is a three-month-old baby born at 35 weeks’ gestation. He has been in hospital since birth with a variety of problems. He is now feeding enterally via a bottle, but is not thriving and his weight is falling off the centile chart. He has been on feed thickeners and ranitidine for the last month for gastro-oesophageal reflflux, but symptoms still persist. QUESTIONS: Jim gets an ear infection and is started on metronidazole suspension. The current reflux regimen continues. 1. What is the problem of using metronidazole suspension when the gastric content is acid suppressed? 2. What is the other potential risk of using metronidazole alongside ranitidine suspension?

Gastro-oesophageal reflflux SCENARIO Jim is a three-month-old baby born at 35 weeks’ gestation. He has been in hospital since birth with a variety of problems. He is now feeding enterally via a bottle, but is not thriving and his weight is falling off the centile chart. He has been on feed thickeners and ranitidine for the last month for gastro-oesophageal reflflux, but symptoms still persist. QUESTIONS: Jim gets an ear infection and is started on metronidazole suspension. The current reflux regimen continues. 1. What is the problem of using metronidazole suspension when the gastric content is acid suppressed? 2. What is the other potential risk of using metronidazole alongside ranitidine suspension?

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Gastro-oesophageal reflflux SCENARIO Jim is a three-month-old baby born at 35 weeks’ gestation. He has been in hospital since birth with a variety of problems. He is now feeding enterally via a bottle, but is not thriving and his weight is falling off the centile chart. He has been on feed thickeners and ranitidine for the last month for gastro-oesophageal reflflux, but symptoms still persist. QUESTIONS: Jim gets an ear infection and is started on metronidazole suspension. The current reflux regimen continues. 1. What is the problem of using metronidazole suspension when the gastric content is acid suppressed? 2. What is the other potential risk of using metronidazole alongside ranitidine suspension? 3.What is the rationale of use of these products? 4. Briefly mention the potential issues surrounding the use of each product.
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