CASE: PEPTIC ULCER DISEASE Chief complain: Mr. Garcia, a 57-year-old man, was admitted yesterday after he began passing black stools. He has a two-day history of severe stomach pains and has had indigestion on and off for several months. He undergoes an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. His doctor discharge him the same day and was given with a discharge medication order. Answer the following: 4. Following a review of the discharge medication order, the following are prescribed: enalapril 5 mg twice daily, omeprazole 20 mg twice daily, and furosemide 40 mg daily. It was documented that Naproxen should be discontinued. What is the reason for this? 5. Will you recommend Mr. Garcia the use of antacids for his ulcer? 6. Considering the medical history of Mr. Garcia, below are some options that you can recommend to the doctor as a replacement for Naproxen, for his arthritis. Discuss which of the given will be suitable. • Paracetamol + Codeine • COX-2 selective inhibitors (e.g. celecoxib) • Ibuprofen
CASE: PEPTIC ULCER DISEASE
Chief complain: Mr. Garcia, a 57-year-old man, was admitted yesterday after he began passing black stools. He has a two-day history of severe stomach pains and has had indigestion on and off for several months. He undergoes an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. His doctor discharge him the same day and was given with a discharge medication order.
Answer the following:
4. Following a review of the discharge medication order, the following are prescribed: enalapril 5 mg twice daily,
omeprazole 20 mg twice daily, and furosemide 40 mg daily. It was documented that Naproxen should be
discontinued. What is the reason for this?
5. Will you recommend Mr. Garcia the use of antacids for his ulcer?
6. Considering the medical history of Mr. Garcia, below are some options that you can recommend to the doctor as a replacement for Naproxen, for his arthritis. Discuss which of the given will be suitable.
• Paracetamol + Codeine
• COX-2 selective inhibitors (e.g. celecoxib)
• Ibuprofen
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