Question

mouth every day nts should PQ receive before and CRITICAL THINKING CASE STUDY PQ, a 72 year-old woman, had taken 650 mg of aspirin four 3. What patient teaching points should PO, times a day for 8 months to alleviate her chronic symptoms of during the time she takes aspirin? pain and inflammation associated with arthritis. Four weeks 4. How would COX-2 inhibitors prevent ago, a peptic ulcer developed. peptic ulcer? 1. Explain the process by which PQ could have a peptic ulcer. process by which PO could have a peptic ulcer. 5. Would DMARDs be more helpful in alleviating Pos How could this have been prevented? toms? Explain your answer. 2. Compare the similarities and differences in the side effects 6. Compare the differences in the various types of DMADE of salicylates with those of acetic acid agents, propionic acid agents. COX-2 inhibitors, and phenylacetic acid.

Answer 1

1.PQ would have avoided the peptide ulcer if she had taken other medicine than aspirin because aspirin inhibits COX enzymes.Stomach lining is protected by COX1 enzyme but aspirin inhibits the COX1 enzyme.So te chance of getting peptic ulcer is due to.aspirin.

2.Aspirin decreases te platelets aggregation which result in the decrease of blood clots.

3.Patient teaching points.

The patient should take te aspirin or and any NSAID with a glass of water after taking food.

Aspirin increases gastric irritation so alcohol and aspirin should not mix.

Aspirin should be avoided if a patient have viral infection.

While taking aspirin if a person sees bleeding and tarry stools or bleeding gums they should be reported to physician.

Aspirin if expiry date is over then it should not be taking because it causes gastrointestinal distress.

5.Disease Modifying Anti Rheumatic Drugs should be given to PQ if MSAID are not effective.Because these drugs are used to treat severe rheumatoid arthritis.