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Mary is a 70-year-old attorney who has self-treated her heartburn for years by drinking large amounts...

Mary is a 70-year-old attorney who has self-treated her heartburn for years by drinking large amounts of antacids. She finally made an appointment with her family practice physician who referred her to a gastroenterologist. Her physician instructed her to stop taking the antacids. Why did the physician ask her to stop taking the antacids? Include mode of action and side effects What diagnostic tests would the healthcare provider perform to determine treatment for the patient? The patient is diagnosed with a peptic ulcer and placed on the following medications: omeprazole, bismuth subsalicylate, tetracycline, and metronidazole. The patient asks the nurse why she is taking so many medications when she is not feeling any pain now. What instructions will the nurse provide to the patient regarding the reason, administration, and adverse effects of each of the medications?

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Answer #1

She has been taking antacids since many years which will cause many adverse effect especially in the stomach.Thus,the physician has advised her to stop taking antacids.

Gastroscopy or barium meal can be performed to diagnose the disease.In gastroscopy ,visualusation of the stomach can be done to know the disease condition such as peptic ulcer.in barium meal an x ray will be performed after having a white powder called barium meal to confirm the diagnosis.

Omeperazole is used to decrease the acidity or amount of acid in the stomach which will also reduce heart burn.side effects include abdominal pain,diarrhoea,fits,insomnia,anorexia,sorethroat

Bismuth subsalicylate mainly used for abdominal discomfort.side effects are diarrhoea,dark stool ,dry mouth,fatigue.

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