You have been assigned to care for Mr. P, a 44-year-old patient recently diagnosed with peptic ulcer disease. He has a 15-year history of smoking cigarettes and takes ibuprofen [Motrin] regularly for an old football injury to his knee. He has been prescribed cimetidine. You are teaching him how to manage his peptic ulcer disease and other conditions.
Discuss the relationship of mucosal defenses and aggressive factors to health and peptic ulcer disease. What factors protect against or lead to ulcer formation. Remember that the protective factors are the basis for pharmacologic intervention!
Mr. P says, “When I take an antacid, like Rolaids, I feel better. Why can’t I take antacids anymore? That’s what the doctor told me.” What is your best response?
He states, “I have a headache, and my knee hurts. I need an aspirin or a Motrin.” What is your best response?
PS : I have edited the answer, by uploading the pics again as i got the mail regarding clarity issue.
You have been assigned to care for Mr. P, a 44-year-old patient recently diagnosed with peptic...
Case Study - Peptic Ulcer - Mylanta/Zantac Jessie Holmes, a 48-year-old patient, complains of gnawing, aching pain in the abdominal area that usually occurs several hours after eating. He says over-the-counter antacids help somewhat but the pain has recently intensified. Diagnostic tests indicate that the patient has a duodenal ulcer. 1. Differentiate between peptic ulcer, gastric ulcer, duodenal ulcer, 2. What are the predisposing factors related to peptic ulcers? What additional information do you need from Mr. Holmes? 3. What...
Case Study - Peptic Ulcer- Mylanta/Zantac Jessie Holmes, a 48-year-old patient, complains of gnawing, aching pain in the abdominal area that usually occurs several hours after eating. He says over-the-counter antacids help somewhat but the pain has recently intensified. Diagnostic tests indicate that the patient has a duodenal ulcer. 1. Differentiate between peptic ulcer, gastric ulcer, duodenal ulcer, 2. What are the predisposing factors related to peptic ulcers? What additional information do you need from Mr. Holmes? . What nonpharmacologic...
PN 200 Case Study - Peptic Ulcer-Mylanta/Zantac Jessie Holmes, a 48-year-old patient, complains of gnawing, aching pain in the abdominal area. that usually occurs several hours after eating. He says over-the-counter antacids help somewhat but the pain has recently intensified. Diagnostic tests indicate that the patient has a duodenal ulcer. Differentiate between peptic ulcer, gastrie ulcer, duodenal ulcer, 1. 2. What are the predisposing factors related to peptic ulcers? What additional information do you need from Mr. Holmes? 3. What...
You are the nurse taking care of Mr. Case, a 75-year-old patient newly diagnosed with colon cancer. Mr. Case’s pain has been severe, and has been taking narcotics for pain management. He feels weak and tired, has no energy or appetite, and is unable to keep his weight up. Mr. Case has had great difficulty moving his bowels; when he does, it is very painful. He is oozing a small amount of stool from his rectum. Mr. Case is admitted...
Questions 1-4 PN 200 Fundamentals of Nursing II Case Study - Peptic Ulcer - Mylanta/Zantac Jessie Holmes, a 48-year-old patient, complains of gawing, aching pain in the abdominal area that usually occurs several hours after eating. He says over-the-counter antacids help somewhat but the pain has recently intensified. Diagnostic tests indicate that the patient has a duodenal ulcer. 1. Differentiate between peptic ulcer, gastric ulcer, duodenal ulcer. 2. What are the predisposing factors related to peptic ulcers? What additional information...
John Stokes is a 42-year-old banking executive who has been diagnosed with a duodenal ulcer due to H. pylori infection. He reports persistent abdominal pain associated with the ulcer. His medical history includes a recent knee injury, and he has been taking ibuprofen as needed for knee pain. His physician has prescribed treatment with Prevpac. 1. John asks the nurse about the Prevpac. When he is informed that it contains three drugs, he responds, “Wait a minute. I don’t like...
Questions 5-8 PN 200 Fundamentals of Nursing II Case Study - Peptic Ulcer - Mylanta/Zantac Jessie Holmes, a 48-year-old patient, complains of gnawing, aching pain in the abdominal area that usually occurs several hours after eating. He says over-the-counter antacids help somewhat but the pain has recently intensified. Diagnostic tests indicate that the patient has duodenal ulcer. 1. Differentiate between peptic ulcer, gastric ulcer, duodenal ulcer, 2. What are the predisposing factors related to peptic ulcers? What additional Information do...
Mr. Holmes states he had a beer at lunch and has had two gin and tonics in the afternoon. He states the drinks helps him to relax. 8. What nursing interventions should be takin in regard to his alcohol intake? 9. Prepare a list of foods that should be avoided. A week later Mr. Holmes states that he discontinued the prescribed medications because he felt better. However, the pain reoccurred and he asked whether he should resume taking the medications....
Only Question #7,8,9 PN 200 Fundamentals of Nursing IT Case Study-Peptic Ulcer- Mylanta/Zantac Jessie Holmes, a 48-year-old patient, complains of gnawing, aching pain in the abdominal area that usually occurs several hours after eating. He says over-the-counter antacids help somewhat but the pain has recently intensified. Diagnostic tests indicate that the patient has a duodenal ulcer. 2. What are the predisposing factors related to peptic uleers? What additional information do you need frem Mr. Holmes? 3. What nonpharmacologic measures can...
You have been assigned to care for Mr. Underwood, a 32-year-old who has been diagnosed with TB. He goes to the public health department daily to receive his dose of isoniazid and rifampin. Ms. J is your clinical instructor for the day. She has a reputation for asking a lot of questions about the patient’s medications. Ms. J asks you the following questions. “How do the drugs isoniazid and rifampin work? Why has Mr. Underwood been prescribed two drugs to...