Question

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 nonpharmacologic measures can you suggest to alleviate symptoms related to peptic ulcer? The health care provider prescribes Mylanta 2 teaspoons to be taken 2 hours after meals, and ranitidine (Zantac) 150 mg twice a day. The dose of magnesium hydroxide and aluminum hydroxide with simethicone (Mylanta) be taken one hour before or one hour after ranitidine. 4. Mr. Holmes asks the purposes for Mylanta and ranitidine. What is the nurse's best answer? 5. Why does the health care provider suggest that the patient take ranitidine with meals? Why should Mylanta and ranitidine not be taken at the same time? 6. In what ways are ranitidine and cimetidine (Tagamet) the same and how do they differ? Explain your answer. 7. As part of patient teaching, the nurse discusses side effects or ranitidine. What is the most effective manner to teach this patient? Develop a patient teaching care plan for this patient Mr. Holmes states he had a beer at lunch and has had two gin and tonies in the afternoon. He states the drinks helps him to relax. 8. What cursing interventions should be takin in regard to his alcohol intake

Answer 1

Answer: Peptic ulcers are the ulceration occurs inside the stomach lining as well as upper area of the small intestine.

The ulcer which occurs in the stomach is known as gastric ulcer whereas ulcer that develops in the small intestine specially in duodenum is called duodenum ulcer.

The predisposing factors of peptic ulcers are:

• Intake of spicy food
• Excessive alcohol consumption
• Smoking.

It is important to know about the lifestyle of the patient as well as also about eating habits. This will reveal the major cause of the ulcer.

If the patient is consuming any kind of pain killer, it is important to quit the intake of painkillers. Eating boiled food can be beneficial.

The nurse should inform the patient that the mylanta and ranitidine drugs are used to decrease the acid secretion in the stomach.