*NURSING > CASE STUDY > NR 565 - Week 7 Gastrointestinal (GI). Case Study (Actual Post). (All)

NR 565 - Week 7 Gastrointestinal (GI). Case Study (Actual Post).

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Original Post 1. What are your treatment goals for Mr. Brown today? The immediate goal of the treatment is to relieve Mr. Brown of stomach pain. According to the presented symptoms, the suspected d... iagnosis would be peptic ulcers. Therefore, the goal of the treatment in the relief of pain should include relieving the symptoms, healing lesions, and preventing recurrences and complications. 2. What is your pharmacological plan and rationale? The management of a patient with gastrointestinal (GI) haemorrhage is different from the initial management of a stable patient with dyspepsia. In the former scenario, the failure of medical management does not commonly imply the need for surgical intervention. The available treatment options include empiric triple therapy of H Pylori infection, empiric antisecretory therapy, an endoscopy that informs treatment course based on the findings, and a triple therapy after an H Pylori serology for infected patients. Additionally, breath testing could be used for active H Pylori infection. According to the 2017 American College of Gastroenterology (ACG) guidelines for the treatment of H Pylori infection, a 10-14 days of quadruple therapy with proton pump inhibitor (PPI), bismuth, nitroimidazole, and tetracycline is recommended (Chey et al., 2017). Alternatively, a 10-14 days of clarithromycin, concomitant PPI, nitroimidazole, and amoxicillin could be used for the management. The quadruple management of H Pylori includes the following drugs and should be administered for 14 days; a) Bismuth 525mg PO [Show More]

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