GI Peptic Ulcer Case Study #2

GI-Peptic Ulcer Case Study Peptic ulcers are a common disease affecting approximately 12% of Americans. The causes range from bacteria, to tumors, diet, and medication reactions. Read the following case study on Gastrointestinal (GI) disorders. While reading, reflect on your own knowledge of the pathopharmacology along with the role of a nurse as an in-field teacher. Mr. P is a 48-year-old businessman who went to the ER at 4 a.m. with complaints of burning epigastric pain that woke him from a sound sleep. He had experienced nighttime pain like this before and it had resolved with TUMS, but since watching a show on television, this time he was afraid he was having a heart attack and woke his wife to drive him to the ER. Upon arrival, the workup revealed negative for MI, and the ER physician transferred him to the urgent care unit adjacent to the ER for an H. Pylori test (positive) and an endoscopy that revealed a gastric ulcer. The physician orders amoxicillin (Amoxil) 1g every 12 hours for 14 days, clarithromycin (Biaxin) 500mg every 12 hours for 14 days, and lansoprazole (Prevacid) 30mg every 12 hours for 14 days, with orders to follow up with his primary care provider. You note a moderately overweight man whose clothes smell vaguely of tobacco. You are the nurse responsible for discharging Mr. P. Based on the case study, write a 3 pages paper responding to the following:  

Describe the differences in mechanism of action between Histamine-2 antagonists, antacids, and proton pump inhibitors.

What adverse effects should Mr. P. be aware of while taking these prescribed medications?

Acids in the GI tract serve a valuable purpose in food digestion and maintenance of overall health. Drugs that prohibit the secretion of this acid have been shown to leave patients at higher risk for what ailment? What additional teaching will be required prior to Mr. P's discharge? Refer to the "GI-Peptic Ulcer Application Rubric" prior to submission. 200–180 Points (Exemplary) Paper or writing assignment exceeds the requirements and exceeds academic writing expectations. Each response:

Explains in detail the differences and commonalities in mechanism of action between Histamine-2 antagonists, antacids, and proton pump inhibitors • Describes multiple adverse effects the patient should be aware of while taking the prescribed medications in the case study

 Identifies the ailment and contributing factors associated with this case study’s drugs

Explains in detail additional teaching that will be required prior to the patient’s discharge

Demonstrates thorough reflection of knowledge of the pathopharmacology along with the role of a nurse as an in-field teacher • Meets the minimum required page length: 2–3 pages

Meets the requirements of the Application instructions and is submitted by the due date

Is substantive, reflective, and evidence based

Uses language that is appropriate, and generally clear and concise

Has few errors in spelling, grammar, and syntax Required: Resources: Course Text: Karch, A. M. (2013). Focus on Nursing Pharmacology (6th ed.). Philadelphia, PA: Lippincott Williams & Wilkins Chapter 57, "Drugs Affecting Gastrointestinal Secretions" Gastrointestinal (GI) disorders are commonly found problems in health care. Different GI secretion disorders and the different drugs used to treat these disorders are examined in this chapter. Chapter 58, "Drugs Affecting Gastrointestinal Motility" In this chapter, GI disorders related to the motor activity of the system are discussed. The different drugs used to stimulate, lubricate, and block GI movement are also discussed. P.S: PUBLICATION OF ALL REFERENCES NEED TO BE 5 YEARS OR LESS