Read Case Case Explained for Students (Easy Guide)
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Break the problem into smaller parts and analyze each logically.
Key Explanation
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Original Question
Read the case two case studies below and answer the following questions: BS is 58 years old. She does not drink or smoke, walks daily and has a BMI of 28. She recently completed a course of prednisone (Deltasone) following a severe allergic reaction to a bee sting. BS tends to be anxious and has had chronic GI problems. BS was recently was diagnosed with an H.pylori infection along with a gastric ulcer. The provider put her on ranitidine (Zantac) and sucralfate (Carafate) along with an antibiotic. Questions 1) What effect does Prednisone have on the GI lining and risk for ulcers? 2) How do the ranitidine and sucralfate work together to treat gastric ulcers? 3) What is the mechanism of action of ranitidine? 4) What is the mechanism of action of sucralfate? 5) How should BS be advised to take each of these medications? At her follow up visit, BS reports that her stomach pain is gone but she is having problems with constipation. First she tried some psyllium fiber (Metamucil) but it made her feel bloated so she bought some “white, chalky liquid stuff” at Dollar General. Now she is having diarrhea every day. The provider gives her a prescription for diphenoxylate/atropine (Lomotil) but tells her to only take it for a week. Questions: 6) What was the “white, chalky liquid stuff” that she has probably been taking? 7) What is the mechanism of action of diphenoxylate/atropine? 8) Why did the provider limit its use to only a week? 9) What patient education can you do for the management of constipation without medications?
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