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NR 565 Week 7 GI Case Study (Original Post with Responses)
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  • Course
  • NR 565
  • Institution
  • University Of Phoenix

Mr. Brown, a 50 year-old male who comes into your office today complaining of a constant burning pain in his stomach a couple of hours after he eats. He states that he was seen in the emergency room 2 days ago for the same complaint and was given something called a “GI cocktail” which relieved ...

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  • June 1, 2022
  • 4
  • 2021/2022
  • Case
  • Nurse jolly
  • A+

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  • nr 565 week 7 gi case study original post with responses

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  • University Of Phoenix
  • NR 565
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NR 565 Week 7 GI Case Study (Original
Post with Responses)
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 diagnosis 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;
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