Reference no: EM133562210

Case Study: Veronica George is a 29-year-old Black female with a 2-month history of intermittent mid-epigastric pain. The pain sometimes wakes her up at night and seems to get better after she eats a meal. V.G. informs you her previous doctor told her she had an infection in her stomach 6 months ago. She never followed up and has been taking over-the-counter antacids and histamine receptor antagonists (H2Ras) for 2 weeks without relief. She takes lithium 300mg PO TID for bipolar disorder which is controlled. She is concerned because the pain is continuing. She has no other significant history except that she is a 20-pack-year smoker, and she drinks 5 cups of coffee daily. She eats late at night and goes to bed about 30 minutes after dinner. Her H-pylori blood test was positive for IgM. She is allergic to penicillin. You've decided to use bismuth-based quadruple therapy for his infection.

Questions:

Please review the instructions in your assignment for information on how you are expected to organize your answers.

1. What medication did you choose from the category and why was it the best choice? What was the mechanism of action that made it a good choice for the patient? Provide a rationale that includes the guidelines you followed. Make sure your medication is written in script format.
2. Discuss specific patient education based on the prescribed therapy. Give 5-10 individual items that you are going to explain to the patient about the medication, goal of therapy, common side effects, lifestyle modifications, etc.
3. List a minimum of two MAJOR adverse reactions for the selected agent that would cause you to change therapy.
4. Describe three MAJOR drug-drug or drug-food interactions for the selected agent.