Reference no: EM133593468

Case: Elaine Brooke is a 28-year-old African-American female with a 2-month history of intermittent mid-epigastric pain. The pain sometimes wakes her up at night, and she gets better after eating. 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 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.

What medication did you choose from the category, and why was it the best? 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.
Discuss specific patient education based on the prescribed therapy. Give 5-10 items that you will explain to the patient about the medication, goal of therapy, typical side effects, lifestyle modifications, etc.
List at least two MAJOR adverse reactions for the selected agent that would cause you to change therapy.
Describe three MAJOR drug-drug or drug-food interactions for the selected agent.