1. History: 60-year old female complains of epigastric pain that
occurs about 2 hours after meals. She states it is a burning
sensation, sometimes relieved with antacids. She also complains
of bloating and fullness, has smoked one pack of cigarettes/day
for 20 years. She does have a glass of wine with her evening
meal. She has taken ibuprofen for arthritis pain in her left knee for
about 4 years. She thinks her father had an ulcer. She is
currently taking lisinipril 10 mg po daily for hypertension and U
nidur 400 mg for mild COPD.
Advantage
Disadvantage
Maalox 30 mL after meals and at bedtime
Cimetidine 200 mg 4 times a day
Sucralfate 1 gram four times a day 30 minutes before meals and at bedtime
History: A 55 year-old man is hospitalized with GI bleeding. He
has a history of peptic ulcer disease. He states he has had tarry
stools and coffee ground emesis with abdominal cramping
throughout the day. He begins to vomit bright red emesis, BP
falls to 80/56, pulse increases to 120 and he is very restless.
Complete the following table.
Gastric Ulcer
Duodenal Ulcer
Acid secretion
Connection with NSAID use
H. pylori as etiology
Age incidence
Mortality
Symptoms
Relief measures
Complications
Advantage Disadvantage
Maalox 30 mL after meals and
at bedtime
Cimetidine 200 mg 4 times a
day
Sucralfate 1 gram four times a
day 30 minutes before meals
and at bedtime