Question

Your neighbor tells you she has been experiencing heartburn and belching, acidic foods seem to make it worse.

What might your neighbor be experiencing?

Explain why this occurs and what might be done to alleviate the problem?

The goals of peptic ulcer disease pharmacotherapy are to provide immediate relief from symptoms, promote healing of the ulcer, and prevent recurrence of the disease.

Discuss the drug classification, which might be prescribed.

The patient will begin medications to treat peptic ulcer disease.

What would the nurse include in the assessment prior to giving the medication, during the medication administration?

In addition, what symptoms might indicate potential adverse effects or complications?

A patient presents to their primary care physician complaining of dizziness, lightheadedness, feeling cold, and states they are a strict vegan. Upon further assessment and bloodwork, the patient is diagnosed with iron deficiency anemia.

Discuss this type of anemia.

Cite examples of the different indications for the administration of anemia drugs.

What would be included in patient education?

A patient with Stage 1 cancer is being admitted to the oncology unit for chemotherapy and reports that she has been taking nutritional supplements to build up her immune system.

What are the nutritional supplements?

After a week of chemotherapy, the patient is unable to eat or drink anything without vomiting in spite of administering antiemetics. She is weak and has lost 9 pounds. The oncologist has ordered total parenteral nutrition (TPN) to be administered via her central line.

What is the difference between administering nutrition enterally and parenterally?

Answer 1

Question 1.a : What might your neighbor be experiencing?

Answer : feeling heartburn and belching is a common symptom of 'ACID REFLEX disease '

Question 1.b : Explain why this occurs and what might be done to alleviate the problem?

Answer : Acid reflux occurs when the sphincter muscle at the lower end of your esophagus relaxes at the wrong time, allowing stomach acid to back up into your esophagus. This can cause heartburn and other signs and symptoms.

To alleviate the problem follow the tips :

Relief from lifestyle changes and over-the-counter medication is usually temporary. Stronger medication may be required.

• Elevate head of bed, Sleep on an incline
• Dietary modification
• Weight loss
• Eat sparingly and slowly
• Don't drink carbonated beverages
• If you smoke, quit.

Question 2.a : Medications to treat peptic ulcer disease.

Answer :

Antibiotics

• amoxicillin (Amoxil)
• clarithromycin (Biaxin)
• metronidazole (Flagyl)
• tinidazole (Tindamax)
• tetracycline
• levofloxacin

Proton pump inhibitor

• Omeprazole
• pantoprazole
• Lansoprazole

Penicillin

Antidiarreoal

• Pepto Bismol
• Pink Bismuth

Antacids

• Cimetidine (Tagamet)
• Ranitidine (Zantac)
• Famotidine (Pepcid)
• Nizatidine (Axid)

Question 2.b : What would the nurse include in the assessment prior to giving the medication

Answer : Prior to the administration of medications, the nurse must check and validate the medication order, strength and dose of the medicine to be administere, and also apply their critical thinking skills to the ordered medication and the status and condition of the client in respect to the contraindications, pertinent lab results, pertinent data like vital signs, client

​​​​​​Question 2.c : nurses responsibility during the medication administration?

• engage in safe medication practices, and contribute to a culture of safety.
• know the limits of own knowledge, skill and judgment, and seek help.
• assess the appropriateness of the medication practice by considering the patient, the medication, and the environment.
• Administer using safe techniques.

​​​​​​​Question 2.d : what symptoms might indicate potential adverse effects or complications?

• bleeding
• penetration
• perforation
• gastric outlet obstruction.
• Constipation

Question 3.a : Discuss this type of anemia - IRON DEFICIENCY ANAEMIA.

Answer : Iron deficiency anemia is a common type of anemia — a condition in which blood lacks adequate healthy red blood cells. Red blood cells carry oxygen to the body's tissues. As the name implies, iron deficiency anemia is due to insufficient iron.

Question 3.b : What would be included in patient education?

Answer :

• eat more iron-rich foods, such as liver, whole-grain breads and cereals, eggs, and dark green vegetables.
• You may also need an iron supplement.
• If your anemia is severe, blood transfusions may help.
• Avoid drinking coffee or tea with meals.