w6-13.docx - Mike is a 46-year-old who presents with a complaint of\"heartburn for 3 months He describes the pain as burning and it is located in the

w6-13.docx - Mike is a 46-year-old who presents with a...

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Mike is a 46-year-old who presents with a complaint of "heartburn" for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit. Assessment His examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test. What would you prescribe initially? Mike has symptoms of a peptic ulcer especially with the complaints of heartburn and recent weight loss along with epigastric pain to start Mike would be prescribed famotidine 40mg p.o. at bedtime How long would you prescribe these medications? Famotidine would be prescribed for 8 weeks. . What other possible meds could you prescribe to assist with the side effects from the medications prescribed? In addition to Famotidine Mike will be prescribed bismuth subcitrate 420mg,
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